Outbreak and Current Disease Status Information

PRO/EDR> Hand, foot & mouth disease - USA (05): (IA)

ProMED Mail Reports - Sun, 07/17/2016 - 22:35
Hand, Foot and Mouth Disease -- United States
The Centers for Disease Control give tips for lessening the risks of sharing or contracting HFMD:
- Keep children home from school or daycare if they have symptoms.
- Wash hands often with soap and water, especially after changing diapers and using the toilet.
- Clean and disinfect commonly touched surfaces and soiled items, including toys.
- Avoid close contact such as kissing, hugging, or sharing eating utensils or cups with people with hand, foot and mouth disease.
- If a person has

PRO/AH/EDR> Tularemia - USA (07): (CO) wild rabbit

ProMED Mail Reports - Sun, 07/17/2016 - 14:19
Tularemia -- United States
Rabbit fever has again been confirmed in Pueblo County.
A rabbit that was collected from the Hatchet Ranch area in the southwestern part of the county has tested positive for tularemia.
"Pueblo residents are advised that tularemia-causing bacteria may be present in some of the mammals -- especially rabbits, rodents and hares, and on the ground where these animals may be active," said Vicki Carlton, program manager in the Environmental Health and Emergency Preparedness division at the

PRO/AH/EDR> Eastern equine encephalitis - USA (13): (FL) equine

ProMED Mail Reports - Sun, 07/17/2016 - 14:14
Eastern Equine Encephalitis -- United States
On [15 Jul 2016], a new eastern equine encephalitis (EEE) case was confirmed in Jackson County, Florida. The 8-year-old mustang mare had no known vaccine history and no recent travel history. Clinical signs began on [6 Jul 2016] and the horse was euthanized for humane reasons the following day.
This is the 1st confirmed EEE case in Jackson County and the 12th confirmed case in Florida for 2016.
The 11 other EEE cases were reported in Jefferson (2), Osceola (2), Palm Beach (1), Polk (4),

PRO/AH/EDR> Foot & mouth disease - Kazakhstan: (WK) bovine, susp, RFI

ProMED Mail Reports - Sun, 07/17/2016 - 14:13
Foot and Mouth -- Kazakhstan
The Akim (regional governor) of the Akzhaik district [West Kazakhstan region], Adil Zhulamanov, held a press conference addressing the development program for the region to 2020 and addressed questions raised by journalists.
The following question was raised by Clara Qambetova ("Kazakhstan - Ural" channel):
"In June this year [2016], there were outbreaks of an animal disease in the Akzhaik district. Is there any problem in terms of research results and the prevalence of the disease? What

PRO/EDR> Undiagnosed gastroenteritis - USA: (OH) resort, RFI

ProMED Mail Reports - Sun, 07/17/2016 - 14:01
Gastroenteritis -- United States
The Pike County Health District says "a suspected outbreak" of an unknown illness is affecting people who visited Long's Retreat Family Resort since 1 Jul 2016. As a result, the health district is asking people who visited the resort near Latham in July 2016 to contact its offices for an interview, even if they did not experience illness. In a news release, the district said some people reported nausea, vomiting, diarrhea and fever, but that "the origin of these symptoms is unclear, and

PRO/EDR> Yaws, maternal/neonatal tetanus - India: elimination

ProMED Mail Reports - Sun, 07/17/2016 - 14:00
Tetanus -- India
First it was the elimination of polio, a monumental achievement in the once ravaged India, now the WHO presented certificates declaring elimination of yaws and maternal and neonatal tetanus to the Health and Family Welfare Minister, Mr J P Nadda.
"India's focused approach on making maternal and newborn care accessible to all and addressing health care equity more generally has made these remarkable successes possible. These victories are not only India's but all of humanity's as the country

PRO/AH/EDR> Leishmaniasis, cutaneous - Pakistan (05): (TA)

ProMED Mail Reports - Sun, 07/17/2016 - 09:54
Leishmaniasis -- Pakistan
The outbreak of cutaneous leishmaniasis, a rising epidemic in Safi tehsil of Mohmand Agency [Federally Administered Tribal Areas, FATA] has raised alarms as 193 cases of the disease have been registered recently. Agency Surgeon Dr Raza Ullah feared the disease might break into other parts of the Agency.
Talking to Daily Times, he said the drive of vaccination to control leishmaniasis has been launched on emergency basis in the Safi tehsil. However, health authorities in other tehsils of the

PRO/AH/EDR> Ebola update (49): Sierra Leone, research, history

ProMED Mail Reports - Sun, 07/17/2016 - 09:42
Ebola -- Sierra Leone
12 Jul 2016 Sierra Leone: Ebola lives on in survivors' eyeballs and testicles
[For the video of the presentation:
Eugene T. Richardson, Stanford University, Partners in Health presentation (22-25 Feb 2016). "Unreported cases and asymptomatic infection in an Ebola 'hotspot'." .
New research suggests that 10s of 1000s of survivors could have come into close contact with patients with Ebola virus disease (EVD), not been aware of the exposure, and still be carriers in other areas of the

PRO/EDR> Botulism - USA (09): (NM) wound, drug-related

ProMED Mail Reports - Sat, 07/16/2016 - 22:38
Botulism -- United States
A 33-year-old woman in Rio Arriba County [New Mexico] has contracted wound botulism, the New Mexico Department of Health reported Wednesday afternoon [13 Jul 2016]. The Health Department opened an investigation into the case. In a statement, the department said the woman is a heroin user and they believe the infection source to be a soiled skin injection site, a contaminated needle or contaminated heroin. The woman is hospitalized, the statement said.
"We are asking healthcare providers to

PRO> Japanese encephalitis: Philippines (DR), Viet Nam, India (KL,BR)

ProMED Mail Reports - Sat, 07/16/2016 - 22:32
Japanese Encephalitis -- Philippines
The City Health Office [CHO] has confirmed a case of Japanese encephalitis in Davao [city, Davao del Sur province] and warned the public of the viral disease transmitted by mosquitoes which can cause neurologic defects.
Dr. Josephine Villafuerte of CHO here confirmed that a 52-year-old man from Bacaca was diagnosed with Japanese encephalitis, a mosquito-borne flavivirus related to dengue, yellow fever and West Nile viruses. He was discharged from the hospital last week.
The patient now

PRO/AH/EDR> BSE - Japan: control measures alleviation

ProMED Mail Reports - Sat, 07/16/2016 - 22:23
BSE -- Japan
Mandatory testing of all cattle aged over 48 months for bovine spongiform encephalopathy [BSE] will cease next year [2017], officials said Tuesday [12 Jul 2016].
The Cabinet Office's Food Safety Commission on Tuesday received a report from a team of experts that says there would be negligible impact on public health if BSE testing were to cease.
The commission will express a similar opinion to the health ministry as early as August [2016]. The ministry will then aim to scrap ordinances

PRO/AH/EDR> Koi herpesvirus disease - UK: (England)

ProMED Mail Reports - Sat, 07/16/2016 - 22:16
Other Animal Disease -- United Kingdom
The outbreak of koi herpesvirus (KHV) disease was confirmed at Brockamin Fisheries, Leigh, Hereford and Worcestershire [England].
The site is now subject to statutory controls to prevent or limit the spread of the disease. The Fish Health Inspectorate (FHI) at Cefas, acting on behalf of Defra, has issued a confirmed designation prohibiting the movement of fish to, from and within the fishery complex.
Fishery equipment disinfection and movement control measures are in place and anglers

PRO/EDR> Tuberculosis - India (03): (SK) intro. of GeneXpert system, high MDR rates

ProMED Mail Reports - Sat, 07/16/2016 - 21:04
Tuberculosis -- India
Sikkim has emerged as the next big concern on India's already riddled tuberculosis [TB] map with 11 percent of the new tuberculosis cases in the state found to be multi-drug-resistant (MDR), a figure almost on par with the country's TB capital, Mumbai. In the rest of India, multi-drug resistance in new TB cases is pegged at around 2 percent.
The Sikkim government held a meeting with various health agencies last week and is drawing up a plan to tackle the concern. "Recently, we held a

PRO/EDR> Undiagnosed illness - India: (TN) fatal, febrile illness, schoolchildren, RFI

ProMED Mail Reports - Sat, 07/16/2016 - 18:21
Fever -- India
A Class 6 student of Sainik School at Amaravathi Nagar at Udumalpet in Tirupur district [Tamil Nadu state], who had been suffering from severe fever since Thursday night [14 Jul 2016], died on the school campus on Friday morning [15 Jul 2016]. Some 24 other students of the school were admitted to the government hospital at Udumalpet as they were also suffering from fever.
The parents of the students staged a road roko at Udumalpet on Friday evening and traffic was affected for more than one

PRO/AH/EDR> Toxic algae - USA (05): (CA) alert

ProMED Mail Reports - Sat, 07/16/2016 - 16:04
Algae -- United States
A large algal bloom has developed in Pyramid Lake, located in Los Angeles County [California], and the public is advised to avoid body contact with the water and take precautions during recreation at the lake.
Activities near the water such as picnicking and hiking are safe.
Because these blooms can form and die off fairly rapidly, DWR [Department of Water Resources] has increased its monitoring of the water quality in Pyramid Lake throughout the summer recreation season and will update

PRO/AH/EDR> Yellow fever - Africa (82): WHO, Congo DR

ProMED Mail Reports - Sat, 07/16/2016 - 16:02
Yellow Fever -- DR Congo
Angola: 3625 suspected cases
In Angola, as of 8 Jul 2016 a total of 3625 suspected cases have been reported, of which 876 are confirmed. The total number of reported deaths is 357, of which 117 were reported among confirmed cases. Suspected cases have been reported in all 18 provinces and confirmed cases have been reported in 16 of 18 provinces and 80 of 125 reporting districts.
Mass reactive vaccination campaigns 1st began in Luanda and have now expanded to cover most of the other

PRO/EDR> Gonococcal disease - USA (03): increasing azithromycin resistance, 2014

ProMED Mail Reports - Sat, 07/16/2016 - 13:41
Gonorrhea -- United States
Amid increasing gonorrhea infections, CDC researchers found its resistance to azithromycin -- the primary drug used to treat it -- has quadrupled in the last year.
Having beaten each antibiotic used against it over the last several decades, gonorrhea is now showing resistance to the primary drug currently used against it, according to a new report. Although azithromycin is effective against gonorrhea, the U.S. Centers for Disease Control and Prevention reports the resistance to the drug has

PRO/AH/EDR> Lumpy skin disease - Europe (16): Serbia, bovine, OIE, spread

ProMED Mail Reports - Sat, 07/16/2016 - 12:20
Lumpy Skin Disease -- Serbia
Information received on [and dated] 15 Jul 2016 from Dr Budimir Plavšić, Head, Animal Health Department Veterinary Directorate, Ministry of Agriculture and Environmental Protection, Belgrade, Serbia
Report type: Follow-up report No. 5
Date of start of the event: 4 Jun 2016
Date of confirmation of the event: 7 Jun 2016
Date submitted to OIE: 15 Jul 2016
Reason for notification: 1st occurrence of a listed disease in the country
Causal agent: Lumpy skin disease virus
Nature of

PRO/AH/EDR> Toxic algae - USA (04): (CA) blue-green algae, alert

ProMED Mail Reports - Sat, 07/16/2016 - 11:39
Algae -- United States
Visitors to Lake Shasta [California] should take care if they go to the Pit River arm, where blue-green algae has bloomed and could sicken visitors, according to the Central Valley Regional Water Quality Control Board.
The algae, also known as cyanobacteria, produce toxins that can sicken people and animals with flu-like symptoms, according to a press release the board issued Thursday [14 Jul 2016].
However, the state is still testing the water to see if the toxins are present.

PRO/EDR> Influenza (29): South America activity levels

ProMED Mail Reports - Sat, 07/16/2016 - 10:50
Influenza -- Worldwide/Unknown
The latest global flu report from the World Health Organization (WHO) suggests flu has peaked in Brazil, but flu cases are steadily rising in parts of Latin America and in southern Africa.
The 2009 H1N1 virus and respiratory syncytial virus (RSV) are the main viruses detected in tropical South America, with Colombia and Bolivia reporting increased cases. Influenza detection has seemed to peak in Brazil, and flu activity and hospitalizations have decreased in both Peru and Ecuador.
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