Jul 11, 2008 (CIDRAP News) – A Dutch woman who fell ill with Marburg hemorrhagic fever after visiting a bat-infested cave in Uganda has died, Dutch authorities announced today.Authorities said the 40-year-old woman, who was not identified, died overnight at Leiden University Medical Centre, according to reports from Reuters and Agence France-Presse (AFP). The woman’s illness was first announced yesterday.In a statement yesterday, the World Health Organization (WHO) said the woman was reportedly exposed to fruit bats during a visit to the “python cave” in the Maramagambo forest on Jun 19. The cave is thought to harbor bat species that have been found to carry Marburg virus and its close relative, Ebola virus, in other parts of Africa, the agency said.”A large bat population was seen in the cave and the woman is reported to have had direct contact with one bat,” the WHO said.The woman had visited another cave 3 days earlier, but no bats were seen there, the WHO said. She returned to the Netherlands in good health on Jun 28, but she became ill with a fever Jul 2 and was hospitalized Jul 5. She deteriorated rapidly and suffered liver failure and severe hemorrhaging Jul 7.WHO spokesman Gregory Hartl said people who had contact with the woman have been monitored and have not shown any symptoms, Reuters reported. The WHO statement said no attempts were made to alert passengers who were on the woman’s return flight from Uganda, because she didn’t get sick until 4 days after the flight.”The chance of the virus spreading through the Netherlands is very small,” the Dutch National Institute for Public Health and the Environment (RIVM) said in a statement yesterday. Marburg virus spreads through contact with bodily fluids of infected people or animals.Hartl said people don’t need to cancel trips to Uganda because of the case, but they should not enter caves with bats, according to Reuters.Uganda’s health ministry issued a statement advising people entering caves or mines in the western district of Kamwenge to take “maximum precaution not to get into close contact with the bats and non-human primates in the nearby forests,” Reuters reported.The story said the Kitaka mine in Kamwenge, about 155 miles from Kampala, the capital, was closed last August after three miners contracted Marburg and one died.There is no specific treatment or vaccine for Marburg fever, which is fatal in up to 90% of cases. In a major outbreak in Angola in 2004 and 2005, 227 of 252 confirmed cases were fatal.See also: Jul 10 WHO statementhttp://www.who.int/csr/don/2008_07_10/en/index.htmlJul 10 RIVM statementhttp://www.rivm.nl/en/Library/Common_and_Present/Newsmessages/2008/Dutch_tourist_infected_with_Marburg_virusJul 10 CIDRAP News story “Marburg fever case reported in Netherlands”
Toiling Royal Challengers Bangalore will be eagerly aiming for a win when they face Kolkata Knight Riders in a Indian Premier League (IPL) here on Monday. (Full IPL Coverage)RCB have only won two of their four matches to be at the seventh spot in the eight-team tournament’s points table.They have an imbalanced squad, heavily reliant on their batting. They will once again bank on skipper Virat Kohli, AB de Villiers, K.L. Rahul and Shane Watson to put up a huge total and hope their weaker bowling line-up will be able to defend it.West Indian big-hitter Chris Gayle has rejoined the squad after a paternity leave to add more muscle to the already formidable batting line-up.RCB suffered a 15-run loss to Sunrisers Hyderabad on Saturday and need to overhaul their performance soon to harbour any hopes of qualification for the last-four stage.They also need to sort out their bowling woes quickly as the inexperience in this department has been exposed badly by their opponents.KKR have fared far better so far, winning four of their seven matches to be third on the points table. They would move to the second spot with a win on Monday.But KKR also are coming into the contest on the back of a 27-run defeat by Delhi Daredevils in an away match, also on Saturday.Nothwithstanding the defeat, KKR approach the match with a better frame of mind as they have been one of the most balanced team of the tournament.advertisementKKR skipper Gautam Gambhir is leading from the front and is one of the top run-getters in the tournament so far, well supported by opening partner Robin Uthappa.The bowling line-up also has a settled look with West Indian off-spinner Sunil Narine spearheading the attack.Teams:Royal Challengers Bangalore: Virat Kohli (C), Varun Aaron, Abu Nechi, S Arvind, Samuel Badree, Stuart Binny, Yuzuvendra Chahal, AB De Villiers, Praveen Dubey, Chris Gayle, Travis head, Iqbal Abdulla, Kedar Jadhav, Akshay Karnewar, Sarfraz Khan, Vikramjeet Malik, Mandeep Singh, Adam Milne, Harshal Patel, Lokesh Rahul, Parveez Rasool, Kane Richardson, Sachin Baby, Mitchell Starc, Vikas Tokas, Shane Watson, David Wiese and Tabraiz Shamsi.Kolkata Knight Riders: Gautam Gambhir (captain), Piyush Chawla, Brad Hogg, Jason Holder, Sheldon Jackson, Kuldeep Yadav, Chris Lynn, Manan Sharma,Morne Morkel, Colin Munro, Sunil Narine, Manish Pandey, Yusuf Pathan, Ankit Rajpoot, Andre Russell, Rajagopal Sathish, Shakib Al Hasan, Jaydev Unadkat, Robin Uthappa, Suryakumar Yadav, Umesh Yadav.