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Archive Number 20080807.2422
Published Date 07-AUG-2008
Subject PRO/AH/EDR> Rabies, human, vampire bats - Venezuela: susp.
RABIES, HUMAN, VAMPIRE BATS - VENEZUELA: SUSPECTED
**************************************************
A ProMED-mail post
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Date: Wed 6 Aug 2008
Source: The New York Times [edited]
<http://www.nytimes.com/2008/08/07/world/americas/07venez.html?ref=world>


A mystery disease has killed dozens of Warao Indians in recent months 
in a remote area of northeastern Venezuela, according to indigenous 
leaders and researchers from the University of California at 
Berkeley, who informed health officials here of the outbreak on 
Wednesday [6 Aug 2008].

At least 38 people have died, including 16 since the start of June 
[2008], said Charles Briggs, an anthropologist at Berkeley, and Dr 
Clara Mantini-Briggs, a medical researcher there. They are a 
husband-and-wife team known for their research on a cholera outbreak 
that killed 500 people in Venezuela in the early 1990s.

Preliminary studies of the latest outbreak indicate that it may be a 
type of infectious rabies transmitted by bites from bats, the 
researchers said. The symptoms, which last 3 to 6 weeks, include 
partial paralysis, convulsions, and an extreme fear of water, they 
said, and those who die become rigid just before death. The disease 
is believed to be fatal in most cases.

"The authorities must investigate this outbreak with extreme 
urgency," said Dr Mantini-Briggs, a Venezuelan public health expert 
who has advised President Hugo Chavez's government on policies to 
combat dengue fever. "Fear about the disease has intensified among 
the Warao while a preventative response is needed now."

[Byline: Simon Romero]

--
Communicated by:
ProMED-mail
<promed@promedmail.org>

[The signs given here are compatible with rabies. It is possible that 
rabies virus is being transmitted there by vampire bats, most likely 
_Desmodus rotundus_. Attacks by these bats on humans are uncommon, 
but does occur (for an example of human rabies from bites by rabies 
virus infected vampire bats in eastern, lowland Peru recently, see 
ProMED-mail archive no. 20050120.0193). If these are rabies cases of 
vampire bat origin, it is curious that no rabies cases in horses or 
cattle are mentioned, since vampire bats prefer to feed on them if 
they are present, nor are bat bites on the patients mentioned, which 
would be obvious.

ProMED-mail would appreciate receiving additional information 
concerning this outbreak as it becomes available.

An image of _Desmodus rotundus_ can be accessed at
<http://animaldiversity.ummz.umich.edu/site/resources/mzm2/72.mr2.jpg/medium.jpg>

A map of Venezuela can be accessed at
<http://www.lib.utexas.edu/maps/americas/venezuela.gif>. - Mod.TY]


[see also:
2007
----
Rabies, human, vampire bats - Peru (02) 20070131.0395
Rabies, human, vampire bat - Peru 20070123.0299
2005
----
Rabies, human, vampire bats - Brazil (MA)(04) 20051110.3287
Rabies, human, vampire bats - Brazil (MA)(03) 20051102.3202
Rabies, human, vampire bats - Brazil (MA)(02) 20051027.3133
Rabies, human, vampire bats - Brazil (MA) 20051024.3100
Rabies, humans, vampire bats - Brazil (Para) 20050615.1684
Rabies, human, vampire bats - Peru (03): discussion 20050121.0212
Rabies, human, vampire bats - Peru (02): discussion 20050120.0193
Rabies, human, vampire bats - Peru 20050118.0170
2004
----
Rabies, humans, vampire bats - Brazil (Para) (05) 20040527.1428
Rabies, humans, vampire bats - Brazil (Para) (04) 20040522.1378
Rabies, humans, vampire bats - Brazil (Para) (03) 20040520.1349
Rabies, humans, vampire bats - Brazil (Para)(02) 20040417.1070
Rabies, humans, vampire bats - Brazil (Para) 20040403.0914
2002
----
Rabies, human, vampire bats - Panama 20020824.5134
1997
----
Rabies vaccine, vampire bats (02) 19970824.1764
Rabies vaccine, vampire bats: RFI 19970819.1745]
...................................mpp/ty/mj/mpp

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