Crimean-Congo hemorrhagic fever – Uganda

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2nd case of Crimean-Congo hemorrhagic fever in Kikuube district in the western part of Uganda. The second case is epidemiologically linked to the first case patient as a primary contact.

The first case was confirmed on 28 April 2021 in a 16-year-old female from Munsiinsa-A village in the Kyangwali Refugee Settlement, Kikuube district on 27 April 2021.

The second case is a 13-year-old male from Busisa-Kyangwali, who was admitted on 29 April 2021 with a high grade fever, blood in his urine and vomiting blood.

Both patients are currently stable and showing signs of improvement.

Photo: Hyalomma ticks are the principal vector of Crimean-Congo hemorrhagic fever.

Crimean-Congo hemorrhagic fever is a disease caused by a tick-borne virus. The virus is widespread in Asia, Eastern Europe, the Middle East, Africa and Madagascar.

Prevention is by avoiding tick bites, but also agricultural, slaughterhouse, and veterinarians are at risk of catching the disease through contact with animals. Human-to-human transmission is also possible.

The virus may have evolved around 1500-1100 BC. It is thought that changing climate and agricultural practices near this time could be behind its evolution. In 1944, Soviet scientists first identified the disease they called Crimean hemorrhagic fever in Crimea.

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