Outbreak and Current Disease Status Information

PRO/AH/EDR> E. coli EHEC - Canada (10): (BC) O121, flour

ProMED Mail Reports - Sat, 05/20/2017 - 12:29
E. coli -- Canada
A total of 6 people in British Columbia were infected with the same strain of _E. coli_ between February and April 2017, according to the BC Centre for Disease Control (BCCDC). A sample of flour from one of the people who got ill was tested by the BCCDC. The flour tested positive for the same strain of _E. coli_ O121, which was seen in all the illnesses.
While it is unknown at this time whether the other people who got sick consumed the same flour, the BCCDC recommends that consumers

PRO/EDR> Candida auris - USA (04): nosocomial, epidemiology, drug resistance

ProMED Mail Reports - Sat, 05/20/2017 - 12:27
Antimicrobial resistance -- United States
Tsay S, Welsh RM, Adams EH, et al
In June 2016, CDC released a clinical alert about the emerging, and often multidrug-resistant, fungus _Candida auris_ and later reported the first 7 U.S. cases of infection through August 2016 (1). Six of these cases occurred before the clinical alert and were retrospectively identified. As of May 12, 2017, a total of 77 U.S. clinical cases of _C. auris_ had been reported to CDC from 7 states: New York (53 cases), New Jersey (16), Illinois (4), Indiana (1),

PRO/EDR> Hand, foot & mouth disease update (04): Australia (VI)

ProMED Mail Reports - Sat, 05/20/2017 - 12:22
Hand, Foot and Mouth Disease -- Australia
A leading Ballarat emergency doctor has quelled rising community concern for hand, foot and mouth disease.
The call comes after multiple parents have contacted The Courier about cases in primary schools and childcare centers across the city.
While the condition is highly contagious, Dr Nigel Beck said the key message was the name tended to spark worry for what was mostly fairly benign.
Hand, foot and mouth disease is not notifiable to the health department. It is also confused to the

PRO/EDR> Mumps update (18): USA

ProMED Mail Reports - Sat, 05/20/2017 - 12:17
Mumps -- United States
The number of mumps cases rose to 94 in the Dallas area this week [week of Sun 14 2017]. At the same time, the Department of State Health Services confirms numbers in Central Texas are rising too -- 5 in Travis County in March and April [2017], and 2 cases in Hays County. Public health experts say the MMR vaccine is the key to stopping the outbreak from reaching the Austin area, but even if you got the shots, you may not be immune to the mumps.
That's because the MMR vaccine is 88 percent

PRO/EDR> Cholera, diarrhea & dysentery update (31): Africa

ProMED Mail Reports - Sat, 05/20/2017 - 12:14
Cholera, Diarrhea, Dysentery -- Worldwide/Unknown
Cholera continues to claim more lives in White Nile state. Yesterday, [Mon 15 May 2017], 2 deaths were reported, in addition to the escalation of infections to a total of 20 cases. One person died of cholera in Sheikan village and another died in El Tamrin, journalist El Tahir Ishag told Radio Dabanga. Health centers in both villages witnessed 10 new infected cases each. El Tamrin's new patients were transferred to El Gezira Aba medical isolation center.
Abdelrahman El Siddig, the head of

PRO/AH/EDR> MERS-CoV (27): Saudi Arabia (RI,AS,QS) nosocomial transmission

ProMED Mail Reports - Fri, 05/19/2017 - 21:24
Hospital-Related Infection, MERS -- Saudi Arabia
As of 14:00 [2:00 PM] today [Fri 19 May 2017], there have been a total of:
1611 laboratory-confirmed cases of MERS-CoV infection, including
663 deaths [reported case fatality rate 41.2 percent],
935 recoveries, and
13 currently active cases
[As previously mentioned, the numbers of deaths, recoveries and currently active cases come from my spreadsheet tallies and differ from those listed on the Saudi MOH website. - Mod.MPP]
Since the last ProMED-mail update [Sun 14 May 2017], there

PRO/AH/EDR> Hantavirus - Americas (31): Panama (LS)

ProMED Mail Reports - Fri, 05/19/2017 - 21:18
Hantavirus -- Panama
A 3rd case positive for [a] hantavirus fever was confirmed by authorities of the Ministry of Health (MINSA) in Los Santos province.
This case concerns a 61-year-old patient, from the El Bebedero community in Tonosí, who is currently is in the emergency unit of the Joaquín Pablo Franco Hospital in Las Tablas.
Carlos Muñoz, a Los Santos MINSA epidemiologist, stated that the patient became ill on [12 May 2017], but it was just this past [Wed 17 May 2017] that tests confirmed the case [as

PRO/EDR> Pertussis (04): Canada, USA

ProMED Mail Reports - Fri, 05/19/2017 - 21:14
Whooping Cough -- Canada
The Prince Albert Parkland Health Region (PAPHR) [Saskatchewan] announced a whooping cough [pertussis] outbreak focused in its northwest portion on [Fri 5 May 2017].
Pertussis, commonly known as whooping cough, is a serious and highly contagious infection of the lungs and throat caused by _Bordetella pertussis_ bacteria.
The health region, Health Canada and surrounding First Nation communities [aboriginal peoples in Canada] are currently assessing and coordinating a response to the

PRO/EDR> Meningitis, meningococcal - Niger: fatal

ProMED Mail Reports - Fri, 05/19/2017 - 21:12
Meningitis - Neisseria -- Niger
At least 179 people, almost half of them children, have died of meningitis since January [2017] in Niger, where some 3000 suspected cases have been reported, the United Nations said [Wed 17 May 2017]. "From [2 Jan to 7 May 2017], a total of 3037 suspected cases of meningitis, including 179 deaths, was reported in the country," said the UN's humanitarian agency, OCHA. "The fatality rate is 5.9 percent."
Meningitis is caused by different types of bacteria, 6 of which can cause epidemics. It

PRO/EDR> Varicella - Pakistan (03): (PB) RFI

ProMED Mail Reports - Fri, 05/19/2017 - 21:10
Chicken Pox -- Pakistan
For months now, reports have been trickling in from Faisalabad [Punjab], and the surrounding areas, of people dying of chickenpox [varicella]. [Wed 17 May 2017] saw yet another case when a man at the Allied Hospital succumbed to the largely benign but infectious illness. By some accounts, the death toll over the past few weeks alone exceeded 20. Exact figures are difficult to come by, and therein lies the problem: far from the provincial administration, immediately coming up with a plan to

PRO/EDR> Norovirus - Spain: (CT) hospital staff

ProMED Mail Reports - Fri, 05/19/2017 - 21:08
Norovirus -- Spain
There are already 252 persons affected by the outbreak of acute gastroenteritis that last week [week of 8 May 2017] ravaged the Hospital of Bellvitge, in L'Hospitalet de Llobregat [Catalonia]. The Public Health Agency of Catalonia (ASPCAT) has reported the increase in the number of victims, which last Fri 12 May 2017, had been set at 190, all workers at the health center.
In all cases the symptomatology has been mild so, despite the high number of affected persons, the outbreak has had no

PRO/AH/EDR> Anthrax - Switzerland (03): (JU) second bovine

ProMED Mail Reports - Fri, 05/19/2017 - 21:06
Anthrax -- Switzerland
A 2nd bovine animal with anthrax was discovered on the Jura farm where a 1st case had already been detected. After the discovery of a 1st case of anthrax on the Jura farm, a surveillance system was set up by the Consumer and Veterinary Affairs Department (Scav) of the Canton of Jura. This detected a 2nd bovine infected with this epizootic of bacterial origin, also transmissible to humans.
On [Fri 12 May 2017], a bovine from the Jura farm, which had already been sequestered, revealed

PRO/EDR> Botulism - USA (08): (CA) gas station food, nacho cheese

ProMED Mail Reports - Fri, 05/19/2017 - 21:01
Botulism -- United States
Outside, Valley Oak Food and Fuel in Walnut Grove is open for business. But inside, health officials have stopped the sale of food items and roped off a part of the store, after the gas station was linked to last week's [5 May 2017] botulism outbreak -- a rare and sometimes fatal form of food poisoning. Health inspectors have linked the case to a nacho cheese sauce traced back to the mom-and-pop gas station.
State and county health officials have confirmed 9 people have been hospitalized,

PRO/AH/EDR> Malaria - South Africa (04): (LP, MP) Kruger National Park

ProMED Mail Reports - Fri, 05/19/2017 - 20:58
Malaria -- South Africa
The Kruger National Park (KNP) has warned holidaymakers to take measures to avoid mosquito bites. SanParks spokesperson William Mabasa says the large amount of rain received this year [2017] has resulted in a spike in cases of malaria.
"There are pools of water in abundance everywhere and there are more cases (of malaria), especially in the northern part of the park. We would like for visitors to take precautionary measures by taking medication and consulting with their doctors to prevent

PRO/EDR> Cholera, diarrhea & dysentery update (30): Asia (Yemen)

ProMED Mail Reports - Fri, 05/19/2017 - 20:35
Cholera -- Yemen
Nearly 23 500 suspected cases of cholera have been registered in war-ravaged Yemen in the past 3 weeks, the World Health Organization said, as the death toll of the outbreak climbed to at least 242. "The speed of the resurgence of this cholera epidemic is unprecedented," Nevio Zagaria, WHO country representative for Yemen, told reporters in a conference call on [Fri 19 May 2017]. Zagaria warned that there could be as many as 250 000 cases in the country within 6 months.
On [Sun 14 May

PRO/AH/EDR> Trypanosomiasis - The Netherlands (02): ex Tanzania, comment

ProMED Mail Reports - Fri, 05/19/2017 - 20:34
Trypanosomiasis -- Netherlands
Number of imported cases of African Trypanosomiasis 1970 - 2017
Year / Patient from / Infected in / Cases (number)
1970 / Switzerland / multiple ** / 1
1970 / United States / multiple / 2
1975 / Sweden / Gambia / 1
1977 / Switzerland / multiple / 1
1981 / United States / Tanzania / 1
1986 / United States / Zambia / 1
1990 * / Switzerland / Rwanda / 2
1991 / United States / multiple / 1
1991 / New Zealand / multiple / 1
1992 / France / Angola / 1
1994* / France / Rwanda /

PRO/AH/EDR> Undiagnosed die-off, fish - USA (03): (CA) shark, update

ProMED Mail Reports - Fri, 05/19/2017 - 20:26
Animal Die-off -- United States
A ghoulish mystery is playing out along the shores of San Francisco Bay, where at least 80 leopard sharks -- docile spotted animals that don't eat people -- have washed up dead in recent weeks.
Scientists suspect the sharks are being killed by a fatal brain infection linked to a fungus that may have been spread around by the huge amounts of rain California received this year [2017]. The historic storms also reduced the bay's salinity in ways that could have weakened the sharks, some

PRO/AH/EDR> Ebola update (23): DRC, news, vaccine

ProMED Mail Reports - Fri, 05/19/2017 - 08:54
Ebola -- DR Congo
The country "has considerable experience and capacity in confronting these outbreaks," Dr. Daniel Bausch, an Ebola expert at the WHO, said in an email. He added, "I think there is a very good probability that control can be rapidly achieved."
Dr. Salama said that aid workers had reached a town in the Likati zone, which was as close as they had been able to come to the epicenter of the outbreak. He said aid groups were setting up centers for treatment and isolation, and mobile labs.

PRO/AH/EDR> Foot & mouth disease - Jordan (02): livestock, st. O, genotype O/ME-SA/Ind-2001d

ProMED Mail Reports - Thu, 05/18/2017 - 22:49
Foot and Mouth -- Jordan
FMD type O has been reported in sheep at Jiza, Amman [21 Feb 2017], goats at Deir Alla, Al Balqa [2 Mar 2017], cattle at Hwarah, Irbid [9 Mar 2017] and cattle at Kraymah, Jordan Valley, Al Balqa [14 Mar 2017].
VP1 sequencing (performed at the Jordan University of Science and Technology) has determined the genotype of these viruses as O/ME-SA/Ind-2001d.
Communicated by:

[In ProMED-mail's post http://promedmail.org/post/20170516.5039513 "Foot & mouth disease -

PRO/AH/EDR> Marteilia refringens - United Kingdom: (Northern Ireland) mussels, 1st rep, OIE

ProMED Mail Reports - Thu, 05/18/2017 - 15:57
-- United Kingdom
Information received on [and dated] 17 May 2017 from Dr Nigel Gibbens, Chief Veterinary Officer, Department for Environment, Food and Rural Affairs, Department for Environment, Food and Rural Affairs, London, United Kingdom
Report type: immediate notification (final report)
Date of start of the event: 6 Dec 2016
Date of confirmation of the event: 11 Apr 2017
Reason for notification: first occurrence of a listed disease
Manifestation of disease: sub-clinical infection
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