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Disease Spreads Death,
Fear, Grief In Bangladesh

From Patricia Doyle, PhD
dr_p_doyle@hotmail.com
1-29-4



Thus far, 60 cases with 14 deaths (official) but 19 deaths (according to newswire.) This illness has far more cases in one country, Bangladesh, then all of the combined cases in Asia of Avian Influenza. There had been reports of bird die-offs in Bangladesh as well as reports of Newcastle Disease in poultry.
 
(Reuters) -- A disease that has killed at least 14 people in Bangladeshi villages is spreading grief and fear, but one doctor treating victims said Tuesday the outbreak might have peaked.
 
A mother in one village wept as she told how her 2 sons had been quickly struck down by the disease, which authorities believe is not the bird flu sweeping many other parts of Asia.
 
"I lost them within 48 hours, before I could do anything to save them. I did not know they might be infected by a deadly disease," said the mother in Goalando village, 75 miles southwest of the Bangladeshi capital, Dhaka.
 
Government health officials say the disease has broken out in a string of villages in northern and southwestern districts, killing at least 14 people. Newspapers put the death toll at 19. Nearly 60 people have caught the sickness, a disease control official in Dhaka said.
 
But experts have said the disease, which produces high fever, headache, vomiting, and spells of unconsciousness, is like nothing they have seen. Samples have been sent to the U.S. Centers for Disease Control for analysis.
 
Dr Jahangir Hossain, an expert at the International Center for Diarrhoeal Diseases Research, Bangladesh, said the "symptoms suggest the disease could be encephalitis."
 
Doctors at a hospital in Goalando village said they had treated dozens of people with symptoms of the mystery disease over the past week. "One has died, 16 are still in being treated, while the others have gone home," said Dr. Sakhawat Ali. Ali said the worst of the outbreak might be over. "The situation seems to be under control now, as we are not getting new patients," he said.
 
Village school head master Habibur Rahman said the disease had spread fear. "Primary schools have been closed, and attendance in higher schools has dropped sharply since the outbreak of the unknown disease," he said.
 
Ali said there were only a few poultry farms in Goalando and he had heard of no poultry disease.
 
Bird flu outbreaks have been confirmed in [`0 countries] but there have been no reports of sick chickens in Bangladesh, government officials have said, and the Bangladesh Poultry Industries Association said checks had confirmed no bird flu in Bangladesh.
 
http://www.reuters.co.uk/newsArticle.jhtml?type=healthNew
s&storyID=4214946&section=news
 
-- ProMED-mail promed@promedmail.org
 
In the earlier posting (also a newswire), there was mention of 12 deaths. According to this newswire, the number of deaths associated with this outbreak is 14 by official sources, and 19 by newswire sources. The official number of cases of this undiagnosed disease is 60, so with 14 officially reported deaths it represents a reported case fatality rate of 23 percent. The description of the illness seems to suggest an encephalitis. The mention of avian influenza seems more gratuitous at the moment and not based on clinical findings, as the clinical description does not include a respiratory component. (Albeit one should mention that there have been reports of poultry deaths in Bangladesh, contrary to the newswire statement above -- see ref. below). More information on this outbreak from authoritative sources would be appreciated. - Mod.MPP
 
 
Patricia A. Doyle, PhD Please visit my "Emerging Diseases" message board at: http://www.clickitnews.com/ubbthreads/postlist.php?Cat=&Board=emergingdiseases Zhan le Devlesa tai sastimasa Go with God and in Good Health

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