Outbreak and Current Disease Status Information

PRO/EDR> Undiagnosed foodborne paralytic illness - New Zealand: (WK) rapid onset, RFI

ProMED Mail Reports - Sat, 11/18/2017 - 13:56
Foodborne Illness -- New Zealand
A total of 3 members of a family in New Zealand remain "unresponsive" in hospital and could face paralysis or tremors for life after suspected food poisoning from a wild boar they shot on a hunting trip. A husband and wife, and his mother, were found by paramedics lying unconscious on the floor of their home after eating dinner, which included cooked meat from a boar shot by the husband. Their children, aged 7 and one, did not eat the meat and did not fall sick.
A family friend, said the 3

PRO/EDR> Leishmaniasis, cutaneous - Tunisia: (TA)

ProMED Mail Reports - Sat, 11/18/2017 - 12:56
Leishmaniasis -- Tunisia
A total of 150 persons infected with cutaneous leishmaniasis have been identified since the beginning of the year [2017] in the governorate of Tataouine, according to the regional director of public health of the region, Brahim Gharghar.
The delegations most concerned are those of Dhehiba, Remada and Ghomrassen, he added.
Cutaneous leishmaniasis is a parasitic and non-contagious disease. It is transmitted from rodents to humans by the bite of insects and usually causes wounds and other

PRO/AH/EDR> Foodborne illness - Botswana: (CT) students, rape, sorghum, organophosphates susp

ProMED Mail Reports - Sat, 11/18/2017 - 01:09
Foodborne Illness -- Botswana
Dozens of Nthompe Koma Primary School pupils on Monday night [13 Nov 2017] thronged Mahalapye health facilities following a food poisoning incident allegedly caused by rape they ate at school.
Classes came to a halt yesterday [14 Nov 2017] as more students showed signs of food poisoning while health workers were present at the school and hospital to establish what could have caused the incident that led to at least 26 pupils being admitted at Mahalapye Hospital. According to a source, it is

PRO/AH/EDR> Hantavirus - Americas (57): USA (AZ)

ProMED Mail Reports - Fri, 11/17/2017 - 19:45
Hantavirus -- United States
Coconino County Health officials are confirming a case of the [a] Hantavirus [infection] in Northern Arizona. Officials say the case involves someone who traveled to Coconino County from outside Arizona. The person went to many places in the area and it is unknown where the person contracted the virus.
The Hantaviruses [are] transmitted to people who come in contact, or breathe infected urine, droppings or saliva from wild mice. This is the 1st confirmed case of the [a] Hantavirus

PRO/EDR> Meningitis, meningococcal - USA (05): (MA) college, sg. B

ProMED Mail Reports - Fri, 11/17/2017 - 18:33
Meningitis - Neisseria -- United States
A total of 2 University of Massachusetts Amherst students hospitalized to treat a potentially deadly meningococcal disease have a strain of the illness for which students are generally not vaccinated.
"We have received confirmation that the diagnosis for the 2nd student is serogroup B. This is a confirmation that UHS [University Health Service] had anticipated," University Health Services Executive Director George Corey said in an email to campus on [Wed 15 Nov 2017]. "UHS continues to work

PRO/AH/EDR> Q fever - Chile (03): dairy industry workers, RFI

ProMED Mail Reports - Fri, 11/17/2017 - 18:32
Q Fever -- Chile
1. Lille RD, Perrin TL, Armstrong C: An institutional outbreak of pneumonitis. III. Histopathology in man and rhesus monkeys in the pneumonitis due to the virus of "Q fever." Pub Hlth Rep 1941; 56(4): 149-55; available at
2. Maurin M, Raoult D: Q fever. Clin Microbiol Rev 1999; 12(4): 518-53; available at
3. Norlander L: Q fever epidemiology and pathogenesis. Microbes Infect 2000; 2(4): 417-24.
A good recent review on Q fever can be found at:
Melgar TA, Bauler TJ, Lutwick LI. Q fever

PRO/EDR> Legionellosis - USA (22): (NV) Legionnaires' dis, Pontiac fever, hotel, RFI

ProMED Mail Reports - Fri, 11/17/2017 - 18:28
Legionnaires', Fever -- United States
In June, The Southern Nevada Health District opened an investigation into 2 cases of Legionnaires' disease reported in guests who stayed separately at the Rio All-Suite Hotel and Casino in Las Vegas, NV in March and April [2017]. Now 5 months later, health officials say the case tally has risen to 7, with 29 additional suspected cases.
According to a Las Vegas Review-Journal report this week [week of Sun 12 Nov 2017], The Rio hotel disinfected the Ipanema Court and Masquerade Village towers

PRO/AH/EDR> Salmonellosis, st Heidelberg - USA (02): MDR, cattle contact, RFI

ProMED Mail Reports - Fri, 11/17/2017 - 17:43
Salmonella -- United States
An outbreak of a multi-drug resistant Heidelberg strain of _Salmonella_ has affected 54 people in 15 states, according to the CDC. The ongoing outbreak has progressed for some time, with associated illnesses dating back to January 2015. Since the last update on [Wed 2 Aug 2017], the CDC has reported 8 new cases in humans in 6 states [a map of the outbreak can be seen at the original URL - Mod.LL]. Up to 18 of the human cases in this outbreak, or 33 percent, are children under the age of 5

PRO/EDR> Hepatitis A - Czech Republic: (US)

ProMED Mail Reports - Fri, 11/17/2017 - 17:36
Hepatitis -- Czech Republic
The health authorities are struggling to contain a hepatitis epidemic in Ustí nad Labem, north of Prague. Doctors report 30 new cases in the last 6 days alone. Altogether 276 people have contracted the infectious disease in different parts of the city. Of the 30 new cases, 17 are children. Vaccinations are underway in schools and the locals have been asked to take precautions when visiting crowded places, such as supermarkets and public transport. Doctors say it may take up to 2 months to

PRO/AH/EDR> Plague - Madagascar (33): fatal, WHO

ProMED Mail Reports - Fri, 11/17/2017 - 17:32
Plague -- Madagascar
- The epidemic remains active in 09 health districts.
- A total of 2158 cases have been recorded from 1 August to 13 November 2017, of which 76 percent of were pneumonic.
- About 60 percent of the 174 total deaths occurred at community level.
- 1180 patients have been cured since the beginning of this epidemic, 28 others are receiving treatment in hospitals.
- There has been a marked decrease in new cases, from 502 cases the week of 2 to 8 October 2017 to 70

PRO/EDR> Cholera, diarrhea & dysentery update (130): Asia (Yemen)

ProMED Mail Reports - Fri, 11/17/2017 - 16:34
Cholera -- Yemen
The WHO has recorded at least 2200 cholera-related deaths in war-torn Yemen since [Thu 27 Apr 2017], according to a WHO report released [Wed 15 Nov 2017]. As of[ Tue 14 Nov 2017], a whopping 926 187 suspected cases of cholera have been registered countrywide over the same period, the report stated.
According to the UN organization, cholera cases have been reported in 22 out of Yemen's 23 provinces. The only part of the country to have remained unaffected by the epidemic is Yemen's Socotra

PRO/AH/EDR> Avian pox - India: (TN) pigeon

ProMED Mail Reports - Fri, 11/17/2017 - 14:18
Other Animal Disease -- India
The outbreak of pox disease among pigeons has raised concern among pigeon lovers and rearers in Tiruchi district.
The polyclinics run by the Department of Animal Husbandry in Tiruchi district particularly at Palakarai on Madurai road are reported to have received many pigeons affected with pox during the last few days. Increased incidence of pigeon pox is noticed in and around Adavathur, where pigeons are reared in large numbers.
"Many pigeons have been affected with pox. We are really

PRO/EDR> Hepatitis A - USA (56): (MI) western spread

ProMED Mail Reports - Fri, 11/17/2017 - 13:40
Hepatitis A -- United States
A hepatitis A outbreak that has gripped southeast Michigan has now reached West Michigan. The Michigan Department of Health and Human Services [MDHHS] says 3 cases of hepatitis A that were reported in Calhoun County are linked to the strain in southeast Michigan. Health officials say 2 of those cases were in people who live in southeast Michigan but were diagnosed in Calhoun County; one of the people is a Calhoun County resident. Since August 2016, health officials have received reports of 486

PRO/EDR> Influenza (33): WHO global update

ProMED Mail Reports - Fri, 11/17/2017 - 12:25
Influenza H3N2, Influenza, Respiratory Illness, Influenza H1N1 -- Worldwide/Unknown
Influenza activity remained at low levels in the temperate zone of the northern hemisphere. Declining levels of influenza activity were reported in the temperate zone of the southern hemisphere and in some countries of South and South East Asia. In Central America and the Caribbean, low influenza activity was reported in a few countries. Worldwide, influenza A(H3N2) and B viruses accounted for the majority of influenza detections.
- In North America, overall influenza

PRO/AH/EDR> Anthrax - Turkey: (DN) bovine

ProMED Mail Reports - Thu, 11/16/2017 - 19:25
Anthrax -- Turkey
A total of 4 neighborhoods in the Aegean province of Denizli were quarantined against the risk of anthrax on [Thu 16 Nov 2017].
Denizli's local head of Food, Agriculture and Livestock, Ahmet Kocakaplan said livestock sales in the Emirhisar, Haydan, Omerli and Incecoy neighborhoods in Denizli's Civril district are banned for 21 days.
The anthrax concern was raised after the death of 2 cattle in the Emirhisar neighborhood. Teams arrived at the scene to take samples from dead cattle for

PRO/AH/EDR> Strep. Group B - Singapore: serotype III, ST283, invasive, foodborne, fish, 2015

ProMED Mail Reports - Thu, 11/16/2017 - 19:23
Foodborne Illness -- Singapore
A new report details the investigation into a large outbreak of group B _Streptococcus_ in Singapore that was caused by a type of raw fish salad.
The 2015 outbreak sickened 238 people and was associated with consuming yusheng, a dish typically made from 2 freshwater fish species, Asian bighead carp and snakehead, Lee C. Ng, PhD, director of the Singapore National Environment Agency's Environmental Health Institute, and colleagues wrote in Emerging Infectious Diseases [1,2].
The discovery

PRO/AH/EDR> Plague - Madagascar (32): fatal, WHO

ProMED Mail Reports - Thu, 11/16/2017 - 19:20
Plague -- Madagascar
Since [Tue 1 Aug 2017], Madagascar has been experiencing a large outbreak of plague. As of [Fri 10 Nov 2017], a total of 2119 confirmed, probable and suspected cases of plague, including 171 deaths (case fatality rate: 8 percent), have been reported by the Ministry of Health of Madagascar to WHO.
From 1 Aug through 10 Nov 2017, 1618 (76 percent) cases and 72 deaths have been clinically classified as pneumonic plague, including 365 (23 percent) confirmed, 573 (35 percent) probable and 680

PRO/EDR> Poliomyelitis update (36): global (Pakistan, Afghanistan, Syria)

ProMED Mail Reports - Thu, 11/16/2017 - 17:32
Polio -- Pakistan
New wild poliovirus cases reported this week: 1
Total number of wild poliovirus cases in 2017: 15
Total number of wild poliovirus cases in 2016: 37
New cVDPV cases reported this week: 0
Total number of cVDPV cases in 2017: 73
Total number of cVDPV cases in 2016: 5
- New on : Polio infrastructure helping to stop malaria in Nigeria, and Innovations in reverse cold-chain building resilience for disease surveillance in Sudan.
- Underlining their commitment to a polio-free

PRO/EDR> Meningitis, meningococcal - USA (04): (MA) college, sg. B

ProMED Mail Reports - Thu, 11/16/2017 - 17:23
Meningitis - Neisseria -- United States
University of Massachusetts Amherst officials say a student on campus has been diagnosed with meningitis weeks after another student fell ill with a related illness and are suggesting students consider an additional vaccination as a precaution.
A student was diagnosed with a meningococcal illness last month [October 2017] that was later determined to be a strain of the disease not covered by the vaccine students must have to attend the school. The 2nd student, who lives in a residence hall,

PRO/EDR> Hepatitis A - USA (55): (CA, UT)

ProMED Mail Reports - Thu, 11/16/2017 - 15:55
Hepatitis A -- United States
On [1 Sep 2017], the San Diego County public health officer declared a local public health emergency due to the ongoing hepatitis A outbreak in the county. The outbreak is being spread person-to-person and through contact with fecally contaminated environments. The majority of people who have contracted hepatitis A during this outbreak have been homeless and/or illicit drug users.
Efforts of the County and its community partners to halt the hepatitis A outbreak focus on 3 key areas:
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