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Fatal Lassa Fever, New Jersey -
Imported From Liberia

From Patricia Doyle, PhD
9-4-4
 
From ProMED-mail
 
New Jersey Man Dies of Lassa Fever
By Tom Bell
Associated Press
9-4-4
 
A New Jersey man who recently returned from a trip to Liberia has died of an illness that had not been detected in the USA since 1989 but is common in West Africa, state health officials said Thursday.
 
The 38-year-old man from the Trenton area died of Lassa fever, a virus spread through rat droppings or urine that can be passed to other people through bodily fluids but not through causal contact, officials said.
 
It is unlikely that other passengers on the man's flight back from Africa or those who treated him were exposed, according to Dr. Clifton Lacy, state health commissioner. An anti-viral drug is effective in treating most cases of the disease, Lacy said. "It's only the high-risk individuals, really, who have the chance of getting the illness,'' said Dr. Eddy Bresnitz, state chief epidemiologist.
 
High risk is considered coming into contact with blood, vomit or other bodily secretions from an infected person. It is believed no employees at the hospital had high-risk contact, but some are still being questioned, Bresnitz said.
 
The man was admitted to the hospital after arriving at the emergency room 24 Aug 2004. His condition deteriorated rapidly and he died of massive kidney and liver failure on 28 Aug 2004, said Dr. Nick Karabulut of Capital Health System Mercer Medical Center, where the man was treated. "We are comfortable that this case will remain an isolated case,'' Karabulut said.
 
The Centers for Disease Control and Prevention in Atlanta diagnosed the cause of death as Lassa fever Thursday afternoon. Authorities said they were trying to identify the flight the man was on, which landed in Newark, and that the CDC would attempt to contact those who were on the plane. [CDC has since done that. - Mod.JW]. The man's family said he did not have symptoms of the disease, such as diarrhea, vomiting or coughing while on the flight, so there is little chance any other passengers were exposed, Bresnitz said.
 
Between 100 000 and 300 000 people get Lassa fever in West Africa each year, Lacy said. There are about 5000 deaths a year, but most people get mild symptoms or none at all.
 
http://www.ajc.com/health/content/shared/health
/ap/ap_story.html/Health/AP.V9061.AP-Rare-Illness.html
 
ProMED-mail
 
[The illness was first recorded in 1969 when two missionary nurses died in Nigeria. The cause was found to be Lassa virus, named after the Nigerian town where the cases originated. There is an ongoing outbreak of Lassa fever across the border from Liberia in Sierra Leone -- see 1st ref. below.
 
For additional information about the case in New Jersey, please see the website of the New Jersey Department of Health and Senior Services
http://www.state.nj.us/health/ or contact the health department's hotline
at 1-866-234-0964.
 
For more information about Lassa fever, please see the CDC website at
http://www.cdc.gov.
 
Additional information about Lassa fever testing is available on the CDC
website at
http://www.cdc.gov/ncidod/dvrd/spb/mnpages/dispages/lassaf.htm.
 
CDC information about infection control is available at
http://www.cdc.gov/ncidod/hip/
 
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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