Alarming update on incidence of Crimean-Congo hemorrhagic fever in Iraq in 2023.

Autor:	Atwan Z; Central Laboratory, College of Medicine, University of Basrah, Basrah, Iraq & WHO Collaborating Centre for Public Health Education and Training, Imperial College London, UK., Alhilfi R; Directorate of Public Health, Ministry of Health, Baghdad, Iraq., Mousa AK; Department of Internal Medicine, College of Medicine, University of Basrah, Basrah, Iraq., Rawaf S; Public Health Director, WHO Collaboration Center, Imperial College, London, UK., Torre JDL; Professor of Immunology & Microbiology, Scripps Research Institute, San Diego, CA, USA., Hashim AR; Department of Internal Medicine, College of Medicine, University of Basrah, Basrah, Iraq., Sharquie IK; Department of Immunology & Microbiology, College of Medicine, University of Baghdad, Baghdad, Iraq., Khaleel H; Surveillance section, Communicable Diseases Control Center, Directorate of Public Health, Ministry of Health, Baghdad, Iraq., Tabche C; WHO Collaborating Centre for Public Health Education and Training, Imperial College London, UK.
Jazyk:	angličtina
Zdroj:	IJID regions [IJID Reg] 2023 Nov 26; Vol. 10, pp. 75-79. Date of Electronic Publication: 2023 Nov 26 (Print Publication: 2024).
DOI:	10.1016/j.ijregi.2023.11.018
Abstrakt:	Objectives: In 2021, large outbreak of Crimean-Congo hemorrhagic fever (CCHF) was reported in Iraq and cases have increased without any significant control measures. To raise awareness about the increasing cases in different regions of Iraq, hence remind the necessity to tackle contributing factors and potential outbreak interventions. Methods: The study included 511 polymerase chain reaction-confirmed CCHF infection cases out of 1827 suspected cases from 18 Provinces from January to August 2023. Approval from the Ministry of Health for data analyzed. Results: Out of 1827 suspected cases, 511 were confirmed positive by polymerase chain reaction. The total case fatality rate (CFR) was 12.7 with varying severity levels among provinces. Erbil had the highest CFR, 38.5, while Sulaimaniya and Anbar report no deaths. Independent t -test showed a significant difference in CFR between provinces west and south of Baghdad compared to north ( P <0.05). Trend showed significant surges after Iftar and Adha holidays. Conclusion: Differences in CFR among provinces around the religious ceremonies, highlight the need for one public health intervention strategy. Increased temperatures affected vector behavior. Uncontrolled animal movement with neighboring countries is an important factor. Virus or host determinants can shape the clinical case outcomes, which need clinical and extensive laboratory studies to unravel the reasons leading to death. Competing Interests: The authors declare that there is no conflict of interest associated with this research study. We have no relationships with individuals or organizations that could influence our objectivity in conducting or reporting this research. (© 2023 The Authors.)
Databáze:	MEDLINE
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