The death toll in recent malaria outbreak in the state of Tripura has gone up to 41, including 31 kids and 10 adults. More than 22,000 people have fallen ill due to the sudden outbreak of malaria in the hilly areas of Tripura dominated by the tribal. These regions include the districts of Gomti, South Tripura, Dhalai, North Tripura and Khowai.

Badal Choudhury, Health and Family Welfare Minister of Tripura said to the reporters, ‘ Around 41 people have died due to malaria that includes 31 children and more than 22,000 people have fallen ill to this disease since the first week of this month. Of the 22,000 ill patients, malaria parasite has been detected in the blood samples of around 3, 215 individuals. (Read: All you need to know about malaria)

The deaths in a malaria outbreak in Tripura have risen to 41, including 31 children, a minister said here Sunday. Over 22,000 people have fallen ill in the tribal-dominated mountainous areas of Dhalai, Gomti, Khowai, North Tripura and South Tripura districts. “At least 41 people, including 31 children, have died and more than 22,000 others have fallen ill since the first week of this month. Of the 22,000 ill people, malaria germ was found in the blood of 3,215 of them,” Tripura Health and Family Welfare Minister Badal Choudhury told reporters.

All the affected people have been admitted to various government hospitals in five districts, he said. However, sources in the health department said the unofficial tally stands at more than 60 dead and 30,000 ill. A team of malaria experts from the union health and family welfare ministry led by Awadesh Kumar arrived here Sunday to supervise the situation and advise the state government on how to deal with the outbreak. (Read: New, more effective treatment for Malaria soon)

The union ministry will this week send another four-member expert team, led by the regional director for malaria, Satyajit Sen, to study the outbreak of malaria in the state, Choudhury said. The minister along with medical experts has visited the malaria-affected areas several times. “Several medical teams are working in the disease-affected areas. SOS has been sent to Tripura officials in Guwahati, Kolkata and Delhi to urgently send adequate quantities of medicines,” he said.

Chief Minister Manik Sarkar Saturday at a series of meetings with doctors, officials and ministers reviewed the situation. He asked his ministers to rush to the malaria-hit areas and stay there till the situation improves. Leave of all doctors, nurses and health workers has been cancelled. Health officials and field workers are visiting remote villages and making arrangements to bring the malaria-affected people to government hospitals, Choudhury said. A helicopter is on standby to ferry doctors and patients in an emergency. (Read: How body’s immune system fights off malaria)

A health department official said that at least 50 health workers, including 26 ASHA (accredited social health activists), 13 ICDS (integrated child development services) and three multi-purpose workers, have been either suspended or will face action for negligence in work. Experts have advised the government to use second-generation medicines instead of traditional ones to prevent malaria deaths. All the eight northeastern states besides West Bengal, Odisha, Jharkhand, Chhattisgarh, Andhra Pradesh, Maharashtra, Gujarat and Karnataka are highly malaria prone where several hundred of people die every year due to the disease.

10 natural ways to keep your home mosquito-free

Malaria is a serious disease that can kill people if it is not diagnosed and treated quickly, particularly pregnant women, babies, young children and the elderly. While today, the condition is usually treated before its complications set in, there are still deaths due to this disease. Being highly preventable, it is clear that awareness about the disease, it types, treatments and methods to prevent the disease are the need of the hour.

Neem oil: Neem has a number of great benefits for the human body, but apart from being an elixir for your health, neem is also a great mosquito-repellent.

Eucalyptus and lemon oil: Recommended by the CDC (Center for Disease Control) as an effective insect-repellent the mixture of lemon oil and eucalyptus oil is extremely effective in repelling mosquitoes – naturally.

Camphor: Using camphor as a repellent also works wonders. Made from the extract of a tree, this compound has been found to have the longest mosquito repellent activity when compared to other natural products. Read about the other 8 natural ways to keep your home mosquito-free

Comment by Starr DiGiacomo on June 23, 2014 at 5:31am

http://www.thehealthsite.com/news/tripura-malaria-outbreak-31-child...

Tripura malaria outbreak – 31 children, 10 adults dead

Editorial Team June 22, 2014 at 4:14 pm

Comment by lonne rey on June 21, 2014 at 2:08pm: Doctors Without Borders: Ebola 'out of control'

DAKAR, Senegal (AP) — The Ebola outbreak ravaging West Africa is "totally out of control," according to a senior official for Doctors Without Borders, who says the medical group is stretched to the limit in responding.

"The reality is clear that the epidemic is now in a second wave," Janssens said. "And, for me, it is totally out of control."

The current outbreak, which began in Guinea either late last year or early this year, had appeared to slow before picking up pace again in recent weeks, including spreading to the Liberian capital for the first time.

Source

Comment by Derrick Johnson on June 5, 2014 at 7:19am: Ebola virus claims lives of more than 200 people in Guinea

WHO registers 328 reported cases of disease in Guinea as Sierra Leone and Liberia also see more outbreaks

More than 200 people have died from the highly contagious Ebola virus in Guinea, amounting to one of the worst ever outbreaks of the disease, the World Health Organisation said on Wednesday.

The UN's health agency said it had so far registered 328 confirmed or suspected cases of Ebola in Guinea, including 208 deaths. Twenty-one deaths were registered between 29 May and 1 June alone.

Neighbouring Sierra Leone and Liberia have also increasingly been affected, said the WHO.

The organisation has described west Africa's first-ever outbreak of the deadly haemorrhagic fever as one of the most challenging since the virus was first identified in 1976 in what is now the Democratic Republic of Congo.

Two hundred and eighty people died in that outbreak, which was the deadliest on record.

To date, 79 confirmed and suspected cases have surfaced in Sierra Leone, where the death toll from the disease has jumped from one a week ago, to six, the agency said.

The virus, meanwhile, appeared to have resurfaced in Liberia, which earlier this year had had 12 suspected and confirmed cases of Ebola, including nine deaths, but had not seen any new cases over a stretch of nearly two months.

A person believed to have been infected in Kailahun, in Sierra Leone, travelled across the border and died in Foya, the WHO said, pointing out that the body was taken back to Kailahun to be buried.

Source: http://www.theguardian.com/world/2014/jun/04/ebola-virus-200-guinea...

Comment by Starr DiGiacomo on June 4, 2014 at 2:44am: http://www.theaustralian.com.au/news/eleven-cases-of-new-baby-virus...

Eleven cases of new baby virus – parechovirus – found in Queensland

Young babies appear to be at a higher risk. Source:ThinkStock

HEALTH authorities will this morning announce an outbreak of parechovirus in Queensland infants, with the first 11 cases of the virus reported in the state’s history.

Parechovirus commonly causes mild respiratory or gastrointestinal symptoms in babies, such as fever, irritability, a rash and diarrhoea.

However in some young infants, the virus can lead to more serious complications such as hepatitis or encephalitis, and can be fatal.

Brisbane parents Kimberley and Philip Rawson recently had to have their five-week-old daughter Lilly resuscitated in intensive care when she started having breathing difficulties and seizures as a result of the virus.

Queensland Children’s Medical Research Institute paediatric infectious diseases director Professor Theo Sloots said the virus “affects the brains of young children, and in severe cases can result in death’’.

Some infected babies recover within a few days. In very young babies the virus can cause infection in the central nervous system and lead to a sepsis-like illness, which can lead to long-term damage to brain cells.

“We don’t know what the long term affects are, the virus is newly recognised and we don’t know enough about it,’’ Prof Sloots said.

All 11 cases are believed to have been found in babies six months and under, with the first discovered in an infant in Bundaberg in December.

The virus – for which there is currently no vaccine – is spread from person to person through contacts with respiratory droplets, saliva or faeces.

Young babies appear to be at a higher risk.

Good hygiene is the best protection against the virus, with parents encouraged to wash their hands regularly and ensure the mouth and nose are covered when coughing or sneezing.

Nationally, 46 babies have been confirmed positive with parechovirus infections.

“The outbreak is Australia-wide now and we believe there are at least 4 types of the virus and we don’t know what type is in Queensland compared to other states,’’ Professor Sloots said.

WHAT ARE THE SYMPTOMS OF PARECHOVIRUS?

Some infected babies get unwell quickly with fever. Other symptoms include a red rash, irritability and diarrhoea.

WHAT SHOULD PARENTS DO?

If concerned, contact your GP.

Comment by lonne rey on June 3, 2014 at 12:39pm

Mosquito-Borne Virus That Causes Severe Pain Spreading Rapidly In The Caribbean

In this May 15, 2014 photo, five-year-old Karla Sepulveda, who suffers chikungunya fever symptoms, waits with her grandmother for treatment in the pediatric area of a public hospital in the coastal town of Boca Chica, Dominican Republic. The mosquito-born virus, common in Africa and Asia, arrived to the Caribbean in late 2013 and has affected more than 10,000 people in the Dominican Republic. (AP Photo/Ezequiel Abiu Lopez)

SAN CRISTOBAL, Dominican Republic (AP) – They suffer searing headaches, a burning fever and so much pain in their joints they can barely walk or use their hands. It's like having a terrible flu combined with an abrupt case of arthritis.

Hospitals and clinics throughout the Caribbean are seeing thousands of people with the same symptoms, victims of a virus with a long and unfamiliar name that has been spread rapidly by mosquitoes across the islands after the first locally transmitted case was confirmed in December.

You feel it in your bones, your fingers and your hands. It's like everything is coming apart,"

Outbreaks of the virus have long made people miserable in Africa and Asia. But it is new to the Caribbean, with the first locally transmitted case documented in December in French St. Martin, likely brought in by an infected air traveler

"It's building up like a snowball because of the constant movement of people," said Jacqueline Medina, a specialist at the Instituto Technologico university in the Dominican Republic, where some hospitals report more than 100 new cases per day.

Source

Comment by Starr DiGiacomo on May 29, 2014 at 1:09am: 23 people dead, 670 sickened

http://www.irinnews.org/report/100146/south-sudan-capital-faces-wor...

South Sudan capital faces worsening cholera outbreak

Photo: Matthew Abbott/IRIN

A cholera patient receives treatment at Juba Teaching Hospital.

JUBA, 28 May 2014 (IRIN) - Health officials are warning that a cholera outbreak in South Sudan’s capital, Juba, which has left 23 people dead and forced more than 670 others to seek treatment, could be getting worse. Laboratory tests have confirmed that at least one person living in a Juba displacement camp has contracted cholera and there are fears the disease could spread rapidly within the crowded site.

Officials are setting up new treatment centres across the city and treating the water sources they believe are responsible for spreading the disease, but said they anticipate at least 1,000 more people might need to be hospitalized before the outbreak ends. And that is only if cholera does not spread to other areas of the country.

Health Minister Riek Gai Kok officially announced the cholera outbreak nearly two weeks ago - the first in South Sudan since 2009 - and pledged “as the government, as a country [we] will support any efforts made to contain this disease.”

The outbreak was not unexpected. The World Health Organization’s (WHO) Abdinasir Abubakar said the ministry and health partners had already started preparing for the appearance of cholera and other communicable diseases “because of the context. Because we had a lot of population movement and that population movement always brings some health problems.”

Five and a half months of fighting in South Sudan has forced more than a million people to flee their homes - and the situation continues to deteriorate. Despite a renewed cessation of hostilities agreement signed nearly three weeks ago by President Salva Kiir and opposition leader Riek Machar, fighting has continued. The UN reports an additional 70,000 people have been displaced since then, some into areas without clean water or enough latrines.

When the outbreak was announced, UN agencies and partners began focusing on some of the most serious water, sanitation and hygiene (WASH) concerns - both in the displaced populations and among long-term Juba residents.

Much of the water people use for drinking and cooking is collected from the Nile and delivered by tanker truck. UNICEF’s WASH chief Lillian Ukwiri said they are trying to track down every truck and make sure each shipment is chlorinated, something which should kill cholera bacteria.

They have also put out radio advertisements instructing people to boil water for at least 10 minutes before drinking it or cooking with it, and to wash their hands regularly. The messages also encourage people to report to a health centre as soon as they show any symptoms, including watery diarrhoea or vomiting, because the disease can kill swiftly.

Isolation ward

When the outbreak was announced, Juba Teaching Hospital set up an emergency isolation ward. It filled quickly, with patients sleeping in open-air corridors that have been covered with tarps. Trina Helderman from Medair, a humanitarian group providing emergency services in the country, has been stationed at the ward since it opened. She told IRIN that initially they were seeing more than 100 patients a day, though the intake has slowed.

“It seems that the cases are going down, but based on what the experts have told us, it could be that the peak comes back up again,” she said. “We’re just waiting to see how things play out.”

Helderman said the messaging does seem to be working, with many people arriving as soon as they exhibit any symptoms, which makes it easier to treat them. They receive either oral rehydration salts to replace fluid lost in diarrhoea or vomiting or - in severe cases - an intravenous drip.

But some people are still not making it to the health centres in time. Samuel Moro’s family said they recognized the symptoms of cholera immediately, but first attempted to treat the disease with a homemade rehydration solution of sugar and salt. His condition worsened over the next 48 hours. By the time he arrived at the isolation ward, it was too late. He died a few hours later.

His brother, Kagwa Apolo, told IRIN Moro’s family was aware of the outbreak and had heard the messages encouraging them to seek treatment, but “we were hoping we could treat him at home. People left him to stay at home for a long time.”

Photo: Matthew Abbott/IRIN

The government has doubled its revisions of expected cholera cases.

High fatality rate

WHO’s Abubakar said the outbreak’s fatality rate is still too high. To bring it down, he said they needed to increase the surveillance teams so they could more quickly identify people in need of treatment, like Moro. They also needed more cholera treatment centres (CTCs). Médecins Sans Frontières (MSF) opened a clinic last week in one of the hardest-hit areas of the city and Abubakar said health officials are considering opening two additional centres in the coming weeks.

Those are not the only shortages. Abubakar said because the outbreak has been worse than officials initially anticipated, it has forced them to revise the expected number of people showing symptoms of cholera from 5,000 to 10,000, 2 percent of the population. 2,000 people are expected to be hospitalized.

“We need to go back to our planning and bring more supplies. We need to bring more staff in. We need to set up more CTCs. We need to train more staff and we need to expand the response.” And that was before MSF reported this week that the disease had officially entered one of Juba’s two displacement camps.

When the fighting started in mid-December, thousands of people crowded into the UN Mission in South Sudan’s two bases in the capital. More than 14,000 people are still living in each of the camps, which do not have enough latrines or other basic sanitation facilities.

Stefan Liljegren, MSF’s field coordinator, told IRIN there was one laboratory-confirmed case at the UN House camp on the outskirts of Juba and seven other patients who showed symptoms of cholera.

Because of their conditions, health officials already viewed the camps as high-risk areas for a cholera outbreak. Earlier this year they provided two doses of oral cholera vaccines to more than 96 percent of the people living in the camp in an effort to mitigate the impact of a possible outbreak.

But Liljegren said the vaccine offers only 65 percent coverage, which means there is still the potential for thousands of people to become sick. MSF has already set up CTCs in each of the camps.

“The advantage in the camp is that the population is aware,” he said. “They have a very close access to the CTC, so hopefully they will be able to access treatment very quickly, and thus, also be discharged very quickly.”

Abubakar said they are also waiting for reports from three other areas of the country where potential cases have been reported and acknowledged. “Our estimation is the cholera outbreak might spread outside Juba.” Even without any confirmation, the government has encouraged state officials to start rolling out public awareness campaigns and preparing people for the possibility that the outbreak could spread.

Comment by Tracie Crespo on May 23, 2014 at 9:50pm

http://www.nbcnews.com/news/us-news/e-coli-contaminates-portland-or...

E. Coli Contaminates Portland, Oregon, Tap Water

All of Portland, Oregon, was told Friday to boil its tap water after the city found E. coli in water samples.

An alert sent to people who live in the city and nearby warned that they "should boil all tap water used for drinking, food preparation, tooth brushing and ice for at least one minute. Ice or any beverages prepared with un-boiled tap water on or after May 20 should be discarded."

In all, 670,000 customers are under the order, health officials said at a news conference. "Animal waste" — fecal matter — in the water was the likely source of the E. coli, they said.

Samples taken three times between May 20 and May 23 "confirmed the presence of total coliform and E. coli in routine drinking water samples," the Portland Water Bureau said.

Tigard and King City, Oregon, as well as parts of Gresham and other districts, also received the alert, NBC affiliate KGW reported. A full list of areas affected is available at KGW com.

Rick Bowmer / AP file

A water reservoir in Mount Tabor Park in Portland, Ore., in 2011.

Most types of E. coli, a bacterium, are harmless or cause brief diarrhea, according to the Mayo Clinic. But some strains can cause abdominal cramps, bloody diarrhea and vomiting.

Based on test results, officials said they believed the risk to the public was low.

This is the second water problem in two months for Portland. In April, the Portland Water Bureau diverted nearly 36 million gallons of water from a reservoir after officials feared it was tainted by a teenager's urine.

— Elizabeth Chuck

First published May 23rd 2014, 3:01 pm

Comment by lonne rey on May 7, 2014 at 5:05pm: Unusual new penguin flu found in Antarctica

WASHINGTON: A new kind of bird flu has been detected for the first time in Adelie penguins in Antarctica, though the virus does not seem to make them sick, researchers said Tuesday.

The virus is unlike any other avian flu known to science, said the report in mBio, a journal of the American Society for Microbiology.

"It raises a lot of unanswered questions," said study author Aeron Hurt, senior research scientist at the World Health Organization Collaborating Centre for Reference and Research on Influenza in Melbourne, Australia.

The findings show that "avian influenza viruses can get down to Antarctica and be maintained in penguin populations," he said.

The study is the first to report on live avian influenza virus in penguins, though previous research has found evidence of influenza antibodies in penguin blood.

They found live, infectious avian influenza virus in eight samples, or nearly three percent of the birds. The penguins did not appear to be sick.

All the samples were found to be H11N2 influenza viruses that were highly similar to each other.

But when researchers compared the genome sequences of four of the viruses to a publicly available database of animal and human viruses, "we found that this virus was unlike anything else detected in the world," said Hurt.

source

Comment by Chris on May 3, 2014 at 12:38pm: MERS hits America
http://edition.presstv.ir/iphone/detail.aspx?id=361025

The US’s first case of the MERS virus has been detected in Indiana, the Centers for Disease Control and Prevention (CDC) announced Friday.

The patient is a healthcare worker who returned to the US from Riyadh, the capital of Saudi Arabia, on April 24. Along the way, the person passed through London and Chicago before taking a bus to Indiana. The patient first showed symptoms on April 27 and was hospitalized the next day, according to the CDC.

The health agency refused to provide any additional information, declining to disclose gender, age, or location a more specific of the patient, according to NBC News.

MERS, short for Middle East respiratory syndrome, is a recently identified illness tied to the MERS coronavirus. Symptoms of MERS include severe pneumonia and kidney failure, which is fatal in about one-third of observed cases. As its name suggests, it first emerged in 2012 in Saudi Arabia and has since appeared across the Middle East, Europe and Asia, with more than 100 reported deaths in Saudi Arabia alone.

According to the World Health Organization, the exact means by which humans are infected is unknown, though camels are suspected as a primary source of the virus. Person-to-person infection is possible as well.

No vaccine or cure exists yet for MERS, which has been compared to SARS, a similar disease that infected over 8,000 people and killed over 700 from 2002–2003, mostly in China.

Thus far, patients have tended to be sick, elderly, or have compromised immune systems. Some individuals have contracted the virus and failed to show any symptoms at all.

US officials had been bracing for the disease’s arrival for some time. The number of cases has increased in the spring, and global travel networks mean an infected individual can be just a plane ride away.

GJH/GJH

Comment by Starr DiGiacomo on May 3, 2014 at 3:34am: http://www.itv.com/news/update/2014-05-03/mers-outbreak-confirmed-o...

Mers outbreak confirmed on Britain-bound flight
Last updated Sat 3 May 2014Health officials are in the process of contacting British airline passengers who may have made contact with a passenger who has been hospitalised in the US with the often fatal MERS (Middle East respiratory syndrome).

Health officials are in the process of contacting British airline passengers who may have made contact with a passenger Credit: PA

The man, a non-British national, took a British Airways flight 262 on April 24 from Riyadh, the capital city of Saudi Arabia, to London, where he changed flights at Heathrow to fly to the US.

Public Health England said it has contacted UK passengers on the BA flight to London who were sitting in the vicinity of the affected passenger and is working with US health authorities to contact any British passengers on the April 24 onward flight to Chicago, American Airlines Flight 99.

It said that the risk of the infection being passed to other passengers "is extremely low" but was contacting the passengers "as a precautionary measure."

Any UK based passengers on Flight 262 on April 24 who have since become unwell or experienced respiratory symptoms, such as shortness of breath, are advised to contact NHS 111.

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Description
The Department of Health and Family Welfare has informed that it had received a message through telephone on 12th September 2011 of an outbreak of fever of unknown cause leading to three deaths at Poilwa village, Peren District. Immediately the State Rapid Response Team (RRT) of Integrated Disease Surveillance Project (IDSP), Nagaland, comprising of Dr. John Kemp (State Surveillance Officer), Dr. Sao Tunyi (Epidemiologist), Dr. Kevisevolie Sekhose (Epidemiologist), and Venezo Vasa (Entomologist) conducted an outbreak investigation at Poilwa village. The team collected three samples from suspected cases out of which all the three were tested positive for Scrub Typhus. Till date, there are 9 cases with 3 deaths. This was stated in a official press note issued by Dr. Imtimeren Jamir, the Principal Director, Directorate of Health & Family Welfare, Kohima. Scrub Typhus is Rickettsial disease caused Orientia tsutsugamushi and transmitted by the bite of mite called Leptotrombidium deliense. In Nagaland, it was formerly detected by IDSP with Central Surveillance Team at Longsa village Mokokchung in 2006, and in Porba village of Phek District in 2007. The State RRT team carried out the outbreak investigation along with doing and entomological survey. The patients were treated with appropriate medicines and awareness and preventive measures were communicated with the villagers. The concerned local health authorities and programs are informed for further necessary action. The mop-up operation is being carried out by the National Vector Borne Disease Control Program.
Biohazard name:	Typhus (Scrub)
Biohazard level:	3/4 Hight
Biohazard desc.:	Bacteria and viruses that can cause severe to fatal disease in humans, but for which vaccines or other treatments exist, such as anthrax, West Nile virus, Venezuelan equine encephalitis, SARS virus, variola virus (smallpox), tuberculosis, typhus, Rift Valley fever, Rocky Mountain spotted fever, yellow fever, and malaria. Among parasites Plasmodium falciparum, which causes Malaria, and Trypanosoma cruzi, which causes trypanosomiasis, also come under this level.
Symptoms:	- After bite by infected mite larvae called chiggers, papule develops at the biting site which ulcerates and eventually heals with the development of a black eschar. - Patients develop sudden fever with headache, weakness, myalgia, generalized enlargement of lymph nodes, photophobia, and dry cough. - A week later, rash appears on the trunk, then on the extremities, and turns pale within a few days. - Symptoms generally disappear after two weeks even without treatment. - However, in severe cases with Pneumonia and Myocarditis, mortality may reach 30% Diagnosis - The most commonly used test for diagnosis is Wel-Felix Test, which is available at State IDSP laboratory, Kohima. - More specific serological tests like detection of IgM can also be done for diagnosis.
Status:	confirmed

Description
Umatilla County health officials today confirmed a case of plague in an adult male county resident. He may have been infected while hunting in Lake County, noted Sharon Waldern, clinic supervisor for the county’s public health department. “Lake County had two cases of human plague last year.” The man has been hospitalized and is receiving treatment, Waldern noted. “People need to realize he was never considered contagious and he started treatment fairly quickly.” Plague is spread to humans through a bite from an infected flea. The disease is serious but treatable with antibiotics if caught early, officials said. Plague can be passed from fleas feeding on infected rodents and then transmitted to humans. Direct contact with infected tissues or fluids from handling sick or dead animals can pass the disease, as well as through respiratory droplets from cats and humans with pneumonic plague, officials said in a press release. Some types are spread from person to person, but that is not the case here, Waldern said. Symptoms typically develop within one to four days and up to seven days after exposure and include fever, chills, headache, weakness and a bloody or watery cough due to pneumonia, enlarged, tender lymph nodes, abdominal pain and bleeding into the skin or other organs. Plague is rare in Oregon. Only three human cases have been diagnosed since 1995 and they all recovered. Last year two human cases of plague were diagnosed in Lake County. As far as she knows, this is the first ever incident in Umatilla County. “In this recent case it is important to stay away from flea-infested areas and to recognize the symptoms. People can protect themselves, their family members and their pets,” said Genni Lehnert-Beers, administrator for Umatilla County Health Department. “Using flea treatment on your pets is very important, because your pets can bring fleas into your home.” People should contact their health care provider or veterinarian if plague is suspected. Early treatment for people and pets with appropriate antibiotics is essential to curing plague infections. Untreated plague can be fatal for animals and people. Antibiotics to prevent or treat plague should be used only under the direction of a health care provider. Additional steps to prevent flea bites include wearing insect repellent, tucking pant cuffs into socks when in areas heavily occupied by rodents, and avoiding contact with wildlife including rodents.
Biohazard name:	Plague (Bubonic)
Biohazard level:	4/4 Hazardous
Biohazard desc.:	Viruses and bacteria that cause severe to fatal disease in humans, and for which vaccines or other treatments are not available, such as Bolivian and Argentine hemorrhagic fevers, H5N1(bird flu), Dengue hemorrhagic fever, Marburg virus, Ebola virus, hantaviruses, Lassa fever, Crimean-Congo hemorrhagic fever, and other hemorrhagic or unidentified diseases. When dealing with biological hazards at this level the use of a Hazmat suit and a self-contained oxygen supply is mandatory. The entrance and exit of a Level Four biolab will contain multiple showers, a vacuum room, an ultraviolet light room, autonomous detection system, and other safety precautions designed to destroy all traces of the biohazard. Multiple airlocks are employed and are electronically secured to prevent both doors opening at the same time. All air and water service going to and coming from a Biosafety Level 4 (P4) lab will undergo similar decontamination procedures to eliminate the possibility of an accidental release.
Symptoms:
Statu The Black Death: Bubonic Plague	confirmed http://hisz.rsoe.hu/alertmap/site/?pageid=event_desc&edis_id=EH...

Disease outbreaks will increase as per ZetaTalk

Chile battles youth unrest and typhoid fever outbreak

The Black Death: Bubonic Plague

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Tripura malaria outbreak – 31 children, 10 adults dead

Doctors Without Borders: Ebola 'out of control'

Ebola virus claims lives of more than 200 people in Guinea

Eleven cases of new baby virus – parechovirus – found in Queensland

Mosquito-Borne Virus That Causes Severe Pain Spreading Rapidly In The Caribbean

South Sudan capital faces worsening cholera outbreak

E. Coli Contaminates Portland, Oregon, Tap Water

— Elizabeth Chuck

Mers outbreak confirmed on Britain-bound flight

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