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CHOLERA, DIARRHEA AND DYSENTERY UPDATE 2007

CHOLERA, DIARRHEA AND DYSENTERY UPDATE 2007 (38)
************************************************
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 - Iraq (Baghdad)
[2] Diarrhea, fatal - Philippines (Shariff Kabunsuan)
Africa
[3] Diarrhea, dysentery - Zimbabwe (Matabeleland North)

******
[1] Cholera - Iraq (Baghdad)
Date: Tue 18 Sep 2007
Source: Voices of Iraq [edited]
<http://uruknet.info/?p=s7280&s1=h1&l=i>


The director of al-Karkh health department said on Tue 18 Sep 2007 that the 
1st cholera case has been detected in the Iraqi capital Baghdad, in 
addition to 2 other suspected cases.

"The preliminary tests were positive. It is an elderly man from (Abu Etham 
village) of al-al-Taji district near Kadhimiyah in al-Karkh neighborhood," 
Dr Jaleeln al-Shemri told the independent news agency Voices of Iraq (VOI). 
"Two more suspected cholera cases arrived at the hospital 2 days ago and 
submitted to all necessary tests," he added.

A senior official from the Ministry of Health announced earlier on Tue 18 
Sep 2007 that the number of cholera cases has reached 1600 throughout Iraq.

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

[The previous ProMED-mail posting gave the number of documented cholera 
cases as 1150, with all of the cases from 3 northern provinces of the 
Kurdistan part of Iraq. It is unclear whether the Baghdad case or cases are 
related to this outbreak further north. Baghdad (the capital of the country 
and its own governate) can be found on a map of Iraq at 
<http://uruknet.info/?p=s7280&s1=h1&l=i>. - Mod.LL]

******
[2] Diarrhea, fatal - Philippines (Shariff Kabunsuan)
Date: Wed 19 Sep 2007
Source: Sun-Star [edited]
<http://www.sunstar.com.ph/static/zam/2007/09/20/news/2.die.of.diarrhea.downs.45.others.in.shariff.kabunsuan.html>


Two people died, while 45 others fell ill from diarrhea in Sitio Upper 
Tubuan, Barangay Lahangkob, North Upi in the province of Shariff Kabunsuan, 
the Bureau of Public Information office of the Autonomous Region in Muslim 
Mindanao (BPI-Armm) reported Wed 19 Sep 2007.

BPI-Armm said an Emergency Medical Response (EMR) group had been formed 
after the Provincial Health Office of Maguindanao reported the alarming 
case to the Regional Health Office of the Armm.

The EMR, headed by the Department of Health (DOH)-Armm, together with the 
regional, provincial, and rural health units and district hospital staff, 
responded by visiting the affected area on Sun 16 Sep 2007. After 
conducting check-ups and epidemiologic investigations of about 300 families 
in the area, at least 47 cases of diarrhea were confirmed during the 
consultation.

"The response team collected stool specimens through rectal swabbing, 
especially from children, and conducted epidemiologic investigations to 
identify the source of infection," Julie Villadolid, DOH-Armm information 
officer said.

Dr Tahir Sulaik, regional secretary of DOH-Armm, expresses distress over 
the alarming increase of diarrhea cases at Tiruray tribe in the area, 
which, initial reports said, already had 72 cases from 3 to 16 Sep 2007. He 
said: "This is so alarming. For only half a month, the figure is already 
close to 100."

The response team checked environmental sanitation, especially the hygiene 
of the residents, and found that poor hygiene and lack of sanitation 
facilities contributed to the occurrence of the disease.

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

[The etiology or etiologies of these illness are yet to be determined. The 
area on the southern island of Mindanao can be found at 
<http://content.answers.com/main/content/wp/en/f/f9/Ph_locator_map_maguindanao.png>. 
- Mod.LL]

******
[3] Diarrhea, dysentery - Zimbabwe (Matabeleland North)
Date: Mon 17 Sep 2007
Source: Zim Online [edited]
<http://www.zimonline.co.za/Article.aspx?ArticleId=2021>


A diarrhoea and dysentery outbreak has hit Bulawayo, Zimbabwe's 2nd largest 
and water-starved city, amid reports that about 400 residents have been 
treated for the diseases since August 2007. Bulawayo is facing a serious 
water shortage that has seen residents go without water for periods of up 
to 4 days.

Bulawayo City Council spokesman Phathisa Nyathi confirmed the outbreak of 
the 2 diseases and warned residents against using water from unprotected 
sources. "We have recorded high numbers of diarrhoea cases in the city 
since we started experiencing water problems, and very recently, we also 
got reports of cases of dysentery breaking out in the city," Nyathi said.

The outbreak of diarrhoea and dysentery in the city comes hardly a month 
after the council warned residents of possible disease outbreaks due to the 
water shortages.

Zimbabwe's 2nd city has faced perennial water problems for more than 2 
decades, during which both residents and the city fathers have pinned their 
hopes on an ambitious project to draw water from the Zambezi river. 
Boreholes, which have been providing the residents with most of their water 
needs, have also dried up in some parts, leading to the surfacing of black 
market water dealers.

[byline: Nqobizitha Khumalo]

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

[This posting illustrates that the lack of water, in addition to flooding, 
leads to waterborne diseases. The city and its province can be found on a 
map at <http://www.un.org/Depts/Cartographic/map/profile/zimbabwe.pdf>. - 
Mod.LL]

[see also:
Cholera, diarrhea & dysentery update 2007 (37)  20070917.3087
Cholera, diarrhea & dysentery update 2007 (36)  20070914.3050
Cholera, diarrhea & dysentery update 2007 (35)  20070912.3023
Cholera, diarrhea & dysentery update 2007 (34)  20070910.2989
Cholera, diarrhea & dysentery update 2007 (33)  20070908.2965
Cholera, diarrhea & dysentery update 2007 (32)  20070904.2911
Cholera, diarrhea & dysentery update 2007 (31)  20070903.2901
Cholera, diarrhea & dysentery update 2007 (30)  20070830.2856
Cholera, diarrhea & dysentery update 2007 (20)  20070511.1509
Cholera, diarrhea & dysentery update 2007 (10)  20070302.0737
Cholera, diarrhea & dysentery update 2007 (05)  20070202.0418
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 (40)  20061006.2862
Cholera, diarrhea & dysentery update 2006 (30)  20060724.2037
Cholera, diarrhea & dysentery update 2006 (20)  20060512.1352
Cholera, diarrhea & dysentery update 2006 (10)  20060303.0675
Cholera, diarrhea & dysentery update 2006 (01)  20060106.0040]

...............ll/msp/sh

 

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