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Archive Number 20090921.3319
Published Date 21-SEP-2009
Subject PRO/EDR> Cholera, diarrhea & dysentery update 2009 (23)
CHOLERA, DIARRHEA & DYSENTERY UPDATE 2009 (23)
**********************************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>

In this update:
Asia
[1] Cholera - Afghanistan
[2] Diarrhea - Singapore
[3] Shigellosis - Ukraine (Autonomous Republic of Crimea)Africa
[4] Cholera - Kenya
[5] Diarrhea - Congo DR (North Kivu)

*****
[1] Cholera - Afghanistan
Date: Mon 14 Sep 2009
Source: UN Integrated Regional Information Networks (IRIN) [edited]
<http://www.irinnews.org/Report.aspx?ReportId=86130>


A total of 28 deaths from cholera and/or acute watery diarrhea (AWD) 
have been reported in Afghanistan in the past 2 months, the Ministry of 
Public Health (MoPH) has said. At least 673 cases of AWD and/or cholera 
had been reported in 11 of the country's 34 provinces, it said.

According to the WHO, cholera is rarely reported in Afghanistan. Health 
officials in the northern province of Samangan have called for 
emergency assistance to thwart a possible cholera outbreak in 
Dara-e-Sof District. "Over the past 3 days cholera has killed 5 people 
in Dara-e-Sof. Unless preventive measures are implemented urgently it 
could spread to other areas," said Abdul Hameed, director of Samangan's 
health department.

The disease has also been reported in the eastern province of Nangarhar 
where flash floods affected about 4000 people on 31 Aug 2009, the UN 
Office for the Coordination of Humanitarian Affairs (OCHA) reported on 
2 Sep 2009.

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Samangan and Nangarhar provinces mentioned in the posting can be found 
on the map of Afghanistan at
<http://www.un.org/Depts/Cartographic/map/profile/afghanis.pdf>.
The HealthMap/ProMED-mail interactive map of Afghanistan is available at
<http://healthmap.org/r/00Qr> - Mod.LL]

*****
[2] Diarrhea - Singapore
Date: Thu 10 Sep 2009
Source: Xinhua News Agency [edited]
<http://news.xinhuanet.com/english/2009-09/10/content_12027963.htm>


Singapore has seen a 50 percent increase in diarrhea cases at local 
polyclinics in the past week, local media reported on Thu 10 Sep 2009. 
The country's 18 polyclinics, which are government-owned clinics, 
treated 2990 patients for acute diarrhea last week [week of 1 Sep 
2009], or about 50 percent more than the weekly average of 2072 cases, 
local newspaper the Straits Times reported.

When polyclinics see more than 2668 cases a week, it is considered an 
epidemic. The last time such an outbreak happened was 2 years ago. 
Doctors who have seen many more cases than usual in the last 2 weeks, 
said it appears to be highly contagious.

[Editor: Xiong Tong]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[Maps of the island city-state of Singapore can be found at
<http://www.mapsofworld.com/singapore/maps/singapore-map.jpg>
and the HealthMap/ProMED-mail interactive map at
<http://healthmap.org/r/00da>. - Mod.LL]

*****
[3] Shigellosis - Ukraine (Autonomous Republic of Crimea)
Date: Thu 10 Sep 2009
Source: Russian news Service (rusnovosti.ru) [in Russian, trans. 
Corr.ATS, edited]
<http://rusnovosti.ru:80/news/49860/>


Since 10 Sep 2009, all schools in Jankoy city are closed due to 
quarantine due to bacterial dysentery. The quarantine will last until 
21 Sep 2009. The last wave of infection included 20 people, including 
schoolchildren and adult relatives of already infected children. The 
minister of health of Crimea stated that the entire city is now a zone 
of infection spread. It is already known that the source of infection 
was contaminated yogurt. 20 children are still receiving treatment in 
the hospitals and 175 others have been already discharged.

--
Communicated by:
ProMED-RUS
<promed-rus@promedmail.org>

[Jankoy is a city in the Autonomous Republic of Crimea in southern 
Ukraine. The area can be seen on the maps at
<http://www.un.org/Depts/Cartographic/map/profile/ukraine.pdf>
and the HealthMap/ProMED-mail interactive map at
<http://healthmap.org/r/00Qu>. - Mod.LL]

*****
[4] Cholera - Kenya
Date: Thu 10 Sep 2009
Source: All Africa, UN Integrated Regional Information Networks (IRIN) 
report [edited]
<http://allafrica.com/stories/printable/200909100905.html>


"About 13 people are reported to have died of cholera in Turkana [in 
the northwest] since 20 Aug [2009]," Shahnaaz Sharif, the director of 
public health, told IRIN, adding that 5 of the deaths occurred in 
hospital while the rest have been reported by villagers. New cases are 
being reported in the Turkana divisions of Kalokol and Kerio, Sharif 
said. "The worry is [that] they [Turkana residents] are using water 
from the Ferguson Gulf, in Lake Turkana, which is contaminated," he 
said. A broken-down water pump has been repaired to provide clean 
water. The area also has low latrine cover, contributing to improper 
waste disposal.

In the capital Nairobi, 3 cholera cases were reported in the eastern 
Dandora area 7 days ago. "This was caused by the use of water from a 
well that was sunk close to a latrine," he said. Dysentery cases are 
also being reported 250 km [155 miles] from the northeastern Laisamis 
area, where a previous cholera outbreak was reported.

So far, more than 600 cholera cases have been reported in the affected 
Turkana divisions, the International Rescue Committee (IRC) health 
coordinator for Kenya, Vincent Kahi, told IRIN. "Lack of water for 
Kalokol, Turkana, is the main driver of the disease," Kahi said. He 
said NGO [non-governmental agency] partners, with the Health Ministry, 
were distributing chlorine for water treatment and repairing 
infrastructure.

The IRC is helping to provide medicine and staff to help in the early 
diagnosis of the disease. The Kenya Red Cross Society (KRCS) is 
supporting water and sanitation projects in drought-hit northeastern 
Ijara and Isiolo in the east to reduce the vulnerability of pastoralist 
communities to recurrent droughts. KRCS staff and volunteers are also 
training community members in hygiene and are continuing to distribute 
relief aid to 573 343 beneficiaries in the region.

--
Communicated by:
ProMED-EAFR
<promed-eafr@promedmail.org>

[Maps of Kenya can be found at
<http://www.un.org/Depts/Cartographic/map/profile/kenya.pdf> and
<http://healthmap.org/r/00O7>.
Lake Turkana is the northern part of the border between the Rift Valley 
and Eastern provinces. - Mod.LL]

*****
[5] Diarrhea - Congo DR (North Kivu)
Date: Wed 16 Sep 2009
Source: Radio Okapi [in French, trans. Mod.JW, edited]
<http://www.radiookapi.net/index.php?i=53&a=24717>


A mysterious illness has struck the Walikale territory for the last 3 
months. The symptoms of this disease include diarrhea and vomiting. The 
tribal chief Lukong Birunga of Waloa Yungu told Radiookapi.net that the 
illness first manifested in his group Waloa Yungu before reaching 5 
localities of North Kivu province, namely Buhimba, Kimuwa, Nando, 
Mikweti, Kahilenge-Mitwa. The same source said that during 3 months, 26 
deaths were recorded including the case on [Mon 14 Sep 2009].

Also according to the same source, patients have no access to medical 
care, because there is no functional health facility on site. Health 
officials in Goma already have the information, says the source, but 
cannot go there to intervene because of the bad security situation. The 
traditional authority recalls that the Waloa Yungu group in the 
territory of Walikale in North Kivu is so far experiencing armed groups 
and foreign forces who are the law there.

--
Communicated by:
ProMED-EAFR
<promed-eafr@promedmail.org>

[North (Nord) Kivu can be found in northeastern Congo DR on the maps at
<http://www.un.org/Depts/Cartographic/map/profile/drcongo.pdf>
and the HealthMap/ProMED-mail interactive map at
<http://healthmap.org/r/00Pl>. - Mod.LL]

[see also:
Cholera, diarrhea & dysentery update 2009 (22) 20090913.3223
Cholera, diarrhea & dysentery update 2009 (21) 20090819.2939
Cholera, diarrhea & dysentery update 2009 (20) 20090724.2616
Cholera, diarrhea & dysentery update 2009 (19) 20090720.2575
Cholera, diarrhea & dysentery update 2009 (18) 20090709.2469
Cholera, diarrhea & dysentery update 2009 (17) 20090429.1620
Cholera, diarrhea & dysentery update 2009 (16) 20090310.0991
Cholera, diarrhea & dysentery update 2009 (15) 20090212.0632
Cholera, diarrhea & dysentery update 2009 (14) 20090210.0604
Cholera, diarrhea & dysentery update 2009 (13) 20090204.0491
Cholera, diarrhea & dysentery update 2009 (12) 20090203.0474
Cholera, diarrhea & dysentery update 2009 (11) 20090128.0393
Cholera, diarrhea & dysentery update 2009 (10) 20090126.0355
Cholera, diarrhea & dysentery update 2009 (09) 20090122.0275
Cholera, diarrhea & dysentery update 2009 (08) 20090120.0245
Cholera, diarrhea & dysentery update 2009 (07) 20090116.0182
Cholera, diarrhea & dysentery update 2009 (06) 20090113.0140
Cholera, diarrhea & dysentery update 2009 (05) 20090112.0124
Cholera, diarrhea & dysentery update 2009 (04) 20090110.0107
Cholera, diarrhea & dysentery update 2009 (03) 20090107.0061
Cholera, diarrhea & dysentery update 2009 (02) 20090105.0038
Cholera, diarrhea & dysentery update 2009 (01) 20090102.0015
2008
----
Cholera, diarrhea & dysentery update 2008 (57) 20081231.4125
Cholera, diarrhea & dysentery update 2008 (50) 20081208.3854
Cholera, diarrhea & dysentery update 2008 (30) 20080702.2019
Cholera, diarrhea & dysentery update 2008 (10) 20080212.0563
Cholera, diarrhea & dysentery update 2008 (01) 20080104.0047
2007
----
Cholera, diarrhea & dysentery update 2007 (67) 20071231.4200
Cholera, diarrhea & dysentery update 2007 (60) 20071126.3824
Cholera, diarrhea & dysentery update 2007 (40) 20070924.3164
Cholera, diarrhea & dysentery update 2007 (20) 20070511.1509
Cholera, diarrhea & dysentery update 2007 (01) 20070105.0047
2006
----
Cholera, diarrhea & dysentery update 2006 (52) 20061229.3646
Cholera, diarrhea & dysentery update 2006 (50) 20061215.3528
Cholera, diarrhea & dysentery update 2006 (30) 20060724.2037
Cholera, diarrhea & dysentery update 2006 (10) 20060303.0675
Cholera, diarrhea & dysentery update 2006 (01) 20060106.0040]
...........................np/mpp/jw/ll/mj/lm




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