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Risk Factors of Crimean-Congo Haemorrhagic Fever in Sindh Province, Pakistan.
Syed, Muhammad Asif; Siddiqui, Muhammad Ilyas; Memon, Ishfaque Hussain; Jehandad, Kishwar; Baloch, Nayyar Nawaz; Jamal, Hamza; Hussain, Aamir; Memon, Naveed Masood; Syed, Masroor Hussain; Ahmed, Zeeshan Ansar; Fontaine, Robert E; Rullán-Oliver, Paola.
Afiliación
  • Syed MA; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan.
  • Siddiqui MI; Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
  • Memon IH; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan.
  • Jehandad K; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan; Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
  • Baloch NN; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan; Liaquat University of Medical and Health Sciences, Jamshoro, Pakistan.
  • Jamal H; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan.
  • Hussain A; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan.
  • Memon NM; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan.
  • Syed MH; Health Department, Government of Sindh, Karachi, Pakistan; Pakistan Field Epidemiology Training Program, Sindh Province, Karachi, Pakistan.
  • Ahmed ZA; Aga Khan University Hospital, Karachi, Pakistan.
  • Fontaine RE; Centers for Disease Control and Prevention, Atlanta, Georgia, USA. Electronic address: ellery.fontaine@gmail.com.
  • Rullán-Oliver P; Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Int J Infect Dis ; 146: 107141, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38901728
ABSTRACT

OBJECTIVES:

In Sindh Province, Pakistan, confirmed Crimean-Congo haemorrhagic fever (CCHF) increased from zero in 2008 to 16 in 2015-2016. To counter this increase, in 2016, we initiated structured CCHF surveillance to improve estimates of risk factors for CCHF in Sindh and to identify potential interventions.

METHODS:

Beginning in 2016, all referral hospitals in Sindh reported all CCHF cases to surveillance agents. We used laboratory-confirmed cases from CCHF surveillance from 2016 to 2020 to compute incidence rates and in a case-control study to quantify risk factors for CCHF.

RESULTS:

For the 5 years, CCHF incidence was 4.2 per million for the Sindh capital, Karachi, (68 cases) and 0.4 per million elsewhere. Each year, the onset of new cases peaked during the 13 days during and after the 3-day Eid-al-Adha festival, when Muslims sacrificed livestock, accounting for 38% of cases. In Karachi, livestock for Eid were purchased at a seasonal livestock market that concentrated up to 700,000 livestock. CCHF cases were most common (44%) among the general population that had visited livestock markets (odds ratio = 102).

CONCLUSIONS:

Urban CCHF in Sindh province is associated with the general public's exposure to livestock markets in addition to high-risk occupations.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Virus de la Fiebre Hemorrágica de Crimea-Congo / Fiebre Hemorrágica de Crimea Límite: Adolescent / Adult / Aged / Animals / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Canadá
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Virus de la Fiebre Hemorrágica de Crimea-Congo / Fiebre Hemorrágica de Crimea Límite: Adolescent / Adult / Aged / Animals / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Infect Dis Asunto de la revista: DOENCAS TRANSMISSIVEIS Año: 2024 Tipo del documento: Article País de afiliación: Pakistán Pais de publicación: Canadá