# 1153
No, there is no indication that this could be avian flu. So far, authorities aren't saying what it is.
For now, all we know is that `pneumonia-like' illness has reportedly claimed 42 lives in a remote area of Panama, and most of them have been children.
A hat tip to Dutchy at Flutrackers for posting this article.
Mystery disease strikes remote area of Panama
Posted on Tue, Oct. 02, 2007
BY ERIC JACKSON
Special to The Miami Herald
PANAMA CITY, Panama --
Local officials are reporting that 42 people have died, almost all of them children, in an outbreak of a still unidentified disease in the remote Ñurum district of Panama's indigenous Ngobe-Bugle region.
The ailment begins with a runny nose, coughing and fever, and when it gets deadly the victims present symptoms that look like bronchial pneumonia, according to a statement by Panama's Health Ministry.
The Health Ministry and the semi-automomous Gorgas Memorial Laboratory say they don't know the cause of the illness.
`WE'RE STUDYING IT'
''We're studying it, and the Gorgas Lab is working on it, but to say anything now would be speculation,'' said a ministry official who asked for anonymity because he lacked authorization to comment on the case.
Federal government officials say they know of only 10 deaths, but some of their comments on the case have been contradictory.
LIMITED ACCESS
The information problem has been made worse by the difficulty in getting to Ñurum in central Veraguas province, where the dirt roads become impassable to most vehicles in this, the rainy season. The population in many cases lives a long walk from even those precarious roads.
Word of a problem first got out in mid-September when local officials contacted the Health Ministry and then, alarmed by what they considered a lackadaisical response, took their story to the news media.
On September 23 Gladys Guerrero, the ministry's director of epidemiology, denied to a reporter for the tabloid El Siglo that there was any viral or bacterial pathogen at work, attributing the problem to complications of rainy season colds that are common in the area, especially because of its poor sanitary conditions.
Guerrero also said that local claims at the time of 10 deaths since late August were exaggerated. Within five days, Ngobe officials were reporting 40 deaths and many more sick. The La Prensa newspaper has reported that more than 30 children from Ñurum are being treated in various hospitals around the country.
PRESS RELEASE
The country's disease control center, the Gorgas Memorial Institute, is working to identify the cause of the outbreak.
The Health Ministry said in a Sept. 29 press release that the problem appears to be ''a known acute viral respiratory situation like influenza,'' but on Monday a ministry spokesman said that no flu or other virus had yet been identified.
The U.S. government has offered help, but as of Tuesday Panama had not asked for international assistance.
The Ngobe-Bugle district, the youngest of Panama's semi-autonomous indigenous regions, comprises about 9 percent of the country's land mass and has its biggest concentration of poverty. Many of the inhabitants leave for part of the year to pick coffee or other crops.
FRACTIOUS AREA
The district, shared among its Ngobe majority and Bugle and other minorities, is politically fractious and its self-governing institutions are not as developed as in some other indigenous areas in Panama.
After news of the illness broke, President Martín Torrijos cut short a trip to the United States and flew into Ñurum with a team of some 60 healthcare workers.
Government officials fanned out to visit thousands of families and advise them to cooperate with health officials and that nobody evacuated to a city hospital would be left stranded -- a concern that had led some of the poor parents to refuse to let their children be taken to a hospital.
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