First nosocomial outbreak of CCHF in Rajasthan: A case report
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 5
Abstract
Crimean-Congo haemorrhagic fever (CCHF) is a tick-borne disease caused by a member of the genus Nairovirus of the family Bunyaviridae. CCHF outbreaks constitute a threat to public health because of its epidemic potential, its high case fatality ratio (10-40%), its potential for Nosocomial (hospital acquired) infection outbreaks and the difficulties in treatment and prevention. Human beings are the only known host of CCHF virus in which disease is manifested. In endemic countries, majority of cases have occurred in those involved with the livestock industry, such as agricultural workers, slaughterhouse workers and veterinarians. The existence of CCHF in India was first confirmed in 2011 in Gujarat state. An nosocomial outbreak was reported one year back in Rajasthan which killed two out of four male nurses who suffered from the disease. Universal infection prevention and control practices should be strictly adhered to in all healthcare facilities dealing with suspected, probable and confirmed cases. There is a need for improved diagnostic facilities, more containment laboratories, better public awareness about the mode of transmission and the means for personal protection, and implementation of thorough tick control in the affected areas during and after epidemics in cattle can be undertaken in consultation with animal husbandry department. There is currently no specific antiviral therapy for CCHF. Ribavirine is the only antiviral known to have some affect on the viruses causing VHF
Authors and Affiliations
Deepa Meena, Jyoti Gupta, Aditya Atreya, B R Meena
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