Background: CCHF cases from Balochistan and Afghanistan are referred to isolation ward in Quetta. CCHF is endemic to Balochistan but still there is no established surveillance system in province and no tick bite reporting system. The main objective was to determine the means of transmission and the epidemiologic characteristics of disease.
Objective: Describe the Epidemiology of CCHF and analyze the situation of health facility.
Methods: A descriptive study was carried out in the CCHF isolation ward in Quetta from March-August 2017. Using standardized case definition, all patients admitted in Isolation ward with clinical evidence of CCHF were included in the study. After taking informed consent, data was collected on demographic factors, history of animal contact, tick bite history, co morbidity, laboratory results and treatment outcome. Means and percentages were calculated.
Results: During the study period, 51 suspected CCHF patients were admitted in Isolation ward, 38 (74.5%) males were affected. Mean age of the cases was 30 years (range 02-75years). Most affected 16 (31%) age group was 21-30 years. Forty-eight (94%) cases had history of animal contact and 44 (86%) with tick bite. Majority of cases 42 (82%) were reported from May -August. 30 patients in study were tested by PCR, 16 (53.3%) were positive, out of which 5 (31%) expired. It is only isolation ward in whole province with 2 doctors, 2 nurses & 1 paramedic. Proper Personal protective equipment was not available. No Laboratory was available for immediate investigations.
Conclusions: Given the overall results important risk factors for CCHF are history of tick bite, high-risk occupations and having contact with livestock. Public health measures should focus on preventing tick bites, increasing awareness of CCHF signs and symptoms, adopting hospital infection control practices, timely investigation & treatment to reduce mortality. Government should set up isolation units in all Major hospitals with proper surveillance system in Province.
Edited by Y Khader; This is a non–peer-reviewed article. submitted 29.03.18; accepted 29.03.18; published 29.03.18Copyright
©Farida Khudaidad, A Saeed. Originally published in Iproceedings (http://www.iproc.org), 29.03.2018.
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