TY - JOUR
T1 - Morbidity and mortality of Crimean-Congo hemorrhagic fever in Iraq
T2 - Cases reported to the National Surveillance System, 1990-2010
AU - Majeed, Ban
AU - Dicker, Richard
AU - Nawar, Adnan
AU - Badri, Sumaia
AU - Noah, Anwar
AU - Muslem, Hassan
N1 - Funding Information:
This publication was supported by a grant from the Centers for Disease Control and Prevention through TEPHINET, a program of the Task Force for Global Health, Inc.
PY - 2012/8
Y1 - 2012/8
N2 - Although Crimean-Congo hemorrhagic fever (CCHF) is endemic in the Middle East, its incidence in Iraq has not been well described since the early 1980s. To document trends and patterns of CCHF occurrence, we analyzed CCHF case reports from Iraq's National Surveillance System in 2010 and aggregate reports from previous years. A suspected case was defined as fever, hemorrhagic symptoms and a history of animal contact. Serologic testing was conducted for confirmation. Between 1998 and 2009, the annual number of confirmed cases ranged from zero to six. In 2010, 11 confirmed and 28 suspected cases were reported. The case fatality rate was 36% among confirmed cases, 4% among suspected cases. Most confirmed cases occurred during a three-week period in a single province. While CCHF is uncommon in Iraq, sporadic cases and outbreaks do occur. Surveillance could be strengthened by updating the case definition and case investigation forms.
AB - Although Crimean-Congo hemorrhagic fever (CCHF) is endemic in the Middle East, its incidence in Iraq has not been well described since the early 1980s. To document trends and patterns of CCHF occurrence, we analyzed CCHF case reports from Iraq's National Surveillance System in 2010 and aggregate reports from previous years. A suspected case was defined as fever, hemorrhagic symptoms and a history of animal contact. Serologic testing was conducted for confirmation. Between 1998 and 2009, the annual number of confirmed cases ranged from zero to six. In 2010, 11 confirmed and 28 suspected cases were reported. The case fatality rate was 36% among confirmed cases, 4% among suspected cases. Most confirmed cases occurred during a three-week period in a single province. While CCHF is uncommon in Iraq, sporadic cases and outbreaks do occur. Surveillance could be strengthened by updating the case definition and case investigation forms.
KW - Crimean-Congo hemorrhagic fever
KW - Iraq
KW - National Surveillance System
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U2 - 10.1016/j.trstmh.2012.04.006
DO - 10.1016/j.trstmh.2012.04.006
M3 - Article
C2 - 22633179
AN - SCOPUS:84863605680
SN - 0035-9203
VL - 106
SP - 480
EP - 483
JO - Transactions of the Royal Society of Tropical Medicine and Hygiene
JF - Transactions of the Royal Society of Tropical Medicine and Hygiene
IS - 8
ER -