Dear all,

The outbreak has reached catastrophic proportions with multiple fatalities and many new cases emerging. The illness has progressed to its most severe stages with complete tissue breakdown and systemic organ failure. As before, I am reporting statistics and case by case. The gathering and processing of data is taking up all my time at this point as city folks and independents are also reporting their symptoms to me. Please keep doing so. I will note them down in the hope that it will help those searching for a cure.

Lets start with the cases in Eleusis I have been following from the start.

Current Status: 19 Cases Total (+4 New Cases)
Symptom Progression by Case:
Case 1: Tingling in skin - RECOVERED
Case 2: Sore throat - Itching - Red blotches
Case 3: Tingling in skin - Itching - Sudden coughing - Coughing blood - Itching until bleeding - Chills - Heavy limbs - Skin sloughing off - Massive blood expulsion - Extreme weakness - Black, putrid gums and lips
Case 4: Tingling in skin - Sudden coughing - Burning pain in skin - Heavy limbs - Coughing blood - Black, putrid gums and lips - Skin sloughing off
Case 5: Tingling in skin - Muscle ache - Burning skin pain - Sudden coughing
Case 6: Itching - Sore throat
Case 7: Tingling in skin - Sore throat
Case 8: Tingling in skin - Sore throat - Itching
Case 9: Tingling in skin
Case 10: Tingling in skin - Sudden coughing
Case 11: Itching - Sore throat
Case 12: Tingling in skin - RECOVERED
Case 13: Itching - Sore throat - Burning skin pain - Red blotches - Chills - COLLAPSED - FLESH SLOUGHING - Extreme weakness - Chills - Massive blood expulsion
Case 14: Red blotches - Coughing blood
Case 15: Itching - Burning skin pain - Muscle ache - Burning skin pain (repeated) - Sudden coughing - Chills - Coughing blood
Case 16 (NEW): Sore throat
Case 17 (NEW): COLLAPSED - FLESH SLOUGHING - LIKELY FATAL
Case 18 (NEW): Tingling in skin - Itching - Sudden coughing - Coughing blood - Red blotches - Heavy limbs - Chills
Case 19 (NEW): Muscle ache

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Comparison to Previous Report
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Catastrophic Developments:
4 New Cases: Outbreak is NOT contained - new infections continue
2 Apparent Fatalities: Cases 13 and 17 have suffered complete systemic collapse with flesh sloughing from bone
Advanced Tissue Necrosis: Cases 3 and 4 now experiencing large-scale skin sloughing
Rapid Progression: Case 18 progressed through multiple stages very quickly

New Terminal Symptoms:
Complete flesh sloughing from bone
Massive, continuous blood expulsion
Systemic collapse and grotesque physical breakdown
Extreme weakness progressing to collapse

Critical Status Cases:
Cases 3, 4: Advanced necrosis with skin sloughing
Case 13: Collapsed with flesh separation - critical/terminal
Case 17: Collapsed with flesh separation - likely deceased
Case 18: Rapid progression to advanced stages

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Emergency Assessment
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EPIDEMIC STATUS: Critical - outbreak expanding with fatal outcomes
CONTAINMENT FAILED: New cases prove previous containment assessment was incorrect
MORTALITY CONFIRMED: At least 2 cases have progressed to apparent death with complete tissue breakdown
URGENT ACTION REQUIRED: Immediate evacuation and quarantine protocols needed. The illness has reached its most destructive phase with complete bodily breakdown in terminal cases.

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Recovery
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Thus far, I've only received word on the two recoveries. The only common factor was lots of rest. One was exposed to a lot of heat. We don't have enough to go on to conclude.

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Call to action
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It is time for all of us to work together. Many are already looking for a cure and some have reported to me.
I am going to suggest that we set up a task force for all of Sapience with devoted individuals working together to cure this malady that is taking us down.
Village and City leaders should discuss if such a task force can be supported.
We all know bits and pieces, but together we might beat this cursed illness.
I can contribute with research and numbers. I know several others are out actively searching for a cure.

Let's fight this!

- Cieon

Penned by my hand on the 23rd of Sarapin, in the year 979 AF.