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Dengue Fever Outbreak Response - Bolivia

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Abbott Responds to Bolivia’s Urgent Need for Antibiotics

Respiratory infections follow heavy rains and are opportunistic for dengue fever patients

 

The heavy rain that has exacerbated Bolivia’s dengue fever outbreak has also triggered flare-ups in infections requiring antibiotics, such as Coqueluchoide Syndrome, a respiratory illness similar to whooping cough that can be easily treated with antibiotics.

Through the generous support of global health care company Abbott, Rio Beni Health Project, Direct Relief's local partner, has been able to distribute antibiotics valued at more than $56,000 to aid in the emergency response.  Abbott's support will help provide treatment for 3,000 cases of Coqueluchoide Syndrome. The incidence of this bacterial infection increases especially when hot, sunny days follow days of heavy rain, which is characteristic of areas along the Beni River in the upper Amazon region.  For many Bolivians in the Beni region without access to medicines, donations like Abbott’s make the difference of whether they’ll get the treatment they need. 
 
Abbott has been a valued partner of Direct Relief since 1996. Together, we have provided ongoing and emergency assistance to important Direct Relief partners around the world. In Bolivia, we support Centro Medico Vivir Con Diabetes, an organization that provides diabetes prevention, screening, and care.  In Afghanistan, we have supported the Afghan Institute of Learning that provides health and education services for women and children.  In Cambodia, our joint effort has provided critical, comprehensive nutritional support at the Angkor Hospital for Children.  In addition to providing product donations that build healthcare providers’ capacity to address specific needs, Abbott is also helping Direct Relief and its partners build human capacity through healthcare provider training and public health education.


Direct Relief Responding to Dengue Fever Outbreak in Bolivia

Critically needed analgesics, medicines airlifted by FedEx

Direct Relief has sent emergency medical aid to Bolivia, where an “unprecedented” dengue fever epidemic has struck almost 34,000 people. Chief among the products included in the emergency consignment is the analgesic Tylenol, a critically needed medicine in response to dengue fever. McNeil Consumer Healthcare is supporting the emergency response with this donation, which will treat 11,500 fever episodes. Abbott Labs and Baxter have generously donated antibiotics to treat infections that often increase during flooding. FedEx makes this emergency airlift possible through a generous in-kind donation.

Mosquitoes transmit dengue fever to people. A mild case often presents as a bad flu, with a headache, muscle aches and a rash accompanying a fever lasting up to seven days. In severe cases, these symptoms are so pronounced that the condition is nicknamed “break-bone fever.” With no cure for dengue fever, the main treatment is to reduce pain and fever with analgesics.

About 1 percent of cases progress to dengue hemorrhagic fever, which includes internal bleeding. For this reason, acetaminophen-based analgesics such as Tylenol are indicated over aspirin or non-steroidal anti-inflammatories, which can exacerbate bleeding.

A state of emergency has been declared in four departments in Bolivia, including Beni, where Direct Relief’s partner Rio Beni Health Project, is located. At its main clinic in Rurrenabaque, Rio Beni, is seeing dengue fever patients “in droves.” Providing health care to 60 remote villages along three rivers in the upper Amazon basin, Rio Beni staff travels by boat and diesel truck to cover 2,000 square miles of territory, and has been working in the region since 1998.

Christopher Brady, the project’s director, contracted dengue fever himself during his February visit to Bolivia and has recovered, thanks to rest and rehydration. “Because dengue is carried by a daytime mosquito, it’s impossible to avoid it,” he says. Towns are spraying insecticide and eliminating sources of standing water that are breeding grounds for the mosquitoes, but the problem is widespread. The mayor of Beni province has asked the Rio Beni Health Project to respond to the emergency, in conjunction with the Ministry of Health.

Heavy rains have caused the Beni River to overflow its banks. Direct Relief is including in this shipment antibiotics donated by Abbott (valued at more than $56,000 wholesale) and Baxter Healthcare to treat respiratory infections, which increase during heavy rains.

Quick Facts

Incident: Dengue fever outbreak beginning in January 2009

Human Cost: 33,735 cases identified; 19 deaths from hemorrhagic fever reported.

Direct Relief Response: Airlift of more than $76,000 (wholesale) worth of specifically requested medicines including analgesics to fight fever and provide pain relief, as well as antibiotics to treat respiratory diseases that increase during flooding.

More Information: ReliefWeb 

Efficiency & Leverage 2009