Outbreak and Current Disease Status Information

PRO/EDR> Legionellosis - China: Hong Kong ex Macao, hotel, RFI

ProMED Mail Reports - 1 hour 36 min ago
Legionnaires' -- China
Casino resort the Parisian Macao ­ located in Macau's Cotai district ­ has been linked by the city's Health Bureau to 3 confirmed cases of Legionnaires' disease. Sands China Ltd ­ the owner and operator of the Parisian Macao ­ confirmed to GGRAsia it had been contacted by the Macau health authorities about the matter. The firm said in an emailed reply it was "fully cooperating" with the bureau's investigations. "As we currently have no other details, we are not in a position to comment

PRO/AH/EDR> Cytauxzoonosis, feline - USA: (OK)

ProMED Mail Reports - 2 hours 5 min ago
Other Animal Disease -- United States
A deadly assailant may be lurking in your backyard. Rural Norman residents mourn companion pets.
Ticks, and in particular the Lone Star tick, carry many diseases which can be hazardous to pets and humans. Few diseases are more deadly, however, than Bobcat fever, or _Cytauxzoon felis_, which infects cats and has a very high mortality rate.
"The Lone Star tick has been carrying this disease for a long time, and cats have been getting it for a long time," said Dr Laura Nafe, a veterinarian

Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia and Qatar

WHO Disease Outbreaks news - 3 hours 10 min ago
Between 18 March and 20 April 2017 the national IHR Focal Point of Saudi Arabia reported 13 additional cases of Middle East Respiratory Syndrome (MERS) including two fatal cases. On 18 April 2017 the national IHR Focal Point of Qatar reported one additional case of MERS.

PRO/AH/EDR> Hantavirus - Americas (29): Chile (LL) fatal

ProMED Mail Reports - Wed, 04/26/2017 - 20:51
Hantavirus -- Chile
A 29 year old woman died of [a] hantavirus [infection] in the Concepción Regional Hospital. The patient had been sent from Lebu, Arauco province, where she become infected since her residence is located near rural sectors of the area.
The Chief of the Patient Critical Care Unit of the hospital, Leontina Ferreira, explained that the multiorgan failure that the patient suffered was not manageable. The woman was connected to an ECMO [extra-corporeal oxygenation] machine, the latest technology

PRO/AH/EDR> Pythiosis - USA (OK): canine

ProMED Mail Reports - Wed, 04/26/2017 - 20:12
Other Animal Disease -- United States
Veterinarians say now is the time of year pet owners need to be vigilant, especially after a rare illness killed a dog earlier this week. The disease is called Pythiosis - it's a fungal disease the animal experts want you to be aware of.
If it's not their toy or treat, and if it's not their food or water, veterinarians say you'll want to pay attention to what's going in your dog's mouth.
Their latest example of Pythiosis is Samson; when the Oklahoma Alliance for Animals (OAA) took him

PRO/EDR> Undiagnosed disease - Liberia: (SI) fatal, RFI

ProMED Mail Reports - Wed, 04/26/2017 - 20:07
Undiagnosed -- Liberia
Thanks to Greg Folkers for emailing the link to this 25 Apr [2017] report from GNN Liberia: "9 Persons Die Mysteriously In Sinoe County" [see link in the URL above]. The full report and then a comment:
"Police in Sinoe County, southeastern Liberia, are investigation the mysterious death of 9 persons after a repass of one late Edwin Dunbar, former Proprietor of One Family Entertainment Center who died a few weeks ago in Greenville following a 2-night wake keeping.
"According to our

PRO/AH/EDR> Avian influenza (94): Europe (Sweden), HPAI H5N8, poultry

ProMED Mail Reports - Wed, 04/26/2017 - 19:11
Avian Influenza H5N8 -- Sweden
An outbreak of H5N8 bird flu has been detected at a hen farm near the town of Nykoping in eastern Sweden, the country's board of agriculture said on [Tue 25 Apr 2017].
The authorities have taken steps to contain the outbreak of the disease, imposing a 3 km [approx. 1.8 mi] safety perimeter and banning visits to the farm. All or parts of the hen population would be destroyed, the agriculture board said in a statement.
Sweden eased restrictions on bird farms earlier this month [April

PRO/AH/EDR> Hepatitis E - Australia: 1st postransfusion case, zoonotic

ProMED Mail Reports - Wed, 04/26/2017 - 16:59
Hepatitis E -- Australia
Donated blood from a man who ate pork in France has infected a 6-year-old boy with a form of hepatitis that is rare in Australia. It is the first confirmed case of the hepatitis E virus being transferred through blood donated in Australia. Hepatitis E, also known as HEV, has been known to cause cirrhosis, or permanent liver damage in liver transplant patients. Most people recover within 6 weeks, and many won't have any symptoms, but HEV can be severe for pregnant women and people with

PRO/EDR> Hepatitis E - Niger (02): (DF) fatalities, IDP

ProMED Mail Reports - Wed, 04/26/2017 - 15:34
Hepatitis E -- Niger
"Hepatitis E virus (HEV) infection is severe during pregnancy, with a pregnant case fatality rate around 30 percent. In Bangladesh, plasma samples from 1100 women during the 1st trimester (TM) and 3rd TM of pregnancy and 3 months postpartum (PP) were tested for anti-HEV IgG. During this time, 40 women developed antibody responses to HEV. These seroconverters are classified as the cases (incidence equal to 46 infections per 1000 person-years). All except 1 seroconversion occurred between the

PRO/AH/EDR> Yellow fever - Americas (41): PAHO/WHO

ProMED Mail Reports - Wed, 04/26/2017 - 15:32
Yellow Fever -- Worldwide/Unknown
Since epidemiological week (EW) 1 to EW 16 [week ending 30 Apr 2017] of 2017, Brazil, Colombia, Ecuador, Peru, the Plurinational State of Bolivia, and Suriname have reported suspected and confirmed yellow fever cases.
The following is an update on the situation in Brazil and Peru.
In Brazil, since the beginning of the outbreak in December 2016 up to [20 April 2017], there were 2900 cases of yellow fever reported (681 confirmed, 1451 discarded, and 768 suspected under investigation),

PRO/EDR> Measles Update (23)

ProMED Mail Reports - Wed, 04/26/2017 - 15:28
Measles -- United States
A 2nd case of measles was recently discovered in Michigan. Officials with the Wayne County Department of Health want residents to know of a possible measles exposure from 1 of those 2 cases.
[Patrons at a restaurant named in the URL above] may have been exposed to measles. Officials say the possible contamination was due to a customer with measles at the restaurant, not due to a food safety or sanitation-related issue. There is no further risk at this establishment - only for those who

PRO/EDR> Hepatitis - Iraq: (AN), RFI

ProMED Mail Reports - Wed, 04/26/2017 - 12:48
Hepatitis -- Iraq
A member of the local council of Al-Baghdadi sub-district in Al-Anbar governorate, Abdul-Jabbar Al-Obeidi, revealed on [Tue 25 Apr 2017] the spread of viral hepatitis in the sub-district and called on the Ministry of Health to intervene.
Al-Obeidi said in an interview with Alsumaria News that "viral hepatitis has spread among more than 20 people in Al-Baghdadi sub-district (90 km or 56 miles west of Ramadi)." He called on the Ministry of Health to "intervene and send medical teams to

PRO/AH/EDR> Kyasanur Forest disease - India (08): (GA)

ProMED Mail Reports - Wed, 04/26/2017 - 10:30
Kyasanur Forest Disease -- India
A 45-year-old woman from a remote area in Sattari taluka [sub district, North Goa district] of Goa died of monkey fever [Kyasanur Forest Disease (KFD)], state health officials said today [Tue 25 Apr 2017]. "[GG] who was being treated at Goa Medical College and Hospital (GMCH) died yesterday [Mon 24 Apr 2017]," a senior official attached to Directorate of Health Services told PTI today [Tue 25 Apr 2017].
The woman was admitted to GMCH 5 days ago with high fever, cough, breathlessness and

PRO/EDR> Herpes simplex type 1, genital - USA (03): (NYC) circumcision, editorial

ProMED Mail Reports - Wed, 04/26/2017 - 10:27
Herpes -- United States
13. Preuss J. Julius Preuss' Biblical and Talmudic Medicine. Rosner F, trans-ed. New York, NY: Ktav Publishers; 1971: 375.
14. Rosner F. Hemophilia in the Talmud and rabbinic writings. Ann Intern Med. 1969; 70(4): 833-7; abstract available at .
15. Semmelweis I, Carter K. The etiology, concept, and prophylaxis of childbed fever. In: Wisconsin Publications in the History of Science and Medicine No. 2. Madison, WI: University of Wisconsin Press; 1983: 263.
16. Katz J. Controversy over the

PRO/EDR> Malaria vaccine trial RTS,S - Ghana, Kenya, Malawi, WHO

ProMED Mail Reports - Tue, 04/25/2017 - 19:11
Malaria -- Ghana
The World Health Organization Regional Office for Africa (WHO/AFRO) announced today [Mon 24 Apr 2017] that Ghana, Kenya, and Malawi will take part in a WHO-coordinated pilot implementation program that will make the world's 1st malaria vaccine available in selected areas, beginning in 2018.
The injectable vaccine, RTS,S, was developed to protect young children from the most deadly form of malaria caused by Plasmodium falciparum. RTS,S will be assessed in the pilot program as a complementary

PRO/EDR> Cholera, diarrhea & dysentery update (16): Africa (Horn of Africa)

ProMED Mail Reports - Tue, 04/25/2017 - 17:38
Diarrhea, Cholera -- Ethiopia
An important outbreak of acute watery diarrhea is sweeping through Doolo zone, in Ethiopia's Somali region, exacerbated by one of the worst droughts in 30 years. In response, teams from Medecins Sans Frontieres (MSF) are working alongside Ethiopian health authorities to bring the outbreak under control, while warning that more external funding and resources are urgently needed to stop the disease from spreading further.
Officially declared on [7 Apr 2017], the outbreak has affected more

PRO/AH/EDR> Foot & mouth disease - Algeria (07): (TO) bov, st A, new strain, spread susp

ProMED Mail Reports - Tue, 04/25/2017 - 17:32
Foot and Mouth -- Algeria
A total of 3 suspected outbreaks of foot-and-mouth disease [FMD] were detected in the province of Tizi-Ouzou, yesterday [Sun 23 Apr 2017] by the veterinary inspection of the province's agricultural services. The outbreaks occurred in 3 private farms. The 1st farm is located in Nezla village, in the town of Timizart. "Veterinarians from the Tizi-Ouzou Veterinary Inspectorate and the Fréha Agricultural Subdivision have moved to Timizart where they have taken samples that have been transferred

PRO/EDR> Shigellosis - India: (TG) increasing fluoroquinolone resistance

ProMED Mail Reports - Tue, 04/25/2017 - 17:29
Shigellosis -- India
Researchers have found that the _Shigella_ bacterium that causes severe diarrhea and even deaths in children has developed resistance to the powerful drug, ciprofloxacin. Shigellosis strains have emerged and they are not responding to ciprofloxacin. City doctors say indiscriminate use of antimicrobials has led to the bacteria developing resistance to the powerful drug.
Dr Rajib Paul, critical care specialist, Apollo Hospitals, Jubilee Hills, said the incidence of drug-resistant bacteria is

PRO/AH/EDR> Undiagnosed die-off, fish - USA: (TN, KY) Asian carp, RFI

ProMED Mail Reports - Tue, 04/25/2017 - 15:27
Animal Die-off -- United States
Fishermen, recreational boaters, campers and all lake dwellers have been concerned this week as to an ongoing die-off of Asian carp along Kentucky Lake. Big numbers have been seen floating and washing up on shorelines.
While most have voiced concern as to the encroachment of this non-native species and view the die-off as somewhat of a mixed blessing, there is also concern as to just what's causing it.
So far, no game fish or other species have experienced problems. Fishery biologists

PRO/AH/EDR> Crimean-Congo hem. fever - Spain: (EX) detection in ticks

ProMED Mail Reports - Tue, 04/25/2017 - 15:12
Crimean-Congo Hemorrhagic Fever -- Spain
A study coordinated by the Ministry of Health has detected the presence of ticks infected by the virus that causes Crimean-Congo hemorrhagic fever [CCHF] in several areas of Madrid, Castilla-La Mancha, Extremadura, and Castilla y León. Despite the finding, they assert that the risk of human infection in Spain remains low.
"There is no cause for alarm; we cannot rule out any sporadic case of the disease but the risk is very low," said the General Director of Public Health of the Ministry,
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