Between 1 January to 22 May 2022, the health authorities of the Republic of Iraq notified WHO of 212 cases of Crimean-Congo Hemorrhagic Fever (CCHF), of which 115 (54%) were suspected and 97 (46%) laboratory-confirmed; there were 27 deaths, 14 in suspected cases and 13 in laboratory confirmed cases. The number of cases reported in the first five months of 2022 is much higher than that reported in 2021, when 33 laboratory confirmed cases were recorded. Cases have been reported in several areas (governorates) in Iraq and the outbreak may pose additional pressure to an already over-stretched health care system.
Outbreak description
Between 1 January and 22 May 2022, 212 cases of CCHF have been reported to the WHO from the Iraqi health authorities of which 169 (80%) were reported in April and May alone. Of the 212 cases, 115 were suspected and 97 laboratory confirmed. Twenty seven deaths occurred overall, of which 13 were in laboratory confirmed cases [case fatality ratio (CFR) 13%; 13/97].
The Iraq Central Public Health Laboratory confirmed the cases by polymerase chain reaction (PCR).
Among confirmed cases, most had direct contact with animals, and were livestock breeders or butchers. Just over half of the confirmed cases were 15 to 44 years old (n=52; 54%) and of male gender (n=60; 62%).
Nearly 50% of confirmed cases (n=47; 48%) were reported in Thiqar governorate, southeast Iraq, and the remainder of cases were reported from 12 different governorates; Missan (13), Muthanna (7), Wassit (6), Diwaniya (4), Baghdad Karkh (4), Kirkuk (3), Basrah (3), Najaf (3), Nineveh (3), Baghdad-Rusafa (2), Babylon (1) and Karbala (1) (Figure 1).
Figure 1. Distribution of laboratory confirmed cases of Crimean-Congo Hemorrhagic Fever by governorate, Iraq, 1 January to 22 May 2022 (n=97).
DR. SUNEEL DHAND - URGENT NEW WARNING AS RARE DEADLY VIRUS HEADS TO EUROPE AND USA
"Crimean Congo haemorrhagic nairovirus fever outbreak" = 3103 (Latin)
"Coronavirus" = 1303 (Latin)
"A Nairovirus Fever Outbreak" = 1776 (Sumerian)
"Ostriches" = 116 (Ordinal)
"Ostrich" = 92 (Ordinal)
"Ostrich Farm" = 130 (Ordinal)
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