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Congo crimean hemorrhagic Fever in balochistan

Abdul Baqi Durrani1, Muzaffar Shaikh, Zahir Khan

  • 1Department of Medicine, Bolan Medical College, Quetta.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|October 2, 2007
PubMed

Insights

Congo-Crimean Hemorrhagic Fever (CCHF) in Balochistan showed a gradual increase over 10 years, with 63% of patients testing positive. Proper health facilities are crucial for managing this rare viral hemorrhagic fever.

Area of Science:

  • Epidemiology
  • Infectious Diseases
  • Public Health

Background:

  • Congo-Crimean Hemorrhagic Fever (CCHF) is a severe tick-borne viral illness.
  • Understanding CCHF patterns is vital for public health interventions in endemic regions.

Purpose of the Study:

  • To investigate the epidemiological patterns and mortality associated with CCHF in Balochistan.
  • To highlight the clinical presentation and diagnostic challenges of CCHF.

Main Methods:

  • A case series study was conducted over 10 years (1995-2005) at Sandeman Provincial Hospital and Bolan Medical Complex Hospital, Quetta.
  • Two hundred and twenty-six febrile patients with sudden onset bleeding and characteristic symptoms were screened for CCHF.

Main Results:

  • 63% of screened patients tested positive for CCHF, with a gradual increase in incidence from 43% to 80% over the study period.
  • The overall mortality rate was 15%, exclusively in secondary cases; no deaths occurred in primary CCHF cases.
  • Early suspicion and isolation of CCHF cases (62%) prevented transmission to healthcare workers and family members, unlike suspected (38%) cases.

Conclusions:

  • CCHF, though rare, necessitates inclusion in the differential diagnosis for unexplained fever with hemorrhagic tendencies.
  • The study underscores the importance of robust healthcare infrastructure and diagnostic capabilities in Pakistan for managing viral hemorrhagic fevers (VHFs).
Abstract

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