2019 Janamash Virus Outbreak

The 2019 outbreak of a hantavirus, later termed Janamash Hemorrhagic Fever, was one of the largest international epidemics of the 21st century, causing a large panic in Avalonia and Artemia. Less than 500 fatalities occured, the majority in SiWallqanqa, striking deep into the recovering nations morale.



Timeline
In December 2018, the Koryese construction firm '''JL. Hangu''' purchased several blocks of abandoned buildings in the town of Janamash, within the city limits of Lamara Jatha. Their intentions were the begin the construction of several office buildings, to accomadate expected foreign business ventures into Lamara Jatha.

In late February, JL. Hangu contracted a number of native labourers along with their own contractors to commence demolition of the abandoned blocks in Janamash. The buildings being a mixture of apartment buildings and small warehosues, that had been abandoned since 2015, at the beginning of the protests and civil war in SiWallqanqa. The buildings had been severely overgrown and had become home to several colonies of, a native leaf-nosed bat species that primarily fed on fruit and insects.

It is believed at this time, that the disturbance of the bat colony, and the exposure of the contractors to the collected fecal materials of the bats, led to a large initial infection group.

On the 12th of March, the index case, an apprentice plasma cutter "James Pasihuca" was brought to Lamara Jatha Royal Childrens Hospital, and died several days later. From his case it was discovered that a further 2,000 peoplein Janamash were infected on 17th March.

On the 16th March, Hung Jeong-Hyun, a bulldozer operator for JL. Hangu, returning to Koryeo for a family visit, became the index case in Koryeo.

On 17th March, So Hyo, a senior partner with JL. Hangu, became the index case in Tipeyn, arriving at a research hospital in the city of Ambrosia.

On 27th of March, the Biological Warfare Office of SiWallqanqa announced to the international medical community the details they had obtained regarding the disease, outlining it as a bat-borne Hantavirus, specifically a but had no reliable source of treatment at this time.

On 3rd of April, a Kironian nurse, who had been working with the Kironian Expeditionary Force - Humanitarian Aid Mission, returned to Kironia, falling into a coma aboard the plane as it came into land at Raumo International Airport. The plane was placed under an immediate quarantine and all on board were taken to observation at the Raumo Governor's Hospital. The nurse later entered renal failure and died, however of the other passengers who had contracted the virus, none died.

On the 29th of April, the Biological Warfare Office of SiWallqanqa released official international statistic along with an announcement stating that the epidemic appeared to have ceased. Their report listed the following figures:
 * SiWallqanqa - 438 dead - ~4,000 survivors
 * Koryeo - 4 dead - 46 survivors
 * Tiperyn - 17 dead - 22 survivors
 * Kironia - 1 dead - 6 survivors

Signs & Symptoms
Symptoms began appearing around 15-24 days after exposure. Initial symptoms were fever, headaches and muscle pain. With diarrhea, malaise, bleeding, low blood pressure and small purple or red spots forming on the skin. Advanced symptoms were in line with Viral Hemorrhagic Fever syndrome, with capillary leakage and circulatory problems. An advanced phase of occurs in severely affected patients, those who begin this phase come to a 90% fatality rate, death being caused by renal failure. Overall the virus has a 60% fatality rate.

Diagnosis
Diagnosis have proven difficult, with the closest approximation of diagnosis being to observe acut febrile flu-like ilness and eventual kidney failure. Analysis of antibodies produced has proven to be a moderately effective method.

Prevention
As yet no vaccine or preventative method has been determined, however anti-viral medication has shown signs of reducing infection.

SiWallqanqan Government Preventative Response
The SiWallqanqan government have begun a campaign of culling bat populations in Janamash and neighouring towns. In addition rodent control measures are being taken, as from bats to rodents is considered likely. The Biological Warfare Office of SiWallqanqa has dispatched epidemic control teams who are heading the investigation and prevention programs within SiWallqanqa, with several advisors having been sent to Kaya.