Outbreak and Current Disease Status Information

PRO/AH/EDR> Salmonellosis, st. Agona - EU: multi-year, multi-country outbreak

ProMED Mail Reports - Sun, 06/17/2018 - 16:46
Salmonella -- United Kingdom
Public Health England, using whole genome sequencing, has connected 115 cases of _Salmonella [enterica_ serotype] Agona since 2014 to other European cases, but the source of the outbreak remains elusive. Most of the _S._ Agona illnesses in the United Kingdom occurred in the past 2 years; there have been 53 so far in 2018, with 37 in 2017. The 1st cases from the specific strain of the bacterium were reported in April 2014.
Denmark, Finland and Ireland are among other European counties where

PRO/EDR> Vibrio parahaemolyticus - USA: (AL) soft tissue infection

ProMED Mail Reports - Sun, 06/17/2018 - 16:41
Vibrio vulnificus -- United States
A Robertsdale woman has tested positive for _Vibrio vulnificus_ [see moderator comments that follow - Mod.JH] after she contracted the flesh-eating bacteria from Fairhope Municipal Beach.
Baldwin County Public Health Department has confirmed they are working 2 cases of _Vibrio vulnificus_ this year [2018], including Hallman's. One of those cases began Wednesday [13 Jun 2018].
Hallman spoke on News 5 to warn everybody about the dangers that are in the water. "If I didn't act fast, I could

PRO/AH/EDR> Rift Valley fever - Rwanda (03): (ES) bovine, spread, animal vaccination

ProMED Mail Reports - Sun, 06/17/2018 - 16:28
Rift Valley Fever -- Rwanda
The Ministry of Agriculture and Animal Resources (MINAGRI) has announced that a Rift Valley fever [RVF] outbreak has killed a total of 99 cows and caused 452 abortions in the districts of Kirehe, Ngoma, Kayonza, and Rwamagana in the Eastern Province.
According to MINAGRI, the disease, caused by a virus transmitted by mosquitoes, 1st appeared in the Eastern province on 18 May 2018.
The disease affects animals (like cows, sheep, goats), and humans. The ministry says that laboratory tests

PRO/EDR> Ebola update (37): DR Congo, cases, response

ProMED Mail Reports - Sun, 06/17/2018 - 13:10
Ebola -- DR Congo
The current Ebola outbreak is happening in 3 health zones in Democratic Republic of the Congo's Equateur Province: Wangata, Bikoro, and Iboko. This revised Emergency Appeal will support 400 000 of the most vulnerable people in these areas for 6 months and will also undertake preparedness and prevention work in Equateur's 4 neighbouring provinces.
Snapshot
The outbreak was confirmed on 8 May 2018. By 14 Jun 2018, 66 cases -- 38 confirmed as Ebola Virus disease -- had been reported, and 28

PRO/AH/EDR> Lassa fever - West Africa (34): Nigeria

ProMED Mail Reports - Sun, 06/17/2018 - 12:57
Lassa Fever -- Nigeria
Highlights
- In the reporting Week 23 (4-10 Jun 2018) 5 new confirmed cases were reported from Edo (4) and Ondo (1) states with one death recorded in Edo state.
- From 1 Jan - 10 Jun 2018, a total of 1999 suspected cases have been reported from 21 states. Of these, 437 were confirmed positive, 10 are probable, 1552 negative (not a case).
- Since the onset of the 2018 outbreak, there have been 109 deaths in confirmed cases and 10 in probable cases. Case fatality rate in confirmed cases is

PRO/AH/EDR> E. coli EHEC - USA (19): (UT, AZ) O157, 2017

ProMED Mail Reports - Sat, 06/16/2018 - 18:34
E. coli -- United States
On 26 Jun 2017, a hospital in southern Utah notified the Utah Department of Health of Shiga toxin-producing _Escherichia coli_ (STEC) [also referred to as enterohemorrhagic _E. coli_ - EHEC - Mod.LL] O157:H7 infections in 2 children from a small community on the Arizona-Utah border. Both children developed hemolytic uremic syndrome, characterized by hemolytic anemia, acute kidney failure, and thrombocytopenia and died within a few days of illness onset. Over the next few days, several more

PRO/EDR> Poliomyelitis update (21): global (Pakistan, Venezuela) PAHO update

ProMED Mail Reports - Sat, 06/16/2018 - 11:27
Polio -- Pakistan
Situation summary
-----------------
The following is an updated information on the case of acute flaccid paralysis (AFP) with detection of Sabin type 3 vaccine poliovirus, previously reported in the PAHO/WHO Epidemiological Update of [8 Jun 2018] (*).
The case is a 34-month-old male, unvaccinated, resident of an indigenous community in Delta Amacuro [Orinoco Delta], Venezuela, with paralysis onset on [29 Apr 2018]. The clinical-epidemiological investigation carried out indicated that the

PRO/EDR> Malaria - Paraguay: WHO certified malaria free

ProMED Mail Reports - Sat, 06/16/2018 - 11:02
Malaria -- Paraguay
With free universal health services in Paraguay and a strong malaria surveillance system, malaria cases were detected early, investigated promptly, and classified correctly.
Dedicated elimination strategy
------------------------------
After reporting its last case of malaria in 2011, Paraguay launched a 5-year plan to consolidate the gains, prevent re-establishment of transmission, and prepare for elimination certification. Activities centred on strengthening epidemiological

PRO/EDR> Cyclosporiasis - USA: (WI, MN)

ProMED Mail Reports - Sat, 06/16/2018 - 10:46
Other Animal Disease -- United States
The Wisconsin Department of Health Services (DHS), the Minnesota Department of Health, and local health departments are investigating an increase of _Cyclospora_ infections.
To date, 11 ill patients in Wisconsin and 3 in Minnesota have reported purchasing a vegetable tray from a Wisconsin or Minnesota Kwik Trip location before their illness. The La Crosse, Wisconsin-based Kwik Trip, and Kwik Star is a chain of convenience stores founded in 1965 with locations throughout Wisconsin and

PRO/AH/EDR> European foulbrood, apis - Europe: Romania (CJ) OIE

ProMED Mail Reports - Sat, 06/16/2018 - 10:35
Other Animal Disease -- Romania
Information received on [and dated] 15 Jun 2018 from Dr Geronimo Raducu Branescu, President Secretary of State Chief Veterinary Officer, National Sanitary Veterinary and Food Safety, National Sanitary Veterinary and Food Safety Authority, Bucharest, Romania
Summary
Report type: immediate notification
Date of start of the event: 14 May 2018
Date of confirmation of the event: 31 May 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 28 Nov

PRO/AH/EDR> Rift Valley fever - Kenya (04): (WJ)

ProMED Mail Reports - Fri, 06/15/2018 - 23:29
Rift Valley Fever -- Kenya
Marsabit County residents have been warned against use of animal products following a ban on slaughter of animals in Wajir County due to a Rift Valley fever outbreak.
Speaking during a crisis meeting on Thursday [14 Jun 2018], county director for public health Adano Kochi said that one out of 2 samples that had been sent to Kemri [Kenya Medical Research Institute] came back positive for RVF.
Mr Kochi said a 15-year-old boy who lost his life was not suffering from RVF as per the

PRO/AH/EDR> Salmonellosis, st Mbandaka - USA: breakfast cereal, alert, recall

ProMED Mail Reports - Fri, 06/15/2018 - 23:07
Salmonella -- United States
CDC, public health and regulatory officials in several states, and the FDA are investigating a multistate outbreak of _Salmonella [enterica_ serotype] Mbandaka infections.
Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting is performed on _Salmonella_ bacteria isolated from ill people by

PRO/EDR> Measles update (36): Europe, South America, Africa

ProMED Mail Reports - Fri, 06/15/2018 - 22:40
Measles -- United Kingdom
Actions implemented include:
- Roraima and Amazonas states have started a vaccination campaign that targets 6-month-old infants through 49-year-old age groups.
- Intensified epidemiological surveillance through active and retrospective institutional case finding, contact tracing, and monitoring of contacts has been implemented.
- A strengthened laboratory network
- A risk communication strategy has been implemented.
- Training of health care workers in case management.
WHO risk

PRO/AH/EDR> Foot & mouth disease - China (07): (SX) st. O, cattle, OIE

ProMED Mail Reports - Fri, 06/15/2018 - 22:32
Foot and Mouth -- China
Information received on [and dated] 12 Jun 2018 from Dr Zhang Zhongqui, Director General, China Animal Disease Control Centre, Veterinary Bureau, Ministry of Agriculture, Beijing, China (People's Rep. of)
Summary
Report type: immediate notification
Date of start of the event: 27 May 2018
Date of confirmation of the event: 7 Jun 2018
Report date: 12 Jun 2018
Date submitted to OIE: 12 Jun 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: March

PRO/AH/EDR> Rabies (33): Armenia (KT) canine, OIE

ProMED Mail Reports - Fri, 06/15/2018 - 22:30
Rabies -- Armenia
Information received on 8 Jun 2018 from Dr. Hovhannes Mkrtchyan, Head, Veterinary Inspectorate of the State Service for Food Safety, Ministry of Agriculture, Yerevan, Armenia
Summary
Report type: immediate notification (final report)
Start date: 4 Jun 2018
Date of confirmation of the event: 7 Jun 2018
Reason for notification: 1st occurrence of a listed disease
Manifestation of disease: clinical disease
Causal agent: Rabies virus
Serotype: Not typed
Nature of diagnosis: laboratory

PRO/AH/EDR> Lassa fever - West Africa (33): Liberia

ProMED Mail Reports - Fri, 06/15/2018 - 21:22
Lassa Fever -- Liberia
The National Public Health Institute of Liberia (NPHIL) in collaboration with the Ministry of Health (MoH) has responded to the Lassa fever outbreak in the country.
According to a release issued in Monrovia, cases of Lassa fever are on the increase in the Lassa belt (Bong, Nimba, and Grand Bassa Counties).
In the country, 4 new confirmed cases have been reported: from Bong (2), Grand Bassa (1) and Nimba (1) since the last outbreak in May 2018. A blood specimen was collected and tested

PRO/AH/EDR> Ebola update (36): Congo DR, cases, threat, assistance

ProMED Mail Reports - Fri, 06/15/2018 - 21:07
Ebola -- DR Congo
With intensive efforts under way to identify any potential remaining Ebola cases in the Democratic Republic of the Congo (DRC), the health ministry yesterday [13 Jun 2018] reported 10 more suspected cases, according to the latest update.
Illness totals fluctuate day to day as tests rule out earlier cases and more suspected illnesses are reported, but no confirmed cases have been tallied since 2 Jun 2018. According to the DRC health ministry, 6 of the 10 new suspected cases are in 2 remote

PRO/AH/EDR> Powassan virus encephalitis - USA (02): (NY)

ProMED Mail Reports - Fri, 06/15/2018 - 20:58
Powassan virus -- United States
The Columbia County Health Department has confirmed a case of Powassan virus [infection], a tick-borne illness, in a county resident.
Dr. Ananthakrishnan Ramani, chief of infectious diseases and microbiology at Columbia Memorial Health, working with the state Health Department, reported the 1st case of the virus.
"The patient is recovering well," said Dr. Ramani, the medical director for the Columbia County Department of Health.
Powassan virus [causes] is a rare viral disease that can

PRO/AH/EDR> Canine lice - USA: (NV)

ProMED Mail Reports - Fri, 06/15/2018 - 20:54
Lice -- United States
Veterinarians are warning Las Vegas dog owners tonight about a dog lice outbreak. Doctors say there's been an unusually high number of cases in the past month or so.
"(Dog) lice isn't very common to see, but when we have a lot of cases coming in, we do get concerned," said Dr. Taylor Parker with Lone Mountain Animal Hospital.
Dr. Parker says Lone Mountain Animal Hospital is one of many animal hospitals across the valley seeing this issue.
"Dogs are coming in with a bunch of itching,

PRO/AH/EDR> Mycoplasma bovis, bovine - New Zealand (10)

ProMED Mail Reports - Fri, 06/15/2018 - 19:45
Other Animal Disease -- New Zealand
Two more North Island farms have been confirmed as infected with the cattle disease _Mycoplasma bovis_. One is a Hawke's Bay beef farm and the other a dairy farm in Waikato.
The cattle disease was 1st reported in July last year (2018) and these 2 confirmations bring the total number of infected farms to 38, with another 71 under restricted notices. Eleven previously infected farms have now been cleared.
So far almost 24 500 cattle have been culled in the fight against the disease. When
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