The International Committee of the Red Cross investigated an outbreak of beri-beri in a prison in West Africa. Twenty-five prisoners out of a total of 1020 died over a period of 11 weeks — exceeding the crude mortality rate of 1/10 000/day, a threshold for serious concern. Two hundred and eleven prisoners had clinical signs of beri-beri. An immediate response to treatment with thiamine was seen and no further deaths occurred. The triad of a positive squatting test, oedema and a diet consisting exclusively of white rice should lead to the diagnosis of beri-beri. The disease is more common than generally assumed, also in Africa and especially in prisons.
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References
1.
Anonymous. Famine-affected, refugee, and displaced populations: recommendations for public health issues. Morbid Mortal Weekly Rep1992;41:31.
2.
BiseGConinxR. Epidemic typhus in a prison in Burundi. Trans R Soc Trop Med Hyg1997;91:133–4.
BaileyKVFerro-LuzziA. Use of body mass index of adults in assessing individual and community nutritional status. Bull World Health Organ1995;73:673–80.
5.
BerkowRFletcherAJ. The Merck Manual, 16th edn. Middlesex: Merck, 1992.
