Outbreak and Current Disease Status Information

PRO/EDR> Coccidioidomycosis - Worldwide: outbreaks, epidemiology, 1940-2015

ProMED Mail Reports - Thu, 02/15/2018 - 21:14
Valley Fever -- Worldwide/Unknown
"Coccidioidomycosis causes substantial illness and death in the United States each year. Although most cases are sporadic, outbreaks provide insight into the clinical and environmental features of coccidioidomycosis, high-risk activities, and the geographic range of _Coccidioides_ fungi. We identified reports published in English of 47 coccidioidomycosis outbreaks worldwide that resulted in 1464 cases during 1940-2015. Most (85 percent) outbreaks were associated with environmental exposures;

PRO/EDR> Hepatitis A - USA (07): (CA, UT, MI)

ProMED Mail Reports - Thu, 02/15/2018 - 20:58
Hepatitis A -- United States
Cases / Deaths / Hospitalizations
580 / 20 (3.4 percent) / 398 (68.6 percent)
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The southern California outbreak appears to be over related to the change in control paradigm taken by the public health officials.
Cumulative case data
Report date / Cases / Hospitalized (percentage) / Deaths (percentage) / New cases per week
5 Apr 2017 / 39 / 33 (85) / 1 (3)
4 May 2017 / 80 / 66 (83) / 3 (4) / 10
31 May 2017 / 133 / 103

PRO/AH/EDR> Tularemia - USA: (CA) infected ticks

ProMED Mail Reports - Thu, 02/15/2018 - 20:28
Tularemia -- United States
San Diego health officials on [Tue 13 Feb 2018] announced that ticks found in the region tested positive for [_Francisella tularensis_ the etiologic bacterium causing] tularemia, a potentially dangerous bacterial disease also known as "rabbit fever." The discovery prompted officials to urge the public to protect themselves and their pets from ticks when hiking or walking in grassy, backcountry areas, on trails and in the wild.
Ticks are tiny, 8-legged parasites related to spiders. They

PRO/AH/EDR> Ixodes ricinus tick - UK: expanding distribution

ProMED Mail Reports - Thu, 02/15/2018 - 12:52
Pests -- United Kingdom
"Public Health England's passive Tick Surveillance Scheme (TSS) records the distribution, seasonality and host associations of ticks submitted from across the United Kingdom (UK), and helps to inform the UK government on emerging tick-borne disease risks. Here we summaries data collected through surveillance during 2010-2016, and compare with previous TSS data from 2005 to 2009, particularly in relation to the primary Lyme borreliosis vector _Ixodes ricinus_. A total of 4173 records were

PRO/EDR> Influenza (07): seasonal, H1N1, research

ProMED Mail Reports - Thu, 02/15/2018 - 11:38
Influenza -- China
A total of 6941 flu cases were confirmed among inbound passengers in December and January [2018], according to the General Administration of Quality Supervision, Inspection and Quarantine. It marked a yearly increase of 81.9 percent, the administration said.
Chinese inspection and quarantine authorities require inbound tourists to notify symptoms such as fever and cough. Unlike cases of serious infectious diseases such as cholera, inbound passengers with flu do not require mandatory

PRO/AH/EDR> Lassa fever - West Africa (11): Nigeria, WHO

ProMED Mail Reports - Thu, 02/15/2018 - 09:49
Lassa Fever -- Nigeria
The World Health Organization is scaling up its response to an outbreak of Lassa fever in Nigeria, which has spread to 17 states and may have infected up to 450 people in less than 5 weeks.
From the onset of the outbreak, WHO Nigeria deployed staff from the national and state levels to support the Government of Nigeria's national Lassa fever Emergency Operations Centre and state surveillance activities. WHO is helping to coordinate health actors and is joining rapid risk assessment teams

PRO/AH/EDR> Avian influenza (31): Ghana (BA) poultry, HPAI H9N2, new strain, OIE

ProMED Mail Reports - Thu, 02/15/2018 - 08:41
Avian Influenza -- Ghana
Information received on 14 Feb 2018 from Dr Kenneth M. K. Gbeddy, Chief Veterinary Officer, Veterinary Services Directorate, Ministry of Food and Agriculture, Accra, Ghana
Report type: Immediate notification
Date of start of the event: 3 Jan 2018
Date of confirmation of the event: 10 Jan 2018
Report date: 14 Feb 2018
Date submitted to OIE: 14 Feb 2018
Reason for notification: new strain of a listed disease in the country
Causal agent: Highly pathogenic avian influenza

PRO/AH/EDR> Chronic wasting disease, cervid - USA (05): (PA, MS)

ProMED Mail Reports - Wed, 02/14/2018 - 22:08
Chronic Wasting Disease -- United States
The state [Pennsylvania] Department of Agriculture Monday [12 Feb 2018] announced that 2 captive deer have tested positive for chronic wasting disease (CWD), bringing the total to 46 positive samples since the disease was discovered in the state in 2012.
The disease was confirmed in one white-tailed deer on a hunting preserve in Bedford County and one at a Lancaster County breeding operation.
The department said both deer were born and raised on their respective premises, and these are

PRO/PL> Phytoplasma/liberibacter coinfection, citrus - Iran: (KE)

ProMED Mail Reports - Wed, 02/14/2018 - 20:24
Other Plant Disease -- Iran
Since 2010, a new emerging citrus decline disease has been observed in Iran. This disease is currently widespread in the Southern part of Kerman province where it is causing the death of approximately 10 per cent of cultivated citrus trees. The disease has been observed on sweet orange (_Citrus sinensis_), grapefruit (_C. paradisi_), and mandarin (_C. reticulata_) plants grafted on Bakraee, a local citrus variety frequently used as a rootstock. Early symptoms include pale green leaves, no

PRO/AH/EDR> Salmonellosis - USA (03): (IA) chicken salad, alert, recall

ProMED Mail Reports - Wed, 02/14/2018 - 20:20
Salmonella -- United States
Iowa regulators Tuesday afternoon, 13 Feb 2018, issued a consumer advisory for chicken salad bought from Fareway stores. The food has been implicated in multiple cases of salmonellosis across the state, according to the Iowa Department of Public Health. A press release states that Fareway voluntarily stopped the sale of the chicken salad and pulled it from store shelves after being contacted by regulators. None of the chicken salad has been sold to the public since Fri 9 Feb 2018.

PRO/EDR> Botulism - USA: (CA) wound, injection drug-related

ProMED Mail Reports - Wed, 02/14/2018 - 20:16
Botulism -- United States
Butte County Public Health Department (BCPHD) is investigating a case of wound botulism in a Butte County resident who injected black tar heroin. Laboratory testing to confirm the diagnosis is pending. The patient remains hospitalized and on a ventilator. The source of the heroin is unknown at this time. Black tar heroin has been linked to other wound botulism outbreaks in injection drug users, so there is concern that locally available black tar heroin may be contaminated.
An average of 10

PRO/EDR> Scombroid fish poisoning - Australia: (QL) tuna, alert

ProMED Mail Reports - Wed, 02/14/2018 - 20:11
Food-related toxin -- Australia
"Histamine poisoning results from the consumption of foods, typically certain types of fish and cheeses that contain unusually high levels of histamine. Spoiled fish of the families, Scombridae and Scomberesocidae (e.g. tuna, mackerel, bonito), are commonly implicated in incidents of histamine poisoning, which leads to the common usage of the term, "scombroid fish poisoning", to describe this illness. However, certain non-scombroid fish, most notably mahi-mahi, bluefish, and sardines, when

PRO/EDR> Hepatitis - Syria: (RD) students

ProMED Mail Reports - Wed, 02/14/2018 - 20:08
Hepatitis -- Syria
The residents of Al-Dimas town in Rif Dimashq governorate [25 km or 15.5 miles northwest of Damascus] have complained of the occurrence more than 70 cases of hepatitis among the residents, mostly among students, over the past 2 weeks. Many family members of the patients have suggested that the spread of the disease in the town is due to contamination of the drinking water network, because the network is older than 40 years. They demanded sterilization of the toilets and the drinking water

PRO/AH/EDR> Campylobacteriosis - USA (03): (CO) raw milk, herdshare, 2016

ProMED Mail Reports - Wed, 02/14/2018 - 20:06
Campylobacter -- United States
In August 2016, a local public health agency (LPHA) notified the Colorado Department of Public Health and Environment (CDPHE) of two culture-confirmed cases of Campylobacter infection among persons who consumed raw (unpasteurized) milk from the same herdshare dairy. In Colorado, the sale of raw milk is illegal; however, herdshare programs, in which a member can purchase a share of a herd of cows or goats, are legal and are not regulated by state or local authorities. In coordination with

PRO/EDR> Legionellosis - USA (3): (IL) vet home, updated water treatment, new cases, RFI

ProMED Mail Reports - Wed, 02/14/2018 - 16:08
Legionnaires' -- United States
The Illinois Department of Public Health reports 2 new, laboratory-confirmed cases of legionnaires' disease at an Illinois Veterans Home in Quincy. After learning of the 2 cases, staff removed faucets from the residents' rooms right away and collected water samples. Both residents are back at the Illinois Veterans Home in Quincy and are doing well.
The veterans home just completed an extensive renovation of its plumbing systems last year [2017] after a 2015 legionnaires' disease outbreak.

PRO/AH/EDR> Avian influenza, human (07): China (JS) H7N4, 1st report

ProMED Mail Reports - Wed, 02/14/2018 - 16:02
Avian Influenza -- China
The Centre for Health Protection (CHP) of the Department of Health (DH) received today [Wed 14 Feb 2018] a notification from the National Health and Family Planning Commission (NHFPC) that a human case of avian influenza A (H7N4) was confirmed from [10 to 14 Feb 2017], and reminded the public to maintain strict personal, food and environmental hygiene both locally and during travel.
According to the NHFPC, this is the 1st case of human infection with avian influenza A (H7N4) in the world.

PRO/EDR> Legionellosis - Australia: (NS)

ProMED Mail Reports - Wed, 02/14/2018 - 15:23
Legionnaires' -- Australia
NSW [New South Wales] Health is investigating the possible contamination source after 3 people have now been confirmed with Legionnaires' disease after spending time in Castle Hill. All 3 cases developed the type of Legionnaires' disease caused by _Legionella pneumophila_ bacteria, a bacterial infection of the lungs, which can develop after a person breathes in contaminated water droplets. Legionnaires' disease cannot be spread person to person.
In a statement, NSW Health said The Hills

PRO/AH/EDR> Cattle eye helminth, Thelazia gulosa, human - USA: (OR) 1st rep

ProMED Mail Reports - Wed, 02/14/2018 - 15:18
Helminths, miscellaneous -- United States
An Oregon woman has become the 1st person worldwide known to have had an eye infestation by a tiny worm species previously seen only in cattle that is spread by flies that feed on eyeball lubrication, U.S. government researchers said on [Mon 12 Feb 2018].
U.S. Centers for Disease Control and Prevention scientists said 14 translucent parasitic worms of the species _Thelazia gulosa_, all less than half an inch (1.27 cm) long, were extracted from the 26-year-old woman's eye over a 20-day

PRO/AH/EDR> MERS-CoV (08): Saudi Arabia, RFI

ProMED Mail Reports - Wed, 02/14/2018 - 15:06
MERS -- Saudi Arabia
[Due to personal internet difficulties, the above posting was incomplete, pending more information and translation assistance]. In the 36 hours since its initial preparation, the below additional information became available:
On 9 Feb 2018, there was a report of a newly confirmed case in a 68-year-old Saudi male, non-healthcare worker from Riyadh who was noted to be in stable condition and was classified as a primary case with high risk exposure history still under investigation.

PRO/EDR> Measles update (11): Pacific, Europe, USA

ProMED Mail Reports - Wed, 02/14/2018 - 09:57
Measles -- New Zealand
Canterbury Public Health officials are urging the community to get vaccinated after a 3rd case of measles is confirmed in Canterbury.
An 18-year-old woman is the 3rd case in a fortnight to be diagnosed with the highly contagious virus.
The woman visited Christchurch hospital's emergency department on Sat [10 Feb] and Sun [11 Feb] so anyone who was in the waiting room at the weekend is urged to contact their GP's for vaccination.
Communicated by:
ProMED-mail from HealthMap
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