HEALTH:Facts You Need To Know About Lassa Fever
Lassa fever
• Lassa fever
was first discovered in 1969 in the town of Lassa, in Borno State, Nigeria. It
was named after the place where the first case occurred. Lassa fever is a
member of the Arenaviridae virus family. It was first
discovered when two
missionary nurses died in Nigeria.
• According to
the Centers for Disease Control and Prevention, the number of Lassa virus
infections yearly is estimated at 100,000 to 300,000 with approximately 5000
deaths.
• It has an
incubation period of 6-21 days. When symptomatic, it starts with fever, general
weakness and malaise, then follows with headache, sore throat, muscle and chest
pain, vomiting, diarrhea, cough and abdominal pain.
• The virus is
shed in the urine droppings of the rats and can be transmitted through direct
contact, touching objects and eating food contaminated with these materials or
through cuts and sores. Nosocomial transmission occurs in health facilities
where infection prevention and control practices are not observed.
• Person to
person transmission also occurs most especially when a person comes in contact
with the virus in the blood, tissue, secretions or excrement of an infected
individual.
SYMPTOMS
• Early symptoms
of the disease include fever, headache, chills, diarrhea, nausea, vomiting,
sore throat, backache and joint pains.
• 80% of people
who become infected with Lassa virus have no symptoms. One in five infections
result in severe disease that affects the liver, spleen and kidneys of the
infected patients.
• In severe
cases, there is facial swelling, fluid in the lung cavity, bleeding from the
mouth, nose, vagina, gastrointestinal tract and low blood pressure. Some 25% of
patients that survive the disease end up deaf, in about half of these, the
hearing returns partially after 3 months. There is some hair loss and gait
disturbance that occurs during the recovery period.
• Late symptoms
include bleeding from the eyes, ear, nose, bleeding from the mouth and rectum,
eye swelling, swelling of the genitals and rashes all over the body that often
contains blood.
• The later
stages of Lassa fever are shock, seizures, tremor, disorientation and coma.
Death occurs within 14 days. For pregnant women, maternal and fetal loss occurs
in 80% of cases during the third trimester.
• Early
supportive care with rehydration and symptomatic treatment improves the
survival rate of the patients of Lassa fever.
PRECAUTIONS AND
TREATMENT
• Nigerians have
been instructed to stop burning bushes so they don’t drive the rats into
close-by houses.
• Lassa can be
treated with an antiviral drug called Ribavirin. The drug has to be administered
early.
• Doctors caring
for patients with Lassa fever should also monitor fluid, electrolyte and oxygen
levels of the patients. There is no vaccine.
• Family members
and health care workers are advised to always be careful and avoid contact with
blood and body fluids while caring for sick persons with symptoms similar to
those listed for Lassa fever and any such patients should be taken to nearest
health facility.
LASSA FEVER IN
NIGERIA IN THE LAST FIVE YEARS
• The Minister
of Health, Prof Isaac Adewole, confirmed that there was an upsurge of Lassa
fever in 26 States in 2012.
• In 2005 in
Ebonyi State, 5 nurses lost their lives to Lassa fever in the course of duty; 6
cases were reported in the state in 2008 while 2 doctors died while treating
the infected medical personnel. In 2011, there were 7 cases and 2 deaths. In 2012,
there were 20 cases and 6 deaths. In 2013, there were 21 cases and 8 deaths.
• The Federal
Ministry of Health said that the number of cases peaked in 2012 when 1, 732
cases were discovered nationwide resulting in 112 fatalities. The disease has
been on the decline since 2012.
• In 2012, Lassa
fever spread to 12 States in Nigeria and killed 40 people. 397 suspected cases
have been recorded in another 12 States: Borno, Gombe, Yobe, Taraba, Plateau,
Nasarawa, Edo, Ondo, Rivers, Anambra and Lagos. Only 87 cases have been
confirmed.
• Eight doctors
and three nurses contracted Lassa fever from a pregnant woman in Ebonyi State
in 2014 on whom they performed surgery.
• In 2016, the
states affected are Bauchi, Nasarawa, Niger, Taraba, Kano, Ebonyi, Rivers, Edo,
Plateau, Gombe and Oyo. Ogun State and Lagos State also have confirmed cases.
Source:NAN
Comments
Post a Comment