Outbreak and Current Disease Status Information

PRO/EDR> Coccidioidomycosis - USA (03): (CA) increase

ProMED Mail Reports - Tue, 11/21/2017 - 11:46
Valley Fever -- United States
Health officials say they are uncertain why the number of cases of valley fever [coccidioidomycosis] -- an illness caused by a fungus found in the soil and dirt -- appears to be increasing across California this year [edited]. From [1 Jan to 31 Oct 2017], a total of 5121 provisional cases of valley fever were reported to local health departments in California, according to provisional data released by the California Department of Public Health [CDPH], on [14 Nov 2017].
This reflects an

PRO/EDR> Botulism - Ukraine (03)

ProMED Mail Reports - Tue, 11/21/2017 - 11:41
Botulism -- Ukraine
In 2016 in Ukraine, 119 people were sickened by botulism, from which a dozen people died. So far in 2017, the picture looks very similar according to data from the Center for Influenza and Acute Respiratory Virus Infections of the Ministry of Health, a [Ukrainian News Agency] report states.
According to data received from the regions on [15 Nov 2017] in Ukraine, 132 cases of botulism have been registered and 11 of them have died.
The data also breaks down where the patients contracted

PRO/EDR> Malaria, falciparum - Myanmar: fake artesunate

ProMED Mail Reports - Tue, 11/21/2017 - 11:40
Malaria -- Myanmar
Guo S, Kyaw MP, He L, et al. Quality testing of artemisinin-based antimalarial drugs in Myanmar. Am J Trop Med Hyg. 2017; 97(4): 1198-1203. doi: 10.4269/ajtmh.17-0305; abstract available at .
--
Paul Newton, MD
Infectious Diseases Data Observatory &
MORU (Mahidol Oxford Research Unit) Tropical Health Network
LOMWRU (Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit)
Mahosot Hospital, Vientiane
Lao PDR

[ProMED-mail thanks Paul Newton for alerting us to this report.
There

PRO/EDR> Meningitis, meningococcal - Australia (05): (WA) sg W, sg Y

ProMED Mail Reports - Tue, 11/21/2017 - 05:17
Meningitis - Neisseria -- Australia
A young child in Western Australia [WA] is dead after contracting a virulent strain of meningococcal disease and another is also infected. The 2 children, both aged under 3, had contracted the serogroup W infection and one had since died, the state's health department said on [Mon 20 Nov 2017]. An adult from interstate [the same state? - Mod.SH] was also infected with another strain of the bacteria.
"There have now been 4 deaths from meningococcal disease in WA in 2017, all infected with

PRO/AH/EDR> Avian influenza (159): South Korea (CB) HPAI H5N6, poultry, OIE

ProMED Mail Reports - Tue, 11/21/2017 - 05:13
Avian Influenza H5N6 -- South Korea
Information received on 19 Nov 2017 from Dr Oh Soon-Min, director - chief veterinary officer, General Animal Health Division, Ministry of Agriculture, Food and Rural Affairs (MAFRA), Sejong-Si, Korea (Rep of)
Summary
Report type: immediate notification
Date of start of the event: 17 Nov 2017
Date of confirmation of the event: 19 Nov 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 13 Oct 2017
Manifestation of disease: clinical disease
Causal

PRO/AH/EDR> Japanese encephalitis - Philippines (05): (NV)

ProMED Mail Reports - Tue, 11/21/2017 - 05:10
Japanese Encephalitis -- Philippines
The Provincial Integrated Health Office (PIHO) here in Bayombong, Nueva Vizcaya on Monday [20 Nov 2017] reported 8 cases of the dreaded Japanese encephalitis (JE) disease in 4 municipalities in the province.
Medical doctor Florejean Albano of the PIHO said one JE case was traced from Barangay (village) Ibung in Villaverde town; one case in Comon village in Aritao town; 2 cases in Quezon and Bascaran villages in Solano town; 2 cases in Casat village in the capital town of Bayombong; and one

PRO/PL> Flavescence doree, grapevine - France: (AR)

ProMED Mail Reports - Tue, 11/21/2017 - 05:07
Other Plant Disease -- France
Flavescence doree was detected for the 1st time in the Department of Puy-de-Dome, Region of Auvergne-Rhone-Alpes. It had previously been reported from other Departments in that Region.
Currently, the Regional Directorate of Food, Agriculture and Forestry are preparing a directive to industry on control measures and the outline of the area to be put under quarantine restrictions. Measures to be taken will include surveillance, insecticide sprays and uprooting of affected vines.
[byline:

PRO/AH/EDR> MERS-CoV (73): Saudi Arabia, gut and transmission

ProMED Mail Reports - Tue, 11/21/2017 - 05:04
MERS -- Saudi Arabia
As of Mon 20 Nov 2017, there have been a total of:
1743 laboratory-confirmed cases of MERS-CoV infection, including
705 deaths [reported case fatality rate 40.4 per cent],
1020 recoveries, and
19 currently active cases/infections.
[As previously mentioned, the numbers of deaths, recoveries, and currently active cases come from my spreadsheet tallies and differ from those listed on the Saudi MOH website; my spreadsheet counts asymptomatic infections as they are reported. One complication

PRO/AH/EDR> Japanese encephalitis - Myanmar: (KN)

ProMED Mail Reports - Mon, 11/20/2017 - 17:40
Japanese Encephalitis -- Myanmar
Kayin (Karen) State is seeing a rash of Japanese encephalitis cases this year [2017], prompting a wide-scale vaccine roll out, public health officials say. "Kayin State is one of the areas most affected by Japanese encephalitis," said Dr Tun Min, head of the Kayin State Public Health Department. "Five year old children have been infected the most."
The severe, mosquitoborne virus causes brain inflammation and is endemic to many South East Asian countries. Between 30 and 50 per cent of

PRO/EDR> Hepatitis E - Nigeria (04): (BO)

ProMED Mail Reports - Mon, 11/20/2017 - 17:38
Hepatitis E -- Nigeria
Since Feb 2017, hepatitis E virus (HEV) infection has been confirmed in 8 local government areas (LGAs) of Borno, with transmission still ongoing in Rann Kala Balge. The total number of jaundice cases reported is 1262. A total of 226 specimens were collected in 10 LGAs, of these 182 tested positive using IgM HEV antibody ELISA technique. The proportion of positive sample for HEV infection is 81 per cent.
A total of 7 deaths have been reported among acute jaundice cases and 1 death in a

PRO/AH/EDR> Plague - Madagascar (34): fatal, decreasing caseload

ProMED Mail Reports - Mon, 11/20/2017 - 17:36
Plague -- Madagascar
WHO continues to support the Ministry of Public Health and other national authorities in Madagascar to monitor and respond to the outbreak of plague. From [6 to 17 Nov 2017], 216 cases of plague (1 confirmed, 20 probable and 195 suspected) were reported to WHO. The date of onset of the last case of bubonic plague was [7 Nov 2017] and the last confirmed case of pneumonic plague was reported on [14 Nov 2017].
From [1 Aug to 17 Nov 2017], a cumulative total of 2267 confirmed, probable and

PRO/EDR> Hepatitis A - USA (57) : (MI,UT) vaccine shortage

ProMED Mail Reports - Mon, 11/20/2017 - 17:33
Hepatitis A -- United States
Since the beginning of the outbreak in Aug 2016, public health response has included increased healthcare awareness efforts, public notification and education, and outreach with vaccination clinics for high-risk populations. No common sources of food, beverages, or drugs have been identified as a potential source of infection. Transmission appears to be through direct person-to-person spread and illicit drug use. Those with history of injecting and non-injecting drug use, homelessness or

PRO/AH/EDR> Salmonellosis - Australia (05): (SA)

ProMED Mail Reports - Mon, 11/20/2017 - 17:01
Salmonella -- Australia
Salmonella cases [in South Australia] are 15 per cent higher than the 5 year average with nearly 1200 people ill so far. The state reported 1561 cases and had 1370 at the same point in time in 2016.
Dr Fay Jenkins, SA health director of food and controlled drugs, said on average there are 1172 reports of salmonellosis across the state each year. "With 12 outbreaks and 1182 people struck down with this illness this year [2017]to date, we have already recorded more salmonella cases than we

PRO/AH/EDR> Avian influenza (158): South Korea (CB) HPAI H5N6, poultry

ProMED Mail Reports - Mon, 11/20/2017 - 12:53
Avian Influenza H5N6 -- South Korea
The South Korean government said [on Sun 19 Nov 2017] that a suspected bird flu case was confirmed to be highly pathogenic and imposed a travel ban to prevent further spread of the animal virus.
The avian influenza, discovered on a poultry farm with 12 000 ducks in Gochang, some 300 kilometers [about 186 mi] south west of Seoul, tested positive as a highly pathogenic strain of H5N6, according to the Ministry of Agriculture, Food and Rural Affairs.
The ministry said it imposed a

PRO/AH/EDR> Brucellosis - Paraguay (04): (AS) veterinary school

ProMED Mail Reports - Mon, 11/20/2017 - 12:25
Brucellosis -- Paraguay
The Ministry of Public Health and Social Welfare (MSPyBS) issued a statement and reported on the follow-up of cases of brucellosis, detected after the outbreak in the Faculty of Veterinary Sciences of the National University of Asunción (FCV-UNA). There are 15 patients who are in treatment and follow-up, with antimicrobials for a period of 6 weeks and who will have serological follow-up for 2 years; laboratory analysis every 3 months, once the 6-week treatment is completed.
In addition,

PRO/AH/EDR> Undiagnosed illness - India (04): (KA) comment

ProMED Mail Reports - Mon, 11/20/2017 - 12:18
Undiagnosed -- India
My add-ons to comments of Dr Jacob John [http://promedmail.org/post/20171118.5452505]. Just to invite the attention that in leptospirosis, if left untreated, icterus cannot be missed, and it usually accompanies the itching and rashes in the skin. Leptospirosis is often misdiagnosed for hepatitis and treated as such. Death usually follows in such cases because of delayed diagnosis and treatment for leptospirosis.
I would rather approach this problem with some reservation because, if the

PRO/AH/EDR> Leptospirosis - Peru: (TU) nosocomial, staff

ProMED Mail Reports - Mon, 11/20/2017 - 12:18
Leptospirosis, Hospital-Related Infection -- Peru
Cases of leptospirosis have increased to 659 since the beginning of the year in the Tumbes region. Attention has focused on Corrales district in the last month, where 11 of the cases were health care workers at the district health office, with this institution becoming a focus of the outbreak.
This health care facility will suspend services from 14 Nov 2017, beginning at 6 pm, in order to disinfect all of the rooms. Patients who are admitted to the hospital will be transferred to hospitals

PRO/AH/EDR> Monkeypox - Africa (17): Nigeria (DE) conf & susp

ProMED Mail Reports - Mon, 11/20/2017 - 12:14
Monkeypox -- Nigeria
No less than 38 cases of monkeypox have been laboratory confirmed in 8 states of the federation. The affected states are Akwa Ibom, Bayelsa, Delta, Edo, Ekiti, Enugu, Lagos, Rivers, and the Federal Capital Territory (FCT).
A total of 116 suspected cases were recorded from 20 states and the FCT; since the onset of the outbreak, even as no death attributable to monkeypox has been recorded so far.
Announcing the development in its Situation Report 006 dated 2 Nov 2007, the Nigeria Centre

PRO/AH/EDR> Tick-borne encephalitis - Switzerland (04)

ProMED Mail Reports - Mon, 11/20/2017 - 12:12
Tick-borne Encephalitis -- Switzerland
Since the beginning of the year [2017], Switzerland has recorded 257 cases of meningitis due to tick bites [tickborne encephalitis (TBE) virus], according to figures from l'office fédéral de la santé publique [federal office of public health; FOPH]; a record.
Ticks are particularly active during the period from March to November. This year [2017] in Switzerland, the authorities estimate that there have been 23 000 consultations for tick bites, an average value (29 000 in 2016).
On the

PRO/AH/EDR> West Nile virus - Americas (19): USA (CA)

ProMED Mail Reports - Mon, 11/20/2017 - 12:04
West Nile Virus -- United States
More people were infected and died of West Nile virus [infections] across California this year [2017] than last year [2016], especially in Los Angeles county. That's where the number of infections peaked in September, recent data show.
Statewide, there have been 25 deaths so far this year [2017], or 6 more than all of last year, according to recent data from the California Department of Public Health. In addition, 454 people from across the Golden State were infected this year, a 17 per
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