Thema	Heroin mit Anthrax verseucht	6 Beträge
Rubrik	ABC-Gefahren
Autor	Chri8sti8an 8F., Wernau / Baden-Württemberg	604053
Datum	20.01.2010 13:06	6266 x gelesen
Auch eine interessante Variante... Heroin mit Anthrax verseucht. Dieser Beitrag gibt ausschließlich meine persönliche Meinung zum Thema wieder! Christian Fischer Wernau P. S.: Besucht uns doch mal auf unseren Internetseiten: www.feuerwehr-wernau.de Beitrag bewerten
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Autor	Mark8us 8W., Schwäbisch Gmünd / Baden - Württemberg	604058
Datum	20.01.2010 13:42	4143 x gelesen
Geschrieben von Christian Fischer Auch eine interessante Variante... Heroin mit Anthrax verseucht. Schon seit 17.12 bei promedMAIL (Scotland, siehe Pro-Med-Archivnummern ganz unten im Zitat), seit einer Woche auch in Deutschland bekannt, Vorfall trat wohl schon Anfang Dezember auf: Geschrieben von promedMAIL.org ANTHRAX - GERMANY: (NORTH RHINE-WESTPHALIA) FATAL, HEROIN USER ************************************************************** A ProMED-mail post <http://www.promedmail.org> ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org> Date: Thu 14 Jan 2010 Source: Eurosurveillance edition 2010; 15(2) [edited] <http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=19464> Preliminary case report of fatal anthrax in an injecting drug user in North-Rhine-Westphalia, Germany, December 2009 ---------------------------------------- [Rapid communications: D Radun et al] A fatal case of anthrax occurred in an injecting drug user in Germany, in December 2009. A potential link to similar cases in Scotland in the same time period is currently under investigation. The Robert Koch Institute, in collaboration with the Friedrich Loeffler Institute in Jena, the Federal Research Institute for Animal Health, and the respective local and regional health authorities in the Aachen district, North-Rhine-Westphalia, Germany, are currently investigating a fatal case of anthrax in a 42-year-old male injecting drug user. The individual was hospitalised on 6 Dec 2009, complaining of a swelling of his leg following drug injection into the popliteal fossa -- reportedly attempting to inject into a vein. He probably injected heroin, however, details are unknown. Following treatment with meropenem and surgical debridement of a subsequent necrotising fasciitis, the patient died with multiorgan failure on 13 Dec 2009. Anthrax had not been suspected clinically. Spore-forming bacteria from a wound swab specimen were identified, and on 18 Dec [2009], the diagnosis of anthrax was confirmed by PCR. The last case of human anthrax in Germany had been reported in 1994, at that time affecting a 66-year-old man (1). At this point in time, it is not clear whether there is a link between this case and the anthrax outbreak among injecting drug users in Scotland. As far as we know, the deceased had no travel history to Scotland. However, it can be assumed that other drug users in the same area in Germany, or perhaps elsewhere in the country, have been exposed. In case the hypothesis of a potential link to the Scottish cases proves true, it might well be that also other countries have been supplied with contaminated injectable drugs. We launched an epidemiological investigation and exchanged information with the colleagues in the United Kingdom and, in particular, Scotland to coordinate the approach. So far, the following measures have been taken: - we have distributed information to public health colleagues, medical care facilities, and low-threshold facilities in Germany to raise awareness of the event; - we are collecting information on the case and his contacts, and on the substances consumed; - we attempt further case finding; - we aim at a microbiological comparison of isolates to establish a potential epidemiological link with the Scottish cases. The success of the epidemiological investigation will rely on public health authorities' efforts, alertness amongst clinicians and medical microbiologists, but also on the degree to which drug users themselves can be reached. Therefore, it is of utmost importance to utilise existing communication channels to inform those who might be at risk. Reference --------- 1. Robert Koch Institute: Ein Fall von Milzbrand im Land Niedersachsen. [A case of anthrax in Lower Saxony]. Epid Bull. 1994; 1:10. German. -- Communicated by: ProMED-mail [It will be interesting to see if there are any links with the Scottish cases. One may expect, if there are, that it would be an identical or very similar genotype. I fear that we can now expect more sick German heroin users. Prior to the 2009 bovine case -- see below -- there was a bovine infected in August 2000. Prior to that there were a scattering of bovine and human cases in the early 1990s. - Mod.MHJ] [An administrative map of Germany is available at <http://www.aboutromania.com/maps178.html>. Aachen can be located on the HealthMap/ProMED-mail interactive map of Germany at <http://healthmap.org/r/012E>. - Sr.Tech.Ed.MJ] [see also: Anthrax - UK (06): (Scotland) 20100113.0149 Anthrax - UK (05): (Scotland) 20100111.0126 Anthrax - UK (04): (Scotland) 20100108.0096 Anthrax - UK (03): Scotland 20100107.0068 Anthrax - UK (02): (Scotland) 20100106.0054 Anthrax - UK: (Scotland) 20100101.0011 Gruß, MaWe Die große www.FEUERWEHR.de-Bug-Show! Wer findet den nervigsten / hässlichsten / ältesten Bug? Der Bug-Report! Beitrag bewerten
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Autor	Jose8f M8., Bad Urach / BaWü	604115
Datum	20.01.2010 18:49	3478 x gelesen
Geschrieben von Markus WeberSchon seit 17.12 bei promedMAIL (Scotland, siehe Pro-Med-Archivnummern ganz unten im Zitat), seit einer Woche auch in Deutschland bekannt, Vorfall trat wohl schon Anfang Dezember auf: Irgendwie kommt mir das Szenario bekannt vor... mit freundlichen Grüßen Jo(sef) Mäschle Beitrag bewerten
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Autor	Mark8us 8W., Schwäbisch Gmünd / Baden - Württemberg	604146
Datum	20.01.2010 21:34	3339 x gelesen
Geschrieben von Josef MäschleIrgendwie kommt mir das Szenario bekannt vor... Mhm, Verschwörungstheorien mag ich nicht. Da das Zeug ja nicht von der Stiftung Warentest getestet wird und auch die übliche Produkthaftung nicht greift sind die Hersteller dieser Substanzen recht erfinderisch, was die Beimengungen angeht. Bei Kokain ist nach CDC-Meldungen wohl ein Anteil von 3-6% Levamisol enthalten (USA). Zu wenig um als Streckmittel zu taugen, aber das Zeug wirkt wie Kokain ebenfalls aufs ZNS. Daher: weniger Kokain = mehr Gewinn. Levamisol dient übrigens zur Entwurmung von Fischen - bei Koksern erhöht es die Chance dem Schöpfer dank Herzstillstand schneller zu begegnen. Die Hersteller sind also durchaus nicht kleinlich, was Beimengungen in ihren Drogen angeht. Im Milzbrand-Fall vermutet promed infektiöses Knochenmehl. Wenn man sich anschaut, wo auf der Welt Heroin zusammengepanscht wird, und wo überall Milzbrand bei Tieren auftritt sicher keine ganz abwegige Vermutung. Gruß, Markus Die große www.FEUERWEHR.de-Bug-Show! Wer findet den nervigsten / hässlichsten / ältesten Bug? Der Bug-Report! Beitrag bewerten
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Autor	Mark8us 8W., Schwäbisch Gmünd / Baden - Württemberg	604800
Datum	23.01.2010 12:58	3249 x gelesen
Weiterer Fall in GB ANTHRAX - UNITED KINGDOM (08): (SCOTLAND) ***************************************** A ProMED-mail post http://www.promedmail.org ProMED-mail is a program of the International Society for Infectious Diseases http://www.isid.org Date: 22 Jan 2010 Source: BBC News [edited] http://news.bbc.co.uk/2/hi/uk_news/scotland/glasgow_and_west/8476088.stm Anthrax outbreak cases reach 15 ------------------------------- A further case of anthrax has been confirmed in a drug user in Scotland, bringing the total number of cases in this outbreak to 15. The new case of the potential killer was confirmed to have taken place in the National Health Service (NHS) Ayrshire and Arran area. So far, the number of anthrax related deaths stands at 7 with cases confirmed in 6 NHS boards. Investigations are continuing into whether contaminated heroin or a cutting agent may be responsible. Dr Colin Ramsay, consultant epidemiologist at Health Protection Scotland, said: "Heroin users all across Scotland need to be aware of the risk that their supply may be contaminated. They should seek medical advice urgently if they experience signs of infection such as redness and swelling of an infection site or high fever. I would urge all drug users to stop using heroin immediately and contact local drug services for support." In addition, any users who continue to inject heroin are strongly recommended not to re-use filters, but to use a fresh filter each time they inject. ------------------------------------------------------ Die Tipps von Dr. Ramsay werden wohl nicht auf fruchtbaren Boden fallen... Gruß, Markus Die große www.FEUERWEHR.de-Bug-Show! Wer findet den nervigsten / hässlichsten / ältesten Bug? Der Bug-Report! Beitrag bewerten
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Autor	Mark8us 8W., Schwäbisch Gmünd / Baden - Württemberg	605237
Datum	25.01.2010 20:39	3144 x gelesen
A ProMED-mail post <http://www.promedmail.org> ProMED-mail is a program of the International Society for Infectious Diseases <http://www.isid.org> [1] Date: Mon 25 Jan 2010 Source: Health Protection Scotland [edited] <http://www.hps.scot.nhs.uk/anthrax/index.aspx> Further cases confirmed ----------------------- Two further cases of anthrax, one of whom has died, have been confirmed in drug users in Scotland, bringing the total number of confirmed cases in this outbreak to 17. The number of deaths is now at 8. The 2 new cases occurred in the NHS Greater Glasgow and Clyde area. -- Communicated by: Louise Kelly Communications Officer Health Protection Scotland Clifton House Clifton Place Glasgow G3 7LN UK Gruß, Markus Die große www.FEUERWEHR.de-Bug-Show! Wer findet den nervigsten / hässlichsten / ältesten Bug? Der Bug-Report! Beitrag bewerten
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20.01.2010 13:06 Chri7sti7an 7F., Wernau   20.01.2010 13:42 Mark7us 7W., Schwäbisch Gmünd   20.01.2010 18:49 Jose7f M7., Bad Urach   20.01.2010 21:34 Mark7us 7W., Schwäbisch Gmünd   23.01.2010 12:58 Mark7us 7W., Schwäbisch Gmünd   25.01.2010 20:39 Mark7us 7W., Schwäbisch Gmünd

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