Outbreak and Current Disease Status Information

PRO/AH/EDR> Lassa fever - West Africa (24): Nigeria

ProMED Mail Reports - Tue, 04/17/2018 - 15:03
Lassa Fever -- Nigeria
- In the reporting week 15 [9-15 Apr 2018] 5 new confirmed cases were recorded from 4 States - Edo (2 cases), Ebonyi (1), Kogi (1), and Adamawa (1) with 3 new deaths in confirmed cases from Ebonyi (1), Adamawa (1) and Kogi (1).
- This is the lowest weekly case count since the 1st week of January 2018.
- From 1 Jan - 15 Apr 2018, a total of 1849 suspected cases have been reported from 21 states. Of these, 413 were confirmed positive, 9 are probable, 1422 are negative (not a case) and 5 are

PRO/AH/EDR> Lassa fever - West Africa (23): Liberia, WHO

ProMED Mail Reports - Tue, 04/17/2018 - 13:13
Lassa Fever -- Liberia
The Lassa fever outbreak is ongoing in Liberia with 25 new suspected cases, including 5 deaths reported since our last bulletin update (Weekly Bulletin 11, 16 Mar 2018). Of these, 2 new confirmed cases were reported in week 12 and week 13 (week ending 1 Apr 2018).
The patient reported in week 12 [week ending 25 Mar 2018] was a 2-year-old female with symptom onset on 22 Mar 2018, who was admitted to hospital in the capital city, Monrovia on 29 Mar 2018 with symptoms of fever, malaise,

PRO/AH/EDR> Buruli ulcer - Australia (02): (VI) increasing incidence & severity

ProMED Mail Reports - Tue, 04/17/2018 - 13:09
Mycobacteria, non-TB -- Australia
Understanding risk factors is key to defining the source and transmission route of _Mycobacterium ulcerans_
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_Mycobacterium ulcerans_ causes an infectious disease known internationally as Buruli ulcer, and also as Bairnsdale ulcer or Daintree ulcer in Australia. It causes severe destructive lesions of skin and soft tissue, resulting in significant morbidity, in attributable mortality, and often in long term disability and

PRO/AH/EDR> Murine typhus - USA: (TX)

ProMED Mail Reports - Tue, 04/17/2018 - 13:00
Typhus -- United States
Fever and chills, body aches and muscle pain, loss of appetite, nausea, vomiting, stomach pain, cough, rash (typically occurs around day 5).
Symptoms become apparent 2 weeks after a bite from an infected flea. Most people will recover without treatment, but some cases may be severe. When left untreated, severe illness can cause damage to one or more organs including the liver, kidneys, heart, lungs, and brain.
Flea-borne or murine typhus is a rickettsial disease caused by the bacteria,

PRO/AH/EDR> Listeriosis - Singapore (02): Australian rockmelons (cantaloupes) ST240

ProMED Mail Reports - Tue, 04/17/2018 - 12:55
Listeriosis -- Singapore
According to a statement issued by the Ministry of Health (MOH) on Monday morning [Apr 16 2018], 2 patients in Singapore had been infected with a _Listeria_ strain similar to [one causing] an outbreak in Australia tied to rockmelons.
One patient has recovered while the other died for reasons not due to the _Listeria_ infection, the ministry said. MOH said its National Public Health Laboratory had completed genetic sequence analysis on _Listeria_ bacteria strains obtained from the 5 patients

PRO/AH/EDR> Hepatitis E - Germany

ProMED Mail Reports - Tue, 04/17/2018 - 12:52
Hepatitis E -- Germany
Hepatitis E virus (HEV) infection is once again in the spotlight, with 2 studies presented today [12 Apr 2018] at The International Liver Congress™ 2018 in Paris, France, challenging the ideas that HEV infections are benign and self-limiting, and that bloodborne transmission is a rare event. Researchers from Hamburg and Hannover in Germany collaborating on these studies have demonstrated that HEV infections can be fatal in immunocompromised, and in some cases, immune-competent individuals.

PRO/EDR> Hepatitis A - New Zealand: (South Island) school children

ProMED Mail Reports - Tue, 04/17/2018 - 12:46
Hepatitis A -- New Zealand
Another 3 cases of hepatitis A have been confirmed in Oamaru [Otago division]. Last week, 3 cases of the virus were diagnosed in children from 2 families associated with Edna McCulloch Kindergarten.
The Southern District Health Board blood-tested 55 children and staff at the kindergarten and medical officer of health Dr Keith Reid said it was "good news", as only 3 others had contracted the virus. Vaccinations for those at the kindergarten were completed yesterday [13 Apr 2018]. Public

PRO/AH/EDR> Plague - Bolivia: (LP) bubonic, fatal

ProMED Mail Reports - Tue, 04/17/2018 - 12:44
Plague -- Bolivia
The Departmental Health Service (SEDES) of La Paz reported that an 81-year-old woman in the municipality of Apolo, north of La Paz, died on 26 Feb 2018, due to bubonic plague, confirming the 1st case of this type of disease in 2018. The head of the Epidemiology Unit of that health division, Alejandra Salas, indicated that the positive case was confirmed after a laboratory examination that led to the activation of an operation in the area, in order to interrupt the chain of transmission. "They

PRO/AH/EDR> Newcastle disease - Czech Republic: (ZL) backyard poultry, OIE

ProMED Mail Reports - Mon, 04/16/2018 - 21:10
Newcastle Disease -- Czech Republic
Information received on [and dated] 15 Apr 2018 from Dr Zbyněk Semerád, Director General, State Veterinary Administration, Veterinary Administration, Prague, Czech Republic
Summary
Report type: immediate notification
Date of start of the event: 9 Apr 2018
Date of confirmation of the event: 13 Apr 2018
Reason for notification: 1st occurrence of a listed disease
Manifestation of disease: clinical disease
Causal agent: paramyxovirus 1
Nature of diagnosis: clinical, laboratory

PRO/AH/EDR> Avian influenza (67): China (Hong Kong) pet birds, HPAI H5N6, OIE

ProMED Mail Reports - Mon, 04/16/2018 - 20:54
Avian Influenza H5N6 -- China
Information received on [and dated] 16 Apr 2018 from Dr. Thomas Sit, Chief Veterinary Officer/Assistant Director (Inspection & Quarantine), Agriculture, Fisheries and Conservation Department, Hong Kong Special Administrative Region Government, Hong Kong, (SAR-PRC)
Summary
Report type: immediate notification
Date of start of the event: 7 Apr 2018
Date of confirmation of the event: 12 Apr 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 4 Apr

PRO/AH/EDR> Salmonellosis, st. Braenderup - USA: eggs, recall

ProMED Mail Reports - Mon, 04/16/2018 - 20:03
Salmonella -- United States
Guard-Petter J. The chicken, the egg and Salmonella enteritidis. Environ Microbiol 2001; 3(7): 421-30; . - Mod.LL
HealthMap/ProMED-mail map:
United States: ]
[See Also:
Salmonellosis, st I 4,[5],12:b:- - USA (04): kratom, mult. st, FDA mand. recall http://promedmail.org/post/20180406.5729074
Salmonellosis, st Typhimurium - USA (04): dried coconut http://promedmail.org/post/20180324.5706748
Salmonellosis, st I 4,[5],12:b:- - USA (03): kratom, multiple serotypes

PRO/EDR> Hepatitis A - Canada: frozen strawberries

ProMED Mail Reports - Mon, 04/16/2018 - 19:59
Hepatitis A -- Canada
This recall was triggered by findings during an investigation into a foodborne illness outbreak. The Canadian Food Inspection Agency (CFIA) is conducting a food safety investigation, which may lead to the recall of other products. If other high-risk products are recalled, the CFIA will notify the public through updated Food Recall Warnings.
The CFIA is verifying that industry is removing recalled product from the marketplace.
Illnesses
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There have been reported illnesses

PRO/AH/EDR> Anthrax - Namibia (02): (Bwabwata Natl Park) hippopotamus, buffalo, final report

ProMED Mail Reports - Mon, 04/16/2018 - 19:56
Anthrax -- Namibia
Namibia's Environment Ministry confirmed on [Mon 16 Apr 2018] that the anthrax outbreak in the west part of Bwabwata National Park in the Kavango East Region has been contained. The anthrax outbreak in the country which was detected last year [2017] in October in one of the country's biggest game parks killed around 120 hippopotamuses and 25 buffaloes, amongst others.
The Environment Ministry, Public Relations officer, Romeo Muyunda in a statement said the Anthrax Containment Team which

PRO/AH/EDR> Severe fever w/ thrombocytopenia synd. - East Asia

ProMED Mail Reports - Mon, 04/16/2018 - 19:53
Fever -- China
Infectious-disease experts in East Asia are preparing for this year's [2018] wave of a lethal tick-borne virus. The virus causes a disease called severe fever with thrombocytopenia syndrome (SFTS), which has affected a rapidly growing number of people since it emerged nearly a decade ago.
Scientists in the region say they are worried by the rising incidence of the disease and by signs that the virus can spread more easily than previously thought. In March [2018], Japan launched the 1st

PRO/AH/EDR> Japanese encephalitis & other - India (02): (UP), typhus

ProMED Mail Reports - Mon, 04/16/2018 - 13:15
Encephalitis, Typhus -- India
Manoj Murhekar, Jeromie Wesley, Vivian Thangaraj, Mahima Mittal, Nivedita Gupta. Acute Encephalitis Syndrome in Eastern Uttar Pradesh, India: Changing Etiological Understanding.
Abstract
Seasonal outbreaks of acute encephalitis syndrome (AES) with high case fatality have been occurring in Gorakhpur division in Eastern Uttar Pradesh, India, for more than 3 decades. Japanese encephalitis virus (JEV) accounted for less than 10 percent of AES cases, while the etiology of the remaining cases

PRO/AH/EDR> Echinococcus multilocularis, human, canine - Canada: (ON)

ProMED Mail Reports - Mon, 04/16/2018 - 13:10
Echinococcosis -- Canada
Last year [2017], experts with the University of Alberta warned of a dangerous tapeworm found in at least 5 people in recent years [there is a relevant taped interview on this at the website. - Mod.MHJ]. The parasite is called _Echinococcus multilocularis_ (EM), and according to the University of Guelph, this same parasite has been reported in 5 dogs in Southern Ontario since 2012.
Reports of the disease that EM causes, called alveolar echinococcosis, surprised University of Guelph PhD

PRO/AH/EDR> Rabies - Americas (19): USA (NC) fox, human exposure

ProMED Mail Reports - Mon, 04/16/2018 - 13:00
Rabies -- United States
Police are warning residents to be alert when they go outside after a coyote attacked a Wake Forest man earlier Wednesday [11 Apr 2018] evening. Wake County Animal Control confirmed that the coyote tested positive for rabies.
It happened about 9:30 p.m. along the 3100 block of Lariat Ridge Drive as the homeowner was taking out his trash. The victim defended himself by kicking the animal, but the coyote continued to attack. The homeowner eventually escaped by throwing a trash can at the

PRO/EDR> Measles update (24): Europe, Mexico, South America, USA, Pacific

ProMED Mail Reports - Sun, 04/15/2018 - 21:44
Measles -- Spain
[3] Mexico (Federal District / Baja California)
Date: Fri 16 Mar 2018 13:38 PM CST
Source: Noticeros as reported in ProMED-ESP - Vol 8, Issues 66 - Mar 16 [edited]

The Ministry of Health (Ssa), identified at least 3 cases of measles in Mexico City, while the 4th was reported in Baja California, according to local sources.
According to the National Epidemiological Surveillance System (Sinave), which belongs to the Ssa, one of the cases reported in the capital is that of a

PRO/AH/EDR> Yellow fever - Americas (27): Brazil

ProMED Mail Reports - Sun, 04/15/2018 - 19:05
Yellow Fever -- Brazil
Brazil confirms 1127 cases with 331 deaths during the period 1 Jul 2017-10 Apr 2018. In the states of Rio de Janeiro, Bahia, and São Paulo coverage is below the goal.
The Ministry of Health is reinforcing the importance to the population to go to vaccination posts in the new areas of risk in São Paulo, Rio de Janeiro, and Bahia. According to the epidemiological bulletin published [Wed 11 Apr 2018] from the information sent by local officials, these 3 states continue with coverage below
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