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– links situation to water contaminationFuelled by the pathogenic Escherichia coli (popularly known as E. coli) bacterium, reportedly brought on by persistent unhygienic behaviour,Gump Worsley Jersey, health officials have been forced to intensify efforts to battle an outbreak of gastroenteritis in Region One, that has already claimed the lives of three children and reportedly left more than 250 infected.Gastroenteritis is a medical condition characterized by inflammation of the gastrointestinal tract that involves both the stomach and the small intestine resulting in some combination of diarrhoea,Martin Havlat Jersey, vomiting, and abdominal pain and cramping.The outbreak comes less than three years after one which occurred in Arakaka, also in Region One, which claimed the lives of seven adults. E. Coli was also identified in that outbreak, which reportedly started in the mining areas as in the current case.“These organisms are very aggressive and we really have to be on top of things. For the last two years we have had very strong surveillance mechanisms in place, as this early-year period is when we expect this to happen. In 2011 and 2012 we had pretty good control of diarrhoea,Neal Broten Jersey,” Chief Medical Officer,Glenn Hall Jersey, Dr Shamdeo Persaud explained.He was at the time sharing the spotlight with Minister of Health Dr Bheri Ramsaran at an emergency press conference at Ramphal House,Brian Bellows Jersey, Shiv Chanderpaul Drive, Georgetown, on Wednesday. The two were flanked by a number of technical officers and were at pains to emphasise that “we are on top of the situation.”The health officials were however not willing to offer false hope to the nation, as according to Dr Persaud, “even though we have noticed a decrease, we still need to be on guard, since especially the weaker population such as young children, the elderly and people with chronic diseases are now likely to be affected.”Minister Ramsaran revealed that over the past two weeks the Health Ministry has been attentively following the outbreak.  He anticipates that the situation should be brought under control within a week.Moreover, a team was dispatched to affected areas to undertake a 48-hour study and returned with certain preliminary impressions.“This caused us again to send in another stronger team last Thursday and that team returned yesterday (Tuesday),” Dr Ramsaran disclosed.  Headed by Dr Morris Edwards, the latter team was able to furnish the Ministry with crucial information to better tackle the outbreak.“This is predominantly happening in the Sebai area, but it is affecting other communities. The first shout led us to a certain logging operation on the Sebai River which operation apparently caused turbulence of the waterway which is the main supply of water to those communities,” Minister Ramsaran stated.He said that in recent days the number of patients infected has increased and this development prompted an intensified response. Residents of the affected communities were furnished with Oral Rehydration Salts (ORS) and taught how to use them.Considering the period under review,Troy Brouwer Jersey, Dr. Persaud informed that a total of 44 cases were reported from the Sebai Health post, 112 cases from Central Port Kaituma; and in the town, about 96 cases were reported.“There were two reported deaths during the sixth week and then subsequently one other child. We were able to ascertain that the first one, on which a post mortem was conducted, died from severe dehydration due to acute gastroenteritis. The second one also had diarrhoeal diseases and dehydration, but the third child was complicated, because the week before the child also had an episode of vivax malaria and then subsequently developed diarrhoea and vomiting. That child was also malnourished and they were trying to manage all of these complications together when the child died.”Dr Persaud revealed that samples were taken from all of the children and cultures are still being examined. Health teams had also taken samples from wells and river sources,Artem Anisimov Jersey, and all of the water samples were found to be unacceptable, even those taken from the solar-powered well at Sebai, the Chief Medical Officer informed.“The contamination was quite extensive…both faecal coliforms and E. Coli were present,Bryan Bickell Jersey, meaning there was contamination from human waste.”The general conditions in the affected communities were also assessed and together with the Environmental Unit from the Ministry of Health and the Regional Environmental Health Officer, they were able to determine the state of the disposal of garbage as being wholly unacceptable. Health officers reported that on several occasions,Aaron Ekblad Team North America Jersey, persons were observed dumping refuse into the river.
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