Seroepidemiological survey of Crimean-Congo haemorrhagic fever among high-risk groups in the west of Iran

Shahbazi, Narges; Firouz, Sahar Khaki; Karimi, Maryam; Mostafavi, Ehsan

doi:10.4103/0972-9062.263720

Cited by 14 publications

(19 citation statements)

References 19 publications

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“…Livestock handlers, butcher, slaughterhouse workers skin processors, veterinary staff, livestock market workers, and other personnel engaged in jobs requiring some contact with animals and/or animal products are considered as high-risk occupations for CCHF (CDC, 0000;Shahbazi et al, 2019). In our study 72.5% (butchers and cattle handlers) had occupational exposure.…”

Section: (5%)mentioning

confidence: 57%

‘Characterisation of suspected Crimean-Congo Haemorrhagic Fever (CCHF) cases in a public sector hospital Islamabad’

Noreen¹,

Saima

Irum

et al. 2020

Global Security: Health, Science and Policy

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Pakistan has been experiencing a continuous rise in the incidence of Crimean Congo Haemorrhagic Fever (CCHF). Sporadic cases of CCHF are reported from rural areas of Punjab, Azad Jammu Kashmir and Khyber Pakhtunkhwa and neighbouring Afghanistan where cattle herding is common. The objective of this paper was to describe the epidemiology of CCHF. A descriptive study was carried out in the CCHF isolation ward in Islamabad in a tertiary care hospital from February to November 2018. Using a standardised case definition, all patients admitted in the isolation ward with clinical evidence of CCHF were included in the study. After taking the informed consent, data were collected on demographic factors, history of animal contact, tick-bite history, co-morbidity, laboratory results and treatment outcome. Data were analysed as per time, place and person. During the study period, 40 suspected CCHF patients were admitted in the isolation ward, 32 (80%) males were affected. Mean age of the cases was 33.5 years (range 13-70 years). Most affected 17 (42.5%) age group was 20-29 years. Animal contact history was found in Thirty-seven (92.5%) of cases and 28 (70%) with tick bites. Most of the cases, 26 (65%), were reported from July to August. Forty patients in this study were tested by Real Time Polymerase Chain Reaction (PCR), 20 (50%) were positive, out of which 6(30%) expired. Majority of the positive patients were animal handlers by occupation (37.5%). Proper personal protective equipment was available. The reference laboratory facility was not available for immediate investigations was sent to National Institute of Health for confirmation. The overall results show the important risk factors for CCHF a history of tick bites, high-risk occupations and having contact with livestock. Public health measures should focus on preventing tick bites, increasing awareness of CCHF signs and symptoms, timely investigation, and treatment to reduce mortality. Our analyses recommend the government to set up isolation units in all major hospitals, and proper surveillance system.

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Section: (5%)mentioning

confidence: 57%

‘Characterisation of suspected Crimean-Congo Haemorrhagic Fever (CCHF) cases in a public sector hospital Islamabad’

Noreen¹,

Saima

Irum

et al. 2020

Global Security: Health, Science and Policy

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“…The clinical presentation of CCHF can range from selflimiting flu-like to life-threating symptoms [34]. The most frequent clinical symptoms of the disease in human beings include sudden onset of high fever (89.4%), fatigue (92.3%), myalgia (69.7%), headache (68.1%), nausea (64.7%), dizziness, diarrhea, and internal or external bleeding (23%) [8,[34][35][36]. Dizziness symptom is mostly observed in hemorrhagic period [15,16,37].…”

Section: Discussionmentioning

confidence: 99%

“…Patients may apply with complaints such as sudden rising fever, shivering, headache, dizziness, gastrointestinal system complaints (diarrhea, vomiting, etc. ), muscle pain, and internal or external bleeding [8]. Laboratory findings such as leukopenia, thrombocytopenia, and high liver enzyme arise with the progression of the disease [9].…”

Section: Introductionmentioning

confidence: 99%

Investigating dizziness symptom in adult cases with Crimean-Congo hemorrhagic fever using various scales

Bora

Büyüktuna

Durmuş

et al. 2021

Egypt J Otolaryngol

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Background This study was to investigate the frequency of self-reported dizziness symptom in cases with Crimean-Congo hemorrhagic fever (CCHF) and the severity of dizziness, if any, by using various scales. The frequency and severity of the self-reported dizziness symptom of CCHF patients, level of disability caused by dizziness, and to what extent vestibular symptoms affected activities of daily living were assessed by various scales. The frequency and severity of the self-reported dizziness symptom of CCHF patients, level of disability caused by dizziness, and to what extent vestibular symptoms affected activities of daily living were assessed by various scales. Results The frequency of dizziness in CCHF cases included in the study was 11.11% and all the cases were involved in the mild category in terms of disease severity. When the results of the scales applied to all of the cases were evaluated in general, it was seen that there was no vertigo or dizziness. Conclusion According to the results of the present study, we consider that multicenter studies with large series investigating pathophysiological mechanisms underlying these clinical symptoms are needed in order to evaluate dizziness symptom and to make definitive interpretations in CCHF disease.

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“…Farming/handling livestock, tick bites, and contact with secretions are recognized as prominent risk factors for CCHF seropositivity [ 4 ]. Some occupations such as butchers, slaughterhouse workers, physicians, medical staff, and health care workers are among high-risk groups due to more exposure to the vectors, infected livestock, or patients [ 5 , 6 ]. In the meantime, livestock farming increases the probability of human seropositivity about 6-fold [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Iran and its west and neighboring east countries, Turkey and Pakistan, are considered endemic countries for CCHF. This disease is now reported in 27 of 31 Iranian provinces [ 5 , 8 , 9 ]. A space-time analysis revealed the highest incidence of CCHF in Iran occurred in the eastern regions [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, and practices regarding Crimean-Congo hemorrhagic fever in a high-prevalence suburban community, southeast of Iran

Nejati,

Mohammadi,

Okati-Aliabad

2024

Heliyon

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Seroepidemiological survey of Crimean-Congo haemorrhagic fever among high-risk groups in the west of Iran

Cited by 14 publications

References 19 publications

‘Characterisation of suspected Crimean-Congo Haemorrhagic Fever (CCHF) cases in a public sector hospital Islamabad’

‘Characterisation of suspected Crimean-Congo Haemorrhagic Fever (CCHF) cases in a public sector hospital Islamabad’

Investigating dizziness symptom in adult cases with Crimean-Congo hemorrhagic fever using various scales

Knowledge, attitudes, and practices regarding Crimean-Congo hemorrhagic fever in a high-prevalence suburban community, southeast of Iran

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