Outbreak and Current Disease Status Information

PRO/AH/EDR> Antibiotic resistance (04): Canada, Fosfomycin, fosA7 gene, Salmonella, chickens

ProMED Mail Reports - Thu, 05/25/2017 - 17:44
Salmonella -- Canada
"We previously described _Salmonella_ Heidelberg harbouring a chromosomal gene cluster similar to the glutathione S-transferase gene, a putative fosA conferring resistance to fosfomycin. Here we show that this new gene named fosA7 confers resistance to fosfomycin. Introduction of fosA7 into fosfomycin susceptible _Salmonella_ Enteritidis resulted in a substantial increase in the fosfomycin MIC. This finding increases awareness of antibiotic resistance in _Salmonella_ Heidelberg from broiler

PRO/AH/EDR> Seal finger - Canada: (BC)

ProMED Mail Reports - Thu, 05/25/2017 - 17:06
Other Human Disease -- Canada
A recent case of seal finger which was misdiagnosed and hence mistreated at the patient's 1st presentation is described. The patient was eventually referred to a hand specialist and after the correct treatment with tetracycline, responded well without any long-term sequelae. Seal finger is an occupational injury that occurs to those who work directly or indirectly with seals. The disease entity has been described in both Scandinavian and Canadian literature. The causative microorganism was

PRO/EDR> Cholera, diarrhea & dysentery update (37): Africa

ProMED Mail Reports - Thu, 05/25/2017 - 16:32
Cholera -- Kenya
However, these official statements are widely contradicted by reports reaching Radio Dabanga from the areas affected by the disease, which repeated tests according to WHO standards show to be cholera. There have been calls to declare a State of Emergency. The Governor of the White Nile, Abdelhameed Kasha, says 53 people have died in the state. In a statement to the Council of States in Khartoum on [Tue 23 May 2017], Kasha said 2755 people and 129 villages have been infected in the 'watery

PRO/AH/EDR> Contagious ecthyma, human - UK: (Wales)

ProMED Mail Reports - Thu, 05/25/2017 - 14:45
Other Human Disease -- United Kingdom
Orf is a viral skin disease that can be spread to humans by handling infected sheep and goats. In humans, the 1st sign of orf is a small, red, itchy or painful lump (lesion) that usually appears on the fingers, hands, forearms or face after an incubation period of 3 to 5 days. In some cases there may be more than one lesion.
The lesion will usually be firm, red or blue in colour and 2-5cm in diameter. As the condition progresses over a 3- to 6-week period, a pustule or blister that weeps

PRO/AH/EDR> E. coli EHEC - Germany: O157, sorbitol-fermenting, packaged minced meat

ProMED Mail Reports - Thu, 05/25/2017 - 14:40
E. coli -- Germany
We report an ongoing, protracted and geographically dispersed outbreak of hemolytic uremic syndrome (HUS) and gastroenteritis in Germany, involving 30 cases since December 2016. The outbreak was caused by the sorbitol-fermenting immotile variant of Shiga toxin-producing (EHEC) _E. coli_ O157. Molecular typing revealed close relatedness between isolates from 14 cases. One HUS patient died. Results of a case-control study suggest packaged minced meat as the most likely food vehicle. Food safety

PRO/EDR> Rocky Mountain spotted fever - Mexico: (BC) fatalities

ProMED Mail Reports - Thu, 05/25/2017 - 13:20
Rocky Mountain Spotted Fever -- Mexico
The Baja California State Health Secretariat has confirmed 3 new deaths from rickettsiosis. They are a girl of 1 year and 4 months, resident of Nuevo León in Mexicali, a young girl of 16, and a man of 59, both originating from Ensenada. Guillermo Trejo Dozal, head of the unit, also reported the case of another 55-year-old man living in Nuevo León, who remains at the General Hospital of Mexicali, where he is stable. With these, there are now 6 deaths due to rickettsiosis and 12 confirmed

PRO/AH/EDR> Foot & mouth disease - China (03): (XJ) st A, bovine, OIE

ProMED Mail Reports - Thu, 05/25/2017 - 13:19
Foot and Mouth -- China
Information received on [and dated] 24 May 2017 from Dr Zhang Zhongqui, Director General, China Animal Disease Control Centre, Veterinary Bureau, Ministry of Agriculture, Beijing, China (People's Rep. of)
Report type: immediate notification
Date of start of the event: 24 Apr 2017
Date of confirmation of the event: 4 May 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 12 Dec 2013
Manifestation of disease: clinical disease
Causal agent:

PRO/EDR> Cholera, diarrhea & dysentery update (36): Czech Republic ex Tanzania

ProMED Mail Reports - Thu, 05/25/2017 - 12:21
Cholera -- Czech Republic
57. Luquero FJ, Grout L, Ciglenecki I, et al. Use of _Vibrio cholerae_ vaccine in an outbreak in Guinea. N Engl J Med 2014; 370(22): 2111-20; .
58. Sévère K, Rouzier V, Anglade SB, et al. Effectiveness of oral cholera vaccine in Haiti: 37-month follow-up. Am J Trop Med Hyg 2016; 94(5): 1136-42; .
59. Bhattacharya SK, Sur D, Ali M, et al. 5 year efficacy of a bivalent killed whole-cell oral cholera vaccine in Kolkata, India: a cluster-randomised, double-blind, placebo-controlled trial.

PRO/EDR> Botulism - USA (10): (CA) nacho cheese, type A toxin, unrelated 2nd death

ProMED Mail Reports - Thu, 05/25/2017 - 10:04
Botulism -- United States
The country's foremost researchers on botulism in dairy products are calling the recent [botulism] outbreak at a gas station in Walnut Grove a "perfect storm" of circumstances that left one dead and 9 sickened.
"Botulism in cheese products, including processed cheese, is extremely rare," said Eric Johnson, professor in the department of bacteriology at the Botulinum Toxins Laboratory at the University of Wisconsin. "Outbreaks of botulism in commercially processed cheese during the past 50

PRO/EDR> Poliomyelitis update (07): Mozambique, Congo DR, VDPV, RFI

ProMED Mail Reports - Thu, 05/25/2017 - 10:00
Polio -- Mozambique
1. Kew OM, Wright PF, Agol VI, et al: Circulating vaccine-derived polioviruses: current state of knowledge. Bull World Health Organ. 2004; 82(1): 16-23. Epub 2004 Feb 26; available at .
2. Dowdle WR, De Gourville E, Kew OM, et al: Polio eradication: the OPV paradox. Rev Med Virol. 2003; 13(5): 277-91; abstract available at .
3. Yang CF, Naguib T, Yang SJ, et al: Circulation of endemic type 2 vaccine-derived poliovirus in Egypt from 1983 to 1993. J Virol. 2003; 77(15): 8366-77; available at

PRO/AH/EDR> Tilapia syncytial hepatitis - Israel: (HZ) emerging disease, OIE

ProMED Mail Reports - Wed, 05/24/2017 - 20:48
Other Animal Disease -- Israel
Information received on [and dated] 21 May 2017 from Dr Nadav Galon, Director, Veterinary Services and Animal Health, Ministry of Agriculture and Rural Development, BET DAGAN, Israel
Report type: Immediate notification
Date of start of the event: 1 Aug 2011
Date of confirmation of the event: 1 Mar 2014
Report date: 21 May 2017
Date submitted to OIE: 21 May 2017
Reason for notification: emerging disease
Morbidity: 6 percent
Mortality 2 percent
Zoonotic impact: No

PRO/EDR> Typhoid fever - Zambia: (LS)

ProMED Mail Reports - Wed, 05/24/2017 - 20:36
Typhoid -- Zambia
Ty21a / 1 capsule orally / 4 / 2 days / 5 years
Typhim Vi / Injection / 1 / N/A / 2 years
(The old parenteral heat-phenol-inactivated vaccine -manufactured by Wyeth-Ayerst- has been discontinued).
- Mod.LL
A HealthMap/ProMED-mail map can be accessed at: .]
[See Also:
Typhoid fever - New Zealand (04): (MW) http://promedmail.org/post/20170524.5058851
Typhoid fever - Kenya: H58 haplotype, antimicrobial resistance http://promedmail.org/post/20170430.5005152
Typhoid fever - Tonga

PRO/AH/EDR> Rabies - Bolivia: (SC) human, fatal

ProMED Mail Reports - Wed, 05/24/2017 - 16:22
Rabies -- Bolivia
An 11-year-old girl died of rabies after being in a coma for a week. This is the 2nd case of death caused by rabies reported in Bolivia during May [2017]. The girl was in a coma at the Hospital Niño Mario Ortiz, in Santa Cruz city, where she was hospitalized several days before. After being vaccinated against human papilloma virus, she felt sick and was taken to the hospital.
"Clinical exams and lab tests allow confirming that the cause of death was encephalitis due to rabies, and there is

PRO/AH/EDR> MERS-CoV (28): Qatar, Saudi Arabia (HA)

ProMED Mail Reports - Wed, 05/24/2017 - 16:20
MERS -- Qatar
The Ministry of Public Health (MOPH) has announced that a new Middle East Respiratory Syndrome Corona Virus (MERS-CoV) case has been confirmed for a 29 years old, resident in Qatar, marking the 3rd MERS-CoV case to be confirmed in the country this year [2017] and bringing the cumulative number of confirmed MERS-CoV cases since 2012 to 21 cases among whom 7 have died.
The patient is a camel worker and had complaints of fever and dry cough for several days. He sought a medical attention in

PRO/AH/EDR> Salmonellosis - Australia (02): (NSW) sandboxes, bandicoot droppings

ProMED Mail Reports - Wed, 05/24/2017 - 16:16
Salmonella -- Australia
A playground on the northern beaches has been closed after 2 children became sick with salmonella after playing in the sandpit. The young children caught the infection, which is believed to be spread by contact with bandicoot droppings, after playing at Warriewood Valley Rocket Park, in Casuarina Dr.
Northern Sydney Local Health District director of public health Dr Michael Staff said he hoped to have contained the outbreak by advising the council to close the park quickly. "We hope that

PRO/EDR> Cholera, diarrhea & dysentery update (35): Africa, Asia

ProMED Mail Reports - Wed, 05/24/2017 - 16:12
Cholera, Dysentery, Diarrhea -- Sudan
1. Guerrant RL, Carneiro-Filho BA and Dillingham RA. Cholera, diarrhea, and oral rehydration therapy: triumph and indictment. Clin Infect Dis. 2003;37(3):398-405.
2. Gregorio GV, Gonzales ML, Dans LF and Martinez EG. Polymer-based oral rehydration solution for treating acute watery diarrhoea. Cochrane Database Syst Rev. 2009;(2):CD006519. doi: 10.1002/14651858.CD006519.pub2.
3. Gore SM, Fontaine O and Pierce NF. Impact of rice based oral rehydration solution on stool output and duration of

PRO/EDR> Typhoid fever - New Zealand (04): (MW)

ProMED Mail Reports - Wed, 05/24/2017 - 16:06
Typhoid -- New Zealand
Medical staff in Palmerston North are moving quickly to contact anyone who was in proximity with a child who has a confirmed case of typhoid. Medical Officer of Health Dr Patrick O'Connor says a patient was admitted to the hospital with a blood infection last week [week of Sun 14 may 2017], with results now confirming it is the disease. It is believed the child has family connections to the Auckland outbreak of typhoid in April 2017, which afflicted 18 people and caused one woman to die due to

PRO/EDR> Vaccine-preventable diseases - Pakistan: (SD), varicella, measles, RFI

ProMED Mail Reports - Wed, 05/24/2017 - 16:05
Measles, Chicken Pox -- Pakistan
The sudden outbreak of the dangerous viral diseases measles and chickenpox in Larkana and Sukkur divisions has increased to the extent that 25 children were admitted in one day on [Sun 21 May 2017] at a private medical center in Larkana.
During the last 2 months, as many as 116 affected children were admitted in Children's Hospital Larkana and Paeds Ward of Sukkur Hospital out of which as many as 25 children have died. In both these major hospitals, 25 to 30 children are brought daily to

PRO/AH/EDR> Lumpy skin disease - Europe (05): FYR Macedonia, bovine, OIE

ProMED Mail Reports - Wed, 05/24/2017 - 11:39
Lumpy Skin Disease -- Republic of Macedonia
Information received on 23 May 2016 from Msc Zoran Popovski, director, Food and Veterinary Agency, Food and Veterinary Agency, Skopje, FYR of Macedonia
Report type: immediate notification (final report)
Date of start of the event: 4 Jan 2017
Date of confirmation of the event: 10 Jan 2017
Date event resolved: 10 Apr 2017
Reason for notification: Recurrence of a listed disease
Date of previous occurrence: 4 Apr 2016
Manifestation of disease: Clinical disease
Causal agent:
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