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Posted on 05/04/2005 12:42:04 AM PDT by Judith Anne
Welcome to the Marburg Surveillance Project.
This thread will be used for all of the latest Marburg Outbreak News and comments. This is the place to post all comments about the Marburg outbreak, all articles and links to articles about the Marburg outbreak.
We're going to use just one thread instead of having to go from article to article as we have in the past. We'll use this thread as long as we can.
Actually I'm note sure if just hitting the 'Portuguese' button on that page becomes the portuguese version of the article. I can't tell because I can't read Portuguese.
I have worked with USAMRIID teams in the field in Asia so I do know they exist first hand (influenza and SARS research).
Uh...no, BabelFish translation:
Manifest CPLP availability in cooperating with agencies of Luanda Justice, 10/05 - the executive secretary of the CPLP, Luis Hunter of the Fonseca, revealed monday the availability of its agency in cooperating with the supreme courts of the community, so that justice if makes with equity. Luis Hunter of the Fonseca revealed such positioning in the end of the hearing that was granted to it by the Supreme Chief justice, Cristiano Andres, in the continuation of its visit Angola, initiated sunday. He follows
"Another possibility is that this is contagious earlier than thought, and that people can be infected before Marburg is suspected. If this were the case, all it would take is one infected health care worker. Once one worker was infected, others would become infected without any breach of protocol whatsoever."
I agree with your hypothesis to a point, if the clinicians and practitioners where all in the same location. They are distributed and not all in contact with one another.
Kelly, I have a question.. is there any way that the incubation period is greater than the 21 days?? possibly making the contagious incubation period longer than what is suspected? I know they don't know how much it takes to cause infection.. but perhaps it is a single virus? since it appears to be so strong, the bodies natural defenses don't seem to work against it. You cannot tell me that everyone who contracted and died form the virus were all immunocompromised.
Translation from BabelFish (New Notice to Angolan Population)
Measures of prevention of the illness for virus of Marburg
Original link: http://www.angolapress-angop.ao/noticia.asp?ID=340133
Due to hemorrhagic fever provoked by the virus of Marburg, highly contagious epidemic that devastates the country since October of 2004, nominated the provínvias of the Uíge, Luanda, Malange, Kwanza-North, Kwanza-South, Zaire and Cabinda, the Health department appeals to the population in measured the direction to follow the prevention scratch the following ones:
1- Manter the calm, not to enter in panic, when it will be before a suspicious sick person.
2- Utilize always gloves or moors plastic bags in the hands before catching in a suspicious sick person.
3- Procure immediately the rank, center of health or next hospital its to be consulted and treated house sick it.
4- it is lived very far, it informs the authorities of the village or quarter to communicate the health staff that will be next to the locality.
5- Transport the very well-taken care of sick person with in a stretcher or a tipóia prepared with a blanket or cloth lined with plastic not to spread vomits and excrements of the sick person to bleed. If the sick person will be carried from car, desinfecte the viatura with lixívia.
6- In death case, not to lead to the house, nor to touch, to wash, to hug or to kiss the body of a dear being who has deceased of this illness. The body will have to be kept the guard of the authorities of the health because it will have to go directamente of the mortuária house for the cemetary.
7- Lavar the hands with water desinfectada with lixívia and soap after catching in the sick person, in its clothes, towels, plates, spoons and other utensils and the places where she has been the sick person.
8- not to eat meat of dead joined animals or livings creature in the bush.
9- Varrer always the house and the yard at least two times per day. To burn or to embed the garbage.
It knows more on the illness of Marburg
- This illness calls Hemorrhagic Fever for Virus Marburg that has appeared of times the times in many other countries.
- It is an illness caused for a virus that appears few times, but is very dangerous. It can afectar as many people as animal.
- the risk to be afectados for the disease da when we are in direct contact with a sick person or a corpse, or through the blood, piss, excrements, vomits, saliva, sperm or through syringes and needles still contaminated.
- This manifest illness with high fever, vomits or diarreia with blood. The blood can also appear in any part of the body, such as eyes, nose, ears, skin, vagina.
http://allafrica.com/stories/200505100167.html
May 10, 2005 Mwala Kalaluka Mongu
HEALTH authorities in Mongu have gone on a Marburg alert after a resident of Imwiko North Park in the town died from what was suspected to be the deadly viral disease that has claimed several lives in neighbouring Angola.
And Mongu District Health Board chairman, Charles Wakung'uma has said that the provision of health services should be taken as a right.
Mongu director of health Dr. Francis Liywalii said during an interview in Namushakende yesterday that his office has carried out education and sensitisation programmes in the compound where, Mubita Nang'alelwa, who died from an acute illness and was buried at Katongo Cemetery in Mongu last week, resided.
According to investigations, the deceased had come back from a visit to neighbouring Angola sometime in January this year and some concerned residents in the town thought he could have contracted the virological disease, especially that he had bled from the mouth just before he died.
"We carried out sensitisation programmes in Imwiko North Park last week, because that is where the funeral of the man took place," said Dr.Liywalii.
Dr Liywalii was however, quick to point-out that clinical evidence did not show that the disease was Marburg, which is a virological disease that is in the same class as the Ebola virus.
He also said they have put in place preventive measures and that they will keep surveying the situation in Imwiko North Park compound in view of the development.
And the Central Board of Health (CBoH) in the Western Province has concluded a 10-day epidemic preparedness programme along the province's border areas following the outbreak of the deadly Marburg disease in neighbouring Angola.
A source disclosed that the undertaking also included the supplying of protective equipment in all the areas along the border with Angola apart from sensitising the communities in the areas that fall in the Kalabo and Shangombo districts.
The source said that the initiative was conducted with the help of neighbourhood health committees in the various communities.
The incubation period for Marburg is five to 10 days after contact, which is usually through droplet transmission and coming into contact with an infected person's body fluids, before the patient develops a fever and general body malaise. This is followed by the development of a rash and at this time the disease becomes highly infectious.
Marburg, according to expert information has claimed about 90 percent of the reported cases in Angola and is said to have become more virulent than before, and residents in Western Province fear that there might be a cross-over as has been the case with the livestock disease Contagious Bovine Pleuro-Pneumonia (CBPP).
And opening a five-week workshop for Community Health Volunteers (CBVs) and Traditional Birth Attendants (TBAs) at Namushakende Youth Skills Training Centre yesterday, Wakung'uma noted that it would be difficult to stretch health services close to the people without involving members of the community.
"Health services should be seen as a right. It is extremely difficult for health workers in the rural health centres to cover all the places, because catchment areas for rural health centres are very, very wide," Wakun'guma observed.
Wakung'uma said the role that traditional birth attendants play in ensuring the drastic reduction of death among expectant mothers during child labour could not be overemphasised.
Mongu is in Zambia apparently. One of these days I'm going to actually post all information correctly at the same time.
I have never heard WHERE the medical people who died were working. Are you saying the majority of them were NOT working in general proximity to each other?
Why??
What is the causal connection between morbitity and airborne transmission??
Thanks.
...I am staying in a house with the rest of the MSF team. The house is fairly full as there are 17 of us. Everyone sleeps on the floor on mattresses, three or four to a room. I was lucky to get a space. There is no touching among us, so no good morning kisses or handshakes and everyone takes care not to sit too close to each other...
link http://news.bbc.co.uk/1/hi/world/africa/4442171.stm
If this is a new strain then it is hypothetically possible, and yes there could be patients that are examined with general aches and pains prior to sudden onset of symptoms. These patients could hypothetically be contagious at an earlier stage. BUT it is unlikely that such contact at sudden onset will provide and possibility of transmission. This would need to happen while they are presenting with acute symptoms such as nausea, maculopapular rash or massive hemorrhaging UNLESS the virus is able to transmit via airborne particulate. Then that is another matter
I agree with the question you asked, and I think the mortality is unrelated to the part of the body the virus enters, whether a break in the skin, mucous membranes of the mouth or nose or eye, or inhaled virus from aerosolized coughing.
It was found in Russian research that as few as 5-10 virus particles inhaled into the lungs can cause disease.
It doesn't--it's like there are two different articles, not two different languages of the same article.
I'm halfway wondering if some reporter who speaks English is trying to get the word out, past a censor who doesn't...
But then, remember how suspicious I always am...
Would it be possible to come in contact with the sweat of a person who is not symptomatic? I've been reading where even the sweat can spread the disease and given many of the hospitals are not air conditioned, or patients coming in from the heat would be sweating?
In this case, both morbidity and mortality may be high.
That was my assumption can you check that out and confirm it?
Speaking of the Zoe Young diary, it has been quite a while since her third update.
Anybody have any idea why Zoe Young has not posted her 4th diary update? The first three were very informative. The 4th is overdue.
Gloves would prevent transmission by this means, we would have to assume that no medical or clinical practitioners observed this basic counter measure. that is unlikely
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