Showing posts with label Crimean-Congo Viral Haemorrhagic Fever. Show all posts
Showing posts with label Crimean-Congo Viral Haemorrhagic Fever. Show all posts

Saturday 6 October 2012

Glasgow Crimean-Congo Viral Haemorrhagic Fever: Passengers monitored


Glasgow Crimean-Congo Viral Haemorrhagic Fever: Passengers monitored

C130 Hercules aircraftThe 38-year-old patient was transferred to hospital in London on a special RAF isolation plane

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Two passengers who sat near a man who has Crimean-Congo Viral Haemorrhagic Fever (CCVHF) on a flight to Glasgow are being monitored as a precaution.
The 38-year-old man was earlier transferred to hospital in London in a special RAF isolation plane.
He had been in Kabul, Afghanistan, and was diagnosed hours after returning to Glasgow on Emirates flight EK027 from Dubai on Tuesday.
Two other passengers contacted do not require follow-up.
The man was transferred from the specialist Brownlee unit at Gartnavel Hospital in Glasgow to the Royal Free Hospital in London on Friday morning.
NHS Greater Glasgow and Clyde (GGC) initially said it wanted to contact three passengers thought to have sat near the man on the flight from Dubai.
The health board said a fourth passenger had now been identified as a possible contact of the patient and would be followed up on a daily basis, for two weeks, to monitor for any developments of relative symptoms.
One of the original three passengers is also being followed-up with daily monitoring. The other two do not require follow-up surveillance.

THE DISEASE

  • Crimean-Congo Haemorrhagic fever is a viral fever transmitted from animals to humans by tick-bites or through direct contact with blood or infected tissues from livestock, particularly cattle, sheep, goats, and hares.
  • It kills between 10-40% of people infected.
  • It is rare - but incidence has risen over the past decade.
  • It is present in more than 30 countries in Eurasia and Africa, including northwestern China, central Asia, southern and eastern Europe, Africa, and the Middle East.
  • Initial symptoms include headache, high fever, back pain, joint pain, stomach pain and vomiting. Rarer signs include jaundice, severe bruising and uncontrolled bleeding.
  • An anti-viral drug called ribavirin is the most common treatment. There is no safe vaccine.
  • It was first described in the Crimea in 1944 and was found to be responsible for an illness in a human in Congo in 1956.
Public health consultant, Dr Syed Ahmed, who is coordinating the investigations into this case, said: "The risk of person to person transmission of Crimean Congo Viral Haemorrhagic Fever is very low as it can only be transmitted by direct contact with infected blood and body fluids.
"It is not a virus which is transmitted through the air.
"The monitoring of these two passengers is purely precautionary and is in line the national guidance for the management of cases such as this."
The health authority said the risk to all other passengers was "extremely low" and advised anyone with concerns to contact NHS 24.
This is the first case of CCVHF in the UK.
The man was stabilised overnight before being moved in specialist isolation facilities by air with the support of the Scottish Ambulance Service and the RAF.
The NHS 24 helpline number for anyone on flight number EK027 to call if they have concerns is 08000 85 85 31.
The helpline will be available between 08:00 and 22:00 seven days a week.
CCVHF is a zoonosis - a disease found in animals that can infect humans.
Outbreaks are usually linked to contact with blood or body fluids from infected animals or people.
Onset is sudden, with initial symptoms including high fever, joint pain, stomach pain, and vomiting.
Red eyes, a flushed face and red spots in the throat are also common.
As the illness progresses, patients can develop large areas of severe bruising, severe nosebleeds, and uncontrolled bleeding.

Friday 5 October 2012

Crimean Congo Haemorrhagic Fever


Deadly 'Congo fever' kills three in India

A rare deadly virus has killed three people in India for the first time ever, health officials said.
The National Institute of Virology (NIV) confirmed the deaths were caused by the Crimean Congo Haemorrhagic Fever, also known as the 'Congo fever'.
The dead included a woman who was infected with the virus, and the doctor and the nurse who treated her at a hospital in the western Ahmedabad city.
Two relatives of the dead woman have also been admitted to hospital.
"This is a very deadly virus, but there is no need to panic," Gujarat state Health Minister Jayanarayan Vyas said.
Two more cases - the husband and brother of the dead woman Amina Momin - are in hospital, Mr Vyas said.
"They are being treated and their condition is stable," he added.
Twenty teams of health officials have been fanned out within 5km area from the Kolat village in Gujarat state and are officials say no fresh cases have come to light.
"We are not leaving any thing to chance. We are confident that with the measures taken we will be able to contain the disease," Mr Vyas said.
Congo Crimea Haemorrhagic Fever is a viral haemorrhagic fever transmitted by ticks and causes bleeding from the skin, mouth and nose.
The virus can also transmit from animals to humans.

Crimean-Congo Viral Haemorrhagic Fever case in Glasgow


Crimean-Congo Viral Haemorrhagic Fever case in Glasgow

GartnavelThe patient is being treated at the specialist Brownlee unit at Gartnavel General Hospital

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A man is being treated in complete isolation in Glasgow after being confirmed as having Crimean-Congo Viral Haemorrhagic Fever.
The 38-year-old man is said to be in a critical condition in the city's specialist Brownlee unit.
He was admitted to hospital less than three hours after returning to Glasgow on Emirates flight EK027 from Dubai.
The tick-borne tropical disease, which is rare in Western Europe, is fatal in up to 30% of cases.
The Brownlee unit at Glasgow's Gartnavel General Hospital specialises in infectious diseases.
NHS Greater Glasgow and Clyde said the risk of person-to-person transmission of the virus is extremely low.
However, as a precautionary measure those who have been in close contact with the patient are being contacted to ensure that there has been no transmission.

Start Quote

We are confident that his close contacts subsequently within the city were minimal”
NHS Greater Glasgow and Clyde
This includes tracing three of his fellow passengers on the flight from Dubai to Glasgow which arrived at 12:35 on Tuesday.
They were seated in close proximity to him on the flight. The three passengers are being contacted directly as a precaution to ensure that there has been no transmission.
The risk to all other passengers on the flight is said to be very low, but if they have any concerns they should contact NHS24 on 08000 85 85 31for advice.
A spokesman for the health board said: "Given the fact that this man went into the care of the NHS within three hours of his flight arrival in Glasgow and travelled directly home via private transport from the airport we are confident that his close contacts subsequently within the city were minimal.
"We have also identified all NHS staff, airport and airline staff who have had contact with the patient and any necessary follow-up action will be taken."
Dr Syed Ahmed, the board's Consultant in Public Health, said the virus can only be transmitted by direct contact with infected blood or body fluids. It is not transmitted through the air.
He added: "Crimean Congo Viral Haemorrhagic Fever (CCHF) is a widespread tick-borne viral disease.
"It is not common in Western Europe but is endemic in parts of eastern and southern Europe, central Asia, Africa, the Middle East and the Indian subcontinent.
"As soon as laboratory sampling confirmed that the patient was suffering from this virus all the appropriate agencies were informed."
Body fluids
CCHF is a widespread tick-borne viral disease, a zoonosis of domestic animals and wild animals, that may affect humans.
Outbreaks of illness are usually attributable to contact with blood or body fluids from infected animals or people.
The onset of CCHF is sudden, with initial signs and symptoms including headache, high fever, back pain, joint pain, stomach pain, and vomiting.
Red eyes, a flushed face, a red throat, and petechiae (red spots) on the palate are common.
Symptoms may also include jaundice, and in severe cases, changes in mood and sensory perception.
As the illness progresses, large areas of severe bruising, severe nosebleeds, and uncontrolled bleeding at injection sites can be seen, beginning on about the fourth day of illness and lasting for about two weeks.
Crimean-Congo hemorrhagic fever is found in Eastern Europe, particularly in the former Soviet Union.
It is also distributed throughout the Mediterranean, in northwestern China, central Asia, southern Europe, Africa, the Middle East, and the Indian subcontinent.

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