got this report yesterday...
published date 18-may-2002
subject pro/edr> unidentified fever, british troops - afghanistan (04)
unidentified fever, british troops - afghanistan (04)
a promed-mail post
promed-mail is a program of the
international society for infectious diseases
"the epidemiological and viral results confirm nlv as the major cause..."
date: sat, 18 may 2002 20:16:53 +0100 (bst)
from: dr angus nicoll firstname.lastname@example.org
illness in military personnel in afghanistan - the uk situation as of at 3
pm saturday 18 may 2002
it has been reported by the uk ministry of defence that there has been an
outbreak of diarrhoeal, vomiting and febrile illness in a military field
hospital in a war zone in afghanistan see
some of the cases have been transferred to europe [& caused secondary
infections there -- see below. - mod.jw]
patients infected in afghanistan
the first patient arrived in a uk hospital on tue 14 may . he had been
moderately unwell and had had diarrhoea and vomiting, and reportedly also
meningism. on 17 may, 6 more patients transferred having had symptoms of
vomiting and diarrhoea. all were relatively well on arrival and have
remained so. another moderately to very unwell patient was transferred to
germany. no information is available on that case except that his condition
is improving. another 3 patients are awaiting repatriation to the uk, one of
these is reportedly moderately to severely unwell. patients have not gone to
two or 3 adults who had direct contact with the cases outside afghanistan
have developed the same symptoms of diarrhoea and vomiting: 2 men in the
airvac crew and one female contact in the uk.
faeces of 4 patients and one of the contacts have tested positive for
norwalk like virus (nlv) at the public health laboratory service central
public health laboratory (by rt-pcr and/or electron microscopy), [said] dr
david brown. further investigations are being undertaken. so far,
bacteriological investigations have all been negative but are difficult to
interpret in patients who have received antibiotics. however, despite
reasonable speculation in promed no shigella was detected.
normal infection control measures for a viral gastrointestinal outbreak are
being applied for those potentially and actually exposed in the uk staff.
contacts have been followed up and many are now outside the expected
incubation period for nlv. surveillance will continue.
the epidemiological and viral results confirm nlv as the major cause of the
gastrointestinal outbreak in uk military personnel in afghanistan, with some
transfer to the uk.
drs angus nicoll (director), dilys morgan & olof horstick
communicable disease surveillance centre, uk
drs david brown & rob george central public health laboratory
public health laboratory service, uk
from dr nicoll's home-email <email@example.com>
tel +44 7722 537394
[we are extremely grateful for this official confirmation, provided out of
office hours by dr nicoll & colleagues. - mod.jw]