Disease outbreak news from the WHO: Typhoid fever – Islamic Republic of Pakistan

Pakistan Health Authorities have reported an ongoing outbreak of extensively drug resistant (XDR) typhoid fever that began in the Hyderabad district of Sindh province in November 2016. An increasing trend of typhoid fever cases caused by antimicrobial resistant (AMR) strains of Salmonella enterica serovar Typhi (or S. Typhi) poses a notable public health concern. In May 2018, the case definitions for non-resistant, multi-drug resistant (MDR) and XDR typhoid fever were formally agreed by the Regional Disease Surveillance and Response Unit (RDSRU) in Karachi, following a review by an expert group of epidemiologists, clinicians and microbiologists from Pakistan. All typhoid fever cases reported from 2016 to 2018 were reviewed and classified according to these case definitions (see Table 1).

From 1 November 2016 through 9 December 2018, 5 274 cases of XDR typhoid out of 8 188 typhoid fever cases were reported by the Provincial Disease Surveillance and Response Unit (PDSRU) in Sindh province, Pakistan. Sixty-nine percent of cases were reported in Karachi (the capital city), 27% in Hyderabad district, and 4% in other districts in the province (Table 2). The circulating XDR strain of S. Typhi haplotype 58 was resistant to first and second-line antibiotics as well as third generation cephalosporins. Informal reports of XDR typhoid cases occurring in other parts of Pakistan were made and required further verification.

Published on December 27, 2018 at 06:01AM

Comments

Post a Comment

Popular posts from this blog

Mine management and predictive maintenance are top priorities for miners

Image
While miners are starting to trial and make small investments in technologies such as augmented reality (AR), virtual reality (VR) and cloud computing, the traditionally conservative mining sector remains focused on improving efficiency and productivity by continuing to invest in mine management software and predictive maintenance. GlobalData’s latest report, Global Mine-Site Technology Adoption Survey 2018 , reveals that while investment by the majors is currently well ahead of mid-tier miners and producing juniors, higher shares of the latter two groups are planning investments in mine management software and predictive maintenance given their immediate impact on improving productivity. Source: GlobalData Mining Intelligence Center The report includes data and analysis from the company’s survey of over 200 worldwide mine sites which investigated the extent to which mines had invested in 13 different technologies ranging from communication systems to drones, predictive maintenance
Read more

Down with the kids: can mining ever be cool?

“Do you want to win a bucket load of cash? Of course you do!” is the eye-catching strapline of the Mining Association of Nova Scotia’s (MANS) annual Mining ROCKS! contest. It offers cash prizes totalling C$8,000 for junior high and high school students who produce the most interesting and engaging videos about mining across five categories. Held between October 2018 and 22 February 2019, the contest hopes to inspire young people to teach themselves about the mining industry in Canada and beyond. Sean Kirby, executive director of MANS, says the association launched the competition because the industry needs to do better at explaining itself to the public and, in particular, reaching out to young people to educate them about mining, minerals and geoscience. “We started the Mining ROCKS! video contest as a way to appeal to young people, to give them a reason to want to learn about what we do by doing their own research,” he says. Attracting the next generation of miners Ingratiating
Read more

GR Engineering wins OZ Minerals Northern Wellfield project contract

OZ Minerals has awarded a contract to GR Engineering Services for the design and construction of the Northern Wellfield for the Carrapateena project located approximately 160km north of Port Augusta in South Australia. The engineering, procurement and construction contract is valued at A$16.3m ($11.77m). For the Northern Wellfield project, GR Engineering will provide the detailed design, survey, supply, transportation, construction, testing and commissioning services for the development of the trunkline and transfer pumping stations associated with four wells. The Carrapateena mineral processing plant, which is currently under construction, will obtain water through the wellfield project. The Northern Wellfield project will include access roads, pipeline corridors, staging tanks, wellheads and pumps to source groundwater from deep underground aquifers for providing raw saline water to the mining operations. “This work demonstrates GR Engineering’s credentials in the supply of proc
Read more