YELLOW FEVER - AFRICA (27): SUDAN (DARFUR)
******************************************
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http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Tue 27 Nov 2012
Source: Sudan Vision [edited]
http://news.sudanvisiondaily.com/detail ... pid=216553
The Federal Minister of Health, Bahar Idris Abu Garda, denied that there are any cases of yellow fever in Khartoum state or in any other state except in Darfur.
While answering an urgent question on yellow fever in Darfur in front of the Council of States yesterday [26 Nov 2012], Abu Garda announced the possibility of other diseases emerging in Sudan, especially in peripheral and forest areas, as a result of heavy rains in most parts of the country.
The minister acknowledged the lack of medical personnel in Sudan and the lack of specialists in peripheral states. He demanded that the Ministry of Finance increase the salaries of all doctors working in remote areas to encourage them.
He called on the competent authorities to adopt the central laboratory project, as many of the samples are sent abroad. Abu Garda revealed the vulnerability of the ministry's budget, which has been allocated only 4 per cent of the state budget.
The health minister said that the number of cases of yellow fever has reached 578; about 129 died, giving a mortality rate of 28.3 per cent. He pointed out that Central Darfur is the most affected by the disease, with 156 cases, compared to just 3 in East Darfur.
Abu Garda denied that the disease will be communicated to neighbouring countries, revealing the formation of a coordination and cooperation committee with Chad, South Sudan, and the Central African Republic to ward off the disease, which is transmitted by nomadic and cross-border travels.
He said yellow fever emerged among nomads. The minister praised the medical personnel, local organisations, and international bodies for their role in the success of the campaign. The Council of States passed the answer of the minister of health on the urgent issue with some recommendations, including the development of the central laboratory, providing assistants for the elimination of epidemiology [?], increasing medical personnel in the states, and encouraging doctors to work in rural areas.
[Byline: Hana Abdul Hai]
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[Apparently, the minister refutes earlier reports of occurrence of the reported 2 cases of yellow fever (YF) in Khartoum. There have been no additional press or official reports of subsequent cases there. The numbers of cases and fatalities continues to increase, but fortunately, slowly. However, it will take a few more additional days before the individuals vaccinated over the past 5 days, when the vaccination campaign started, to develop effective immunity against YF virus infections.
Development of a central laboratory would materially speed up diagnosis and increase the effectiveness of surveillance and case response. The Council of States recommendation for provision of more assistants "for the elimination of epidemiology" makes no sense and perhaps is an error in reporting. More assistants could help materially with surveillance.
Maps showing the locations of North, West, and South Darfur can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
Gelbfieber in Sudan - Virus breitet sich aus
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Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (28): SUDAN (DARFUR)
******************************************
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:
[1] Vaccination campaign status
[2] Logistical challenges
******
[1] Vaccination campaign status
Date: Sun 25 Nov 2012
Source: Examiner [edited]
http://www.examiner.com/article/darfur- ... toll-rises
Progress in getting the 2.2 million people in Darfur vaccinated against the yellow fever virus moves forward as thousands gather in vaccination points in targeted localities in the region. In just one day, 13 per cent of the target population in Geneina, Kerinik, Habila, and Beidha in West Darfur were vaccinated, according to a World Health Organization Situation Report of 22 Nov 2012.
During the 12-day emergency response vaccination campaign, some 2.2 million population in 12 prioritized localities are targeted for the vaccination.
Yesterday [24 Nov 2012], the campaign began in the Northern Darfur localities of Saraf Omra and Seref. While the necessary vaccine campaign goes through the various localities, the number of yellow fever cases and fatalities continue to rise.
According to the WHO, as of 21 Nov [2012], the total number of reported cases has reached 537, including 127 deaths (case fatality rate of 23.6 per cent). The outbreak has now affected 30 localities in Central, South, West, North, and East Darfur. This is up from 459 cases and 116 deaths just 4 days prior.
In addition to the epidemiology and surveillance assistance from the WHO and other organizations, the US Naval Medical Research Unit No. 3 (NAMRU-3) based in Cairo, Egypt, has deployed a team to Sudan to support laboratory analysis of collected samples as well as conduct on-the-job training sessions at the National Public Health Laboratory starting Saturday 24 Nov 2012.
According to the WHO, yellow fever is an acute viral hemorrhagic disease transmitted by infected mosquitoes. The "yellow" in the name refers to the jaundice that affects some patients. The yellow fever virus is an arbovirus of the flavivirus genus, and the mosquito is the primary vector. It carries the virus from one host to another, primarily between monkeys, from monkeys to humans, and from person-to-person.
Once contracted, the virus incubates in the body for 3 to 6 days, followed by infection that can occur in one or 2 phases. The 1st acute phase usually causes fever, muscle pain with prominent backache, headache, shivers, loss of appetite, and nausea or vomiting. Most patients improve and their symptoms disappear after 3 to 4 days.
There is no specific treatment for the viral illness but it can be contained using bed nets, insect repellents and long clothing.
Prevention of this viral disease is through vaccination.
[Byline: Robert Herriman]
--
Communicated by:
ProMED-Mails from HealthMap Alerts
<promed@promedmail.org>
[The yellow fever vaccination campaign appears to be moving ahead swiftly, as it moves toward its stated goal of having individuals in all critical area vaccinated within 10-12 days -- now nearly half over. The European Commission indicated that it is ready to help the Sudanese government cope with this recent outbreak of yellow fever. The Commission, as part of the campaign, has already deployed humanitarian experts on the ground to monitor the disease outbreak along with several NGOs [nongovernmental organizations] and humanitarian groups.
Kristalina Georgieva, European Commissioner for International Cooperation, Humanitarian Aid and Crisis Response stated, "To ensure that all people at risk are vaccinated, it is essential that all affected areas are covered by the campaign, including those which have been inaccessible to humanitarian agencies in the past." (see http://allafrica.com/stories/201211270337.html. So far, there has been no mention of what the plans and activities are after the 10-12 day vaccination campaign has ended. It is unlikely that all people in Darfur will have been vaccinated, leaving the possibility of small-scale, smoldering foci of transmission and sporadic cases in more remote, lesser populated areas. Thorough surveillance will be necessary with vaccination teams ready to move into those areas to halt resumption of the outbreaks.
Maps showing the locations of North, West, and South Darfur can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******
[2] Logistical challenges
Date: Tue 27 Nov 2012
Source: The Guardian [edited]
http://www.guardian.co.uk/global-develo ... nes-africa
A yellow fever outbreak in Sudan's Darfur region shows the difficulties faced by immunisation teams operating in some of Africa's most remote and under-developed regions.
A yellow fever vaccination campaign has began in 4 of those regions, targeting some 2.4 million people. Darfur is still affected by serious instability since conflict broke out there in 2003 -- hundreds of thousands of people have been displaced, the region is impoverished and has very basic infrastructure. One of the biggest obstacles is keeping the 'cold chain' intact; in Darfur temperatures can often reach well above 40C [104 F] and vaccines can become obsolete [ineffective] if they are not kept in a temperature range of about 2-8C [36 - 46 F].
"It's a real challenge," says Dr Anshu Banerjee the World Health Organisation's representative in Sudan. "In Darfur we're travelling miles from urban centres along poor roads. Most places we visit have no mains electricity; often we can't find batteries or even fuel for generators so keeping fridges running for the vaccines is very difficult."
At the lowest level of village distribution, in the absence of fridges the vaccines are usually transported in cool boxes with ice packs inside, either being carried on foot or on the back of motorbikes. In the most extreme cases, health care workers may have to walk for up to 3 days carrying these boxes, visiting families door-to-door. Although Banerjee says Sudan currently has a good reputation and donor support for maintaining the cold chain, significant losses can be incurred especially if a break in the chain begins higher up in the distribution network.
Vaccines lose their 'integrity' if the cold chain is interrupted. "Both the patient and the health care system suffer" says Alexo Dodoo, director of the International Centre for Pharmaco-vigilance based in Accra, Ghana. "Patients may experience adverse reactions to the bad vaccines and the immunisation programme doesn't know whether that's due to a faulty product or because quality and efficacy have been compromised."
Over the border in Chad innovative ways to keep the cold chain intact are being tested. UNICEF and the health ministry are launching a programme of solar powered fridges which remove the need for mains electricity, wiring and plug sockets, or a reliable source of fuel for generators.
The 1st solar fridges are on order from the US and UK and should arrive in December [2012]. "We're hoping to re-equip some 800 health centres across the whole of Chad by 2016" says Clement Njumo, immunisations specialist at UNICEF Chad. "Each 100 litre fridge costs around [USD] 5000 but in the long run we'll definitely be saving money as fewer vaccines will be wasted and we won't have to buy petrol anymore."
UNICEF say they've already been using solar fridges to great effect in similar vaccination campaigns in Sierra Leone, with some types of fridges even being capable of sending out signals and SMS messages when the temperature varies more than 2C [36 F] from the perfect level.
"It's a real problem for us if children have walked for hours with their parents to the vaccination centre only to find that there are none left because of these bottlenecks in supply," says Hector Calderon, head of communications for Unicef Chad. "Sometimes parents won't return for a 2nd time -- that's a child's life and ultimately we need to cover 100 per cent of children to be successful in these campaigns."
Further research is going on at the level of the drugs companies to develop so-called 'thermo-stable' vaccines which are less sensitive to the extreme temperatures. But tackling the practical problems surrounding the distribution networks is just one issue -- lack of awareness and low turn-out for immunisation campaigns is also a serious challenge in these isolated regions.
[Byline: Celeste Hicks]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[This report provides a vivid account of the challenges in ensuring that viable vaccine reaches the arm of the individual in these campaigns. Lack of infrastructure is surely a major problem in Darfur. Should the campaign need to move into more remote areas, that challenge will become even greater. Little has been said about the armed conflict in the area, and how that is affecting the vaccination campaign. - Mod.TY
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1A1E.]
******************************************
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:
[1] Vaccination campaign status
[2] Logistical challenges
******
[1] Vaccination campaign status
Date: Sun 25 Nov 2012
Source: Examiner [edited]
http://www.examiner.com/article/darfur- ... toll-rises
Progress in getting the 2.2 million people in Darfur vaccinated against the yellow fever virus moves forward as thousands gather in vaccination points in targeted localities in the region. In just one day, 13 per cent of the target population in Geneina, Kerinik, Habila, and Beidha in West Darfur were vaccinated, according to a World Health Organization Situation Report of 22 Nov 2012.
During the 12-day emergency response vaccination campaign, some 2.2 million population in 12 prioritized localities are targeted for the vaccination.
Yesterday [24 Nov 2012], the campaign began in the Northern Darfur localities of Saraf Omra and Seref. While the necessary vaccine campaign goes through the various localities, the number of yellow fever cases and fatalities continue to rise.
According to the WHO, as of 21 Nov [2012], the total number of reported cases has reached 537, including 127 deaths (case fatality rate of 23.6 per cent). The outbreak has now affected 30 localities in Central, South, West, North, and East Darfur. This is up from 459 cases and 116 deaths just 4 days prior.
In addition to the epidemiology and surveillance assistance from the WHO and other organizations, the US Naval Medical Research Unit No. 3 (NAMRU-3) based in Cairo, Egypt, has deployed a team to Sudan to support laboratory analysis of collected samples as well as conduct on-the-job training sessions at the National Public Health Laboratory starting Saturday 24 Nov 2012.
According to the WHO, yellow fever is an acute viral hemorrhagic disease transmitted by infected mosquitoes. The "yellow" in the name refers to the jaundice that affects some patients. The yellow fever virus is an arbovirus of the flavivirus genus, and the mosquito is the primary vector. It carries the virus from one host to another, primarily between monkeys, from monkeys to humans, and from person-to-person.
Once contracted, the virus incubates in the body for 3 to 6 days, followed by infection that can occur in one or 2 phases. The 1st acute phase usually causes fever, muscle pain with prominent backache, headache, shivers, loss of appetite, and nausea or vomiting. Most patients improve and their symptoms disappear after 3 to 4 days.
There is no specific treatment for the viral illness but it can be contained using bed nets, insect repellents and long clothing.
Prevention of this viral disease is through vaccination.
[Byline: Robert Herriman]
--
Communicated by:
ProMED-Mails from HealthMap Alerts
<promed@promedmail.org>
[The yellow fever vaccination campaign appears to be moving ahead swiftly, as it moves toward its stated goal of having individuals in all critical area vaccinated within 10-12 days -- now nearly half over. The European Commission indicated that it is ready to help the Sudanese government cope with this recent outbreak of yellow fever. The Commission, as part of the campaign, has already deployed humanitarian experts on the ground to monitor the disease outbreak along with several NGOs [nongovernmental organizations] and humanitarian groups.
Kristalina Georgieva, European Commissioner for International Cooperation, Humanitarian Aid and Crisis Response stated, "To ensure that all people at risk are vaccinated, it is essential that all affected areas are covered by the campaign, including those which have been inaccessible to humanitarian agencies in the past." (see http://allafrica.com/stories/201211270337.html. So far, there has been no mention of what the plans and activities are after the 10-12 day vaccination campaign has ended. It is unlikely that all people in Darfur will have been vaccinated, leaving the possibility of small-scale, smoldering foci of transmission and sporadic cases in more remote, lesser populated areas. Thorough surveillance will be necessary with vaccination teams ready to move into those areas to halt resumption of the outbreaks.
Maps showing the locations of North, West, and South Darfur can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******
[2] Logistical challenges
Date: Tue 27 Nov 2012
Source: The Guardian [edited]
http://www.guardian.co.uk/global-develo ... nes-africa
A yellow fever outbreak in Sudan's Darfur region shows the difficulties faced by immunisation teams operating in some of Africa's most remote and under-developed regions.
A yellow fever vaccination campaign has began in 4 of those regions, targeting some 2.4 million people. Darfur is still affected by serious instability since conflict broke out there in 2003 -- hundreds of thousands of people have been displaced, the region is impoverished and has very basic infrastructure. One of the biggest obstacles is keeping the 'cold chain' intact; in Darfur temperatures can often reach well above 40C [104 F] and vaccines can become obsolete [ineffective] if they are not kept in a temperature range of about 2-8C [36 - 46 F].
"It's a real challenge," says Dr Anshu Banerjee the World Health Organisation's representative in Sudan. "In Darfur we're travelling miles from urban centres along poor roads. Most places we visit have no mains electricity; often we can't find batteries or even fuel for generators so keeping fridges running for the vaccines is very difficult."
At the lowest level of village distribution, in the absence of fridges the vaccines are usually transported in cool boxes with ice packs inside, either being carried on foot or on the back of motorbikes. In the most extreme cases, health care workers may have to walk for up to 3 days carrying these boxes, visiting families door-to-door. Although Banerjee says Sudan currently has a good reputation and donor support for maintaining the cold chain, significant losses can be incurred especially if a break in the chain begins higher up in the distribution network.
Vaccines lose their 'integrity' if the cold chain is interrupted. "Both the patient and the health care system suffer" says Alexo Dodoo, director of the International Centre for Pharmaco-vigilance based in Accra, Ghana. "Patients may experience adverse reactions to the bad vaccines and the immunisation programme doesn't know whether that's due to a faulty product or because quality and efficacy have been compromised."
Over the border in Chad innovative ways to keep the cold chain intact are being tested. UNICEF and the health ministry are launching a programme of solar powered fridges which remove the need for mains electricity, wiring and plug sockets, or a reliable source of fuel for generators.
The 1st solar fridges are on order from the US and UK and should arrive in December [2012]. "We're hoping to re-equip some 800 health centres across the whole of Chad by 2016" says Clement Njumo, immunisations specialist at UNICEF Chad. "Each 100 litre fridge costs around [USD] 5000 but in the long run we'll definitely be saving money as fewer vaccines will be wasted and we won't have to buy petrol anymore."
UNICEF say they've already been using solar fridges to great effect in similar vaccination campaigns in Sierra Leone, with some types of fridges even being capable of sending out signals and SMS messages when the temperature varies more than 2C [36 F] from the perfect level.
"It's a real problem for us if children have walked for hours with their parents to the vaccination centre only to find that there are none left because of these bottlenecks in supply," says Hector Calderon, head of communications for Unicef Chad. "Sometimes parents won't return for a 2nd time -- that's a child's life and ultimately we need to cover 100 per cent of children to be successful in these campaigns."
Further research is going on at the level of the drugs companies to develop so-called 'thermo-stable' vaccines which are less sensitive to the extreme temperatures. But tackling the practical problems surrounding the distribution networks is just one issue -- lack of awareness and low turn-out for immunisation campaigns is also a serious challenge in these isolated regions.
[Byline: Celeste Hicks]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[This report provides a vivid account of the challenges in ensuring that viable vaccine reaches the arm of the individual in these campaigns. Lack of infrastructure is surely a major problem in Darfur. Should the campaign need to move into more remote areas, that challenge will become even greater. Little has been said about the armed conflict in the area, and how that is affecting the vaccination campaign. - Mod.TY
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/1A1E.]
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- Kontaktdaten:
Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (29): SUDAN (DARFUR)
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Tue 27 Nov 2012
Source: Radio Dabanga [summ., edited]
http://www.radiodabanga.org/node/38989
Central Darfur: 78 deaths
-------------------------
Issa Mohamed Moussa Ahmed, minister of health from Central Darfur, told Radio Dabanga that a total of 78 people died and 362 were infected with yellow fever [virus] in the state by Tuesday [27 Nov 2012].
On Monday [26 Nov 2012], Ahmed said that about 195 178 citizens had been vaccinated since the campaign started 3 days before. He pointed out to the intense presence of tribes' members in health centers and called for a larger turnout among the rest of the population.
West Darfur: [49 deaths]
------------------------
West Darfur, considered a stable state regarding the emergence of yellow fever cases, witnessed another fatal victim in the last few days, according to the state's Minister of Health Ahmed Ishaq Yaqub.
He said the latest death brought the amount of fatalities in the state to 49, adding that 177 people were diagnosed with the disease so far.
In addition, 3 new cases have been reported in the area of For Baranga, the minister revealed. He stressed that "all arrangements are now underway to immediately deliver vaccines to the population of the whole area."
Yaqub told Radio Dabanga that the vaccination rate in West Darfur reached 49 per cent in the last 5 days, noting that this figure does not include mobile units. He expected that in 7 days, by the end of the campaign, 100 percent of the population will have been vaccinated.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[This report gives the latest case and fatality counts in Central and West Darfur. It will be interesting to see if at least 80 per cent of the population can be vaccinated in the remaining 7 days of the campaign, and if that will be adequate to halt the outbreak throughout Darfur. So far, the proportion of the at-risk population vaccinated is promising.
Much of the original report above focuses on whether some of the cases acquired their infections in specific refugee camps, or were infected elsewhere and came to the camps when ill. This discussion is not included in this post, but can be see at the source URL above for those who are interested.
Maps showing the locations of North, West, and South Darfur can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Tue 27 Nov 2012
Source: Radio Dabanga [summ., edited]
http://www.radiodabanga.org/node/38989
Central Darfur: 78 deaths
-------------------------
Issa Mohamed Moussa Ahmed, minister of health from Central Darfur, told Radio Dabanga that a total of 78 people died and 362 were infected with yellow fever [virus] in the state by Tuesday [27 Nov 2012].
On Monday [26 Nov 2012], Ahmed said that about 195 178 citizens had been vaccinated since the campaign started 3 days before. He pointed out to the intense presence of tribes' members in health centers and called for a larger turnout among the rest of the population.
West Darfur: [49 deaths]
------------------------
West Darfur, considered a stable state regarding the emergence of yellow fever cases, witnessed another fatal victim in the last few days, according to the state's Minister of Health Ahmed Ishaq Yaqub.
He said the latest death brought the amount of fatalities in the state to 49, adding that 177 people were diagnosed with the disease so far.
In addition, 3 new cases have been reported in the area of For Baranga, the minister revealed. He stressed that "all arrangements are now underway to immediately deliver vaccines to the population of the whole area."
Yaqub told Radio Dabanga that the vaccination rate in West Darfur reached 49 per cent in the last 5 days, noting that this figure does not include mobile units. He expected that in 7 days, by the end of the campaign, 100 percent of the population will have been vaccinated.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[This report gives the latest case and fatality counts in Central and West Darfur. It will be interesting to see if at least 80 per cent of the population can be vaccinated in the remaining 7 days of the campaign, and if that will be adequate to halt the outbreak throughout Darfur. So far, the proportion of the at-risk population vaccinated is promising.
Much of the original report above focuses on whether some of the cases acquired their infections in specific refugee camps, or were infected elsewhere and came to the camps when ill. This discussion is not included in this post, but can be see at the source URL above for those who are interested.
Maps showing the locations of North, West, and South Darfur can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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- Kontaktdaten:
Re: Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (30): SUDAN, VECTORS, REQUEST FOR INFORMATION
*******************************************************************
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ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Thu 29 Nov 2012
Source: Akhirlahza [in Arabic, trans. Corr.SB, edited]
http://www.akhirlahza.sd/akhir/index.ph ... Itemid=114
Dr Hatem Ali Taher, expert in the field of entomology, said in the training workshop organised by the Sudanese Association of Public Health yesterday [28 Nov 2012] in the Astak laboratory, speaking to students specializing in entomology, that the collapse of insecticide monitoring stations may have led to the emergence of vectors and epidemics which have caused the outbreak of yellow fever in the Darfur states.
He called for the return of political support to fight the yellow fever epidemic and confirmed the possibility of the emergence of the disease in Red Sea State. He indicated that the spots where there are vector is found in the Sudan include the states of South Darfur, South Kordofan, Sennar, Blue Nile, and North Kordofan, adding that the during the [life] phases of the vector it breeds in bricks, broken pipes, and [old] tires.
For his part, Dr Hassan Suleiman, a Consultant Internal Medicine, said that the mortality rate of the disease, is 50 per cent, pointing out that the vaccine protects against this disease which has no cure. [Of all yellow fever virus infections, approximately 15 per cent develop severe disease. Of these severe cases 30-50 per cent are fatal. - Mod.TY]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[This is the 1st ProMED-mail report on the presence of yellow fever virus (YFV) vectors in Sudan during this outbreak.
The entomologist mentioned in the report above that the possibility of the emergence of the disease in Red Sea state was confirmed. However, it is not clear if there are mosquito vectors in Red Sea state or only a possibility that they could become established there. He goes on to indicate that vectors are present in the states of South Darfur, South Kordofan, Sennar, Blue Nile, and North Kordofan. Curiously, he does not mention anything about East, West, and North Darfur, where YF cases have been occurring. It is worth mentioning these places where vectors are established, as it underscores the risk of YF virus being introduced there by viremic travelers starting another focus of infection.
ProMED requests additional information about the presence and abundance of YF vectors (_Aedes aegypti_) throughout Darfur. Spraying in some Darfur sites has been mentioned in previous reports. However, unless water catchments that serve as mosquito breeding sites are eliminated, spraying will provide only temporary vector control.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
*******************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Thu 29 Nov 2012
Source: Akhirlahza [in Arabic, trans. Corr.SB, edited]
http://www.akhirlahza.sd/akhir/index.ph ... Itemid=114
Dr Hatem Ali Taher, expert in the field of entomology, said in the training workshop organised by the Sudanese Association of Public Health yesterday [28 Nov 2012] in the Astak laboratory, speaking to students specializing in entomology, that the collapse of insecticide monitoring stations may have led to the emergence of vectors and epidemics which have caused the outbreak of yellow fever in the Darfur states.
He called for the return of political support to fight the yellow fever epidemic and confirmed the possibility of the emergence of the disease in Red Sea State. He indicated that the spots where there are vector is found in the Sudan include the states of South Darfur, South Kordofan, Sennar, Blue Nile, and North Kordofan, adding that the during the [life] phases of the vector it breeds in bricks, broken pipes, and [old] tires.
For his part, Dr Hassan Suleiman, a Consultant Internal Medicine, said that the mortality rate of the disease, is 50 per cent, pointing out that the vaccine protects against this disease which has no cure. [Of all yellow fever virus infections, approximately 15 per cent develop severe disease. Of these severe cases 30-50 per cent are fatal. - Mod.TY]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[This is the 1st ProMED-mail report on the presence of yellow fever virus (YFV) vectors in Sudan during this outbreak.
The entomologist mentioned in the report above that the possibility of the emergence of the disease in Red Sea state was confirmed. However, it is not clear if there are mosquito vectors in Red Sea state or only a possibility that they could become established there. He goes on to indicate that vectors are present in the states of South Darfur, South Kordofan, Sennar, Blue Nile, and North Kordofan. Curiously, he does not mention anything about East, West, and North Darfur, where YF cases have been occurring. It is worth mentioning these places where vectors are established, as it underscores the risk of YF virus being introduced there by viremic travelers starting another focus of infection.
ProMED requests additional information about the presence and abundance of YF vectors (_Aedes aegypti_) throughout Darfur. Spraying in some Darfur sites has been mentioned in previous reports. However, unless water catchments that serve as mosquito breeding sites are eliminated, spraying will provide only temporary vector control.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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Birgitt
- Moderator
- Beiträge: 35436
- Registriert: Di 2. Aug 2005, 22:52
- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (31): SUDAN (DARFUR)
******************************************
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:
[1] New cases
[2] UNAMID support
******
[1] New cases
Date Mon 3 Dec 2012
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/39179
South Darfur
----------
According to reports received from the area, 3 displaced persons have died and another 6 have been infected with yellow fever in Kalma camp, South Darfur on Saturday, 1 Dec [2012].
Ali Yaqoub, head sheikh of Kalma camp, told Radio Dabanga that residents from different sectors of the camp have been infected with the disease and added that 2 residents passed away after suffering from heavy bleedings. The sheikh said that the 3rd victim died on the way to the hospital.
Yaqoub informed Radio Dabanga that another 6 residents have been infected with yellow fever and pointed out that they demanded health authorities to provide them with vaccinations at an earlier stage, in anticipation of the fear that the disease would spread. He claims that the health authorities have not responded so far.
The sheikh added that after the disease emerged in the camp, they requested the authorities again to provide them with vaccinations but he claims they did not respond.
The sheikh called on the health authorities to vaccinate the displaced as soon as possible, as well as to start the spraying campaigns in the camp to contain the spread of mosquitoes. Additionally, he called for granting access to humanitarian organizations to provide aid.
For his part, South Darfur's Minister of Health, Ahmed al-Tayyeb, acknowledged the emergence of 'suspected cases of yellow fever' in Kalma camp in an interview with Radio Dabanga. The minister stated he could not confirm if those cases are yellow fever until blood samples are analyzed by the federal lab. He revealed that the samples are currently being taken and will be sent to the federal lab for analysis.
At the same time, South Darfur's Ministry of Health stated that the 1st phase of the vaccination campaign in East Jebel Marra has been concluded. The minister noted that the 2nd phase will begin in the coming days, including the localities of Belail and Nyala as well as the state's main camps.
He attributed the delay of the campaign to the late arrival of the vaccines.
Central Darfur
-----------
Sources from Um Dukhan in Central Darfur, informed Radio Dabanga on Saturday [1 Dec 2012] that 3 people died and another 7 were infected with yellow fever.
Central Darfur's Minister of Health, Issa Mohamed Moussa Ahmed, denied the deaths in Um Dukhan and stressed that one new case of the disease has emerged in the locality.
Additionally, the minister disclosed in an interview with Radio Dabanga the emergence of 3 new cases in the localities of Zalingei and another case in Wadi Saleh.
He also revealed an increase in the yellow fever incidence in Central Darfur from 362 to 387 and an increase in the death toll from 78 to 80. The minister explained that on Sunday another person passed away as a result of the disease in Zalingei.
The minister attributed the emergence of new cases in Um Dukhan, Bendessey, Mukjar and Rongo Tass to the failure in expanding the vaccination campaign to those localities in the 1st phase.
Lastly, the minister announced that 4 Dec [2012] is the last day of the vaccination campaign in the 4 localities and called on the residents to visit the vaccination centers as soon as possible.
From its part, the World Health Organisation (WHO) announced that the yellow fever death toll in Sudan amounts to 110, a percentage of 4.29 per cent of all cases. The WHO added that 23 localities in Darfur have been affected by the disease.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The 4.29 per cent case fatality rate cannot be correct. With 110 fatal cases, a 4.29 per cent case fatality rate implies that there have been about 2500 total cases, far above the reported number so far. A more usual case fatality rate range is 15-30 per cent. No mention is made about the surveillance strategy being employed. Case numbers in Central and South Darfur continue to rise. Whether successful vaccination of 80 per cent of susceptible individuals, with a halt in new cases, can be accomplished within the 10-12 day time limit specified when the campaign began is still an open question. Timely surveillance over this wide geographic area is a challenge, especially in the face of ongoing insecurity.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******
[2] UNAMID support
Date: Sun 2 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212020261.html
In an effort to combat the spread of yellow fever in Darfur, the African Union - United Nations Mission in Darfur (UNAMID) has leant its critical logistics support to the Sudanese Ministry of Health and the World Health Organization (WHO) in their fight to save lives.
The urgency to address the disease, in which the 1st suspected case was registered in September [2012], came in late October following a spike in the number of those cases in Central Darfur and a spread to the region's other states. As a result of the outbreak, 2.4 million doses of the vaccine against yellow fever were made available for Sudan by the International Coordination Group on Vaccines, which controls the global stock of vaccines.
Upon receipt of the vaccines, the 1st batches were airlifted by UNAMID from Khartoum to Darfur on 18 Nov [2012] with additional batches brought shortly thereafter by the Government of Sudan. The Mission was further requested to airlift several hundred tons of injection materials and other items from State capitals to localities.
With the medication in place and facilities ready to administer it, vaccination campaigns began in West Darfur on 20 Nov [2012], in North Darfur on 24 Nov [2012] and in Central and South Darfur on 25 Nov [2012].
The Mission's assistance has also included security escorts, technical services and medical expertise, as well as the use of assets including generators for rural medical facilities and isolation tents.
UNAMID is currently arranging for the transportation of large quantities of insecticide which will be used for vector control in internally displaced person camps and in the Central Darfur town of Zalingei.
"We are here to help the people of Darfur. By working together with our humanitarian partners and the Ministry of Health we are able to save lives," said UNAMID Acting Joint Special Representative and Joint Chief Mediator a.i. Aïchatou Mindaoudou.
[Byline: Michael R Meyer, Director, Communications and Public Information Division, and Chris Cycmanick, Head, Media Relations, UN.]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Logistical support in this geographically difficult area is most welcome, as, of course, are the critically important supplies of YF vaccine and equipment. One hopes that larvicides are among the insecticides being provided, and that adequate, trained technical help for insecticide application is available. - Mod.TY]
******************************************
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:
[1] New cases
[2] UNAMID support
******
[1] New cases
Date Mon 3 Dec 2012
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/39179
South Darfur
----------
According to reports received from the area, 3 displaced persons have died and another 6 have been infected with yellow fever in Kalma camp, South Darfur on Saturday, 1 Dec [2012].
Ali Yaqoub, head sheikh of Kalma camp, told Radio Dabanga that residents from different sectors of the camp have been infected with the disease and added that 2 residents passed away after suffering from heavy bleedings. The sheikh said that the 3rd victim died on the way to the hospital.
Yaqoub informed Radio Dabanga that another 6 residents have been infected with yellow fever and pointed out that they demanded health authorities to provide them with vaccinations at an earlier stage, in anticipation of the fear that the disease would spread. He claims that the health authorities have not responded so far.
The sheikh added that after the disease emerged in the camp, they requested the authorities again to provide them with vaccinations but he claims they did not respond.
The sheikh called on the health authorities to vaccinate the displaced as soon as possible, as well as to start the spraying campaigns in the camp to contain the spread of mosquitoes. Additionally, he called for granting access to humanitarian organizations to provide aid.
For his part, South Darfur's Minister of Health, Ahmed al-Tayyeb, acknowledged the emergence of 'suspected cases of yellow fever' in Kalma camp in an interview with Radio Dabanga. The minister stated he could not confirm if those cases are yellow fever until blood samples are analyzed by the federal lab. He revealed that the samples are currently being taken and will be sent to the federal lab for analysis.
At the same time, South Darfur's Ministry of Health stated that the 1st phase of the vaccination campaign in East Jebel Marra has been concluded. The minister noted that the 2nd phase will begin in the coming days, including the localities of Belail and Nyala as well as the state's main camps.
He attributed the delay of the campaign to the late arrival of the vaccines.
Central Darfur
-----------
Sources from Um Dukhan in Central Darfur, informed Radio Dabanga on Saturday [1 Dec 2012] that 3 people died and another 7 were infected with yellow fever.
Central Darfur's Minister of Health, Issa Mohamed Moussa Ahmed, denied the deaths in Um Dukhan and stressed that one new case of the disease has emerged in the locality.
Additionally, the minister disclosed in an interview with Radio Dabanga the emergence of 3 new cases in the localities of Zalingei and another case in Wadi Saleh.
He also revealed an increase in the yellow fever incidence in Central Darfur from 362 to 387 and an increase in the death toll from 78 to 80. The minister explained that on Sunday another person passed away as a result of the disease in Zalingei.
The minister attributed the emergence of new cases in Um Dukhan, Bendessey, Mukjar and Rongo Tass to the failure in expanding the vaccination campaign to those localities in the 1st phase.
Lastly, the minister announced that 4 Dec [2012] is the last day of the vaccination campaign in the 4 localities and called on the residents to visit the vaccination centers as soon as possible.
From its part, the World Health Organisation (WHO) announced that the yellow fever death toll in Sudan amounts to 110, a percentage of 4.29 per cent of all cases. The WHO added that 23 localities in Darfur have been affected by the disease.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The 4.29 per cent case fatality rate cannot be correct. With 110 fatal cases, a 4.29 per cent case fatality rate implies that there have been about 2500 total cases, far above the reported number so far. A more usual case fatality rate range is 15-30 per cent. No mention is made about the surveillance strategy being employed. Case numbers in Central and South Darfur continue to rise. Whether successful vaccination of 80 per cent of susceptible individuals, with a halt in new cases, can be accomplished within the 10-12 day time limit specified when the campaign began is still an open question. Timely surveillance over this wide geographic area is a challenge, especially in the face of ongoing insecurity.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******
[2] UNAMID support
Date: Sun 2 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212020261.html
In an effort to combat the spread of yellow fever in Darfur, the African Union - United Nations Mission in Darfur (UNAMID) has leant its critical logistics support to the Sudanese Ministry of Health and the World Health Organization (WHO) in their fight to save lives.
The urgency to address the disease, in which the 1st suspected case was registered in September [2012], came in late October following a spike in the number of those cases in Central Darfur and a spread to the region's other states. As a result of the outbreak, 2.4 million doses of the vaccine against yellow fever were made available for Sudan by the International Coordination Group on Vaccines, which controls the global stock of vaccines.
Upon receipt of the vaccines, the 1st batches were airlifted by UNAMID from Khartoum to Darfur on 18 Nov [2012] with additional batches brought shortly thereafter by the Government of Sudan. The Mission was further requested to airlift several hundred tons of injection materials and other items from State capitals to localities.
With the medication in place and facilities ready to administer it, vaccination campaigns began in West Darfur on 20 Nov [2012], in North Darfur on 24 Nov [2012] and in Central and South Darfur on 25 Nov [2012].
The Mission's assistance has also included security escorts, technical services and medical expertise, as well as the use of assets including generators for rural medical facilities and isolation tents.
UNAMID is currently arranging for the transportation of large quantities of insecticide which will be used for vector control in internally displaced person camps and in the Central Darfur town of Zalingei.
"We are here to help the people of Darfur. By working together with our humanitarian partners and the Ministry of Health we are able to save lives," said UNAMID Acting Joint Special Representative and Joint Chief Mediator a.i. Aïchatou Mindaoudou.
[Byline: Michael R Meyer, Director, Communications and Public Information Division, and Chris Cycmanick, Head, Media Relations, UN.]
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Logistical support in this geographically difficult area is most welcome, as, of course, are the critically important supplies of YF vaccine and equipment. One hopes that larvicides are among the insecticides being provided, and that adequate, trained technical help for insecticide application is available. - Mod.TY]
-
Birgitt
- Moderator
- Beiträge: 35436
- Registriert: Di 2. Aug 2005, 22:52
- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (32): SUDAN (DARFUR)
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Mon 3 Dec 2012
Source: Reuters [edited]
http://uk.reuters.com/article/2012/12/0 ... PD20121203
Yellow fever has killed 164 people over the last 3 months in Sudan's Darfur, the World Health Organization (WHO) said on Monday [3 Dec 2012], an arid region the size of Spain where fighting and banditry makes access particularly difficult.
Healthcare is provided almost entirely by aid agencies in parts of Darfur, where rebels took up arms in 2003 complaining of neglect by the central government hundreds of miles away in Khartoum.
The latest outbreak of mosquito-borne yellow fever [virus] has been concentrated in central Darfur, the WHO and Sudan's health ministry said in a joint statement. "Between 2 Sep-29 Nov [2012], the total number of suspected yellow fever cases has reached 677, including 164 deaths," the statement said.
Nearly half the yellow fever cases were in people between the ages of 15-30, it said, and about a quarter were children aged 5-15.
There is no effective treatment for the hemorrhagic fever, but there is a vaccine. The WHO said last month [November 2012] that some 3.6 million people would be vaccinated in affected areas of Darfur.
Monday's [3 Dec 2012] statement said more than half of the targeted population had been vaccinated by 30 Nov 2012.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[It has been difficult to obtain reliable current numbers of cases and deaths during this yellow fever outbreak. The above count is the latest report coming to ProMED and indicates that the number of deaths officially reported has risen from 110 reported earlier today (3 Dec 2012) to 164. Cases have been reported in 23 localities (see ProMED-mail archive no. 20121202.1435148). With half of the targeted population reported vaccinated as of 30 Nov 2012, it would be of interest to know the current coverage, since vaccination at 4 sites will end tomorrow (4 Dec 2012), and the campaign is expected to end 10-12 days after its initiation, which would end vaccination on or about 5 Dec 2012. Can the remaining unvaccinated proportion of the population be vaccinated by that date, or will the campaign be extended if necessary?
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Mon 3 Dec 2012
Source: Reuters [edited]
http://uk.reuters.com/article/2012/12/0 ... PD20121203
Yellow fever has killed 164 people over the last 3 months in Sudan's Darfur, the World Health Organization (WHO) said on Monday [3 Dec 2012], an arid region the size of Spain where fighting and banditry makes access particularly difficult.
Healthcare is provided almost entirely by aid agencies in parts of Darfur, where rebels took up arms in 2003 complaining of neglect by the central government hundreds of miles away in Khartoum.
The latest outbreak of mosquito-borne yellow fever [virus] has been concentrated in central Darfur, the WHO and Sudan's health ministry said in a joint statement. "Between 2 Sep-29 Nov [2012], the total number of suspected yellow fever cases has reached 677, including 164 deaths," the statement said.
Nearly half the yellow fever cases were in people between the ages of 15-30, it said, and about a quarter were children aged 5-15.
There is no effective treatment for the hemorrhagic fever, but there is a vaccine. The WHO said last month [November 2012] that some 3.6 million people would be vaccinated in affected areas of Darfur.
Monday's [3 Dec 2012] statement said more than half of the targeted population had been vaccinated by 30 Nov 2012.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[It has been difficult to obtain reliable current numbers of cases and deaths during this yellow fever outbreak. The above count is the latest report coming to ProMED and indicates that the number of deaths officially reported has risen from 110 reported earlier today (3 Dec 2012) to 164. Cases have been reported in 23 localities (see ProMED-mail archive no. 20121202.1435148). With half of the targeted population reported vaccinated as of 30 Nov 2012, it would be of interest to know the current coverage, since vaccination at 4 sites will end tomorrow (4 Dec 2012), and the campaign is expected to end 10-12 days after its initiation, which would end vaccination on or about 5 Dec 2012. Can the remaining unvaccinated proportion of the population be vaccinated by that date, or will the campaign be extended if necessary?
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
-
Birgitt
- Moderator
- Beiträge: 35436
- Registriert: Di 2. Aug 2005, 22:52
- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (33): SUDAN (DARFUR)
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Wed 5 Dec 2012
source: Radio Dabanga [edited}
http://www.radiodabanga.org/node/39266
Central Darfur
--------------
Issa Mohamed Moussa Ahmed, Central Darfur's Minister of Health, revealed the emergence of 2 new cases of yellow fever as well as the recovery of 5 yellow fever patients in the locality of Zalingei on Wed 5 Dec [2012].
The Minister informed Radio Dabanga that the incidence of yellow fever in the state has increased from 387 to 394 and stated that no new deaths have been reported, according to the latest statistics issued on Tuesday [4 Dec 2012].
He stated that the vaccination campaign has been completed in the localities of Mukjar and Bendessey and is currently being carried out in the remaining localities. The minister added that the campaign is scheduled to be completed by 6 Dec [2012].
Moussa Ahmed said that the Federal Health Ministry informed him about the arrival of the vaccines to the areas not included in the 1st phase of the campaign. He added to Radio Dabanga from Zalingei that the 2nd phase is considered to be equally important, "according to the inventory of the cases".
West Darfur
-----------
In West Darfur, Ishaq Ahmed Yaqoub, the state's Minister of Health announced that the yellow fever vaccination campaign in the locality of Foro Baranga will start next Thursday [6 Dec 2012] or Sunday [9 Dec 2012]. The Minister attributed the delay in the start of the campaign to the training of the teams supervising the campaign in the locality.
Additionally, he announced the completion of the 1st phase of the campaign in the 4 localities of El-Geneina, Mornei, Kornek, and Habila. He claimed that 90 per cent of all residents have been vaccinated, while the ministry set the target at 80 per cent.
Moreover, the Minister stated they received several complaints from the localities of Sirba and Jebel Moun concerning the emergence of new yellow fever cases. He emphasized that the Ministry is currently investigating the complaints and examining the reported cases.
Also, Yaqoub announced an increase in the incidence of the disease to 204 cases and added that the death toll remains at 49.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[It is good to see the vaccination campaign moving along, with excellent coverage in some localities. It is not clear what constitutes the 1st phase and what is the 2nd phase. With the 10-12 day period initially announced for the completion of the campaign now drawing to a close, it is clear that the effort will continue, at least in those areas where the vaccine is just now arriving and teams are still being trained. ProMED-mail will be interested in knowing more about the 2nd phase of the campaign.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Wed 5 Dec 2012
source: Radio Dabanga [edited}
http://www.radiodabanga.org/node/39266
Central Darfur
--------------
Issa Mohamed Moussa Ahmed, Central Darfur's Minister of Health, revealed the emergence of 2 new cases of yellow fever as well as the recovery of 5 yellow fever patients in the locality of Zalingei on Wed 5 Dec [2012].
The Minister informed Radio Dabanga that the incidence of yellow fever in the state has increased from 387 to 394 and stated that no new deaths have been reported, according to the latest statistics issued on Tuesday [4 Dec 2012].
He stated that the vaccination campaign has been completed in the localities of Mukjar and Bendessey and is currently being carried out in the remaining localities. The minister added that the campaign is scheduled to be completed by 6 Dec [2012].
Moussa Ahmed said that the Federal Health Ministry informed him about the arrival of the vaccines to the areas not included in the 1st phase of the campaign. He added to Radio Dabanga from Zalingei that the 2nd phase is considered to be equally important, "according to the inventory of the cases".
West Darfur
-----------
In West Darfur, Ishaq Ahmed Yaqoub, the state's Minister of Health announced that the yellow fever vaccination campaign in the locality of Foro Baranga will start next Thursday [6 Dec 2012] or Sunday [9 Dec 2012]. The Minister attributed the delay in the start of the campaign to the training of the teams supervising the campaign in the locality.
Additionally, he announced the completion of the 1st phase of the campaign in the 4 localities of El-Geneina, Mornei, Kornek, and Habila. He claimed that 90 per cent of all residents have been vaccinated, while the ministry set the target at 80 per cent.
Moreover, the Minister stated they received several complaints from the localities of Sirba and Jebel Moun concerning the emergence of new yellow fever cases. He emphasized that the Ministry is currently investigating the complaints and examining the reported cases.
Also, Yaqoub announced an increase in the incidence of the disease to 204 cases and added that the death toll remains at 49.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[It is good to see the vaccination campaign moving along, with excellent coverage in some localities. It is not clear what constitutes the 1st phase and what is the 2nd phase. With the 10-12 day period initially announced for the completion of the campaign now drawing to a close, it is clear that the effort will continue, at least in those areas where the vaccine is just now arriving and teams are still being trained. ProMED-mail will be interested in knowing more about the 2nd phase of the campaign.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
-
Birgitt
- Moderator
- Beiträge: 35436
- Registriert: Di 2. Aug 2005, 22:52
- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (34): SUDAN (DARFUR), REQUEST FOR INFORMATION
***********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
******
Date: Thu 6 Dec 2012
Source: Middle East On line [edited]
http://www.middle-east-online.com/english/?id=55952
A rare outbreak of mosquito-borne yellow fever which has killed 165 people in Sudan's Darfur region in the past 3 months continues to spread, the UN warned on Thursday [6 Dec 2012].
"The outbreak is very significant, and the spread of the disease shows no signs of stopping," the United Nations resident and humanitarian coordinator, Ali al-Za'tari, said in a statement. He said there is an urgent need for more funds for additional vaccines. "The only way to stop its spread is to ensure vaccinations are administered to all people at risk," Za'tari said.
Since 2 Sep [2012], there have been 732 suspected yellow fever cases including 165 deaths, said a separate report from the UN's World Health Organization (WHO) and Sudan's Ministry of Health.
The death toll has now surpassed that of a 2005 yellow fever outbreak in Sudan's South Kordofan state which caused 163 deaths from 604 cases over about 5 months.
"It is likely that many more cases of yellow fever have not been reported to health authorities," the statement from Za'tari's office said.
A vaccination campaign began on 20 Nov [2012] in the 12 most affected areas of Darfur. So far, 1.3 million people have been inoculated, the statement said, adding that health workers have been able to reduce the death rate to about 24 per cent from 40 per cent earlier in the outbreak.
Sudan's impoverished western Darfur region has been plagued by conflict since ethnic minority rebels rose against the Arab-dominated Khartoum government in 2003.
This is the 1st yellow fever outbreak in Darfur in 10 or 20 years, WHO country representative Anshu Banerjee said last month [November 2012].
The yellow fever virus normally circulates among monkeys but could be linked to more mosquitoes breeding this year [2012] after heavy rains and flooding in the region. Mosquitoes can become infected from the primates and transfer the virus to humans, Banerjee said.
There is no specific treatment for the illness, which is found in tropical regions of Africa, but it can be contained through the use of bed nets, insect repellents, and long clothing. Vaccination is the most important preventative measure.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The statement that the outbreak shows no signs of stopping is of concern. It is good to see that health workers have been able to reduce the case fatality rate significantly. When the vaccination and vector control campaign began, Sudan health authorities indicated that it would last 10-12 days. That time limit has been reached. Apparently, the campaign is continuing. ProMED would be interested in receiving specific information about plans, time lines and locations for continued effort, especially for what health authorities have termed phase 2.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
***********************************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
******
Date: Thu 6 Dec 2012
Source: Middle East On line [edited]
http://www.middle-east-online.com/english/?id=55952
A rare outbreak of mosquito-borne yellow fever which has killed 165 people in Sudan's Darfur region in the past 3 months continues to spread, the UN warned on Thursday [6 Dec 2012].
"The outbreak is very significant, and the spread of the disease shows no signs of stopping," the United Nations resident and humanitarian coordinator, Ali al-Za'tari, said in a statement. He said there is an urgent need for more funds for additional vaccines. "The only way to stop its spread is to ensure vaccinations are administered to all people at risk," Za'tari said.
Since 2 Sep [2012], there have been 732 suspected yellow fever cases including 165 deaths, said a separate report from the UN's World Health Organization (WHO) and Sudan's Ministry of Health.
The death toll has now surpassed that of a 2005 yellow fever outbreak in Sudan's South Kordofan state which caused 163 deaths from 604 cases over about 5 months.
"It is likely that many more cases of yellow fever have not been reported to health authorities," the statement from Za'tari's office said.
A vaccination campaign began on 20 Nov [2012] in the 12 most affected areas of Darfur. So far, 1.3 million people have been inoculated, the statement said, adding that health workers have been able to reduce the death rate to about 24 per cent from 40 per cent earlier in the outbreak.
Sudan's impoverished western Darfur region has been plagued by conflict since ethnic minority rebels rose against the Arab-dominated Khartoum government in 2003.
This is the 1st yellow fever outbreak in Darfur in 10 or 20 years, WHO country representative Anshu Banerjee said last month [November 2012].
The yellow fever virus normally circulates among monkeys but could be linked to more mosquitoes breeding this year [2012] after heavy rains and flooding in the region. Mosquitoes can become infected from the primates and transfer the virus to humans, Banerjee said.
There is no specific treatment for the illness, which is found in tropical regions of Africa, but it can be contained through the use of bed nets, insect repellents, and long clothing. Vaccination is the most important preventative measure.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[The statement that the outbreak shows no signs of stopping is of concern. It is good to see that health workers have been able to reduce the case fatality rate significantly. When the vaccination and vector control campaign began, Sudan health authorities indicated that it would last 10-12 days. That time limit has been reached. Apparently, the campaign is continuing. ProMED would be interested in receiving specific information about plans, time lines and locations for continued effort, especially for what health authorities have termed phase 2.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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Birgitt
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- Beiträge: 35436
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- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Gelbfieber in Sudan - WHO update
Yellow fever in Sudan - update
06.12.2012 - WHO
As of 4 December, a total of 732 suspected cases of yellow fever, including 165 deaths have been reported in 33 out of 64 localities in Darfur. Laboratory results have confirmed yellow fever by IgM ELISA test and PCR in 40 clinical samples. Tests were conducted at the National Public Health Laboratory in Khartoum, with support from the US Naval Medical Unit 3 (NAMRU-3), WHO Collaborating Center for Emerging Infectious Diseases.
Currently, the Federal Ministry of Health is organizing an emergency mass vaccination campaign against yellow fever. The first phase of the campaign began on 21 November 2012, to cover 2.2 million people, and the second phase of the campaign is planned for this month, to cover an additional 1.2 million at risk population.
The vaccination campaign is being supported by the International Coordinating Group on Yellow Fever Vaccine Provision (YF-ICG1), GAVI Alliance, ECHO, Central Emergency Response Fund (CERF), Sudan Common Humanitarian Fund (CHF), and non-governmental organizations working where the campaign is being carried out.
A comprehensive assessment of the outbreak is ongoing, to obtain additional epidemiological, laboratory and entomological information to understand the evolution of the outbreak and the risk of the epidemic.
WHO has activated the Global Outbreak Alert and Response Network (GOARN) and is deploying additional experts including an entomologist, virologists and an epidemiologist to support the ongoing response in the country.
_____
1 The YF-ICG is a partnership that manages the stockpile of yellow fever vaccines for emergency response on the basis of a rotation fund. It is represented by United Nations Children's Fund (UNICEF), Médecins Sans Frontières (MSF) and the International Federation of Red Cross and Red Crescent Societies (IFRC) and WHO, which also serves as the Secretariat. The stockpile was created by GAVI Alliance.
Gruß
Birgitt
06.12.2012 - WHO
As of 4 December, a total of 732 suspected cases of yellow fever, including 165 deaths have been reported in 33 out of 64 localities in Darfur. Laboratory results have confirmed yellow fever by IgM ELISA test and PCR in 40 clinical samples. Tests were conducted at the National Public Health Laboratory in Khartoum, with support from the US Naval Medical Unit 3 (NAMRU-3), WHO Collaborating Center for Emerging Infectious Diseases.
Currently, the Federal Ministry of Health is organizing an emergency mass vaccination campaign against yellow fever. The first phase of the campaign began on 21 November 2012, to cover 2.2 million people, and the second phase of the campaign is planned for this month, to cover an additional 1.2 million at risk population.
The vaccination campaign is being supported by the International Coordinating Group on Yellow Fever Vaccine Provision (YF-ICG1), GAVI Alliance, ECHO, Central Emergency Response Fund (CERF), Sudan Common Humanitarian Fund (CHF), and non-governmental organizations working where the campaign is being carried out.
A comprehensive assessment of the outbreak is ongoing, to obtain additional epidemiological, laboratory and entomological information to understand the evolution of the outbreak and the risk of the epidemic.
WHO has activated the Global Outbreak Alert and Response Network (GOARN) and is deploying additional experts including an entomologist, virologists and an epidemiologist to support the ongoing response in the country.
_____
1 The YF-ICG is a partnership that manages the stockpile of yellow fever vaccines for emergency response on the basis of a rotation fund. It is represented by United Nations Children's Fund (UNICEF), Médecins Sans Frontières (MSF) and the International Federation of Red Cross and Red Crescent Societies (IFRC) and WHO, which also serves as the Secretariat. The stockpile was created by GAVI Alliance.
Gruß
Birgitt
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Birgitt
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Gelbfieber in Sudan - Massenimpfung geplant
YELLOW FEVER - AFRICA (35): SUDAN (DARFUR)
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Fri 7 Dec 2012
Source: Voice of America [edited]
http://www.voanews.com/content/sudan_be ... 60840.html
Sudan's Federal Ministry of Health is organizing an emergency mass vaccination campaign against mosquito-borne yellow fever in the Darfur region. The latest figures from the World Health Organization put the number of suspected cases of yellow fever at 732, including 165 deaths.
This is the worst yellow fever epidemic to strike Africa in 2 decades. The last outbreak 20 years ago, also was in Sudan. At that time, 604 cases, with 156 deaths were reported in South Kordofan state, the epicenter of the disease. Given the number of cases and deaths reported in Darfur, the World Health Organization (WHO) notes the current epidemic already has surpassed the last one.
The WHO reports the emergency-response vaccination campaign will cover 5.5 million people. It is being conducted in 3 phases. The 1st phase of the campaign began 21 Nov [2012] to cover 2.2 million people in 12 districts with the highest number of cases.
The 2nd phase of the campaign aims to reach 1.2 million people and is to start next week. Vaccines are due to arrive in Sudan on Sunday [9 Dec 2012 ?] and will cover urban areas.
The WHO Representative in Sudan, Dr. Anshu Banerjee, said people in urban areas are more vulnerable to getting yellow fever than are people in rural areas. He explained this is because the disease is quickly transmitted from mosquitoes to humans in the cities, whereas in the rural areas, monkeys are the reservoir of the virus and the spread is slower.
Banerjee said an additional 2.2 million people will be vaccinated in a 3rd round in all other districts where positive cases are found.
"The challenges mainly are to reach the remote areas, partly because of transportation -- no roads, etcetera, and also because of insecurity, because of high risk of hijacking of cars, etcetera," said Banerjee. "So, transport modalities, which are being used now are like using donkeys to transport vaccines, which takes about 8 - 10 hours for people to transport vaccines to remote areas."
Banerjee said most of the cases of yellow fever are among nomads, which is why the epidemic is spreading so widely throughout Darfur.
He said Darfur, which was inundated with heavy rains, became a massive breeding ground for mosquitoes during the past year. He said the mosquitoes became infected from the monkeys in the forest and, in turn, have been affecting the human population. "There are also areas where we have mines and where there are migrant laborers coming from Chad, etcetera. So, one of the important issues also to cover this outbreak in Darfur is to make sure that it doesn't spread to other countries, like South Sudan and Chad, and also to make sure that it stays well within Darfur, within Sudan, because the vector is available throughout Sudan."
Yellow fever is a hemorrhagic disease. There is no cure. Bleeding can be managed by blood transfusions. Otherwise, the disease can be contained through the use of bed nets, insect repellent and the wearing of long clothes. The most effective preventive measure is vaccination.
[Byline: Lisa Schlein]
--
Communicated by:
ProMED-mail from Health Map Alerts
<promed@promedmail.org>
[This is the 1st report that has come to ProMED that indicates that the vaccination campaign will cover 5.5 million people in 3 phases. Previous initial reports from the Darfur state Ministries of Health indicated that about half that number of individuals would be vaccinated and that the campaign would be concluded in 10-12 days, a time period that has now expired. Later reports indicated that there would be a 2nd phase, but did not specify the nature of that effort. The above report indicates that there will be a 3rd phase as well.
There is still no information yet about the nature of the surveillance system for case finding or the organization of quick response teams when new cases are found. However, the WHO has activated the Global Outbreak Alert and Response Network (GOARN) and is deploying additional experts including an entomologist, virologists and an epidemiologist to support the ongoing response in the country (see ProMED archive no. 20121206.1441130). These efforts will be critical to halt this outbreak and keep it from spreading to other areas in Sudan and to other neighboring countries.
Maintaining a cold chain to preserve vaccine viability within the remote areas accessible only by donkey mentioned above will be a challenge. One hopes that individuals in all refugee camps are now vaccinated.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA.
- Mod.TY]
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Fri 7 Dec 2012
Source: Voice of America [edited]
http://www.voanews.com/content/sudan_be ... 60840.html
Sudan's Federal Ministry of Health is organizing an emergency mass vaccination campaign against mosquito-borne yellow fever in the Darfur region. The latest figures from the World Health Organization put the number of suspected cases of yellow fever at 732, including 165 deaths.
This is the worst yellow fever epidemic to strike Africa in 2 decades. The last outbreak 20 years ago, also was in Sudan. At that time, 604 cases, with 156 deaths were reported in South Kordofan state, the epicenter of the disease. Given the number of cases and deaths reported in Darfur, the World Health Organization (WHO) notes the current epidemic already has surpassed the last one.
The WHO reports the emergency-response vaccination campaign will cover 5.5 million people. It is being conducted in 3 phases. The 1st phase of the campaign began 21 Nov [2012] to cover 2.2 million people in 12 districts with the highest number of cases.
The 2nd phase of the campaign aims to reach 1.2 million people and is to start next week. Vaccines are due to arrive in Sudan on Sunday [9 Dec 2012 ?] and will cover urban areas.
The WHO Representative in Sudan, Dr. Anshu Banerjee, said people in urban areas are more vulnerable to getting yellow fever than are people in rural areas. He explained this is because the disease is quickly transmitted from mosquitoes to humans in the cities, whereas in the rural areas, monkeys are the reservoir of the virus and the spread is slower.
Banerjee said an additional 2.2 million people will be vaccinated in a 3rd round in all other districts where positive cases are found.
"The challenges mainly are to reach the remote areas, partly because of transportation -- no roads, etcetera, and also because of insecurity, because of high risk of hijacking of cars, etcetera," said Banerjee. "So, transport modalities, which are being used now are like using donkeys to transport vaccines, which takes about 8 - 10 hours for people to transport vaccines to remote areas."
Banerjee said most of the cases of yellow fever are among nomads, which is why the epidemic is spreading so widely throughout Darfur.
He said Darfur, which was inundated with heavy rains, became a massive breeding ground for mosquitoes during the past year. He said the mosquitoes became infected from the monkeys in the forest and, in turn, have been affecting the human population. "There are also areas where we have mines and where there are migrant laborers coming from Chad, etcetera. So, one of the important issues also to cover this outbreak in Darfur is to make sure that it doesn't spread to other countries, like South Sudan and Chad, and also to make sure that it stays well within Darfur, within Sudan, because the vector is available throughout Sudan."
Yellow fever is a hemorrhagic disease. There is no cure. Bleeding can be managed by blood transfusions. Otherwise, the disease can be contained through the use of bed nets, insect repellent and the wearing of long clothes. The most effective preventive measure is vaccination.
[Byline: Lisa Schlein]
--
Communicated by:
ProMED-mail from Health Map Alerts
<promed@promedmail.org>
[This is the 1st report that has come to ProMED that indicates that the vaccination campaign will cover 5.5 million people in 3 phases. Previous initial reports from the Darfur state Ministries of Health indicated that about half that number of individuals would be vaccinated and that the campaign would be concluded in 10-12 days, a time period that has now expired. Later reports indicated that there would be a 2nd phase, but did not specify the nature of that effort. The above report indicates that there will be a 3rd phase as well.
There is still no information yet about the nature of the surveillance system for case finding or the organization of quick response teams when new cases are found. However, the WHO has activated the Global Outbreak Alert and Response Network (GOARN) and is deploying additional experts including an entomologist, virologists and an epidemiologist to support the ongoing response in the country (see ProMED archive no. 20121206.1441130). These efforts will be critical to halt this outbreak and keep it from spreading to other areas in Sudan and to other neighboring countries.
Maintaining a cold chain to preserve vaccine viability within the remote areas accessible only by donkey mentioned above will be a challenge. One hopes that individuals in all refugee camps are now vaccinated.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA.
- Mod.TY]
-
Birgitt
- Moderator
- Beiträge: 35436
- Registriert: Di 2. Aug 2005, 22:52
- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Gelbfieber in Sudan - Virus breitet sich aus
YELLOW FEVER - AFRICA (36): SUDAN (DARFUR)
******************************************
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:
[1] China restrictions
[2] Darfur cards
[3] Darfur miners
[4] West Darfur
******
[1] China restrictions
Date: Thu 6 Dec 2012
Source: Global Times, Xinhua News Agency report [edited]
http://www.globaltimes.cn/content/748632.shtml
China's top quarantine watchdog on Thursday [6 Dec 2012] urged intensified efforts to prevent the entry of yellow fever from Sudan.
A total of 329 suspected cases, including 97 deaths, have been reported in Sudan as of 11 Nov [2012], the General Administration of Quality Supervision, Inspection and Quarantine said in a statement on its website, citing a World Health Organization report.
The administration asked local authorities to boost body temperature monitoring and other medical inspections for travelers from Sudan.
Travelers from Sudan must inform China's entry-exit inspection and quarantine institutions if they develop related symptoms, such as fever and jaundice, the administration said in the statement, adding that infected travellers should be isolated immediately.
The administration also urged local authorities to step up quarantine inspections over vehicles and containers coming from Sudan to prevent the spread of yellow fever.
Yellow fever is a disease spread by mosquitoes. Symptoms take 3-6 days to develop and include fever, chills, headache, backache, and muscle aches.
Chinese travelers to Sudan are advised to get vaccinated against yellow fever and to take steps to prevent mosquito bites, according to the statement.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Concern of international spread of the yellow fever virus is real. However, at this time of year, with the onset of cold weather and no mosquito vector activity, the threat of ongoing transmission in China is nil except possibly in the tropical far south. - Mod.TY]
******
[2] Darfur cards
Date: Thu 6 Dec 2012
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/39356
[This report includes information on yellow fever vaccination cards that was not included in previous reports. - Mod.TY]
Several residents from Zalingei locality in Central Darfur complained that security services are preventing anyone who does not have a yellow fever vaccination card to leave the area, they told Radio Dabanga on Thursday, 6 Dec [2012].
According to security forces, this decision was based on instructions they received from the Central Darfur government, witnesses reported.
Citizens from the locality stressed that this decision is causing them much suffering and severe damages, as they are unable to travel to places like Nyala and El-Geneina to do business.
[Residents] explained to Radio Dabanga that those who were vaccinated on the 1st 2 days of the campaign received a card. However, they continued, vaccination cards were no longer available after the 3rd day.
The unavailability of cards has become an obstacle for Zalingei residents to leave the locality, which is especially affecting merchants and patients seeking treatment elsewhere, residents pointed out.
At the same time, witnesses stressed that members of the security services of Central Darfur are 'exploiting' the current situation. They have set-up check points in all access areas leading in and out of the locality and are selling vaccination cards for 30 Sudanese pounds [USD 6.80] each, witnesses asserted.
They demanded that authorities facilitate their travels.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Apparently, requiring yellow fever vaccination cards for travel is an attempt by the central Darfur government to prevent further spread of the disease to new areas by viremic travelers. However, if it is true that cards are being sold, this defeats the purpose of the travel restrictions. The unavailability of cards for vaccinated individuals is also of concern. Cards should be available only to those individuals receiving the vaccine at the time of their vaccination.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******
[3] Darfur miners
Date: Thu 6 Dec 2012
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/39354
Osman Mohamed Yusuf Kibir, governor of North Darfur, threatened to 'forcibly' vaccinate gold miners in Jebel 'Amer against yellow fever, Radio Dabanga has learned on Thursday, 6 Dec [2012].
During a visit to the mine located in El-Sref Beni Hussein locality, Kibir stressed to the 35 000 workers that vaccination is a 'must', according to a statement.
The governor declared that gold miners who do not respond to the campaign against yellow fever will be vaccinated by the security services. Besides, he added that if anyone refuses to take the shots they will be tried for suicide attempt.
Kibir warned to Jebel 'Amer's newcomers that they can only enter the area after presenting their yellow fever vaccination cards at the gate.
Lastly, he promised to provide drinking water and a mobile clinic to the workers in Jebel 'Amer.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Recently, 4 yellow fever (YF) patients in the Zalingei hospital came from the gold mining area of Jebel 'Amer in North Darfur, implicating this area as one of active YF virus transmission. Thus, the risk of spread to the mining camps appears to be significant. Previous reports indicated that some of the miners were from Chad. Should they return to that country, there is a real risk of spreading the YF outbreak. Requiring vaccination of the miners does not seem unreasonable. - Mod.TY]
******
[4] West Darfur
Date: Tue 11 Dec 2012
Source: AllAfrica, Radio Dabanga report [edited]
http://allafrica.com/stories/201212110106.html
The Minister of Health of West Darfur announced the launch of the vaccination campaign against yellow fever in the locality of Foro Baranga, on Sun 9 Dec [2012].
Ishaq Ahmed Yaqoub told Radio Dabanga that the start of the campaign encountered some difficulties, as a number of vehicles carrying the drugs [vaccines?] were delayed.
He explained that by Monday [10 Dec 2012], or the campaign's 2nd day, 11 per cent of the targeted patients had been vaccinated, adding that vaccines have arrived to the area. The operation will last until 21 Dec [2012], according to the minister.
Yaqoub declared that a total of 51 people died and 233 were infected with yellow [fever virus] in Central Darfur so far. He revealed that most of the new cases come from the gold mining area of Jebel 'Amer, North Darfur.
The minister told Radio Dabanga he expects to have a surplus in vaccines after concluding the campaign in Foro Baranga and added that the northern localities in the state are 'free from the epidemic'.
Nevertheless, he pledged to provide support for campaigns carried out in the north if required. These localities could include: as Sirba, Jebel Moun, and Kulbus, he suggested.
At the same time, an activist from Sirba locality announced that a yellow fever patient died in the area of Bir Kilab. He also suspects that 3 new cases have emerged in the area, 2 of them in Sawanee, near Sirba. On their turn, residents from Sirba locality have complained that the health authorities have ignored them.
The activist told Radio Dabanga that Sirba's residents are living in fear due to the spread of the yellow fever epidemic in nearby villages. Besides, he continued, the locality is densely populated and includes 8 displaced persons camps.
Lastly, residents from Sirba locality called on health authorities and organizations to speed up the delivery of the vaccines to the area before the disease continues to spread.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[One hopes that the vaccination campaign can get ahead of this outbreak. Obviously, early time lines for a campaign of 10-12 days was unrealistic, which is not surprising given the large area and lack of roads and other infrastructure in the Darfur states. The occurrence of cases in the general area of the 8 refugee campus is of serious concern. One hopes that the vaccine arrives in the camps before the virus does.
There is an interesting photo story in this WHO report on yellow fever in Darfur. It can be accessed at http://www.who.int/features/2012/yellow_fever/en/. - Mod.TY]
[
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/3EpA.]
******************************************
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:
[1] China restrictions
[2] Darfur cards
[3] Darfur miners
[4] West Darfur
******
[1] China restrictions
Date: Thu 6 Dec 2012
Source: Global Times, Xinhua News Agency report [edited]
http://www.globaltimes.cn/content/748632.shtml
China's top quarantine watchdog on Thursday [6 Dec 2012] urged intensified efforts to prevent the entry of yellow fever from Sudan.
A total of 329 suspected cases, including 97 deaths, have been reported in Sudan as of 11 Nov [2012], the General Administration of Quality Supervision, Inspection and Quarantine said in a statement on its website, citing a World Health Organization report.
The administration asked local authorities to boost body temperature monitoring and other medical inspections for travelers from Sudan.
Travelers from Sudan must inform China's entry-exit inspection and quarantine institutions if they develop related symptoms, such as fever and jaundice, the administration said in the statement, adding that infected travellers should be isolated immediately.
The administration also urged local authorities to step up quarantine inspections over vehicles and containers coming from Sudan to prevent the spread of yellow fever.
Yellow fever is a disease spread by mosquitoes. Symptoms take 3-6 days to develop and include fever, chills, headache, backache, and muscle aches.
Chinese travelers to Sudan are advised to get vaccinated against yellow fever and to take steps to prevent mosquito bites, according to the statement.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Concern of international spread of the yellow fever virus is real. However, at this time of year, with the onset of cold weather and no mosquito vector activity, the threat of ongoing transmission in China is nil except possibly in the tropical far south. - Mod.TY]
******
[2] Darfur cards
Date: Thu 6 Dec 2012
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/39356
[This report includes information on yellow fever vaccination cards that was not included in previous reports. - Mod.TY]
Several residents from Zalingei locality in Central Darfur complained that security services are preventing anyone who does not have a yellow fever vaccination card to leave the area, they told Radio Dabanga on Thursday, 6 Dec [2012].
According to security forces, this decision was based on instructions they received from the Central Darfur government, witnesses reported.
Citizens from the locality stressed that this decision is causing them much suffering and severe damages, as they are unable to travel to places like Nyala and El-Geneina to do business.
[Residents] explained to Radio Dabanga that those who were vaccinated on the 1st 2 days of the campaign received a card. However, they continued, vaccination cards were no longer available after the 3rd day.
The unavailability of cards has become an obstacle for Zalingei residents to leave the locality, which is especially affecting merchants and patients seeking treatment elsewhere, residents pointed out.
At the same time, witnesses stressed that members of the security services of Central Darfur are 'exploiting' the current situation. They have set-up check points in all access areas leading in and out of the locality and are selling vaccination cards for 30 Sudanese pounds [USD 6.80] each, witnesses asserted.
They demanded that authorities facilitate their travels.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Apparently, requiring yellow fever vaccination cards for travel is an attempt by the central Darfur government to prevent further spread of the disease to new areas by viremic travelers. However, if it is true that cards are being sold, this defeats the purpose of the travel restrictions. The unavailability of cards for vaccinated individuals is also of concern. Cards should be available only to those individuals receiving the vaccine at the time of their vaccination.
A map showing Sudan states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******
[3] Darfur miners
Date: Thu 6 Dec 2012
Source: Radio Dabanga [edited]
http://www.radiodabanga.org/node/39354
Osman Mohamed Yusuf Kibir, governor of North Darfur, threatened to 'forcibly' vaccinate gold miners in Jebel 'Amer against yellow fever, Radio Dabanga has learned on Thursday, 6 Dec [2012].
During a visit to the mine located in El-Sref Beni Hussein locality, Kibir stressed to the 35 000 workers that vaccination is a 'must', according to a statement.
The governor declared that gold miners who do not respond to the campaign against yellow fever will be vaccinated by the security services. Besides, he added that if anyone refuses to take the shots they will be tried for suicide attempt.
Kibir warned to Jebel 'Amer's newcomers that they can only enter the area after presenting their yellow fever vaccination cards at the gate.
Lastly, he promised to provide drinking water and a mobile clinic to the workers in Jebel 'Amer.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Recently, 4 yellow fever (YF) patients in the Zalingei hospital came from the gold mining area of Jebel 'Amer in North Darfur, implicating this area as one of active YF virus transmission. Thus, the risk of spread to the mining camps appears to be significant. Previous reports indicated that some of the miners were from Chad. Should they return to that country, there is a real risk of spreading the YF outbreak. Requiring vaccination of the miners does not seem unreasonable. - Mod.TY]
******
[4] West Darfur
Date: Tue 11 Dec 2012
Source: AllAfrica, Radio Dabanga report [edited]
http://allafrica.com/stories/201212110106.html
The Minister of Health of West Darfur announced the launch of the vaccination campaign against yellow fever in the locality of Foro Baranga, on Sun 9 Dec [2012].
Ishaq Ahmed Yaqoub told Radio Dabanga that the start of the campaign encountered some difficulties, as a number of vehicles carrying the drugs [vaccines?] were delayed.
He explained that by Monday [10 Dec 2012], or the campaign's 2nd day, 11 per cent of the targeted patients had been vaccinated, adding that vaccines have arrived to the area. The operation will last until 21 Dec [2012], according to the minister.
Yaqoub declared that a total of 51 people died and 233 were infected with yellow [fever virus] in Central Darfur so far. He revealed that most of the new cases come from the gold mining area of Jebel 'Amer, North Darfur.
The minister told Radio Dabanga he expects to have a surplus in vaccines after concluding the campaign in Foro Baranga and added that the northern localities in the state are 'free from the epidemic'.
Nevertheless, he pledged to provide support for campaigns carried out in the north if required. These localities could include: as Sirba, Jebel Moun, and Kulbus, he suggested.
At the same time, an activist from Sirba locality announced that a yellow fever patient died in the area of Bir Kilab. He also suspects that 3 new cases have emerged in the area, 2 of them in Sawanee, near Sirba. On their turn, residents from Sirba locality have complained that the health authorities have ignored them.
The activist told Radio Dabanga that Sirba's residents are living in fear due to the spread of the yellow fever epidemic in nearby villages. Besides, he continued, the locality is densely populated and includes 8 displaced persons camps.
Lastly, residents from Sirba locality called on health authorities and organizations to speed up the delivery of the vaccines to the area before the disease continues to spread.
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[One hopes that the vaccination campaign can get ahead of this outbreak. Obviously, early time lines for a campaign of 10-12 days was unrealistic, which is not surprising given the large area and lack of roads and other infrastructure in the Darfur states. The occurrence of cases in the general area of the 8 refugee campus is of serious concern. One hopes that the vaccine arrives in the camps before the virus does.
There is an interesting photo story in this WHO report on yellow fever in Darfur. It can be accessed at http://www.who.int/features/2012/yellow_fever/en/. - Mod.TY]
[
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/3EpA.]
-
Birgitt
- Moderator
- Beiträge: 35436
- Registriert: Di 2. Aug 2005, 22:52
- Wohnort: NRW / Südl. Rheinland
- Kontaktdaten:
Gelbfieber in Sudan - Darfur
YELLOW FEVER - AFRICA (38): SUDAN (DARFUR)
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Thu 13 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212130033.html
Issa Mohamed Moussa Yousef, Minister of Health in Central Darfur, announced the emergence of 2 new cases of yellow fever in the localities of Zalingei and Umm Dukhun. The new cases bring the total incidence to 413 and the death toll to 81 in Central Darfur, according to the latest statistics issued on Wednesday [12 Dec 2012].
The minister explained to Radio Dabanga that, overall, the incidence of yellow fever in the locality comes from the gold mining area of Jebel 'Amer in North Darfur. He pointed out that no new cases emerged in Central Darfur and asserted that the situation has stabilized.
About the upcoming vaccination campaign in the localities of Mukjar and Bendessey, the minister stressed that the vaccines against yellow fever arrived in Khartoum but have not yet arrived in the state.
He added that the state has completed all preparatory arrangements for the campaign in both localities and is waiting for the arrival of the drugs [vaccine].
--
Communicated by:
ProMED-mail
<promed@promedmail.org>
[Although the date when the Central Darfur Minister of Health gave the above statement is not given, the numbers of cases and fatalities have increased over the previous report. Without the arrival of the next lot of vaccines and the occurrence of new cases in Central Darfur, it is difficult to understand why the situation has been declared stabilized. It is good to learn that preparations have been made to launch the vaccination campaign as soon as the vaccine arrives from Khartoum.
This above report also indicates that the African section of the Arab League has allocated USD 250 000 for the purchase of vaccines for Darfur.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Thu 13 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212130033.html
Issa Mohamed Moussa Yousef, Minister of Health in Central Darfur, announced the emergence of 2 new cases of yellow fever in the localities of Zalingei and Umm Dukhun. The new cases bring the total incidence to 413 and the death toll to 81 in Central Darfur, according to the latest statistics issued on Wednesday [12 Dec 2012].
The minister explained to Radio Dabanga that, overall, the incidence of yellow fever in the locality comes from the gold mining area of Jebel 'Amer in North Darfur. He pointed out that no new cases emerged in Central Darfur and asserted that the situation has stabilized.
About the upcoming vaccination campaign in the localities of Mukjar and Bendessey, the minister stressed that the vaccines against yellow fever arrived in Khartoum but have not yet arrived in the state.
He added that the state has completed all preparatory arrangements for the campaign in both localities and is waiting for the arrival of the drugs [vaccine].
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[Although the date when the Central Darfur Minister of Health gave the above statement is not given, the numbers of cases and fatalities have increased over the previous report. Without the arrival of the next lot of vaccines and the occurrence of new cases in Central Darfur, it is difficult to understand why the situation has been declared stabilized. It is good to learn that preparations have been made to launch the vaccination campaign as soon as the vaccine arrives from Khartoum.
This above report also indicates that the African section of the Arab League has allocated USD 250 000 for the purchase of vaccines for Darfur.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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Gelbfieber in Sudan - Darfur
YELLOW FEVER - AFRICA (39): SUDAN (DARFUR)
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ProMED-mail is a program of the
International Society for Infectious Diseases
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Date: Mon 17 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212180059.html
The minister of health of North Darfur announced that 4 people died of yellow fever in the state when speaking to Radio Dabanga on Mon 17 Dec 2012. Minister Abu Al Abbas Al-Tayeb Abdullah Jibdu also announced that 6 patients were diagnosed with the disease. According to Jibdu, yellow fever killed 2 people in the gold mining area of Jebel 'Amer, one in Saraf Omra locality, and another in Kabkabiya.
In addition, one patient was reportedly infected with the disease in Kabkabiya, 4 in Jebel 'Amer, and one in Saraf Omra.
Speaking to Radio Dabanga, Jibdu denied that authorities have ignored the emergence of yellow fever in Jebel 'Amer. He stressed that 100 per cent of the population has been vaccinated in the area by a medical team stationed there for 2 months now. The minister also stated that people have already been vaccinated in border areas such as El-Sref Beni Hussein, Kabkabiya and Saraf Omra.
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[The above report does not indicate when the yellow fever (YF) cases and deaths occurred. Apparently, the area that has achieved 100 per cent vaccination coverage is the population of the gold mining area. The cases occurring in that area are of particular concern because of the large population of miners (35 000 individuals) living in close quarters. The situation concerning mosquito vector populations and the surveillance system employed for prompt new case detection are not mentioned in the above report and would be of interest.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
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Date: Mon 17 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212180059.html
The minister of health of North Darfur announced that 4 people died of yellow fever in the state when speaking to Radio Dabanga on Mon 17 Dec 2012. Minister Abu Al Abbas Al-Tayeb Abdullah Jibdu also announced that 6 patients were diagnosed with the disease. According to Jibdu, yellow fever killed 2 people in the gold mining area of Jebel 'Amer, one in Saraf Omra locality, and another in Kabkabiya.
In addition, one patient was reportedly infected with the disease in Kabkabiya, 4 in Jebel 'Amer, and one in Saraf Omra.
Speaking to Radio Dabanga, Jibdu denied that authorities have ignored the emergence of yellow fever in Jebel 'Amer. He stressed that 100 per cent of the population has been vaccinated in the area by a medical team stationed there for 2 months now. The minister also stated that people have already been vaccinated in border areas such as El-Sref Beni Hussein, Kabkabiya and Saraf Omra.
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[The above report does not indicate when the yellow fever (YF) cases and deaths occurred. Apparently, the area that has achieved 100 per cent vaccination coverage is the population of the gold mining area. The cases occurring in that area are of particular concern because of the large population of miners (35 000 individuals) living in close quarters. The situation concerning mosquito vector populations and the surveillance system employed for prompt new case detection are not mentioned in the above report and would be of interest.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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Gelbfieber in Sudan - Schlimmster Ausbruch seit 20 Jahren
YELLOW FEVER - AFRICA (40): SUDAN (DARFUR)
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Date: Tue 18 Dec 2012
Source: BBC News [edited]
http://www.bbc.co.uk/news/health-20775086
Experts say the outbreak of yellow fever gripping Sudan is the worst the world has seen in at least 20 years. More than 800 suspected cases of the mosquito-spread disease have been reported across the Darfur region since the outbreak began in October [2012]. The virus, which can cause jaundice and kidney failure, has killed 168 people.
The World Health Organization's Anshu Banerjee said few people in Sudan were immune to it and an emergency mass vaccination campaign was now under way. The 1st phase of the immunisation programme began on 21 Nov [2012], to cover 2.2 million people, and the 2nd phase is planned for this month [December 2012], to cover an additional 1.2 million people at risk.
Dr Banerjee said another 2.2 million doses of the vaccine were expected to arrive soon. "This should be enough to protect the population in Darfur that is at risk and stop it spreading to the rest of Sudan," he said.
He said some other African countries, like Cameroon, had also reported some cases of yellow fever recently, but unlike Sudan, many of these already include the yellow fever vaccine in their childhood immunisation programmes.
"There's been no such vaccine campaign in Sudan for decades. It's because of priorities. Sudan recently identified itself as a high-risk country for a yellow fever outbreak and had conditional approval to begin a vaccination campaign. "Unfortunately the outbreak hit before this could happen. This is the worst outbreak we have seen globally in 20 years or more."
In Darfur, the disease has spread following nomadic migration routes across the region. At the moment, yellow fever is mostly restricted to rural areas. However, there is a risk that it will spread to urban areas including the camps that house up to 2 million people who fled their homes because of the Darfur conflict.
Yellow fever is endemic in tropical regions of Africa and South America. A vaccine can prevent infection but there is no specific drug treatment for people who are infected. In its most severe form it causes bleeding, jaundice and possible liver and kidney failure.
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[The number of yellow fever (YF) cases and deaths continues to increase, from 732 cases and 165 deaths reported on 7 Dec 2012 (see ProMED-mail archive no 20121208.1443535) to the more than 800 cases and 168 deaths reported today (18 Dec 2012). It is helpful to know that the 2nd phase of the campaign is planned during the remainder of this month (December 2012). The sooner the campaign begins, the less the risk of YF hitting the refugee campus, which could be extremely serious if there are abundant YF virus vector mosquitoes there. Curiously, little or no mention is made in the Darfur YF outbreak reports about the status of vector mosquito populations in the region.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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ProMED-mail is a program of the
International Society for Infectious Diseases
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Date: Tue 18 Dec 2012
Source: BBC News [edited]
http://www.bbc.co.uk/news/health-20775086
Experts say the outbreak of yellow fever gripping Sudan is the worst the world has seen in at least 20 years. More than 800 suspected cases of the mosquito-spread disease have been reported across the Darfur region since the outbreak began in October [2012]. The virus, which can cause jaundice and kidney failure, has killed 168 people.
The World Health Organization's Anshu Banerjee said few people in Sudan were immune to it and an emergency mass vaccination campaign was now under way. The 1st phase of the immunisation programme began on 21 Nov [2012], to cover 2.2 million people, and the 2nd phase is planned for this month [December 2012], to cover an additional 1.2 million people at risk.
Dr Banerjee said another 2.2 million doses of the vaccine were expected to arrive soon. "This should be enough to protect the population in Darfur that is at risk and stop it spreading to the rest of Sudan," he said.
He said some other African countries, like Cameroon, had also reported some cases of yellow fever recently, but unlike Sudan, many of these already include the yellow fever vaccine in their childhood immunisation programmes.
"There's been no such vaccine campaign in Sudan for decades. It's because of priorities. Sudan recently identified itself as a high-risk country for a yellow fever outbreak and had conditional approval to begin a vaccination campaign. "Unfortunately the outbreak hit before this could happen. This is the worst outbreak we have seen globally in 20 years or more."
In Darfur, the disease has spread following nomadic migration routes across the region. At the moment, yellow fever is mostly restricted to rural areas. However, there is a risk that it will spread to urban areas including the camps that house up to 2 million people who fled their homes because of the Darfur conflict.
Yellow fever is endemic in tropical regions of Africa and South America. A vaccine can prevent infection but there is no specific drug treatment for people who are infected. In its most severe form it causes bleeding, jaundice and possible liver and kidney failure.
--
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[The number of yellow fever (YF) cases and deaths continues to increase, from 732 cases and 165 deaths reported on 7 Dec 2012 (see ProMED-mail archive no 20121208.1443535) to the more than 800 cases and 168 deaths reported today (18 Dec 2012). It is helpful to know that the 2nd phase of the campaign is planned during the remainder of this month (December 2012). The sooner the campaign begins, the less the risk of YF hitting the refugee campus, which could be extremely serious if there are abundant YF virus vector mosquitoes there. Curiously, little or no mention is made in the Darfur YF outbreak reports about the status of vector mosquito populations in the region.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
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- Beiträge: 35436
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Gelbfieber in Sudan - Darfur
YELLOW FEVER - AFRICA (41): SUDAN (DARFUR)
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ProMED-mail is a program of the
International Society for Infectious Diseases
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Date: Thu 20 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212200021.html
Central Darfur's minister of health, Issa Mohamed Moussa Yousif, announced on Tue 18 Dec 2012 the start of the 2nd stage of the yellow fever vaccination campaign in the localities of Bendessey and Mukjar.
He told Radio Dabanga that the vaccination campaign in the 2 localities will continue for about 12 days. The minister explained that the targeted number of people in the locality of Mukjar is about 69 000 and 67 000 in Bendessey. He appealed to all citizens to visit the vaccination centers in the 2 localities as soon as possible.
Furthermore, he revealed the emergence of 8 new cases of yellow fever in the state, explaining that 5 of the cases came from Jebel Amer and the other 3 from the locality of Zalingei. The minister noted that the number of infections in the state has reached 424, while no new cases were added to the death toll.
In South Darfur, the 2nd phase of the campaign has begun at Nyala Stadium, targeting more than one million citizens in the localities of Nyala, Bilail, Salam, Nitega, and the camps for displaced.
The state's minister of health, Ahmed Tayyeb, said in a press statement that the campaign will continue for a period of 12 days, in conjunction with the vaccination campaign against polio, for all children in the state. He stated that the vaccines for the 3rd phase are expected to arrive in Sudan next Sunday [23 Dec 2012] so as to vaccinate the entire population of the state.
For his part, the director of comprehensive vaccination in the state, Siddiq Abdullah Abbaker, noted that the campaign which began in Nyala is being implemented through 122 location centers, including schools, health centers, and temporary centers for citizens.
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[The situation in Central Darfur is of concern with the appearance of new cases, especially in Jebal Amer, the area of gold mining with a fairly large, and probably transient population. It is now clear that the vaccination campaign will require a lengthy effort to achieve coverage adequate to stop the outbreak. The initiation of the 2nd phase with plans to begin a 3rd phase over extended geographic areas is encouraging. One hopes that an active surveillance effort will promptly detect new cases and will elicit a rapid response by vaccination teams.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
******************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Thu 20 Dec 2012
Source: All Africa [edited]
http://allafrica.com/stories/201212200021.html
Central Darfur's minister of health, Issa Mohamed Moussa Yousif, announced on Tue 18 Dec 2012 the start of the 2nd stage of the yellow fever vaccination campaign in the localities of Bendessey and Mukjar.
He told Radio Dabanga that the vaccination campaign in the 2 localities will continue for about 12 days. The minister explained that the targeted number of people in the locality of Mukjar is about 69 000 and 67 000 in Bendessey. He appealed to all citizens to visit the vaccination centers in the 2 localities as soon as possible.
Furthermore, he revealed the emergence of 8 new cases of yellow fever in the state, explaining that 5 of the cases came from Jebel Amer and the other 3 from the locality of Zalingei. The minister noted that the number of infections in the state has reached 424, while no new cases were added to the death toll.
In South Darfur, the 2nd phase of the campaign has begun at Nyala Stadium, targeting more than one million citizens in the localities of Nyala, Bilail, Salam, Nitega, and the camps for displaced.
The state's minister of health, Ahmed Tayyeb, said in a press statement that the campaign will continue for a period of 12 days, in conjunction with the vaccination campaign against polio, for all children in the state. He stated that the vaccines for the 3rd phase are expected to arrive in Sudan next Sunday [23 Dec 2012] so as to vaccinate the entire population of the state.
For his part, the director of comprehensive vaccination in the state, Siddiq Abdullah Abbaker, noted that the campaign which began in Nyala is being implemented through 122 location centers, including schools, health centers, and temporary centers for citizens.
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[The situation in Central Darfur is of concern with the appearance of new cases, especially in Jebal Amer, the area of gold mining with a fairly large, and probably transient population. It is now clear that the vaccination campaign will require a lengthy effort to achieve coverage adequate to stop the outbreak. The initiation of the 2nd phase with plans to begin a 3rd phase over extended geographic areas is encouraging. One hopes that an active surveillance effort will promptly detect new cases and will elicit a rapid response by vaccination teams.
A map showing Sudan's states can be accessed at http://www.lib.utexas.edu/maps/africa/t ... l_2007.jpg, and a HealthMap/ProMED-mail interactive map can be accessed at http://healthmap.org/r/3EpA. - Mod.TY]
