Report on the investigation of outbreak of meningitis associated with spinal anesthesia - 2005

1. Report
2. General circular

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An outbreak of food poisoning was reported from Dickoya in the Maskeliya MOH area in Nuwara Eliya district on 18th February 2007. Around 300 persons were treated at Dickoya District Hospital for an acute illness with symptoms of nausea, vomiting and diarrhoea with fifty patients receiving in-patient treatment.

A prompt outbreak investigation was carried out by the district health team comprising of the Regional Epidemiologist, Medical Officer of Health (Maskeliya) and the Public Health team. Lunch packets distributed to attendees during an annual religious ceremony held that day at Fordyce Estate were identified as the probable source of infection.

These lunch packets had been prepared early that morning (2 - 6 a.m.) by a group of estate employees in a make-shift kitchen in the factory premises and had been consumed in the afternoon between 3 and 4 p.m. by those who attended the ceremony. The lunch packets had contained samba rice, dried fish curry, fried potatoes, fried brinjals and a curry of beans and lentils. Source of water used for cooking had been from the main water line at the factory premises. The patients started presenting with symptoms within 1 - 2 hrs of consuming their lunch. Samples of lunch packets, water and clinical specimens have been sent to the Medical Research Institute (MRI) for investigation.

Chikungunya

1.Fact sheet

2.Situation report by date

• Issued dates : 04-11-2006 , 06-11-2006, 28.04.2008

3.Communique 2007

4.News Letter 2007

5.Special Investigation Form

6.Case definition

7.Report on Out break 2007