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Shigellosis adds to COVID-19 in Guam
The Department of Public Health and Social Services in Guam is monitoring and investigating cases of Shigellosis.
From January 1 to June 16, 2020, a total of eight Shigellosis cases have been reported (with 100% confirmed). One household contains epidemiologically linked cases, where more than one member of the family has also gotten ill.
Shigellosis is an infectious disease caused by a group of bacteria called Shigella (shih-GEHL-uh). Most who are infected with Shigella develop diarrhea, fever, and stomach cramps starting one to two days after they are exposed to the bacteria, and usually resolve in five to seven days. Although rare, Shigellosis can develop into a serious infection with risk of seizures and even death.
Some people who are infected may have no symptoms at all, but may still pass the Shigella bacteria to others. Shigella spreads easily from one person to another, but can be stopped by frequent and careful handwashing with soap and taking other hygiene measures.
Infants and young children continue to be at high risk. The majority (63%) of the 2020 cases involve infants and young children (less than 5 years) who have been taken to the emergency room for treatment and many have been hospitalized.
The public is asked to be vigilant about hand-washing, hygiene, and sanitation, especially for people living in overcrowded housing situations, in housing where there is a lack of indoor plumbing, or where contact with fecal matter is possible. Prior studies in Guam have shown that Shigella infections are more common in economically disadvantaged households with poor sanitary conditions.
The community is the first line of defense to protect those in danger and stop this spread. Community members, regardless of their housing situation, need to make sure they have dedicated facilities for washing with soap and water in the bathroom/restroom, and facilities for cooking and washing dishes in the kitchen. (PR)
