Outbreak and Current Disease Status Information

PRO/AH/EDR> Brucellosis - USA (11): (TX) unpasteurized milk, B. abortus vaccine strain, alert

ProMED Mail Reports - Sat, 09/16/2017 - 16:57
Foodborne Illness -- United States
People who consumed raw milk or raw milk products from a Texas dairy should contact their health care provider immediately, warn health investigators from the CDC and the Texas Department of State Health Services (DSHS). Raw milk from the K-Bar Dairy in Paradise, Texas (northwest of Fort Worth), tested positive for a rare but potentially serious bacterium known as _Brucella [abortus_] RB51.
CDC advises that people who consumed raw milk or milk products from the K-Bar Dairy between 1 June

PRO/AH/EDR> Cutaneous & renal glomerular vasculopathy, canine - UK (06): England, spread

ProMED Mail Reports - Sat, 09/16/2017 - 14:34
-- United Kingdom
Pet owners are being warned that a deadly flesh-eating dog disease may have spread to Crawley.
Other cases of the disease - Alabama Rot - have already been reported at various sites across Sussex.
Now Vets4Pets - based inside Pets at Home in County Oak, Crawley - has reported its 1st suspected case. The practice says that the disease, which leads to kidney failure and usually proves fatal "in 9 out of 10 cases," is the 1st case it has had. The cause of Alabama Rot - cutaneous and renal

PRO/AH/EDR> Malaria, autochthonous P. vivax - Greece

ProMED Mail Reports - Sat, 09/16/2017 - 14:28
Malaria -- Greece
As of [Thu 17 Aug 2017], Greece reported 5 autochthonous cases of _P. vivax_ malaria acquired via vector-borne transmission following a likely exposure in the regions of Dytiki Ellada in West Greece for 4 cases and Sterea Ellada in Central Greece for one case.
Greece reports that these cases resulted from a local transmission following recent introduction of _P. vivax_ in the area (introduced cases). The dates of onset of the cases range between 2 May and 22 July 2017.
In addition,

PRO/EDR> Chikungunya (31): Asia (Pakistan)

ProMED Mail Reports - Sat, 09/16/2017 - 13:55
Chikungunya -- Pakistan
At least 25 chikungunya suspected cases have been reported from Tharparkar/Mithi in the 1st 12 days of September 2017. The total number of chikungunya cases has reached 646 since April 2017.
As per a report released by Sindh Health Department, a total of 4106 chikungunya suspected cases emerged in the province, out of which, 3455 emerged in Karachi, 646 in Tharparkar, 4 in Sanghar and one in Umerkot so far.
In Karachi, out of total 3455 cases, 1740 were reported in District Malir, 156 in

PRO/AH> Japanese encephalitis & other - India (20): (UP), RFI

ProMED Mail Reports - Sat, 09/16/2017 - 13:50
Japanese Encephalitis -- India
After deaths of 3 more children due to encephalitis in Baba Raghav Das [BRD] Medical college here today [Fri 15 Sep 2017], the death toll rises to 223. Official sources said here that among [3] deceased children one each was from Deoria, Gorakhpur and Ambedkar Nagar districts. Sources said that 1045 patients of encephalitis were admitted in BRD medical college since last 1 January [2017]; 223 of them have died till date. A total of 18 new patients were admitted in hospital today [Fri 15 Sep

PRO/AH/EDR> Avian influenza, human (71): China, H7N9, WHO update

ProMED Mail Reports - Sat, 09/16/2017 - 13:45
Avian Influenza H7N9 -- China
On 18 August 2017, the NHFPC reported one laboratory-confirmed human case of infection with avian influenza A(H7N9) virus in China. The case-patient was a 47-year-old male from Hunan province who developed symptoms on [Wed 9 Aug 2017] and was admitted to hospital on [Sat 12 Aug 2017]. He passed away on [Sun 13 Aug 2017]. He was reported to have had exposure to live poultry markets.
On [Fri 25 Aug 2017], the NHFPC reported 2 laboratory-confirmed human cases of infection with avian influenza

PRO/AH/EDR> Avian influenza (141): South Africa (EC) HPAI H5N8 poultry, spread

ProMED Mail Reports - Sat, 09/16/2017 - 12:15
Avian Influenza H5N8 -- South Africa
South Africa's 4th largest integrated poultry producer Sovereign Foods, which is based in Uitenhage, on [Thu 14 Sep 2017] announced that it has detected the avian influenza (AI) at a single layer house on a farm that forms part of the company's broader Uitenhage operations.
"Approximately 5000 birds have been culled, which represent approximately one percent of Uitenhage's production pipeline," the company said in a brief statement.
"Sovereign Foods' management is currently taking the

PRO/AH/EDR> Kyasanur Forest disease - India (15): (GA, MH) monkey, susp

ProMED Mail Reports - Sat, 09/16/2017 - 12:02
Hemorrhagic Fever -- India
The death of 4 monkeys in a day at Morjim, Arambol and Torsem in Pernem taluka has sparked a scare among people in these areas. Authorities have dispatched samples of the dead monkeys to Pune to ascertain whether they were infected with Kyasanur Forest disease (KFD).
Sources said that the 4 monkeys, one in Morjim and Arambol and 2 at Torsem, were found dead on [Tue 12 Sep 2017]. Former Morjim sarpanch, Vaishali Shetgaonkar and locals communicated [with] the state forest department about the

PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (13): (BA)

ProMED Mail Reports - Sat, 09/16/2017 - 11:34
Crimean-Congo Hemorrhagic Fever -- Pakistan
A 35-year-old man hailing from Quetta died of the Congo Crimean Haemorrhagic Fever (CCHF) at a private hospital in Karachi on [Wed 13 Sep 2017], while another Congo fever patient - a teenager from Quetta - was admitted to the Jinnah Postgraduate Medical Centre's intensive care unit in critical condition on [Thu 14 Sep 2017], officials of the Sindh Health Department told The News.
As per the officials, 4 people brought from Balochistan - all residents of Quetta's Satellite Town - for

PRO/EDR> Cholera, diarrhea & dysentery update (99): Americas (USA) O1, non-toxigenic, 2016

ProMED Mail Reports - Fri, 09/15/2017 - 19:55
Cholera -- United States
On 20 Aug 2016, the Minnesota Department of Health (MDH) was notified of a case of _Vibrio cholerae_ infection. The isolate was identified as serogroup O1, serotype Inaba at MDH. CDC determined that the isolate was non-toxigenic. The patient was a previously healthy woman, aged 43 years, with history of gastric bypass surgery. On 16 Aug [2016], she experienced profuse watery diarrhea, vomiting, abdominal cramps, and headache. On 18 Aug [2016], she sought care and submitted the stool specimen

PRO/AH/EDR> Hookworm, United States: (AL)

ProMED Mail Reports - Fri, 09/15/2017 - 19:04
Hookworm -- United States
Hookworm infection affects 430 million people worldwide, causing iron deficiency, impaired cognitive development, and stunting in children. Because of the environmental conditions needed for the hookworm life-cycle, this parasite is endemic to resource-limited countries.
_Necator americanus_ was endemic in the southern United States before improvement of sewage disposal systems and eradication programs. With continued poverty, poor sanitation, and an environment suitable for the

PRO/EDR> Hepatitis A - Australia (05): (NS)

ProMED Mail Reports - Fri, 09/15/2017 - 18:44
Hepatitis A -- Australia
There are now 18 cases currently associated with the outbreak:
- 15 are PCR positive; 2 have arrived at VIDRL [Victorian Infectious Diseases Reference Laboratory] (PCR pending); 1 specimen in transit;
- 11 are 100 percent identical to each other by molecular typing; the remainder have typing pending.
8 of the 18 identify as MSM [men who have sex with men], some of whom have visited sex on premises venues [SOPVs] during their incubation and/or infectious periods. We are working with ACON

PRO/EDR> Hepatitis A - USA (29): (CA) fatal

ProMED Mail Reports - Fri, 09/15/2017 - 18:39
Hepatitis A -- United States
At this time, there have been no deaths in Santa Cruz County as a result of the current hepatitis A outbreak.
Communicated by:
EpiCore Global Surveillance Project Member
Jessica Oltmanns, MPH (Epidemiologist)
[ProMED thanks EpiCore Jessica Oltmanns for this information. - Mod.LL
A HealthMap/ProMED-mail map can be accessed at: .]
[See Also:
Hepatitis A - USA (28): (CA) fatal, RFI http://promedmail.org/post/20170914.5313869
Hepatitis A - USA (28): (CA) fatal

PRO/EDR> Legionellosis - Europe (08): UK (England) fatal, hotel, recurrence

ProMED Mail Reports - Fri, 09/15/2017 - 18:31
Legionnaires' -- United Kingdom
The Feathers Hotel, a historic building in Ludlow, Shropshire, has voluntarily closed to the public on advice of health bosses. A hotel guest has died after contracting legionnaires' disease and another fell ill following a stay at the same place, it has been revealed.
Tests showed links between _Legionella_ bacteria found in water samples from the hotel and the 2 guests, Public Health England said. Both guests were from Merseyside. The 1st case, a woman in her 70s, recovered after being

Chikungunya – Italy

WHO Disease Outbreaks news - Fri, 09/15/2017 - 12:50
As of 14 September, fourteen autochthonous confirmed cases of chikungunya have been diagnosed in Italy, six in Rome and eight in the coastal area of Anzio (Lazio Region). There are additional cases being investigated.

PRO/AH/EDR> Yellow fever - Africa (04): Cote d'Ivoire, corr

ProMED Mail Reports - Fri, 09/15/2017 - 07:58
Yellow Fever -- Cote d'Ivoire
Although the source article for this posting from Independent Online () came to ProMED yesterday [13 Sep 2017], the report is dated 7 Sep 2001.
We are grateful to ProMED correspondent Susan Baekeland and multiple ProMED readers who called the mistake to our attention. We also greatly appreciate the confirmation provided by William Brieger from the EYE Secretariat clarifying that there is no outbreak.
ProMED regrets any inconvenience or unnecessary concern that this post may have caused.

PRO/PL> Stripe rust, wheat - UK: new strains

ProMED Mail Reports - Thu, 09/14/2017 - 21:08
Other Plant Disease -- United Kingdom
The latest national cereal disease survey by Agrii found that changes in the pathogenicity of yellow rust over the past [2016/17] season mean 64 per cent of mainstream winter wheat varieties now have lower resistance than their current Recommended List (RL) ratings - providing an early warning ahead of 2017/18 planting.
Agrii's Jim Carswell said: "A number of varieties are holding their ratings well, however, many have become noticeably more susceptible. A progressive fall-off in resistance

PRO/AH> Severe fever with thrombocytopenia synd. - South Korea (03)

ProMED Mail Reports - Thu, 09/14/2017 - 20:30
Fever -- South Korea
A tick-borne disease has killed 31 people this year [2017] so far, according to the Korea Centers for Disease Control and Prevention (KCDC) on Thursday [14 Sep 2017].
The KDCD noted the number of deaths from severe fever with thrombocytopenia syndrome (SFTS) has increased sharply from last year's [2016] 19. Given that ticks remain active until November, more people may fall victim to the virus.
The number of people who have tested positive for the virus was 139 as of 31 Aug [2017]. It is

PRO/AH/EDR> Anthrax - India (14): (AD) caprine, human, update

ProMED Mail Reports - Thu, 09/14/2017 - 20:17
Anthrax -- India
Even 2 days after the admission of 6 tribals from Dumbriguda mandal in the agency to King George Hospital with suspected anthrax symptoms, the samples collected from them are yet to be tested at the microbiology department.
The diagnostic tests will be available mostly by Sunday [17 Sep 2017], said the officials. However, the officials say that equipment available at the department is not adequate to confirm cutaneous anthrax without error, for which the samples, after being tested at the

PRO/EDR> Typhoid fever - Guyana: (PM) susp

ProMED Mail Reports - Thu, 09/14/2017 - 20:10
Typhoid -- Guyana
Residents of Wakapoa, in Region Two (Pomeroon-Supenaam), suspect that there is a typhoid outbreak in the community, where the absence of medical professionals and drugs at the community health center has become the norm. At least 8 people from the village have been reported as having typhoid.
A resident sought to highlight the plight of those in her village in a recent Facebook post by calling on those in authority to look into the matter. "Hello my friends, with a feeling of anxiety and
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