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Foul play feared in Ratodero HIV outbreak

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Mar 21, 2007
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Foul play feared in Ratodero HIV outbreak


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KARACHI: Not satisfied with the so far investigations into the HIV outbreak in Ratodero, Larkana, a team of international experts from World Health Organization (WHO) headquarters in Geneva, Center for Disease Control (CDC) Atlanta, United States as well Unicef and UNAIDS from Europe, Asia and Africa is arriving at Karachi today (Tuesday) to investigate the root cause of the latest HIV outbreak in Pakistan which has sent shockwaves around the globe, officials said.

“Led-by Dr. Oliver Morgan, Director of Health Emergency Information and Risk Assessment, in the Health Emergencies Programme of WHO, an 12-member international team comprising experts from CDC Atlanta, Georgia USA, Unicef and UNAIDS is landing today (Tuesday) in Karachi to investigate the root cause of the latest HIV outbreak in Ratodero area of Larkana, Sindh”, an official of the WHO told The News on Monday. “Other members of the team include Karl Schenkel, an epidemiologist from Germany, Lisa Hedman an expert of Injection safety, access to medicines from USA, Walter Zingg IPC/hospital epidemiologist and paediatric expert from Switzerland, Hammad Ali and Elizabeth Rabold Medical Epidemiologists from CDC Antlanta USA, Muhammad Tayyab Medical epidemiologist EMRO, Pakistan, Joumana Hermez Lead, HIV EMRO from Lebanon, Lara Vojnov Diagnostic expert from Canada/Ireland, Serena Brusamento HIV Paediatric Expert from Italy, Yetmgeta Abdella, an expert of blood safety and transfusion from Ethiopia and Dr Taoufik BAKKALI from UNAIDS Bangkok”, the official said.

As many as 700 people including 576 children were tested positive for HIV as on Monday since April 25, 2019, officials in the Sindh health department said and blamed the quacks for reuse of syringes as the major source of HIV spread among general population, especially children in the Ratodero, launched a widespread crackdown against quacks in the province. But national and international experts are not satisfied with the so far investigations largely being carried out by the experts from a public and a private medical University of Karachi. After a meeting with UNAIDS Country Director for Pakistan and Afghanistan Dr. Dr. Maria Elena G Filio Borromeo on Monday in Islamabad, Federal Advisor Health Dr. Zafar Mirza also expressed astonishment on Monday that “537 (now 576) out of 681 (700) tested positive are children and their parents are negative”, saying “this is strange and we need to understand this”.

Confirming that an international team of experts is arriving at Karachi to probe into the latest outbreak in Larkana, he tweeted on Monday: “I have invited an international Rapid Response Team to investigate the HIV AIDS outbreak in Larkana. It is important to reach to the root cause of the outbreak. 537 out of 681 positive are children and their parents are negative. This is strange. We need to understand this”.

Fearing a ‘foul play’ in the recent HIV outbreak in Larkana, officials associated with international health organizations said although ‘reuse of syringes’ is emerging as ‘most likely cause of HIV outbreak’ in Larkana, epidemiologists both in Pakistan as well as around the globe are not ‘satisfied’ with the so far investigations and have several questions as to why such a large number of children are infected, which is an unusual pattern.

“As of Monday, 576 out of 700 people who were tested positive are children aging between 2 to 15 years. Of them, over 56 percent are children of two to five years of age while over 18 percent are children are of 6-15 years of age. This makes 75 percent of those infected are children, which is cause of serious concern for experts and officials around the globe”, the official maintained.

“The age group distribution among the reported HIV infection revealed most affected age group was 2-5 Year n=395 (56.4%) followed by Age group 6-15 Years n=128 (18.3%). Age group 15-45 Years n=104 (14.8%) and Age group 46 & Above n=16 (2.3%) respectively”, says summary of a preliminary findings of an investigation led-by the experts from FELTP of Sindh health department as well as Aga Khan University and Dow University of Health Sciences (DUHS) Karachi. But international health bodies working in Pakistan including WHO, Unicef and UNAIDS are not satisfied with the preliminary findings and the question asked by them was very clear and obvious i.e. why so much children?

“This is the question that is troubling experts from Geneva in Switzerland to Atlanta, Georgia in United States. Why such a large number of children, especially those aging between 2-5 years were infected within a particular area. Why this outbreak is confined to Ratodero alone if practice is reuse of syringes is common in entire Pakistan. Why aged people, who get sick equally were not infected with HIV”, the world health body’s official said and added that entire world was looking for answers for the Ratodero outbreak in Pakistan.
 
They want to know how this failed to contaminate parents as well? " Dr. Maria Elena G Filio Borromeo on Monday in Islamabad, Federal Advisor Health Dr. Zafar Mirza also expressed astonishment on Monday that “537 (now 576) out of 681 (700) tested positive are children and their parents are negative”, saying “this is strange and we need to understand this”.

This could well be an attack on Pakistan by foreign or internal agents.
 
They want to know how this failed to contaminate parents as well? " Dr. Maria Elena G Filio Borromeo on Monday in Islamabad, Federal Advisor Health Dr. Zafar Mirza also expressed astonishment on Monday that “537 (now 576) out of 681 (700) tested positive are children and their parents are negative”, saying “this is strange and we need to understand this”.

This could well be an attack on Pakistan by foreign or internal agents.
Use brain before hitting keyboard.
 
Bilawal and PPP government are directly responsible for this and the pathetic media is not showing anything. Fucking dual face hypocrites.
 
What are we going to do with those 700 patients? How will they marry, if they do? What about their families? What kind of life will they have?

This is so sad on so many levels. Everyone guilty should get the death penalty.
 
WHO team discusses HIV outbreak in Larkana with health minister
May 30, 2019

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The WHO delegation arrived on Tuesday on the request of the federal government. — SACP/File

KARACHI: A day before proceeding to Larkana to get firsthand understanding of the situation vis-à-vis HIV outbreak in Ratodero, Sindh Health and Population Welfare Minister Dr Azra Pechuho and a delegation of representatives of the World Health Organisation sat together to thrash out the issue.

The WHO delegation arrived on Tuesday on the request of the federal government to investigate the recent HIV outbreak in Larkana.

The meeting was attended by officials of the WHO Pakistan, UNAIDS, Unicef, UNFPA, USAID and other international and local organisations and officials.

A spokesperson for the WHO said the world health agency would be helping the Sindh health ministry to find the root cause of the outbreak through a geographical mapping process and providing the HIV treatment kits for the affected children.

Latest reports show that out of 24,568 people screened in Taluka Headquarters Hospital Ratodero, rural health centre in Bangul Dero and basic health units of Pir Bux Bhutto and Lashari, 712 people have tested positive.

With victims of two genders are almost equally affected by the lethal lifelong infection, a whopping number of 583 victims (84 per cent) are children and around 56pc of them are aged two to five years. The rest of 129 victims are adults, recent reports show.

The officials said the WHO delegation would also be helping the health ministry to make a way-forward plan for patients diagnosed with the illness in the region.

“Larkana currently has four established hospitals for the HIV treatment and several screening camps across the district. The WHO team will be working closely with these hospitals and field teams currently placed in the Larkana district,” said an official in the ministry.

The officials said the Sindh health minister along with the WHO delegation and the UN partner organisations would reach Larkana on Thursday (today) to begin the field work.

“The health ministry, WHO and the UN partner teams are very eager to work together to eradicate HIV and provide treatments to the affected population as soon as possible,” said a WHO spokesperson.

Officials said key tasks for the WHO-led team would include ascertaining the source of the outbreak and controlling it; providing technical expertise, particularly in the areas of HIV testing, paediatric HIV treatment and family counselling; and ensuring adequate supplies of rapid diagnostic tests and antiretroviral medicines for both adults and children, as well as single-use needles and syringes.

The WHO mission included experts in emergency response management, epidemiology, HIV clinical care, and infection prevention and control from WHO staff as well as the Global Outbreak Alert and Response Network.

The officials said it was the first visit of its kind by an inspection team of WHO to investigate about HIV incidence in the region.

The team arrived after special assistant to Prime Minister for National Health Services, Dr Zafar Mirza, wrote a letter to the WHO and furnished a request for sending experts to Pakistan to visit the areas which were reporting about HIV frequently.

Published in Dawn, May 30th, 2019
 

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