Outbreak and Current Disease Status Information

PRO/AH/EDR> Japanese encephalitis - Taiwan (03): (NT)

ProMED Mail Reports - 20 min 35 sec ago
Japanese Encephalitis -- China
A woman in New Taipei has been diagnosed with Japanese encephalitis, the 5th case of the mosquito-borne disease confirmed in Taiwan so far this year [2017], the Centers for Disease Control (CDC) said Thursday [22 Jun 2017].
The 56-year-old patient 1st sought medical attention at a local clinic on 11 Jun [2017], after she developed a fever and headache, and was hospitalized on 15 Jun [2017] with symptoms such as slurred speech and impaired movements, according to the CDC.
She tested

PRO/EDR> Cholera, diarrhea & dysentery update (60): Asia (Yemen)

ProMED Mail Reports - Sat, 06/24/2017 - 23:00
Diarrhea, Cholera, Dysentery -- Yemen
Seized by violence and teetering on the edge of famine, Yemen is grappling with another danger that threatens to outpace them both: cholera.
"We are now facing the worst cholera outbreak in the world," international health authorities said in a statement [Sat 24 Jun 2017]. Anthony Lake, executive director of UNICEF, and Margaret Chan, director-general of the WHO, say that "more than 1300 people have died -- one quarter of them children -- and the death toll is expected to rise."

PRO/AH/EDR> Toxic spider bite - Venezuela: (ZU) black widow spider

ProMED Mail Reports - Sat, 06/24/2017 - 17:34
Bite -- Venezuela
The introduction of invasive black widow spiders into Venezuela continues to claim lives. This species, which is not native to South America, has spread in the Andean and western regions of the country over the past few years.
In Zulia, one of the states with the highest incidence of bites of _Latrodectus mactans_, 7 cases have been recorded, including 2 deaths, between March and May [2017 presumably. - Mod.TG].
Although it is not known exactly how this species arrived in the country, it

PRO/EDR> Clostridium perfringens foodborne illness - USA (02): (CO)

ProMED Mail Reports - Sat, 06/24/2017 - 17:06
Foodborne Illness -- United States
Health officials say they're sure food from a specific vendor at the Rifle Rodeo in Garfield County, CO, caused an outbreak that sickened 40 percent of attendees, but they won't name the rodeo organizer or the food vendor, neither of whom obtained required permits and neither of whom will be fined. About 80 of the 200 rodeo attendees reported getting sick with gastrointestinal illnesses after attending the 5 Jun 2017 event, according to a [Wed 21 Jun 2017], update from the Garfield County

PRO/AH/EDR> Avian influenza (117): South Korea (TG) poultry, HPAI, spread, serotyping pending

ProMED Mail Reports - Sat, 06/24/2017 - 14:42
Avian Influenza -- South Korea
The government of Daegu City says a case of avian influenza (AI) detected [Wed 21 Jun 2017] has been confirmed as a highly pathogenic strain.
The infected chicken was being kept in a makeshift pen in Dong District before being tested by the Animal and Plant Quarantine Agency.
Daegu says it is strengthening quarantine measures to prevent the spread of bird flu, including a transport ban on poultry, more checkpoints, and strengthened disinfection services.
The city has culled 725 birds

PRO/AH/EDR> Avian influenza, human (59): China, H7N9

ProMED Mail Reports - Sat, 06/24/2017 - 10:15
Avian Influenza H7N9 -- China
According to the CDC of Panzhihua city, Panzhihua central hospital reported one suspected human H7N9 AIV case on [Fri 16 Jun 2017], after reconfirmation of provincial CDC lab on [Sun 18 Jun 2017], the patient was confirmed to be the 1st human H7N9 case in Panzhihua city. The 48-year-old male, surname Y, resident of Tianba village of Renhe town of Renhe district of Panzhihua city in Sichuan province, worked in the 1st agriculture market in Renhe district for live poultry trading and

PRO/EDR> Zika virus (14): Americas, Asia, research, observations

ProMED Mail Reports - Fri, 06/23/2017 - 21:38
Zika virus -- Worldwide/Unknown
Alex Gendernalik1, James Weger-Lucarelli1, Selene M. Garcia Luna1, Joseph R. Fauver, et al. American _Aedes vexans_ Mosquitoes are Competent Vectors of Zika Virus.
Starting in 2013-2014, the Americas have experienced a massive outbreak of Zika virus (ZIKV) which has now reached at least 49 countries. Although most cases have occurred in South America and the Caribbean, imported and autochthonous cases have occurred in the United States. _Aedes aegypti_ and _Aedes albopictus_

PRO/EDR> Mumps update (21): USA (OR,HI,CA) Europe (UK)

ProMED Mail Reports - Fri, 06/23/2017 - 19:38
Mumps -- United States
The [Oregon] Center for Human Development [CHD] announced [Mon 12 Jun 2017] there are 4 confirmed cases of mumps in Union County and 5 presumptive cases. The presumptive cases involve people who are displaying mumps symptoms but have not yet been confirmed by lab tests, according to Andi Walsh, community relations and emergency preparedness coordinator for the CHD.
People of all ages are contracting the disease. "It is not just a children's disease. It is affecting the entire community,"

PRO/AH/EDR> Chikungunya (20): Asia (Pakistan)

ProMED Mail Reports - Fri, 06/23/2017 - 19:27
Chikungunya -- Pakistan
At least 66 new cases of the Chikungunya viral fever have been detected in Karachi within a span of 6 days, with 22 of them being reported in District Malir, as per a report released by the Sindh Health Department on [Wed 21 Jun 2017].
According to the report, 66 more cases of the vector-borne ailment of Chikungunya surfaced from June 12 to 17 [2017] in Karachi, taking the patients toll to 3190 in the metropolitan this year [2017]. It said 22 cases were reported from Malir, 2 from District

PRO/AH/EDR> Tularemia - USA (06): (CO) wild rabbit

ProMED Mail Reports - Fri, 06/23/2017 - 19:11
Tularemia -- United States
A wild rabbit found in the northeast part of Colorado Springs has died of tularemia infection, also known as rabbit fever, according to El Paso County Public Health.
The rabbit was tested after someone recently found several dead rabbits near a property off Austin Bluffs Parkway and Stetson Hills Boulevard.
So far, there have not been reports of human tularemia infection.
Signs of infection in people include fever, chills, headache, muscle aches, chest pain, and coughing. Tularemia

PRO/AH/EDR> Avian influenza (116): South Africa, Finland, H5N8, H5, poultry, wild, OIE

ProMED Mail Reports - Fri, 06/23/2017 - 19:04
Avian Influenza H5N8 -- South Africa
Information received on [and dated] 22 Jun 2017 from Dr Bothle Michael Modisane, Chief Director, Department of Agriculture, Forestry and Fisheries, Animal Production and Health, Pretoria, South Africa
Report type: immediate notification
Date of start of the event: 19 Jun 2017
Date of confirmation of the event: 22 Jun 2017
Reason for notification: new strain of a listed disease in the country
Causal agent: Avian influenza virus
Serotype: H5N8
Nature of diagnosis: clinical,

PRO/AH/EDR> Haff disease - Brazil (03): clinical evidence

ProMED Mail Reports - Fri, 06/23/2017 - 18:39
Other Human Disease -- Brazil
We describe a series of 15 Haff disease cases from an outbreak in Salvador, Brazil, starting early December 2016. 11 cases were grouped in 4 family clusters of 2 to 4 individuals, 4 were isolated cases. All but one patient consumed cooked fish; 11 within 24 hours before symptoms onset. Cases consumed 'Olho de Boi' (_Seriola_ spp) and 'Badejo' (_Mycteroperca_ spp). A total of 67 cases were detected, the last case was reported on 5 Apr 2017.
We describe a case series of Haff disease causing

PRO/EDR> Diphtheria - Venezuela (02): (ZU)

ProMED Mail Reports - Fri, 06/23/2017 - 13:28
Diphtheria -- Venezuela
The right wing of the 8th floor of the University Hospital of Maracaibo (HUM) was closed and there are 17 cases of confirmed and suspected cases of diphtheria in Maracaibo. In hospital's area of outpatient consultation, 485 employees were vaccinated on [Tue 20 Jun 2017] and remain on alert for the implications and how fast the contagion has spread.
Although the majority of confirmed and suspected cases are on the 8th floor, patients are also said to be in floors 6 and 7 and they will be

PRO/EDR> Hand, foot, & mouth disease update (05): Thailand (SK)

ProMED Mail Reports - Fri, 06/23/2017 - 13:05
Hand, Foot and Mouth Disease -- Thailand
A municipality kindergarten in Sa Kaeo's Muang district has been closed after a 2-year-old boy died from [hand-foot-mouth disease].
The elder sister of the boy now feels sick and was sent to Siriraj Hospital in Bangkok.
Captain Apinan Songkramchai, a provincial commander, said that the Kilosong Tessaban kindergarten was ordered closed on [Tue 20 Jun 2017] and public health officials and staff are now cleaning the premises with disinfectants.
The boy lived in Aranyaprathet district and

PRO/AH/EDR> Foot & mouth disease - Uganda: (QM) bovine, suspected, vaccination RFI

ProMED Mail Reports - Thu, 06/22/2017 - 21:18
Foot and Mouth -- Uganda
The district veterinary officer for Kumi, Dr Michael Okwalinga, wants a thorough investigation of the vaccine supplied by government to vaccinate cattle on Tisai Island, Ongino sub-county in the district 2 months ago [April 2017].
This comes after the vaccinated animals tested positive for the deadly foot and mouth disease virus.
Dr Okwalinga said his visit to the island a week ago [week of 11-17 Jun 2017], confirmed that the vaccinated animals were the ones which had contracted the

PRO/EDR> Poliomyelitis update (13): Syria (DY, RA), global

ProMED Mail Reports - Thu, 06/22/2017 - 20:57
Polio -- Syria
Poliovirus Weekly Update
As of: 21-Jun-2017, World Health Organization
New wild poliovirus cases reported this week: 0
Total number of wild poliovirus cases in 2017: 6
Total number of wild poliovirus cases in 2016: 37
New cVDPV cases reported this week: 15
Total number of cVDPV cases in 2017: 21
Total number of cVDPV cases in 2016: 5
- In Syria, 15 new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) were reported in the past week [week of 11-17 Jun

PRO/EDR> Cholera, diarrhea & dysentery update (59): Africa, Oceania

ProMED Mail Reports - Thu, 06/22/2017 - 20:04
Cholera, Shigellosis -- Sudan
Deaths and infections with cholera are still ongoing in Khartoum state. The emergency room of El Ezba district in Khartoum North reported the death of 1 case on [Tue 20 Jun 2017], bringing the number of deaths since the beginning of the epidemic --3 weeks ago-- to 20 cases while the total number of infected has been 286. An activist in the emergency room pointed to the relapse of a number of cases that have earlier received treatment.
The activist spoke of continued efforts of the emergency

PRO/AH/EDR> Bornavirus - Austria: equine, clinical disease, shrew

ProMED Mail Reports - Thu, 06/22/2017 - 19:51
Chronic/Non-Infectious Disease -- Austria
"Borna disease, a lethal infection with Borna disease virus-1 (BoDV-1), was diagnosed in 4 horses from Upper Austria in 2015 and 2016. All cases occurred in winter (2 cases in February 2015 and 2 cases in December 2016), and the maximal distance of the affected stables was 17 km [approx. 10 mi]. To demonstrate whether the causative agent was also harbored by its reservoir host, the bicolored white-toothed shrew (_Crocidura leucodon_), 28 shrews from this geographic area were collected in 2015

PRO/AH/EDR> E. coli EHEC - UK: (England) O157

ProMED Mail Reports - Thu, 06/22/2017 - 19:37
E. coli -- United Kingdom
Parents have been warned to be alert for signs of a "very infectious" strain of _E. coli_ after a pupil was taken ill. A pupil from Thurnby Lodge Primary, in Leicester, contracted the O157 strain of the bug, which can cause kidney damage. The source of the infection, caught over the half-term holidays, is not known, the school said. The severity of the illness has not been disclosed, but pupils in the same class were sent letters by Public Heath England.
The letter said because the strain
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