Health
Fatal epistaxis shocks Iraq as cases surge
By spraying pesticides on cattle, healthcare professionals target blood-sucking mites at the heart of Iraq’s worst-cased fever, which causes people to bleed and die.
The appearance of health care workers wearing complete protection kits is a common sight in the Iraqi countryside as Crimean-Congo hemorrhagic fever jumps from animals to humans.
According to the Ward Health Organization, Iraq recorded 19 deaths out of 111 human CCHF cases this year.
The virus is vaccine-free, has a fast onset, and can cause severe bleeding both internally and externally, especially from the nose. According to medical personnel, two-fifths of cases are fatal.
“The number of cases recorded is unprecedented,” said Heider Huntush. Health authorities In Dhi Qar Governor.
A poor agricultural region in southern Iraq, the province accounts for almost half of Iraq’s cases.
Over the past few years, he added, cases could be counted “with the fingers of one hand.”
Hosts of viruses transmitted by mites include both wild and domestic animals such as buffalo, cattle, goats, and sheep, all of which are common in Ziekar.
— Tick bites —
In the village of Albujari, a team disinfects animals in the stables next to the house where the woman was infected. Workers wear masks, goggles and overalls to spray the pesticide on the cow and the two calves.
Workers view mites that have fallen from cows and are collected in containers.
According to the World Health Organization, “animals are infected with infected tick bites.”
“The CCHF virus infects people in one of the following ways: Tick bites Or through contact with the blood or tissue of infected animals during and immediately after slaughter. “
This year’s surge in cases shocked authorities, as the number of cases recorded in the 43 years since the virus was first recorded in Iraq in 1979 is well exceeded.
In his state, only 16 cases were recorded that resulted in 7 deaths in 2021, Hantouch said. But this year, Dhi Qar recorded 43 cases, including eight deaths.
According to WHO statistics, the number is still small compared to the COVID-19 pandemic, where Iraq recorded more than 25,200 deaths and 2.3 million recorded cases. health care worker I’m worried.
According to WHO, the case fatality rate of CCHF in Africa, Asia, the Middle East and the Balkan Peninsula is 10-40 percent.
Ahmed Zouiten, head of WHO in Iraq, said there were some “hypotheses” about the outbreak of Iraq.
They included the spread of mites in the absence of livestock spray campaigns during the 2020 and 2021 COVIDs.
And, “Very carefully, we have some of this outbreak. Global warmingThe growth period of mites has increased. “
However, Iraq has launched a spray campaign and treatment at the new hospital has shown “good results,” he added, “mortality seems to be declining.”
— Slaughterhouse under scrutiny —
The virus is “mainly transmitted” to people through livestock mites, so it most often occurs among farmers, slaughterhouse workers, and veterinarians, WHO said.
“Human-to-human transmission can occur as a result of close contact with the infected person’s blood, secretions, organs, or other body fluids,” he added.
In addition to uncontrolled bleeding, the virus causes severe fever and vomiting.
Healthcare professionals fear that incidents could explode after the July Muslim Eid al-Adha festival, where families traditionally slaughter animals to feed their guests.
“As animal slaughter increases and meat contact increases, more cases may be in the ed,” said Azhar al-Assadi, a doctor specializing in hematologic diseases at a hospital in Nasiriyah.
Most of the infected were “about 33 years old”, but the age range is 12 to 75 years old.
Authorities are conducting disinfection campaigns to crack down on slaughterhouses that do not follow hygiene protocols. Some states also ban the movement of livestock across national borders.
Near the southern city of Najaf, slaughterhouses are being monitored by authorities.
According to workers and officials there, the virus adversely affected meat consumption.
“I used to slaughter 15 to 16 animals a day, but now it’s like 7 to 8 animals,” said butcher Hamid Mohsen.
Meanwhile, Fares Mansour, director of the Najaf Veterinary Hospital, which oversees the slaughterhouse, said the number of cattle arriving for slaughter was cut in half.
“People are afraid of lean meat and think it can spread the infection,” he said.
© 2022 AFP
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