Outbreak and Current Disease Status Information

PRO/AH/EDR> Hantavirus - Americas (50): Panama (VR), USA (NV)

ProMED Mail Reports - Wed, 09/20/2017 - 16:30
Hantavirus -- Panama
The person confirmed as positive for [a] hantavirus is currently improving, although remains in an intensive care unit.
Authorities say that it is important to adopt sanitary measures for prevention of hantavirus [infections]. A health alert has been issued for health units, after the Dr. Luis "Chicho" Fábrega Veraguas Regional Hospital, reported that a 67 year old man from the Almadano community, Soledad subdistrict of the Soná district, tested positive for [a] hantavirus

PRO/EDR> Poliomyelitis update (25): Syria (DY)

ProMED Mail Reports - Wed, 09/20/2017 - 16:19
Polio -- Syria
Key highlights
- One new case of cVDPV2 confirmed this week, from Mayadeen district, Deir EzZor governorate. The case, a 9-month-old boy with no polio vaccination history, had onset of paralysis [19 Jun 2017].
- The total number of cVDPV2 cases is 40. All confirmed cases to date have had onset of paralysis before [14 Jul 2017].
- Preparations for the 2nd Raqqa round continue.
- Micro-plans are being updated for each of Raqqa's districts. Pre-round C4D activities have

PRO/AH/EDR> St Louis encephalitis virus - USA (04): (ID)

ProMED Mail Reports - Wed, 09/20/2017 - 14:15
St. Louis Encephalitis -- United States
Mosquitoes trapped in 2 locations by the Gem County Mosquito Abatement District tested positive for St Louis encephalitis virus [SLEV].
Both areas are being treated, but efforts are being hampered by weather.
It's unusual to find the virus in Idaho. According the Center for Disease Control, most cases have occurred in eastern and central states. Most people infected with SLEV show no symptoms. Those who do become ill experience flu-like symptoms -- fever, headache, nausea, vomiting, and

PRO/EDR> Hepatitis A - Nepal: (LM)

ProMED Mail Reports - Wed, 09/20/2017 - 14:14
Hepatitis -- Nepal
National Public Health Laboratory, Teku [Kathmandu], on [Sun 17 Sep 2017] confirmed 8 hepatitis A cases. It said of the 15 samples received from Besisahar, Lamjung [Province Four], 8 tested positive for hepatitis A. Of them, 5 are female and 3 male.
A team from Epidemiology and Disease Control Division [EDCD] had visited Lamjung after reports of hepatitis outbreak. Samples were collected and brought to Kathmandu for test. "The patients contracted the disease due to contamination of water

PRO/EDR> Botulism - USA (12): (NY) nitrogen-infused coffee, risk, alert, recall

ProMED Mail Reports - Wed, 09/20/2017 - 12:52
Botulism -- United States
Death Wish Coffee is recalling its Nitro Cold Brew because there is a slight risk of _Clostridium botulinum_ (_C. botulinum_) [intoxication] or botulism, a serious toxin that causes weakness of the muscles and difficulty breathing. "Our customers' safety is of paramount importance and Death Wish Coffee is taking this significant, proactive step to ensure that the highest quality, safest, and of course, strongest coffee products we produce are of industry-exceeding standards -- thus we are

PRO/EDR> Hepatitis A - USA (32): (CA)

ProMED Mail Reports - Wed, 09/20/2017 - 09:45
Hepatitis A -- United States
Los Angeles [LA] County health officials declared a hepatitis A outbreak [Tue 19 Sep 2017], days after a public health emergency was announced in San Diego County, where at least 16 people have died of the highly contagious virus. Case numbers are still small in LA County, with only 10 people infected as part of the outbreak, said Dr Barbara Ferrer, director of the LA County Department of Public Health. By comparison, almost 450 people have contracted the virus in San Diego. Ferrer said the

PRO/AH/EDR> Leptospirosis - Nepal: (KT) monsoon season

ProMED Mail Reports - Wed, 09/20/2017 - 09:36
Leptospirosis -- Nepal
1. Murdoch DR, Woods CW, Zimmerman MD, et al. The etiology of febrile illness in adults presenting to Patan hospital in Kathmandu, Nepal. Am J Trop Med Hyg. 2004; 70(6): 670-5; .
Communicate by:
Dr Sher Bahadur Pun, MD, PhD
Clinical Research Unit
Sukraraj Tropical and Infectious Disease Hospital

[Leptospirosis is a zoonotic spirochetal infection that occurs worldwide, and outbreaks frequently follow flooding after heavy rainfall. Nepal is subject to heavy

PRO/EDR> Chikungunya (34): Italy

ProMED Mail Reports - Tue, 09/19/2017 - 21:36
Chikungunya -- Italy
In our Latina province to date, 4 chikungunya cases have been registered, 2 confirmed and 2 probable.
Chikungunya virus disease manifests itself with symptoms similar to influenza, with high fever, chills, headache, etc. and arthralgia, and is transmitted by mosquitoes of the genus _Aedes_, which in our country is represented by the mosquito _Aedes albopictus_, commonly called the tiger mosquito.
Not everyone who encounters an infected mosquito will show the symptoms; in any case, the

PRO/EDR> Measles update (45): Africa, Europe, South Pacific

ProMED Mail Reports - Tue, 09/19/2017 - 21:35
Measles -- Worldwide/Unknown
Abstract. We report an ongoing measles outbreak in Italy, with over 4400 cases reported in 20 Regions from January-August 2017. Median age was 27 years, 88 percent of the cases were unvaccinated. The highest incidence was in infants below 1 year of age and 7 percent of cases occurred among healthcare workers. 3 deaths occurred and 2 cases of encephalitis were reported. Wide immunity gaps and nosocomial transmission are major challenges to measles elimination in Italy.
Measles is targeted

PRO/EDR> Hepatitis A - USA (31): (CA) fatal

ProMED Mail Reports - Tue, 09/19/2017 - 21:29
Hepatitis A -- United States
Cases / Deaths / Hospitalizations
444 / 16 (3.6 percent) / 305 (69 percent)
The table does not include all reported hepatitis A cases in the county, only those that are local-outbreak related. Also, data are provisional and subject to change.
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The number of cases of diagnosed hepatitis A (HAV) in San Diego County in southern California continues to increase.
Date / Cases / Hospitalized (percentage) / Deaths

PRO/EDR> Chikungunya (32): Asia (Pakistan)

ProMED Mail Reports - Tue, 09/19/2017 - 17:56
Chikungunya -- Pakistan
An official said that 79 cases of chikungunya had been confirmed in the district. "We had sent the blood samples of suspected patients to the National Institute of Health (NIH), Islamabad. The NIH confirmed 79 to be positive," said District Health Officer (DHO) Dr Muhammad Niaz. He said the disease 1st broke out in Gandaf village of Topi tehsil and Sherdara village of Razaar tehsil in the district.
The 2 affected villages are situated in separate tehsils but both are mountainous areas. "I

PRO/AH/EDR> Avian Influenza, human (72): Indonesia, H5N1, RFI

ProMED Mail Reports - Tue, 09/19/2017 - 17:25
Avian Influenza H5N1 -- Indonesia
RadarBali.com reports that a confirmed case of bird flu (H5N1) has claimed a victim in Bali in Banjar Minggir in the Village of Batununggul on Nusa Penida.
Officials from the Sanglah General Hospital and the Department of Healthcare refused to identify the female victim infected with the virus. The victim died in the Nusa Indah isolation section of Denpasar's main hospital.
RadarBali also reports that a much-feared human-to-human transmission was suspected when one of the doctors

PRO/EDR> Dengue/DHF update (12): Asia (Pakistan)

ProMED Mail Reports - Tue, 09/19/2017 - 17:09
Dengue -- Pakistan
Dengue virus took another life in Peshawar on [Mon 18 Sep 2017] and 242 more people were diagnosed with dengue in Khyber Pakhtunkhwa (KP), the provincial Health Department reported here.
[A 35 year old male], became the latest victim of the mosquito-borne disease, raising the death toll from dengue to 27 in KP so far. He belonged to Tehkal area of Peshawar and was admitted at the Khyber Teaching Hospital (KTH) on [Sat 16 Sep 2017].
Dengue virus was 1st reported in Tehkal area of the city

PRO/AH/EDR> Antibiotic resistance (08): India (MH) human sewage

ProMED Mail Reports - Tue, 09/19/2017 - 15:11
Antimicrobial resistance, Carbapenem-resistant enterobacteriaceae (CRE) -- India
"Efficient sewage treatment is critical for limiting environmental transmission of antibiotic-resistant bacteria. In many low- and middle-income countries, however, large proportions of sewage are still released untreated into receiving water bodies. In-depth knowledge of how such discharges of untreated urban waste influences the environmental resistome is largely lacking. Here, we highlight the impact of uncontrolled discharge of partially treated and/or untreated wastewater on the structure

PRO/AH/EDR> Sheep pox & goat pox - Greece (03): (AI) ovine, caprine susp, OIE, RFI

ProMED Mail Reports - Tue, 09/19/2017 - 14:36
Sheep/Goat Pox -- Greece
Information received on [and dated] 18 Sep 2017 from Mrs Chrysoula Dile, Head, Animal Health Directorate, Ministry of Rural Development and Food, Athen, Greece
Report type: immediate notification
Date of start of the event: 5 Sep 2017
Date of confirmation of the event: 7 Sep 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 14 Mar 2017
Manifestation of disease: clinical disease
Causal agent: Capripoxvirus
Nature of diagnosis:

PRO/EDR> Chikungunya (33): Americas, Europe, Asia, research

ProMED Mail Reports - Tue, 09/19/2017 - 14:17
Chikungunya -- Mexico
Cases by Country / Week [w/e] / (Local susp / Local conf / Imported conf / Deaths
North America
Mexico / week 35 [w/e 1 Sep 2017] / 0 / 24 / 0 / 0
USA / week 36 [w/e 8 Sep 2017] / 0 / 0 / 46 / 0
Central American Isthmus
Costa Rica / week 34 [w/e 25 Aug 2017] / 300 / 6 / 0 / 0
El Salvador / week 35 [w/e 1 Sep 2017] / 424 / 0 / 0 / 0
Nicaragua / week 36 [w/e 8 Sep 2017] / 652 / 20 / 0 / 0
Panama / week 35 (w/e 1 Sep 2017] / 1996 / 24 / 1 / 0
Latin Caribbean (no current

PRO/AH/EDR> Yellow fever - Africa (06): Nigeria (KW)

ProMED Mail Reports - Tue, 09/19/2017 - 13:12
Yellow Fever -- Nigeria
The Kwara State Government says it has discovered 2 cases of yellow fever disease at Oro Ago area in Ifelodun Local Government Area of the state.
The state's Commissioner for Health, Sulaiman Alege, to reporters on [Mon 18 Sep 2017] at his office in Ilorin, the state capital that a male and female were tested positive for the disease.
Alege said a medical team from the State Ministry of Health had visited some communities in the local government where 38 samples were collected and sent

PRO/EDR> Diphtheria - Venezuela (04): (AN) fatal, susp

ProMED Mail Reports - Tue, 09/19/2017 - 12:36
Diphtheria -- Venezuela
The inhabitants of the Kashaama indigenous village, in Freites municipality [Anzoátegui state], are worried about the number of deaths recorded in recent weeks due to health problems. An inhabitant of this community, reported that during the month of August 2017 and so far in September 2017, 8 people -- 7 men and a woman -- have died in this community. An outbreak of diphtheria may be the leading cause of death for these 8 people. According to the complaint, among the dead are his uncle, who

PRO/EDR> Influenza (20): Australia (Tasmania)

ProMED Mail Reports - Tue, 09/19/2017 - 12:19
Influenza -- Australia
Tasmania is in the "peak phase" of the most devastating flu season in recent memory, Health Minister Michael Ferguson warned.
As of [12 Sep 2017], there were 2337 confirmed cases of influenza and 21 deaths since [1 Jan 2017]. Last year [2016], 14 people died, and only 969 influenza cases were reported.
Mr Michael Ferguson spoke about the outbreak on Sunday morning [17 Sep 2017] before running the Women's 5 km in Launceston. "My latest advice on the flu outbreak this year [2017] is that

PRO/EDR> Cholera, diarrhea & dysentery update (100): Asia (Yemen)

ProMED Mail Reports - Tue, 09/19/2017 - 12:16
Cholera -- Yemen
The WHO will, in October 2017, launch a strategy to stop cholera transmission by 2030, it said on [Mon 18 Sep 2017], as an unprecedented outbreak in Yemen raced towards 700 000 suspected cases with little sign of slowing down. "Once it's out of the box, once it has spread, it's very, very difficult to contain and we have a huge number of cases and deaths," said Dominique Legros, the cholera focal point at WHO's department for pandemic and epidemic diseases. "It spreads like a forest
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