OPERATIONAL BIOSURVEILLANCE
MSF-USA REPORTS TREATING 200+ PATIENTS WITH SYMPTOMS CONSISTENT WITH CHOLERA IN PORT AU PRINCE
UPDATE: ST LOUIS DU NORD
From several HEAS partners responding in St. Louis du Nord:
"From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." One of the fatalities was a pregnant mother.
CHOLERA IN PETIT GOAVE: ADDITIONAL CONTEXT
From an HEAS partner:
We have 15 cases in the last 8 days: 1 confirmed by laboratory and 14 by epidemiological nexus.
The 50 beds CTC will be operational in a few days, but for the moment we have a triage and treatement 7 beds unit at the Petit Goave hospital, where we are taking care of the patients who need it.
Prevention and desinfection actions in the living area's of the patients are regulary organised in coordination with other NGOs like OXFAM.
CARREFOUR: 6 CASES OF CHOLERA, 5 WITHOUT TRAVEL HISTORY FROM ARTIBONITE
HEAS partner reports 6 cases of cholera in Carrefour treated today, only one of which had traveled from Artibonite.
PETIT GOAVE REPORTS CHOLERA
Earlier today we reported on medical supply requests coming from Grand Goave suspicious for cholera response. Those suspicions have been validated...
From an HEAS partner:
Petit Goave next to Grand Goave has registered 12 cases in the last 7 days -8 last week and 4 in the last 2 days . The cases were refered to MdM Spain - however there is not yet a CTC.
LES CAYES: HOSPITALIZED FAMILY OF FOUR WITH SUSPECTED CHOLERA
From an HEAS partner:
A family of four persons from Gran Riviere outside St. Louis du Sud (not to be confused with the outbreak in St. Louis du Nord) became symptomatic. They are now at Imaculee Conception, the departmental hospital. Specimens have sent to the LNSP in PauP for confirmation.
Confirmed that this family had not traveled to the pubicly-acknowledged affected areas.
HINCHE: ONGOING CHOLERA CASES
From and HEAS partner:
As of last night we had 48 patients hospitalized in Hinche at the CTC at hospital St Therese that the MSPP is running in collaboration with Partners In Health, J/PHRO, and Medishare. We have had a steady stream of new cases, with approximately 20 a day being discharged and 20 new admitted.
FLASH REPORT: CONFIRMED CHOLERA WITHOUT TRAVEL HISTORY AT HOSPITAL BERNARD MEVS, PORT-AU-PRINCE
From an HEAS partner:
Just wanted to report that I have received confirmation of a case of cholera here in Port au Prince at Hospital Bernard Mevs. The case is as follows:3 year old boy with nausea, vomiting and diarrhea for less than one day (he was brought the same day his symptoms started). The physicians that cared for him described him as severely dehydrated and gave him IV fluids and doxycycline. He rehydrated well overnight and they continued with oral rehydration and he was sent home with oral rehydration and hygeine instructions. The stool was watery grey. Since it was our first credible case, we took the sample to the national lab on Delmas 33 and I received the report today that the stool was culture positive for vibrio cholerae 01. I called the patient's father and he said he is much better although he has not regained his appetite. He presented on 10/31/10, he is from a tent city near Route Batiment across the street from a place that sells macaroni. They have not travelled in over a year and have had no contact with anyone from the Artibonite region or St. Marc.
GONAIVES: 26 FATALITIES AND 86 HOSPITALIZED
HEAS partners reporting on the crisis in Gonaives indicate the situation is still evolving rapidly.
DRAIN ON MEDICAL SUPPLIES IN GRAND GOAVE
HEAS partners are coordinating with each other to mobilize additional medical supplies to Grand Goave, specifically ORS. We are cross-checking to determine if cholera cases are being managed there and hence the explanation for the medical supply request.
ONGOING REPORTS OF CHOLERA IN DESSALINES
HEAS partner reports "lots of diarrhea in the area ... 5 fatalities
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