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Politics : Foreign Affairs Discussion Group -- Ignore unavailable to you. Want to Upgrade?

To: KLP who wrote (2537)	10/4/2001 1:42:57 AM
From: Ilaine	Respond to of 281500

If you mean by "we" people in the USA, or most of the so-called civilized world, the disease in question does not appear to be spread by anything other than direct contact with contaminated blood or tissues, or by tick bites. In other words, a diseased person won't spread it just walking down a crowded street, or any street. Nor are you likely to catch it if a diseased person is a passenger on the same airplane. You don't seem to catch it from shaking hands, sneezes, or hugging. Which is a Good Thing. Isolation and sterile technique, that is, scrubbing with disenfectant, gowns, gloves, masks, burning or otherwise destroying contaminated clothing, autoclaving medical tools, etc., is the key to prevent the disease from spreading. Unfortunately for the poor refugees, isolation and sterile technique don't appear to be likely. I hope this info from WHO and CDC is right.

To: KLP who wrote (2537)	10/4/2001 2:01:47 AM
From: Ilaine	Read Replies (1) \| Respond to of 281500

From PubMed (NIH website for medical research): >>Outbreak of Crimean-Congo haemorrhagic fever in Quetta, Pakistan: contact tracing and risk assessment. Altaf A, Luby S, Ahmed AJ, Zaidi N, Khan AJ, Mirza S, McCormick J, Fisher-Hoch S. Department of Community Health Sciences, The Aga Khan University, Karachi, Pakistan. In December 1994 in a private hospital in Quetta, Pakistan, 3 health-workers contracted Crimean-Congo haemorrhagic fever (CCHF) after surgery on a bleeding patient who later died. We conducted a retrospective study to determine transmission risks among contacts. Fifty contacts gave blood for antibody tests and answered questions about exposure. Two of four people exposed percutaneously and one of five with cutaneous exposure contracted CCHE The person with cutaneous exposure was a surgeon who tore his glove during surgery and noted blood on his hand but no cut. There were no anti-CCHF antibodies or CCHF cases among persons whose skin came into contact with body fluids other than blood (0/4), who had skin-to-skin contact (0/16) with patients or were physically close to them (0/21). Three index case relatives reported that although 10 family members had cutaneous exposure, none developed CCHF. The family refused blood tests. CCHF transmission in resource-constrained settings can be limited by focusing on avoiding health worker contact with blood.<< ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9855399&dopt=Abstract In plain English, in this study, nobody got Crimean-Congo Hemorrhagic Fever from contact with bodily fluids other than blood, from skin to skin contact, or from living in the same household. I find this reassuring.