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Jun 03

#IDFridays Week 15: Lassa Fever

  • June 3, 2016
  • DRASA ADMIN
  • No Comments
  • #IDFridays

First discovered in Nigeria, the symptoms of this disease can seem similar to Ebola

Name
Lassa fever

Transmission

  • An infectious haemorrhagic virus which lives in the Mastomys or multimammate rat
  • People become infected mostly through direct contact with infected rats or through food or household items contaminated with infected rodent feces/urine
  • Person-to-person transmission via exposure to blood, tissue, urine, or feces of an infected individual is also possible

Geography

  • Endemic in the rodent population across parts of West Africa
  • The virus was discovered in Lassa, Borno State, Nigeria in 1969

Incubation Period
2 – 21 days after infection

Signs and Symptoms

Phase One (mild symptoms):

  • Fever
  • Weakness
  • Headache
  • Sore throat
  • Vomiting
  • Muscle pain
  • Chest Pain
  • Nausea
  • Cough
  • Diarrhea

Phase Two (severe symptoms):

  • Hemorrhaging
  • Respiratory distress
  • Facial swelling
  • Shock
  • Hearing loss
  • Tremors
  • Encephalitis
  • Seizures
  • Coma

About 80% of infected people have no symptoms

Diagnosis

  • Laboratory testing of blood samples
  • Because early symptoms are varied and non-specific, clinical diagnosis is often difficult
  • Lassa fever is difficult to distinguish from Ebola, malaria, typhoid fever, and yellow fever among others

Treatment

  • Antiviral drugs (e.g. Ribavirin) and supportive care (fluid/electrolyte balance, oxygenation, etc.) are the best forms of treatment

Prognosis

  • Fatality rates range from 1% to 15% depending on the severity of the infection, but during epidemics, mortality can climb as high as 50%
    • Death usually occurs within 14 days
  • Deafness occurs in 25% of patients who survive and 50% of those who become deaf will partially regain their hearing in 1–3 months

Prevention: What Can You Do?

  • Avoid contact with rodents
  • Seal and store food in rodent-proof containers
  • Dispose of garbage far from your home
  • Keep your home clean and exterminate if you have a rodent problem

Lassa Fever In the News

  • DRASA Partner’s Lassa Fever Research Breakthroughs
  • Lassa fever death rates in Nigeria higher than expected

Sources:
https://www.cdc.gov/vhf/lassa/index.html
http://www.who.int/mediacentre/factsheets/fs179/en/

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