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Edit File: 1654516921.M211468P192345.mocha3025.mochahost.com,S=40667,W=41435:2,S
Return-Path: <noori2016@gmail.com> Received: from mocha3025.mochahost.com by mocha3025.mochahost.com with LMTP id mE0vCbnsnWJZ7wIAaMJ/gg (envelope-from <noori2016@gmail.com>); Mon, 06 Jun 2022 08:02:01 -0400 Return-path: <noori2016@gmail.com> Envelope-to: musawy@jack.ngo, ghani@jack.ngo, dr.shafiq@jack.ngo Delivery-date: Mon, 06 Jun 2022 08:02:01 -0400 Received: from mail-oa1-f42.google.com ([209.85.160.42]:33887) by mocha3025.mochahost.com with esmtps (TLS1.2) tls TLS_ECDHE_RSA_WITH_AES_128_GCM_SHA256 (Exim 4.94.2) (envelope-from <noori2016@gmail.com>) id 1nyBQn-000Mpz-7M; Mon, 06 Jun 2022 08:02:00 -0400 Received: by mail-oa1-f42.google.com with SMTP id 586e51a60fabf-f314077115so18880011fac.1; Mon, 06 Jun 2022 05:01:00 -0700 (PDT) DKIM-Signature: v=1; a=rsa-sha256; c=relaxed/relaxed; d=gmail.com; s=20210112; h=mime-version:references:in-reply-to:from:date:message-id:subject:to :cc; bh=ITFu82PZ71Wqc4+lgEwPjNl7Sb5CNPZA09T981rJciM=; b=eZtsQP1fpzM6JKlrsvblrh/eHmyCEPQFrhcUIiSkWCGT1XTdo4Dpu9OYSbdnv9e3qf aZ+w0D6oJ2xQLkGMKCEG2R8aEsozoGY3hS7Jq2F3p1LEhNaqdmym6JqPwM0wjK0k2i+B PVhtMtkWos8ICCtSUR6Lcwf9G7YQ/w0D1PKV9kbO3RU/WyZBfCVlYsfNOjeoq345yqJz uD/tMRA9FgDUlvGQJhW9Akmde+/0FZTj5ZXy1nt+O1klXw7LMNyDBS+H+EpjxKbrvvbr 96xQCJcxdBLk44kOb1chEUMeRy7kKMNVihvwpxaniqjuaxDJ/QuzJMUB8BKHYnMISJnA BsAQ== X-Google-DKIM-Signature: v=1; a=rsa-sha256; c=relaxed/relaxed; d=1e100.net; s=20210112; h=x-gm-message-state:mime-version:references:in-reply-to:from:date :message-id:subject:to:cc; bh=ITFu82PZ71Wqc4+lgEwPjNl7Sb5CNPZA09T981rJciM=; b=FZqnVRlf4igZFST+Y22QJHjDwPtbuwQGls8sjQZl0BWrCUc1Je6JmgN0goCNafHQg2 O/F1554NvtEsK1yAUw87hBJEEHutXjyDaeT5/EJ0RWAHCa2nIve7ygv63g9oUFJHSR/P fYJKBDpMx4gCvZF4WuIo7Au/QD+5MS3q/8ljetMb0V1LVRp0GHoPzM1rgoecxCY59anv /juUUNhKINCmWz4QBdizMYJ745U3WkJshBBIr1qYHKdty1Z8Fd8SUhnh4WP4Ly063NQu wWQM439xgz8aoRGYfYiIhEN4D06FtsK5REVicfuPEkdEJF5L8p7GdwfDmPCaURn9f+7B NYuQ== X-Gm-Message-State: AOAM5320taB9tATNaHgRYUdfhObGIS+FSJOq+YaqERFmTRma/lMWfTAh nh2v8VrkLmJCbmpC0lCoNpU1MYl0XxW1VPRG4yg= X-Google-Smtp-Source: ABdhPJw5bQ/z9wpd7oTCknpA/TphU6XLknJCkLqkjsK80ZjzL2L6sQz6g5y4ZIM/09HMIwPAzpwm04ds2JBhrkMEwKg= X-Received: by 2002:a05:6870:14c1:b0:e6:5ba1:6194 with SMTP id l1-20020a05687014c100b000e65ba16194mr30637148oab.242.1654516840159; Mon, 06 Jun 2022 05:00:40 -0700 (PDT) MIME-Version: 1.0 References: <CAETnkitMZsGQvH88Wh4Ary6imhbUy_weTtaX-JsnKwmXSF91Cw@mail.gmail.com> In-Reply-To: <CAETnkitMZsGQvH88Wh4Ary6imhbUy_weTtaX-JsnKwmXSF91Cw@mail.gmail.com> From: "Dr. MohammadTaleb Noori" <noori2016@gmail.com> Date: Mon, 6 Jun 2022 16:30:22 +0430 Message-ID: <CAJtgzVdX-vZRj6kcLj8aNSeLodaS9i2jyDHMdfB4q1xy6m_AnQ@mail.gmail.com> Subject: Re: Tow Suspected CCHF cases admitted to Kunduz Regional hospital on 5th and 6th June 2022 To: Kunduz Surveillance <dews.kunduz55@gmail.com> Cc: kunduz moph <kunduz.moph@gmail.com>, Rahmat.Totakhil@gmail.com, hakim omid <hakimomid7@gmail.com>, Musawy <musawy@jack.ngo>, Ghani <ghani@jack.ngo>, Takhar Taloqan <dews.takhar@gmail.com>, kunduzregionalhospital@gmail.com, Popalzai Wahaj <popalzai.wahaj@gmail.com>, ghausi.kunduz@gmail.com, dr.shafiq@jack.ngo, arwals@who.int, monitoring mophkunduz <me.moph.kunduz@gmail.com>, REMT Kunduz <remt_kunduz@yahoo.com>, "Moph HMIS.KUNDUZ" <hmis.kunduz@gmail.com>, mnasimnaeemzadah@gmail.com, mnoori@who.int, nasiri.jailani@yahoo.com, Ahmadnoor Omarzai <ahmadnoor.omarzai@gmail.com>, ghulamrasol.haidary@gmail.com, Ashraf Afetp <ashraf.afetp@gmail.com> Content-Type: multipart/alternative; boundary="000000000000885f8005e0c63840" --000000000000885f8005e0c63840 Content-Type: text/plain; charset="UTF-8" Dear Dr. Sahib Hasanyar, Thanks for your email, in case support required from WHO side, we will discuss over the phone in this front. With best regards, On Mon, 6 Jun 2022, 2:36 pm Kunduz Surveillance, <dews.kunduz55@gmail.com> wrote: > Dear colleagues; > > Tow suspected CCHF(one Takhar ,one Kunduz ) case admitted to Kunduz > regional hospital on 5 and 6 Jun 2022 as below details > > Date/timing > > 5 Jun 2022 > > Location/areas affects > > Ming Chaqor village, Khowaja Ghar district of Takhar province > > Summary > > On 5 Jun 2022 Kunduz Kunduz Regional hospital SST reported to surveillance > department of Kunduz province that one suspected CCHF case admitted to > Kunduz regional hospital at 4 Jun 2022 the case is from Khowaja Ghar > district of Takhar province according patient family speech on 31 May > 2022 He developed Fever, headache, muscles Pain and Epistaxis then > admitted to the Kunduz RH and during investigation his Fever was high until > 38.2 Cg and laboratory shows platelet = 40000/mm3,HB=12 gr/dl , > TLC=2000/mm3 and his situation was committed to hospitalization for > intensive care and treatment supportive medicine, also during the > investigation one blood sample collected and shipped to CPHL for laboratory > confirmation > > Epidemiological situation > > Name : Rahimullah S/of Gul Mohammad > > Age : 35 Years > > Sex : Male > > Occupation: Shepherd > > Address: Ming chaqor village, Khowaja Ghar Takhar province > > Phone: :0767084960 > > Sign : Fever, petechial, Hb=12gr, TLC=2000/mm3 and laboratory > result shows platelet = 40000/mm3 > > Symptom: Fever, headache and muscle pain > > Actions initiated > > - Review hospital records and registry > - Interview with patient and patient accompanier for following > - Filled the line list > - Health education to patients caretakers > > Contacts and coordination > > Proper coordination and communication done with PPHD, NDSR FP, internal > ward doctors, and SST > > Challenges > > - There is no standard isolation ward in the hospital; - - massively. It > has no enough Hematology/ Microscopic and biochemistry tests. Also there is > no available platelet for transfusion to the patient > > - There is no well-equipped ward for infectious disease > > - There is no double pack set kit > > Date/timing > > 6 Jun 2022 > > Location/areas affects > > Qeyam Tamshak village, Emam sahib district of Kunduz province > > Summary > > On 6 Jun 2022 Kunduz Regional hospital SST reported to surveillance > department of Kunduz province that one suspected CCHF case admitted to > Kunduz regional hospital at 5 Jun 2022 the case is from Qeyam Tamshak > village , Emam sahib district of Kunduz province according patient > family speech on 29 May 2022 He developed Fever, headache, muscles Pain > and then admitted to the Kunduz RH and during investigation his Fever was > high until 38.1 Cg and laboratory shows platelet = 84000/mm3,HB=7.5 gr/dl > , TLC=9000/mm3 and his situation was committed to hospitalization for > intensive care and treatment supportive medicine, He is a shepherd and > contact with animals also during the investigation one blood sample > collected and shipped to CPHL for laboratory confirmation > > Epidemiological situation > > Name : Moh Wali S/of Abdul Rashid > > Age : 35 Years > > Sex : Male > > Occupation: Shepherd > > Address: Qayam Tamshak village, Emam sahib District Kunduz province > > Phone: :0700983765,0703742409 > > Sign : Fever, petechial, Hb=7.5gr, TLC=9000/mm3 and laboratory > result shows platelet = 84000/mm3 > > Symptom: Fever, headache and muscle pain > > Actions initiated > > - Review hospital records and registry > - Interview with patient and patient accompanier for following > - Filled the line list > - Health education to patients caretakers and his families > > Contacts and coordination > > Proper coordination and communication done with PPHD, NDSR FP, internal > ward doctors, and SST > > Challenges > > - There is no standard isolation ward in the hospital; - - massively. It > has not enough Hematology/ Microscopic and biochemistry tests. Also there > is no available platelet for transfusion to the patient > > - There is no well-equipped ward for infectious disease > > - There is no double pack set kit > BR-- > Dr Mohammad Mohsen "Hassanyar" > Kunduz:NDSR Provincial officer > Graduate AFETP(Afghanistan Field Epidemiology Training Program) > Email:dews.kunduz55@gmail.com > Private E-mail:mohsen.hassanyar@yahoo.com > <Email%3Amohsen.hassanyar@yahoo.com> > Phone Number:0795212080 > --000000000000885f8005e0c63840 Content-Type: text/html; charset="UTF-8" Content-Transfer-Encoding: quoted-printable <div dir=3D"auto">Dear Dr. Sahib Hasanyar,<div dir=3D"auto"><br></div><div = dir=3D"auto">Thanks=C2=A0for your email,=C2=A0 in case support required fro= m WHO side, we will discuss over the phone in this front.</div><div dir=3D"= auto"><br></div><div dir=3D"auto">With best regards,=C2=A0</div></div><br><= div class=3D"gmail_quote"><div dir=3D"ltr" class=3D"gmail_attr">On Mon, 6 J= un 2022, 2:36 pm Kunduz Surveillance, <<a href=3D"mailto:dews.kunduz55@g= mail.com">dews.kunduz55@gmail.com</a>> wrote:<br></div><blockquote class= =3D"gmail_quote" style=3D"margin:0 0 0 .8ex;border-left:1px #ccc solid;padd= ing-left:1ex"><div dir=3D"ltr"><p class=3D"MsoNormal" style=3D"margin:0in 2= 3.25pt 0.0001pt 0in;text-align:justify;line-height:normal;background-image:= initial;background-position:initial;background-size:initial;background-repe= at:initial;background-origin:initial;background-clip:initial;font-size:11pt= ;font-family:Calibri,"sans-serif""><span style=3D"font-size:12pt;= font-family:"Calibri Light","sans-serif"">Dear colleagu= es;</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 23.25pt 0.0001pt 0in;text-align:= justify;line-height:normal;background-image:initial;background-position:ini= tial;background-size:initial;background-repeat:initial;background-origin:in= itial;background-clip:initial;font-size:11pt;font-family:Calibri,"sans= -serif""><span style=3D"font-size:12pt;font-family:"Calibri Light= ","sans-serif"">Tow suspected CCHF(one Takhar ,one Kunduz ) = case admitted to Kunduz regional hospital on 5 and 6 Jun 2022 as=C2=A0 belo= w details=C2=A0</span></p><table border=3D"0" cellspacing=3D"0" cellpadding= =3D"0" style=3D"background-image:initial;background-position:initial;backgr= ound-size:initial;background-repeat:initial;background-origin:initial;backg= round-clip:initial;border-collapse:collapse"> <tbody><tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border:1pt solid wi= ndowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Date/timing</span><span style=3D"font-size:12pt;font-family:"Calibr= i Light","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:1pt so= lid windowtext;border-right:1pt solid windowtext;border-bottom:1pt solid wi= ndowtext;border-left:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">5 Jun 2022</span><span style=3D"font-size:12pt;font-family:"Calibri Li= ght","sans-serif""></span></p> </td> </tr> <tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Location/areas affects</span><span style=3D"font-size:12pt;font-family:"Calibri Lig= ht","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 23.25pt 0.0001pt 0in;text-alig= n:justify;line-height:normal;font-size:11pt;font-family:Calibri,"sans-= serif""><span style=3D"font-size:12pt;font-family:"Calibri Light&= quot;,"sans-serif"">Ming Chaqor village, Khowaja Ghar district of Takhar province</span><span styl= e=3D"font-size:12pt;font-family:"Calibri Light","sans-serif&= quot;"></span></p> </td> </tr> <tr style=3D"height:17.7pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:17.7pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Summary</span><span style=3D"font-size:12pt;font-family:"Calibri Li= ght","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:17.7pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">On 5 Jun 2022 Kunduz Kunduz Regional hospital SST reported to surveillance department of Kundu= z province that=C2=A0</span><span style=3D"font-size:12pt;font-family:"= ;Calibri Light","sans-serif"">one suspected CCHF case admitted to Kunduz regional hospital at 4 Jun 2022 th= e case is from Khowaja Ghar district of Takhar province =C2=A0according pat= ient family speech on=C2=A031 May 2022=C2=A0He developed=C2=A0</span><span style=3D"font-size:12pt;font-fam= ily:"Calibri Light","sans-serif"">Fever, headache, </span><span style=3D"font-size:12pt;font-family:"Calibri = Light","sans-serif"">muscles Pain</span><span style=3D"font-= size:12pt;font-family:"Calibri Light","sans-serif""> an= d Epistaxis =C2=A0then admitted to the Kunduz RH and during investigation his Fever was high until 38.2 Cg and laboratory show= s platelet =3D=C2=A040000/mm<sup>3</sup></span><span style=3D"font-size:12p= t;font-family:"Calibri Light","sans-serif"">,HB=3D12 gr= /dl , TLC=3D2000/mm<sup>3</sup> and his situation was committed to hospitalization for intensive care and treatment supportive medicine, also during the investigation one blood sa= mple collected and shipped to CPHL for laboratory confirmation</span><span sty= le=3D"font-size:12pt;font-family:"Calibri Light","sans-serif= ""></span></p> </td> </tr> <tr style=3D"height:25.5pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:25.5pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Epidemiological situation</span><span style=3D"font-size:12pt;font-family:"Calibri L= ight","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:25.5pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Name=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: Rahimullah S/of Gul Mohammad</span><span style=3D"font-size:12pt;font-fam= ily:"Calibri Light","sans-serif""></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Age=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: 35 Years</span><span style=3D"font-size:12pt;font-family:"Calibri Li= ght","sans-serif""></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Sex=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: Male</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Occupation: </span><span style=3D"font-size:12pt;font-family:"Calib= ri Light","sans-serif"">Shepherd =C2=A0</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Address: Ming chaqor village, Khowaja Ghar Takhar province</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Phone:=C2=A0=C2=A0=C2=A0 :0767084960</span><span style=3D"color:black"><= /span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Sign=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0:=C2=A0</span>= <span style=3D"font-size:12pt;font-family:"Calibri Light","s= ans-serif"">Fever, petechial, Hb=3D12gr, TLC=3D2000/mm<sup>3</sup> and laboratory result shows platelet =3D=C2=A040000/mm<sup>3</sup></span>= <span lang=3D"PRS-AF" dir=3D"RTL" style=3D"font-size:12pt"></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Symptom:=C2=A0</span><span style=3D"font-size:12pt;font-family:"Cal= ibri Light","sans-serif"">Fever, headache and muscle pain</s= pan></p> </td> </tr> <tr style=3D"height:160.9pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-top:none;bor= der-left:1pt solid windowtext;border-bottom:none;border-right:1pt solid win= dowtext;padding:0in 5.4pt;height:160.9pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Actions initiated</span><span style=3D"font-size:12pt;font-family:"Calibri L= ight","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-bottom:none;border-left:none;border-right:1pt solid windowtext;paddin= g:0in 5.4pt;height:160.9pt"> <ul style=3D"margin-top:0in;margin-bottom:0in" type=3D"disc"> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Review hospital records and registry</span><span style=3D"font-size:12pt;font-family= :"Calibri Light","sans-serif""></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Interview with patient and patient accompanier for following</span><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= ></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Filled the line list</span><span style=3D"font-size:12pt;font-family:"= ;Calibri Light","sans-serif""></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Health education to patients caretakers</span><span style=3D"font-size:12pt;font-family:= "Calibri Light","sans-serif""></span></li> </ul> </td> </tr> <tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Contacts and coordination</span><span style=3D"font-size:12pt;font-family:"Ca= libri Light","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Proper=C2=A0coordination and communication done with PPHD, NDSR FP, internal ward doctors, and SST= </span><span style=3D"font-size:12pt;font-family:"Calibri Light"= ,"sans-serif""></span></p> </td> </tr> <tr style=3D"height:158.75pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:158.75pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Challenges</span><span style=3D"font-size:12pt;font-family:"Calibri= Light","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:158.75pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">- There is no standard isolation ward in the hospital; - - massively. It has no enough Hematology/ Microscopic and biochemistry tests. Also there is no available platelet for transfusion to the patient</span><span style=3D"fo= nt-size:12pt;font-family:"Calibri Light","sans-serif"">= </span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">-=C2=A0 There is no well-equipped ward for infectious disease</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">- There is no double pack set kit</span><span style=3D"font-size:12pt;font-= family:"Calibri Light","sans-serif""></span></p> </td> </tr> </tbody></table><div><table border=3D"0" cellspacing=3D"0" cellpadding=3D"0= " style=3D"background-image:initial;background-position:initial;background-= size:initial;background-repeat:initial;background-origin:initial;background= -clip:initial;border-collapse:collapse"> <tbody><tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border:1pt solid wi= ndowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Date/timing</span><span style=3D"font-size:12pt;font-family:"Calibr= i Light","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:1pt so= lid windowtext;border-right:1pt solid windowtext;border-bottom:1pt solid wi= ndowtext;border-left:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">6 Jun 2022</span><span style=3D"font-size:12pt;font-family:"Calibri Li= ght","sans-serif""></span></p> </td> </tr> <tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Location/areas affects</span><span style=3D"font-size:12pt;font-family:"Calibri Lig= ht","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 23.25pt 0.0001pt 0in;text-alig= n:justify;line-height:normal;font-size:11pt;font-family:Calibri,"sans-= serif""><span style=3D"font-size:12pt;font-family:"Calibri Light&= quot;,"sans-serif"">Qeyam Tamshak village, Emam sahib district of Kunduz =C2=A0province</span><span= style=3D"font-size:12pt;font-family:"Calibri Light","sans-s= erif""></span></p> </td> </tr> <tr style=3D"height:17.7pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:17.7pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Summary</span><span style=3D"font-size:12pt;font-family:"Calibri Li= ght","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:17.7pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">On 6 Jun 2022 Kunduz Regional hospital SST reported to surveillance department of Kunduz provi= nce that=C2=A0</span><span style=3D"font-size:12pt;font-family:"Calibri = Light","sans-serif"">one suspected CCHF case admitted to Kunduz regional hospital at 5 Jun 2022 th= e case is from Qeyam Tamshak village , Emam sahib=C2=A0 district of Kunduz = =C2=A0province =C2=A0according patient family speech on=C2=A029 May 2022=C2=A0He developed=C2=A0</span><span style=3D"font-size:12pt;font-fam= ily:"Calibri Light","sans-serif"">Fever, headache, </span><span style=3D"font-size:12pt;font-family:"Calibri = Light","sans-serif"">muscles Pain</span><span style=3D"font-= size:12pt;font-family:"Calibri Light","sans-serif""> an= d =C2=A0then admitted to the Kunduz RH and during investigation his Fever was high until 38.1 Cg and laboratory shows plate= let =3D=C2=A084000/mm<sup>3</sup></span><span style=3D"font-size:12pt;font-fa= mily:"Calibri Light","sans-serif"">,HB=3D7.5 gr/dl , TLC=3D9000/mm<sup>3</sup> and his situation was committed to hospitalization for intensive care and treatment supportive medicine, He = is a shepherd and contact with animals =C2=A0also during the investigation one blood sample collected and shipped to CPHL f= or laboratory confirmation</span><span style=3D"font-size:12pt;font-family:&= quot;Calibri Light","sans-serif""></span></p> </td> </tr> <tr style=3D"height:25.5pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:25.5pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Epidemiological situation</span><span style=3D"font-size:12pt;font-family:"Calibri L= ight","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:25.5pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Name=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: Moh Wali S/of Abdul Rashid </span><span style=3D"font-size:12pt;font-fami= ly:"Calibri Light","sans-serif""></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Age=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: 35 Years</span><span style=3D"font-size:12pt;font-family:"Calibri Li= ght","sans-serif""></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Sex=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0: Male</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Occupation: </span><span style=3D"font-size:12pt;font-family:"Calib= ri Light","sans-serif"">Shepherd =C2=A0</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Address: Qayam Tamshak village, Emam sahib District=C2=A0 Kunduz =C2=A0province</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Phone:=C2=A0=C2=A0=C2=A0 :0700983765,0703742409</span><span style=3D"col= or:black"></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Sign=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0=C2=A0:=C2=A0</span>= <span style=3D"font-size:12pt;font-family:"Calibri Light","s= ans-serif"">Fever, petechial, Hb=3D7.5gr, TLC=3D9000/mm<sup>3</sup> and laboratory result shows platelet =3D=C2=A084000/mm<sup>3</sup></span>= <span lang=3D"PRS-AF" dir=3D"RTL" style=3D"font-size:12pt"></span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Symptom:=C2=A0</span><span style=3D"font-size:12pt;font-family:"Cal= ibri Light","sans-serif"">Fever, headache and muscle pain</s= pan></p> </td> </tr> <tr style=3D"height:160.9pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-top:none;bor= der-left:1pt solid windowtext;border-bottom:none;border-right:1pt solid win= dowtext;padding:0in 5.4pt;height:160.9pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Actions initiated</span><span style=3D"font-size:12pt;font-family:"Calibri L= ight","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-bottom:none;border-left:none;border-right:1pt solid windowtext;paddin= g:0in 5.4pt;height:160.9pt"> <ul style=3D"margin-top:0in;margin-bottom:0in" type=3D"disc"> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Review hospital records and registry</span><span style=3D"font-size:12pt;font-family= :"Calibri Light","sans-serif""></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Interview with patient and patient accompanier for following</span><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= ></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Filled the line list</span><span style=3D"font-size:12pt;font-family:"= ;Calibri Light","sans-serif""></span></li> <li class=3D"MsoNormal" style=3D"margin:0in 0in 10pt;line-height:normal;= font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D"f= ont-size:12pt;font-family:"Calibri Light","sans-serif""= >Health education to patients caretakers and his families </span><span style=3D"font-size= :12pt;font-family:"Calibri Light","sans-serif""></span>= </li> </ul> </td> </tr> <tr> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Contacts and coordination</span><span style=3D"font-size:12pt;font-family:"Ca= libri Light","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Proper=C2=A0coordination and communication done with PPHD, NDSR FP, internal ward doctors, and SST= </span><span style=3D"font-size:12pt;font-family:"Calibri Light"= ,"sans-serif""></span></p> </td> </tr> <tr style=3D"height:158.75pt"> <td width=3D"211" valign=3D"top" style=3D"width:2.2in;border-right:1pt so= lid windowtext;border-bottom:1pt solid windowtext;border-left:1pt solid win= dowtext;border-top:none;padding:0in 5.4pt;height:158.75pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">Challenges</span><span style=3D"font-size:12pt;font-family:"Calibri= Light","sans-serif""></span></p> </td> <td width=3D"357" valign=3D"top" style=3D"width:267.7pt;border-top:none;b= order-left:none;border-bottom:1pt solid windowtext;border-right:1pt solid w= indowtext;padding:0in 5.4pt;height:158.75pt"> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">- There is no standard isolation ward in the hospital; - - massively. It has not = enough Hematology/ Microscopic and biochemistry tests. Also there is no available platelet for transfusion to the patient</span><span style=3D"fo= nt-size:12pt;font-family:"Calibri Light","sans-serif"">= </span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">-=C2=A0 There is no well-equipped ward for infectious disease</span></p> <p class=3D"MsoNormal" style=3D"margin:0in 0in 0.0001pt;line-height:norma= l;font-size:11pt;font-family:Calibri,"sans-serif""><span style=3D= "font-size:12pt;font-family:"Calibri Light","sans-serif"= ;">- There is no double pack set kit</span><span style=3D"font-size:12pt;font-= family:"Calibri Light","sans-serif""></span></p> </td> </tr> </tbody></table></div>BR-- <br><div dir=3D"ltr" data-smartmail=3D"gmail_sig= nature"><div dir=3D"ltr"><div><div dir=3D"ltr"><div><div dir=3D"ltr"><div><= div dir=3D"ltr"><div><div><div>Dr Mohammad Mohsen "Hassanyar"<br>= </div><div>Kunduz:NDSR Provincial officer</div><div>Graduate AFETP(Afghanis= tan Field Epidemiology Training=C2=A0Program)=C2=A0<br></div><a href=3D"mai= lto:Email%3Adews.kunduz55@gmail.com" target=3D"_blank" rel=3D"noreferrer">E= mail:dews.kunduz55@gmail.com</a><br></div>Private E-mail<a href=3D"mailto:E= mail%3Amohsen.hassanyar@yahoo.com" target=3D"_blank" rel=3D"noreferrer">:mo= hsen.hassanyar@yahoo.com</a><br></div>Phone Number:0795212080=C2=A0 <br></d= iv></div></div></div></div></div></div></div></div> </blockquote></div> --000000000000885f8005e0c63840--