Outbreak and Current Disease Status Information

PRO/AH/EDR> Avian influenza (54): Viet Nam (BL, QG) backyard, HPAI H5N1, H5N6, OIE

ProMED Mail Reports - Mon, 02/20/2017 - 21:20
Avian Influenza H5N6 -- Vietnam
Information received on [and dated] 19 Feb 2017 from Dr Dong Pham Van, director general, chief veterinary officer, Department of Animal Health, Ministry of Agriculture and Rural Development, Hanoi, Viet Nam
Report type: immediate notification
Date of start of the event: 14 Feb 2017
Date of confirmation of the event: 15 Feb 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: October 2016
Manifestation of disease: clinical disease

PRO/EDR> Influenza (06): North America, seasonal vaccine studies

ProMED Mail Reports - Mon, 02/20/2017 - 12:56
Influenza -- Worldwide/Unknown
1. Skowronski DM, Chambers C, Sabaiduc S, et al: Interim estimates of 2016/17 vaccine effectiveness against influenza A(H3N2), Canada, January 2017. Euro Surveill. 2017; 22(6): pii=30460; available at
2. Flannery B, Chung JR, Thaker SN, et al: Interim estimates of 2016-17 seasonal influenza vaccine effectiveness -- United States, February 2017. MMWR Morb Mortal Wkly Rep 2017; 66: 167-71; available at
3. Kissling E, Rondy M, I-MOVE/I-MOVE+ study team: Early 2016/17 vaccine effectiveness

PRO/AH/EDR> Hantavirus update - Americas (16): Chile (LR), Argentina (BA), USA PA)

ProMED Mail Reports - Mon, 02/20/2017 - 10:12
Hantavirus -- Chile
Authorities confirmed the 6th case of [a] hantavirus infection in the Los Ríos region this season , the same number of infections that occurred all of last year [2016].
The affected individuals is a 56 year old man, resident of the Los Lagos community, who showed suspicious [indications] of having contracted the virus [infection], according to results of the initial tests done by the laboratory of the Universidad Austral de Chile.
The Los Ríos Health SEREMI [local ministerial unit],

PRO/PL> Undiagnosed virus, cabbage - Ghana

ProMED Mail Reports - Mon, 02/20/2017 - 10:08
Undiagnosed -- Ghana
Cabbages have become a major cash crop for Ghanaian farmers. Recently, however, stunted, yellowing, wilting cabbages, their leaves curled, have become a devastating sight. 2 years ago [farmers] started reporting that a new disease was attacking their crops.
Ken Fening, University of Ghana, [says], "It seemed to be associated with massive infestations of aphids." Farmers were typically seeing the total loss of their crops and he realised that the devastation couldn't just be caused by

Seoul virus – United States of America and Canada

WHO Disease Outbreaks news - Mon, 02/20/2017 - 07:07
On 24 January 2017, the United States Centers for Disease Control and Prevention (CDC), through their Health Alert Network (HAN) publication, reported 8 cases of infection with Seoul virus in the states of Wisconsin (n=2) and Illinois (n=6). The first two cases were reported in early December 2016, when two home-based pet rat breeders in Wisconsin State developed an acute febrile illness, later confirmed as Seoul virus infection. Rats (Rattus norvegicus) at some facilities also tested positive for Seoul virus. Human infection with Seoul virus is not commonly found in the United States; this virus family also includes Sin Nombre virus, which is the most common hantavirus causing disease in the United States. This is the first known outbreak associated with pet rats in the United States.

Human infection with avian influenza A(H7N9) virus – China

WHO Disease Outbreaks news - Mon, 02/20/2017 - 05:08
Between 19 January and 14 February 2017, a total of 304 additional laboratory-confirmed cases of human infection have been reported to WHO from mainland China though the China National IHR focal point.

PRO/AH/EDR> Ebola update (08): news, research, vaccine

ProMED Mail Reports - Sun, 02/19/2017 - 20:01
Ebola -- Worldwide/Unknown
[2] Research
Date: 14 Feb 2017
Source: Nature Scientific Reports [edited]

[Citation. Rulli, M. C. et al. The nexus between forest fragmentation in Africa and Ebola virus disease outbreaks. Sci. Rep. 7, 41613. doi: 10.1038/srep41613 (2017) ]
There's a nexus between the index cases (the 1st people infected by Ebola virus) and deforestation, especially close to forest margins fragmented and disturbed. In these cases, human populations can be particularly exposed to ebolavirus infections

PRO/AH/EDR> MERS-CoV (13): Saudi Arabia (MK, RI)

ProMED Mail Reports - Sun, 02/19/2017 - 16:39
MERS -- Saudi Arabia
As of 14:00 [2:00 PM] today [Sun 19 Feb 2017], there have been a total of:
1556 laboratory-confirmed cases of MERS-CoV infection, including
648 deaths [reported case fatality rate 41.6 percent],
898 recoveries, and
10 currently active cases.
[As previously mentioned, the numbers of deaths, recoveries and currently active cases come from my spreadsheet tallies and differs from those listed on the Saudi MOH website. - Mod.MPP]
Since the last ProMED-mail update [Sat 11 Feb 2017], there

PRO/EDR> Gastroenteritis - Nigeria: (ZA), RFI

ProMED Mail Reports - Sun, 02/19/2017 - 15:22
Norovirus -- Nigeria
The Zamfara State Government has confirmed the death of 3 students at the Government Arabic Boarding Secondary School, Maradun, following the outbreak of a mysterious disease.
The state Commissioner for Education, Mukhtar Lugga, told the News Agency of Nigeria in Gusau on [Wed 15 Feb 2017] that 2 other students were admitted at the General Hospital, Maradun.
According to him, the disease manifested last [Mon 13 Feb 2017] and the state government had mobilized a team of medical experts to

PRO/EDR> Norovirus - Canada: (BC, AB, ON)

ProMED Mail Reports - Sun, 02/19/2017 - 15:15
Norovirus -- Canada
An outbreak of norovirus linked to B.C. [British Columbia] - harvested oysters is now under federal investigation.
The Public Health Agency of Canada (PHAC) says it has taken on a leadership role in the investigation, now that cases have been reported in Alberta and Ontario, as well as B.C.
As of [Tue 14 Feb 2017], the agency says it's aware of 221 reported cases of norovirus connected to B.C. oysters.
"We knew in November-December [2016] that there were cases popping up in B.C., but

PRO/AH/EDR> Leptospirosis - USA (02): (NYC) fatal, rats, comment

ProMED Mail Reports - Sun, 02/19/2017 - 14:37
Pests -- United States
After the discovery of 3 cases (of which one fatal) of rat-transmitted leptospirosis in the Bronx, New-York City, it is perhaps appropriate to remember that the infectious disease mimicking leptospirosis almost to perfection is hantavirus-induced "hemorrhagic fever with renal syndrome" (HFRS).
Both infections have surprisingly many similarities, despite their completely different etiology. Both are zoonoses with a worldwide distribution, both are spread uniquely (hantavirus) or mainly

PRO> Influenza (05): seasonal vaccine studies

ProMED Mail Reports - Sun, 02/19/2017 - 10:02
Influenza -- Worldwide/Unknown
Summary Abstract:
We measured early 2016/17 season influenza vaccine effectiveness (IVE) against influenza A(H3N2) in Europe using multicentre case control studies at primary care and hospital levels. IVE at primary care level was 44.1 percent, 46.9 percent and 23.4 percent among 0-14, 15-64 and 65 year-olds, and 25.7 percent in the influenza vaccination target group. At hospital level, IVE was 2.5 percent, 7.9 percent, and 2.4 percent among 65, 65-79, and 80 year-olds. As in previous

PRO/AH/EDR> Avian influenza, human (21): China (GZ) H7N9

ProMED Mail Reports - Sun, 02/19/2017 - 09:49
Avian Influenza H7N9 -- China
The public health authority reported a human H7N9 AIV [avian influenza virus] case in Danzhai county on 17 Feb 2017. The case was found among unknown pneumonia cases during enhanced pneumonia surveillance by the local public health sector, confirmed by the provincial CDC lab and diagnosed as a human H7N9 AIV case by a clinical expert team.
The 45-year-old patient, who lived in Danzhai county of Qiandongnan Miao and Dong autonomous prefecture, is now in hospital for treatment, and no close

PRO/AH/EDR> Methanol Poisoning - Viet Nam (LI)

ProMED Mail Reports - Sat, 02/18/2017 - 21:40
Poisoning -- Vietnam
Test results showed that methanol-tainted alcohol is the cause behind the mass food poisoning killing 7 people and hospitalizing 31 others in the northern mountainous province of Lai Chau earlier this week, the Vietnam Food Administration under the Ministry of Health said yesterday [Wed 15 Feb 2017].
As per the Ministry of Health's tests, the 3 samples of alcohol have the methanol concentration of 970 mg/l; 556 000 mg/l and 475 000 mg/l respectively. The methanol concentration in wine

PRO/AH/EDR> Equine herpesvirus - North America (11): Canada (ON), USA (LA) equine

ProMED Mail Reports - Sat, 02/18/2017 - 21:23
Equine Herpes Virus -- Canada
Because some infected horses show no clinical signs of disease, but still shed the virus, exposed or potentially exposed animals' temperatures should be monitored twice daily for 14 to 21 days and any abnormalities discussed with a veterinarian.
The Ontario Ministry of Agriculture, Food, and Rural Affairs (OMAFRA) has been notified of 2 confirmed cases of equine herpes myeloencephalopathy (EHM), a neurologic disease caused by equine herpesvirus-1 (EHV-1).
The horses from Durham Region

PRO/AH/EDR> Undiagnosed deaths, bovine, caprine - Bangladesh: (DH) RFI

ProMED Mail Reports - Sat, 02/18/2017 - 19:25
Undiagnosed -- Bangladesh
An unknown disease has killed at least 40 cattle in Kaliganj upazila [Gazipur District] last week [week of Feb 5 2017], creating panic among the farmers.
A total of 22 cows and 18 goats were killed by the disease at Pashuram village.
Panicked cattle farmers have started selling their cattle at low prices in the local markets.
Farmer [HI] said the affected cattle 1st starts trembling and then the stomach swells up. An affected cow dies within one and a half hours, while a goat dies

PRO/AH/EDR> Foot & mouth disease - Israel (03): (HD) bovine, st O, Palestinian Auth (GZ) RFI

ProMED Mail Reports - Sat, 02/18/2017 - 16:54
Foot and Mouth -- Israel
The Veterinary Services in the Ministry of Agriculture have diagnosed foot and mouth disease [FMD] in cattle in the dairy operation of Kibbutz Nir Yitzhak, near the border with the Gaza Strip. As part of the coordination agreed between Israel and the Palestinian Authority (PA), the Israei Ministry informed its Palestinian counterpart about the recorded event. Subsequently it became apparent that the disease had started its circulation within the Gaza strip several weeks earlier, affecting

PRO/AH/EDR> Yellow fever - Americas (23): Brazil, PAHO/WHO

ProMED Mail Reports - Sat, 02/18/2017 - 16:29
Yellow Fever -- Brazil
Since epidemiological week (EW) 1 to EW 5 of 2017, Brazil, Colombia, Peru, and the Plurinational State of Bolivia, have reported yellow fever cases. Colombia and Peru have reported probable cases, one and 3 respectively; the Plurinational State of Bolivia reported a case under investigation while Brazil has reported confirmed and suspected cases under investigation.
The following is a situation summary in Bolivia and Brazil.
The Bolivia Ministry of Health reported a yellow fever case

PRO/EDR> Hand, foot & mouth disease update (01): Southeast Asia, UK, USA, Domin. Rep. RFI

ProMED Mail Reports - Sat, 02/18/2017 - 13:52
Hand, Foot and Mouth Disease -- Cambodia
The Health Ministry's Communicable Disease Control (CDC) department has urged people to be cautious of the spread of hand, food and mouth disease (HFMD) and asked that infants or children displaying symptoms be brought to seek medical treatment immediately.
Ministry spokesperson and director of the CDC Ly Sovann said yesterday [12 Feb 2017] that hospitals have been seeing a rise in HFMD cases and appealed to all parents to be vigilant in identifying the symptoms so that children can be
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