PLAGUE - PERU (03): (LA LIBERTAD), PAHO

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A ProMED-mail post

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International Society for Infectious Diseases

Date: Mon 2 Aug 2010
Source: PAHO [edited]



During Epidemiological Week (EW) 28 of 2010, the Ministry of Health
of Peru confirmed the 1st case of pneumonic plague in a 29 year old
patient from the district of Chocope, province of Ascope, department
La Libertad. The presence of buboes had not been identified in the
patient. Subsequently 3 more cases were registered. They were
confirmed by rapid test.

As of EW 30, 17 cases of plague have been reported; of these 4 are
pneumonic plague, 12 are bubonic plague and 1 was septicemic plague
which resulted in death. The onset of symptoms for the last pneumonic
case was 11 Jul 2010. During the investigations, 10 isolates of _Y.
pestis_ were isolated from humans, rodents and domestic cats.

The last plague outbreak reported in the province of Ascope occurred
in the locality of Santa Clara, in the district of Casa Grande
between August and September 2009. During the outbreak, 15 cases were
reported, of which 9 cases were confirmed by laboratory.

Among the current outbreak control measures carried out by the
national and local authorities of Peru are:
- Active search for contacts and secondary cases; beginning of
chemoprophylaxis use on the contacts;
- Strict monitoring of the implementation of biosafety measures by
the health workers;
- Strengthening of the laboratory network for collecting and
processing samples;
- Implementation of an environmental management program.

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Communicated by:
ProMED-mail


[This is a PAHO confirmation report of the outbreak. ProMED waits to
see exactly how many cases will be reported and how many of the
pneumonic cases represent person-to-person spread. - Mod. LL]

[see also:
Plague, bubonic - Peru (02): (LL), bubonic, pneumonic 20100803.2608
Plague, pneumonic - Peru: (TJ) 20100718.2402
Plague - Myanmar: (YA) 20100706.2250
Plague - Syria (02): military, denied 20100706.2243
Plague - Syria: military, susp. RFI 20100704.2222
Plague, bubonic, fatal - China: (GS) 20100618.2052
Plague, bubonic - Peru: (LL) RFI 20100428.1373
2005
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Plague - Brazil (Ceara): RFI 20050428.1180
2004
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Plague, fatal - Ecuador (Chimborazo) (02) 20040513.1288
Plague, fatal - Ecuador: RFI 20040510.1264
2001
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Plague, human - Brazil (Bahia) 20010506.0874
1998
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Pneumonic plague - Ecuador (05) 19980522.0984
Pneumonic plague - Ecuador 19980501.0852]
...................................ll/mpp

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