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Mystery Illness Causes Near
Panic In Parts Of Bangladesh

From Patricia Doyle, PhD
dr_p_doyle@hotmail.com
1-26-4



Hello Jeff - This is a curious situation and the fact that poultry and cattle are being investigated as a possible cause of the outbreak lends even more mystery to the situation.
 
As soon as more data is made available, which will, hopefully, include lab results, I will send you an update.
 
I fail to understand why the Promed moderator would theorize that it could be an encephalitis-LIKE illness when a doctor from the hospital appears to rule out encephalitis, malaria and meningitis.
Viral encephalitis had been the original suspected culprit, however, according to the statement below, it appears to NOT be the case.
 
Exerpt:
 
Dr Md Abul Faiz of the hospital's medicine ward said symptoms of the
illness include high fever, headache, tendency to vomit, diarrhoea, and
loss of consciousness. He however ruled out malaria, meningitis or
encephalitis.
 
Here again, we may be looking at a zoonotic disease. A zoonotic disease is a disease that jumps species barrier. A good example is West Nile Virus.
 
Patricia Doyle
 
UNDIAGNOSED DEATHS - BANGLADESH (RAJBARI): REQUEST FOR INFORMATION
 
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
 
[1]
Date: 24 Jan 2004
From: ProMED-mail
Source: Matamat.com [edited]
http://www.matamat.com/fullstory.php?gd=22&cd=2004-01-24
 
2 more people died of a mysterious disease in Goalundo on Friday and Saturday, raising the death toll from the yet-unidentified malady to 12.
 
According to family and hospital sources, 18-year-old and 13-year-old brothers, and a 10-year-old boy from the Kazipara area were admitted to Dhaka Medical College Hospital in critical condition. The [18-year-old] died Friday night and [the 10-year-old] this (Saturday) morning.
 
5 new patients out of 12 affected, were admitted to Goalundo Hospital today. Symptoms of the disease are high fever, headache, and body convulsion, physicians said. District Civil Surgeon Dr Motiur Rahman said that although the disease was initially diagnosed as "Viral Encephalitis", medical teams from ICDDR-B and IEDCR from Dhaka are testing the blood of domestic animals like cattle and poultry birds to identify the source of the disease.
 
The unidentified disease has so far claimed 8 lives in Kazipara and Juran Mondoler para in Goalundo municipal area alone. Most of the victims were children and adolescents. Panic-stricken people have already started leaving the affected areas, while special prayers were being held in mosques and shrines.
 
******
[2]
Date: 24 Jan 2004
From: ProMED-mail
Source: The Daily Star [edited]
http://www.thedailystar.net/2004/01/25/d4012501099.htm
 
Mysterious Deadly Disease
Tissue samples to be sent to US as 3 die at DMCH
 
3 out of 5 children admitted to Dhaka Medical College Hospital (DMCH) over the last 3 days with a mysterious illness died yesterday.
 
4 of the children, including the 2 [who died, a 12-year-old and an 18-year-old], came from Goalando in Rajbari. The [10-year-old] is the 3rd fatality and the only one from Manikganj town.
 
The 18-year-old's 14-year-old brother and another 11-year-old boy, the 2 others from Goalondo, have been quarantined at the DMCH as the doctors failed to diagnose the disease.
 
A team of experts on communicable diseases have collected tissue samples from several other victims of the disease in Goalondo, the BBC Bangla Service reported yesterday.
 
Dr Jahangir Hossain of ICDDR-B (International Centre for Diarrhoeal Diseases Research, Bangladesh) and a member of the visiting team of experts said the samples will be sent to Atlanta, USA, for diagnosis at the Center for Disease Control (CDC) there, sources said.
 
"We haven't been able to identify the disease, but we are sure it's viral," Dr Hossain told BBC last night. He also did not rule out the possibility of [the disease having been passed] from local poultry or other farm animals, but said experts are unable to comment on the spread of the disease until CDC's diagnostic report is at hand.
 
Meanwhile, hospital authorities formed a medical board yesterday in connection with the mysterious illness.
 
Dr Md Abul Faiz of the hospital's medicine ward said symptoms of the illness include high fever, headache, tendency to vomit, diarrhoea, and loss of consciousness. He however ruled out malaria, meningitis or encephalitis.
 
A report from Rajbari says fear spiralled over the mysterious disease after the recent death of 5 of a family in Joran, the same village where 4 of the DMCH victims come from.
 
--
ProMED-mail
<promed@promedmail.org>
 
[More information on this outbreak would be appreciated from knowledgeable sources. From the brief description it appears this may be an encephalitis-like illness. It is curious that the cattle and poultry are being tested as well, leading us to wonder what the postulated etiologies are. Rather than speculate on possible etiologies here, we shall await further information. - Mod.MPP] ..........................mpp/pg/dk
 
 
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
 
 
Man Arrested For Injecting Children With Unknown Substance
 
Staff Writer
Arab News
1-25-4
 
JEDDAH, Saudi Arabia - Police have arrested a man for allegedly giving contaminated vaccines to children. The arrest came after a five-year-old boy was admitted to a city hospital after receiving an injection.
 
There have been strong rumors that a group of people claiming to be members of the Health Ministry's medical team was giving contaminated vaccines to children after visiting households in the city.
 
A hospital source told Asharq Al-Awsat, a sister publication of Arab News, that the boy was playing with his friends on the street when several men approached them. The men, the source said, caught the boy and forcibly injected him with contaminated vaccine.
 
The newspaper said rumors of people pretending to be Health Ministry officials contaminating children have been circulating in Jeddah for the past 10 days. It said people have received text messages on their mobile phones warning against the group.
 
A security source confirmed the arrest of the individual but refused to give the man's identity. The arrest took place in Umm Al-Salm, northeast of Jeddah, and police are questioning the man in order to arrest other people involved in the incident. "The child was brought to hospital on Friday and the incident could have taken place several days before. The child does not show any symptoms of any disease," the source told the daily.
 
 
Copyright:Arab News © 2003 All rights reserved.
 
http://www.arabnews.com:

 

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