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New Outbreak Of
'Madness' Disease
In Nicaragua

From ProMed Source: EFE Salud, 27 Nov 2005
(In Spanish, edited by Mod.JT, trans. Mod.JGM) 12-2-5
12-2-5
 
A new outbreak of widespread "madness", known as "Grisis Signis" among native Central American tribes, is affecting native Miskito communities on the northern Caribbean Nicaraguan coast, and health authorities have not offered any scientific explanation for this phenomenon.
 
The information, published today by "El Nuevo Diario" newspaper, indicates that this region of the country is also suffering famine caused by a plague of rats that devoured crops. It adds that at least 31 native persons in the northern Caribbean coast had been affected by "Grisis Signis", which provokes attacks of violence and hysteria.
 
Saul Miranda, head of the health center in Waspam, the main municipality on the Coco River at the Honduras border, told the newspaper that 21 cases were detected in the Raiti community, 729 km northeast of Managua. He added that 4 additional cases were detected in the community of Santa Fe, while in Krin Krin village, indigenous leaders reported 6 ill persons.
 
The illness causes seizures and hallucinations, affecting only Miskito natives, who interpret the affliction as the result of a curse or sorcery. Those affected become quite strong, attacking households and becoming violent when somebody tries to disarm them. Some walk around the villages armed with sticks and machetes, sometimes returning to their homes after having been absent for some days. The only way in which affected persons return to normal is by taking herbs given to them by a traditional healer ("curandero"), but after the episode they do not remember anything at all.
 
During other outbreaks [a similar outbreak was reported in October 2003], Health Ministry authorities have not offered any scientific explanation for this illness.
 
Meanwhile, Coco River communities have been suffering for many months from famine caused by a plague of rats, which devoured their crops, and they have also been affected by floods caused by the recent tropical storms and hurricanes. Government authorities, with support from the World Food Program (WFA), have brought food and support for these communities that have been historically affected by natural disasters.
 
-- ProMED-mail
promed@promedmail.org
 
There are a number of possible causes for this type of psychosis. Among those related to infectious disease are brucellosis (Annesley PT. Schizophreniform psychosis with chronic brucellosis. Br J Psychiatr 1968; 114: 353-4), leptospirosis (Marshall RB, Scrimgeour G. Schizophreniform psychosis associated with leptospirosis. N Z Med J. 1978 Sep 13;88(619):212-3), and Lyme disease (Fallon BA & Jenifer A. Nields JA. Lyme disease: a neuropsychiatric illness. Am J Psychiatry 151:11, Nov 1994 pp.1571-1580).
 
Bur since in the current cases the symptoms are associated with a food shortage, the victims could be eating old stocks, contracting mycotoxicosis from ergot, which was associated with the witch trials at Salem, Massachusetts, USA, because of its psychoactive properties; see ProMED post 19961022.1786.
 
Aggression is a symptom of Korsakoff's psychosis, caused by primary thiamine (vitamin B1) deficiency or beri-beri, which occurs when there is an inadequate dietary intake of thiamine; see ProMED post 20031111.2791 Thiamine deficiency, infant formula - Israel. It is strange that it is only Miskito Indians that are affected; perhaps an anthropologist reader could provide some insight? - Mod.JW
 
 
Patricia A. Doyle, DVM, PhD Bus Admin (Tropical Agriculture Economics)
 
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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