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Tracking the next pandemic: Avian Flu Talk

Russia outbreak resp ill, meningitis
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    Posted: June 06 2013 at 6:49am
One child has died and nearly 80 others have been affected by an outbreak of acute respiratory infection, in some cases complicated by meningitis, in Rostov-on-Don. Twenty-eight children from the Teremok kindergarten are currently in hospital, 11 with symptoms of pneumonia and nine with meningitis. One child died yesterday despite receiving medical treatment, ITAR-TASS reported Thursday. A group of specialists from the Research and Development Institute for Childhood Infections will today fly to Rostov-on-Don, about 1,000 kilometers south of Moscow, to assist local pediatricians who are treating the children. "All of the children have been examined by specialists from the Department of Pediatric Infectious Diseases Medical University and bacteriological and virological blood tests have been carried out," the regional Health Ministry said, adding that there is no meningitis epidemic in the region. The kindergarten has been closed and 34 preschoolers being kept at home under constant observation of pediatricians, ITAR-TASS reported. Health Minister Veronika Skvortsova has commissioned Russia's chief pediatrician for infectious diseases Yuri Lobzin to provide assistance to regional specialists, said the ministry's press service. The Investigative Committee in the Rostov region has opened a criminal case against the head of the kindergarten under charges of negligence. The virus is likely to have come from a clothing market where mostly immigrants from Vietnam, China and other Asian countries work. The market is located in the Pervomai district, where the kindergarten is also based.1
Biohazard name:Acute respiratory infection and meningitis
Biohazard level:3/4 Hight
Biohazard desc.:Bacteria and viruses that can cause severe to fatal disease in humans, but for which vaccines or other treatments exist, such as anthrax, West Nile virus, Venezuelan equine encephalitis, SARS virus, variola virus (smallpox), tuberculosis, typhus, Rift Valley fever, Rocky Mountain spotted fever, yellow fever, and malaria. Among parasitesPlasmodium falciparum, which causes Malaria, and Trypanosoma cruzi, which causes trypanosomiasis, also come under this level.
Symptoms:
Status:confirmed
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Post Options Post Options   Thanks (0) Thanks(0)   Quote LOPPER Quote  Post ReplyReply Direct Link To This Post Posted: June 06 2013 at 8:48am

SO they have an unknown respiratory illness. One has to wonder at this point if MERS-CoV is the culprit.
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The last sentence caught my eye...

Meningitis Outbreak in Rostov Kindergarten, 1 Child Dead

06 June 2013
The Moscow Times

One child has died and nearly 80 others have been affected by an outbreak of acute respiratory infection, in some cases complicated by meningitis, in Rostov-on-Don.

Twenty-eight children from the Teremok kindergarten are currently in hospital, 11 with symptoms of pneumonia and nine with meningitis. One child died yesterday despite receiving medical treatment, ITAR-TASS reported Thursday.

A group of specialists from the Research and Development Institute for Childhood Infections will today fly to Rostov-on-Don, about 1,000 kilometers south of Moscow, to assist local pediatricians who are treating the children.

"All of the children have been examined by specialists from the Department of Pediatric Infectious Diseases Medical University and bacteriological and virological blood tests have been carried out," the regional Health Ministry said, adding that there is no meningitis epidemic in the region.

The kindergarten has been closed and 34 preschoolers being kept at home under constant observation of pediatricians, ITAR-TASS reported.

Health Minister Veronika Skvortsova has commissioned Russia's chief pediatrician for infectious diseases Yuri Lobzin to provide assistance to regional specialists, said the ministry's press service.

The Investigative Committee in the Rostov region has opened a criminal case against the head of the kindergarten under charges of negligence.

The virus is likely to have come from a clothing market where mostly immigrants from Vietnam, China and other Asian countries work. The market is located in the Pervomai district, where the kindergarten is also based.
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Update... 
11:11 06/06/2013 ALL NEWS

Number of infected children at kindergarten in Rostov-on-Don reaches 78

ROSTOV-ON-DON, June 6 (Itar-Tass) - The number of children, who got infected in the kindergarten Teremok in Rostov-on-Don, reached 78. 28 of them were hospitalized, nine of them were diagnosed with acute meningitis, six children were brought to the intensive therapy ward. Other 50 children developed a light form of disease and are being kept at home under the supervision of physicians, health minister of the Rostov Region Tatiana Bykovskaya told Itar-Tass on Thursday.

“This figure is most likely not final,” she added.

All 250 inmates of the kindergarten Teremok were examined by the doctors, they are undergoing the anti-virus therapy.

The outbreak of the acute respiratory infection occurred at this kindergarten on June 5. According to the regional health ministry, the children were hospitalized with the diagnosis - acute respiratory infection, acute purulent meningocephalitis and acute purulent meningitis. One child died at the age of three years despite the treatment.

The virologists of children’s infections are arriving from St. Petersburg to Rostov-on-Don on Thursday.

There is no panic, the parents are helping to the medical workers, Bykovskaya said.
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Points: 2100 		Post Options Post Options   Thanks (0) Thanks(0)   Quote debbiencusa Quote  Post ReplyReply Direct Link To This Post Posted: June 06 2013 at 3:58pm
I am wondering if all countries use the same vaccines, how could that be impacting the variable differences in geographic areas?
God Bless
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There is a meningitis outbreak in Africa with figures that dwarf those we have seen for MERS and H7N9 (although this are the lowest figures seen for 10 years:

"From 1 January to 12 May 2013 (epidemiologic week 19), 9 249 suspected cases of meningitis, including 857 deaths, with a case fatality ratio of 9.3 percent, have been reported from 18 of the 19 African countries under enhanced surveillance1 for meningitis. The number of cases reported so far are the lowest recorded during the epidemic season in the last ten years2. "

http://www.who.int/csr/don/2013_06_06_menin/en/index.html

I notice that in this case WHO is happy to quote 'suspected cases' whereas in the flu outbreaks and MERS they have a much higher criteria , in MERS they demand 2 independent laboratory confirmations and only report 'confirmed' cases.  Maybe the clinical observations in meningitis are more clear, and with the flu there are so many varities that clinical observations cannot tell which is which.
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Looks like tick borne illness...

Astakhov suggested that infection in kindergarten Rostov could be brought from Turkey or Egypt

06/07/13, 10:12 Rostov region

  • The Commissioner for Childrens Rights under the President of Russia Pavel Astakhov, photo: www.mega-u.ru
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The Ombudsman for Children's Rights Pavel Astakhov, Russia wrote in his microblog on "Twitter" of an outbreak of meningitis in the garden "Tower" of the city of Rostov, "The reason could be: the tick, adult patient - a carrier of the disease of infection after a trip on holiday abroad (Egypt , Turkey). " 

In addition, he reported that the governor of the Rostov Region Vasily Golubev already briefed him about the situation with the incidence of kindergarten pupils Rostov "Tower". The message Golubev P. Astakhov said that in terms of staff, regional and municipal operations headquarters were the meetings of the regional and city committees on sanitary and epidemiological welfare of the population. 

As reported To yuga.ru, June 2, 2013 a child who attended the nursery kindergarten, was taken to a medical facility with a diagnosis of "acute purulent meningoencephalitis," where he died a few days later. In the following days in the medical facility were hospitalized 16 children attending the nursery kindergarten, with a diagnosis of "acute respiratory viral infection, acute purulent meningitis," the three of them are in intensive care. It was a criminal case against the head of the kindergarten under Part 2 of Article 293 of the Criminal Code (negligence). 

As of 09:00 6 June under the supervision of health care workers were 78 children from kindergarten number 83 "Tower" with manifestations of acute respiratory infection. 

The second criminal case instituted on the fact of a meningitis outbreak in a kindergarten Rostov under Part 2 of Article 109 of the Criminal Code (causing death by negligence due to improper performance of their professional duties.)
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Points: 19668 		Post Options Post Options   Thanks (0) Thanks(0)   Quote Pixie Quote  Post ReplyReply Direct Link To This Post Posted: June 09 2013 at 1:16pm
In the Sunday, June 9, Russia's chief sanitary doctor Gennady Onishchenko arrived in Rostov-on-Don. As expected, the head of the Epidemiology attend kindergarten "The Mansion": in this institution has been an outbreak of meningitis.
In addition, Gennady G. intends to visit the isolation ward of the city hospital, where the sick children of the kindergarten, reports "Interfax" . "He also held a meeting with all responsible authorities in connection with the situation", - said the city administration.
Recall one of the children of the kindergarten "The Mansion" on June 2, was hospitalized with a diagnosis of "acute suppurative meningoencephalitis", June 4, he died. Later, the hospital began to receive other children from the same kindergarten . It has been reported that the 20 confirmed meningitis.
Currently in the intensive care unit has six children. According to doctors, their condition is stable.
For head of the kindergarten prosecuted under Part 2 of Article 293 of the Russian Criminal Code - "negligence." Also initiated investigation into the death of a child under the article on causing death by negligence.
NaveedAhmed72 is based in Islamabad, Federal Capital Area, Pakistan, and is a Reporter for Allvoices.
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update...Imported  from Turkey or Egypt ,now China ?? I seems their reason for the outbreak is all over the map.The deadly disease came in Rostov kindergarten in China
10.06.2013 12:45 / Incidents / They read: 130
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In Rostov-on-Don, continues to deal with the state of emergency, which occurred in the kindergarten "The Mansion", where the child died of meningitis, and persuade parents not to panic.

Now continuing treatment of more than 100 children.

Children from kindergarten "The Mansion" located in Rostov-on-Don, contracted the virus of Chinese origin type 71. Told the head of the Rostov Rospotrebnadzora Mikhail Solovyov's meeting. In this case, the official said that new outbreaks of the disease possible.

With this agrees the Minister of Health Tatiana Rostov Bykovskaya, however, she notes that the last outbreak was localized to physicians. According to the woman in the hospital at the moment are 48 kids, 55 - are treated as outpatients. In the intensive care unit are 5 people.

Vasily Golubev, head of the region said that the outbreak of the deadly disease - the event of emergency, but there is no reason to panic. He gave a series of orders, in particular, has canceled fairs and demanded more carefully examine products from China.

Recall, after the outbreak of the disease in kindergarten fell ill with the virus more than 100 children. One child, who was hospitalized with a diagnosis of "purulent meningoencephalitis," died on June 4.

  "The Mansion" is temporarily closed, and in Rostov-on-Don urgently left experts from Moscow and St. Petersburg. On the fact of negligence and causing death by criminal negligence case.

Text:

I. Demidov
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Enterovirus cause of outbreak.  This could cause a mild form of meningitis that does not require antibiotic therapy...
THE MINISTRY OF HEALTH OF THE ROSTOV REGION REPORTS THAT AN OUTBREAK OF INFECTION AT THE LOCAL KINDERGARTEN "TOWER", WHERE MORE THAN 100 CHILDREN ARE SICK, LOCALIZED

June 10, 2013 | 18:38
However, ill continue to undergo treatment. In 20 children confirmed the diagnosis of meningitis. Now they are in hospital, some of them - in the intensive care unit, said "Echo of Moscow", press officer of the Ministry of Health of the Rostov region Elena Tretyakov. 

Meanwhile, the local Rospotrebnadzor suggest that the virus has hit children in Rostov-on-Don, is of Chinese origin. 
The chief sanitary doctor Gennady Onishchenko has confirmed that children were mainly infected with enterovirus infection of Chinese origin
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Update...

Rostov-on-Don virus may be of Chinese origin - consumer rights watchdog

12:51 June 10, 2013 RBTH Asia

The number of children infected in a kindergarten of Russia’s southern city of Rostov-on-Don has grown to 103, the chief of the regional health and consumer rights watchdog Rospotrebnadoz, Mikhail Solovyov, said at a session on Monday. 

48 children currently remain in hospitals and 55 are under medical supervision at home. Five children are in intensive care, he added.

Solovyov also said that they were diagnosed with ECHO (Enteric Cytopathic Human Orphan) 11 virus and enterovirus 71, that may be of the Chinese origin. He also expects more infections to occur in the city.

"It is difficult to call infection forecasts in Rostov-on-Don favorable, as the incubation period of the virus is 21 days," the chief of regional Rospotrebnadzor added.

According to him, the ECHO 11 virus is resistant to the environment and hits mainly small children. And 40 years ago it was ECHO 11 that hit more than one million people in Singapore.

Rostov Region Governor Vasily Golubev ordered a series of preventative measures, including cancellation of fairs, a more thorough examination of food arriving from China, and a ban on the sale of food stuffs in accidental places, according to the Interfax news agency.

An outbreak of infection in Rostov-on-Don was fixed at the beginning of June. One infected child died on June 4.
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2nd Child Dies of Meningitis in Rostov Region
14 June 2013 | Issue 5147
The Moscow Times
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Another child has died of meningitis in the Rostov-on-Don region, but medical experts say the child's death is not connected to last week's outbreak in the city's Teremok kindergarten.

The child was admitted to the hospital on Thursday at 1:40 p.m., and despite resuscitative measures, passed away two hours later, the Investigative Committee said.

Investigators are currently examining the body and interviewing the child's parents and carers to obtain the necessary information about the circumstances of the incident, Interfax reported.

The region's Health Minister Tatyana Bykovskaya told reporters that the 2-year-old's death is not related to the outbreak of a respiratory infection, in some cases complicated by meningitis, in the Teremok kindergarten.

Doctors have already diagnosed the dangerous disease in 34 children who attend the kindergarten.

Sixty-seven children remain hospitalized, while 42 children are being treated at home. One preschooler died had already died despite receiving medical treatment



Read more: http://www.themoscowtimes.com/news/article/2nd-child-dies-of-meningitis-in-rostov-region/481668.html#ixzz2WCDHtUCS 
The Moscow TimesThe diagnosis of "meningitis" was confirmed in 30 children from Rostov-on-Don, said Commissioner for the President of Russia on children's rights, Pavel Astakhov in his microblog on Twitter.

The majority of cases were attending kindergarten "Tower".

The Ministry of Health has declared the region 57 hospitalized. In 26 of these laboratory-confirmed acute meningitis, four are in intensive care.

"As hospitals continue to be children in contact with the source of infection of children with suspected enterovirus infection," - noted in the department.

The source of infection has not been found.

"Suspected transfer from China, as this neighborhood Sino-Korean market. Lot of parents are working there," - said Astakhov.

Mass disease of children were registered in Rostov-on-Don on last week. One child, who visited the nursery kindergarten, was taken to hospital with a diagnosis of "acute purulent meningoencephalitis" on June 2. Two days later, he died. 
The press service of the Ombudsman for Children noted that the parents of the boy twice refused him admission.

According to the latest information of the regional Ministry of Health, under the supervision of physicians with suspected meningitis are 103 children, 52 of them treated at home.

The state of most cases is stable. Doctors continue to bypass the total door-to-door.

CPS checked kindergarten "Tower", which is visited by most of the affected children.

"In the children's preschool revealed serious violations of sanitary and epidemiological requirements. Specifically, virtually no ventilation, space groups aired only occasionally as the windows did not open. Additionally, a number of violations was found in the bathroom and nutrition unit kindergarten," - said in Tuesday Astakhov.

Doctors suspect that the children may have been infected during the matinee, which took place in the kindergarten shortly before the outbreak of the disease.

Based on the audit was initiated two criminal cases, one against the head of the kindergarten under "negligence", and the second - on the death of a child under the article on causing death by negligence.

As reported at the meeting on Monday, the first deputy mayor of Rostov-on-Don Victor Shumeev, the city administration has allocated 1.2 million rubles (37.2 million dollars) for the prevention of disease.

Rostov Region Governor Vasily Golubev raised the issue of the ban on swimming in shallow and stagnant waters of the city. In Rostov-on-Don is also limited to the holding of mass events involving children.

This virus was used in the past year was found in the Stavropol region, he is aggressive towards humans and stable in the environment. 40 years ago, this same type of virus affects more than one million inhabitants of Singapore.

Meningitis - inflammation of the soft membranes around the brain and spinal cord, which can be caused by bacteria and viruses. This disease can have serious complications and can lead to death, reports BBC .

Source: News of Donbass
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