Outbreak and Current Disease Status Information

PRO/AH/EDR> Undiagnosed hemorrhagic fever - Uganda (04): (QD) RFI

ProMED Mail Reports - Mon, 06/11/2018 - 14:50
Hemorrhagic Fever -- Uganda
A disease, suspected to be Ebola or Marburg haemorrhagic fever, has broken out in Kiryandongo district.
On [Sun 10 Jun 2018] morning, a woman resident of Bweyale town council, was admitted with signs of the 2 ailments and died shortly after arrival.
According to the district Secretary for Health Rashid Okecha, health officials tried all they could to give her treatment but in vain. "The woman was admitted at around 8 AM on [Sun 10 Jun 2018] with a severe fever and blood was flowing out

PRO/AH/EDR> Keystone virus - USA: (FL)

ProMED Mail Reports - Mon, 06/11/2018 - 13:28
Other Human Disease -- United States
Keystone virus, a California-serogroup orthobunyavirus, was first isolated in 1964 from mosquitoes in Keystone, Florida. There are no reports of isolation from humans, despite studies suggesting that about 20 percent of persons living in the region are seropositive. We report virus isolation from a Florida teenager with a rash and fever.
Communicated by:
Greg Folkers
Roland Hubner
Superior Health Council

[Keystone virus, a member of

PRO/AH/EDR> Ebola update (32): Congo DR, cases, preparation, research

ProMED Mail Reports - Mon, 06/11/2018 - 13:24
Ebola -- DR Congo
Equateur is different from other parts of the DRC. 40 percent of its population is Twa, an African Pygmy group that lives interdependently with agricultural Bantu-speaking populations, providing them with game [that is, bushmeat. - Rapp.MM] in exchange for farm products. The Twa population is already marginalized and vulnerable, and the research effort will face many issues related to language and culture, beginning with understanding and communicating perceptions of

PRO/AH/EDR> Ntwetwe virus - Uganda: (QZ) 2016

ProMED Mail Reports - Mon, 06/11/2018 - 07:55
Encephalitis -- Uganda
A Ugandan child with unexplained encephalitis was investigated using viral metagenomics. Several sequences from all segments of a novel orthobunyavirus were found. The S-segment, used for typing, showed 41 percent amino acid diversity to its closest relative. The virus was named Ntwetwe virus, after the hometown of the patient.
In 2016, a Ugandan girl presented to the hospital with a suspected CNS infection for which no pathogen could be

PRO/EDR> Bourbon virus - USA: (MO)

ProMED Mail Reports - Sun, 06/10/2018 - 23:09
Other Human Disease -- United States
Bourbon virus was initially identified in an individual in Bourbon County, Kansas. It also has been reported in Oklahoma and detected in ticks in Northwest Missouri, in a resident of Southwest Missouri, a resident of East Central Missouri, and now possibly a 2nd resident of East Central Missouri.
Williams said ticks have no borders and residents living in St. Louis, Jefferson and Franklin counties should be hyper vigilant in checking themselves and loved ones for ticks and use products to

PRO> Antibiotic resistance (03): Viet Nam, colistin, mcr 1-5, E. coli, human

ProMED Mail Reports - Sun, 06/10/2018 - 17:40
E. coli -- Vietnam
A new study has found that the majority of residents in a rural village of Viet Nam harbored multi-drug-resistant (MDR), colistin-resistant _Escherichia coli_ bacteria. Colistin is typically used as a last-resort treatment when there are no other therapy options available. The research is presented at ASM Microbe, the annual meeting of the American Society for Microbiology, held from [7 to 11 Jun 2018] in Atlanta, GA.
"These results revealed the dissemination of MDR colistin-resistant _E.

PRO> Antibiotic-resistant Klebsiella - USA: (NY) hypervirul, carbapenem&colistin MDR

ProMED Mail Reports - Sun, 06/10/2018 - 17:34
Klebsiella pneumoniae -- United States
Researchers from the Emory Antibiotic Resistance Center describe the 1st strain of carbapenem-resistant, hypermucoviscous _Klebsiella pneumoniae_ exhibiting colistin heteroresistance and enhanced virulence isolated from a patient in the United States. The research is presented at ASM Microbe, the annual meeting of the American Society for Microbiology, held from [7 to 11 Jun 2018], in Atlanta, Georgia.
"The problem of antibiotic resistance is becoming increasingly alarming. The combination

PRO/AH/EDR> Salmonellosis - USA (06): live poultry, multiple serotypes

ProMED Mail Reports - Sun, 06/10/2018 - 17:18
Salmonella -- United States
CDC and multiple states are investigating several multistate outbreaks of salmonella infections linked to contact with live poultry in backyard flocks. Several different types of salmonella bacteria have made people sick: _S._ Seftenberg, _S._ Montevideo, _S._Infantis, _S._ Enteritidis, _S._ Indiana, and _S._ Litchfield.
As of [1 Jun 2018], 124 people infected with the outbreak strains of salmonella have been reported from 36 states.
State / Number of Cases
Alabama / 5
Arkansas /

PRO/AH/EDR> Salmonellosis, st Typhimurium - Sweden: RFI

ProMED Mail Reports - Sun, 06/10/2018 - 12:13
Salmonella -- Sweden
Since the beginning of May 2018, 13 cases of an unusual _Salmonella_ type (_S._ Typhimurium MLVA 2-17-NN-211) have been identified by the Public Health Authority's microbial monitoring program, according to the Public Health Agency of Sweden (Folkhalsomyndigheten ).
The type has so far been identified in 7 counties in persons reported to be infected in Sweden. The sick people, 7 men and 6 women, are between 10 and 85 years old.
An investigation is being carried out in collaboration with

PRO/EDR> Poliomyelitis update (20): (Pakistan) WPV1 conf

ProMED Mail Reports - Sun, 06/10/2018 - 11:15
Polio -- Pakistan
In response to the RFI (request for information) on 9 Jun 2018, we have learned from our EpiCore Surveillance Project that a wild poliovirus type 1 (WPV1) was isolated from an 18 month old male child, resident of Union Council Sadar, Duki district, Balochistan Pakistan. Date of onset of illness (bilateral lower extremity weakness) of this case was 18 May 2018.
communicated by:
EpiCore Global Surveillance Project

[ProMED-mail would like to thank our EpiCore Surveillance members for

PRO/AH/EDR> Ebola update (31): Congo DR, cases, response, WHO

ProMED Mail Reports - Sun, 06/10/2018 - 06:10
Ebola -- DR Congo
On 9 May 2018, the day after [the] country declared an outbreak of Ebola virus disease in Bikoro, the 1st WHO and Ministry of Health response team arrived in the provincial capital Mbandaka to begin setting up the specialized cold chain needed to store a vaccine that had been successfully used in 2017 to contain another Ebola outbreak.
By 11 May 2018, teams had started to trace contacts of all active cases and WHO partners were setting up treatment centres in Bikoro. The next day, an air

PRO/AH/EDR> Hantavirus - Americas (40): Panama (LS)

ProMED Mail Reports - Sun, 06/10/2018 - 05:47
Hantavirus -- Panama
The Ministry of Health confirmed a new case of [a] hantavirus [infection] in a 27 year old young man from Tonosí in Los Santos province.
Carlos Muñoz, regional head of Los Santos Epidemiology, stated that in the month of May [2018] there was also a registered case in Tonosí and in the current month [June 2018] the one of the young man, for a total of 31 cases so far in 2018.
This last patient is in the 6th day of his illness, a mild case of the syndrome, and is in the Joaquín Pablo

PRO/AH> Chronic wasting disease, cervid - USA (10): (PA)

ProMED Mail Reports - Sun, 06/10/2018 - 05:45
Chronic Wasting Disease -- United States
A total of 3 more captive deer in Pennsylvania have tested positive for chronic wasting disease [CWD], the state Department of Agriculture said on [Fri 8 Jun 2018]. One of the deer was from a breeding farm in West Cocalico Township, in Lancaster County. The deer was among a herd that was euthanized after a 2-and-a-half-year-old buck tested positive in February [2018]. It was the only positive result among 36 deer tested.
The disease also was confirmed in 2 white-tailed deer on a small hobby

PRO/AH> Sheep pox & goat pox - Russia: (KL) ovine, OIE

ProMED Mail Reports - Sun, 06/10/2018 - 05:42
Sheep/Goat Pox -- Russia
Information received on [and dated] 7 Jun 2018 from Dr Evgeny Nepoklonov, vice-minister, Ministry of Agriculture, Ministry of Agriculture, Moscow, Russia
Report type: immediate notification
Date of start of the event: 25 May 2018
Date of confirmation of the event: 31 May 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 26 Dec 2016
Manifestation of disease: clinical disease
Causal agent: _Capripoxvirus_
Nature of diagnosis: clinical,

PRO/EDR> Measles update (35): Europe, Americas, Asia

ProMED Mail Reports - Sun, 06/10/2018 - 05:36
Measles -- United Kingdom
[3] Canada (Toronto): travel associated
[4] Canada (Alberta): imported with traveler - alert
[5] Venezuela
[6] Epidemiological update week No.22 PAHO region
[7] India (Churachandpur)
[1] England: alert
Date: Wed 6 Jun 2018, 8:41 AM
Source: Devon Live [edited]

Parents in Devon are being sent home a letter warning of an ongoing outbreak of measles. Public Health England (PHE) have confirmed there have been 71 cases in the South West this year [2018]

PRO/EDR> Poliomyelitis update (19): Venezuela, vaccine virus found, VAPP susp

ProMED Mail Reports - Sat, 06/09/2018 - 17:20
Polio -- Venezuela
Situation summary
On [7 Jun 2018], the World Health Organization (WHO) International Health Regulations (IHR) Regional Contact Point received an unofficial report on the detection of Sabin type 3 vaccine poliovirus in a sample of a Venezuelan patient with acute flaccid paralysis (AFP). The same day [7 Jun 2018], a request for verification was sent to the Venezuela IHR National Focal Point (NFP).
On [8 Jun 2018], PAHO/WHO received updated information. The case is child aged 2 years and 10

PRO/AH/EDR> Rift Valley fever - Kenya (03): (WJ) camel, human, OIE

ProMED Mail Reports - Sat, 06/09/2018 - 13:12
Rift Valley Fever -- Kenya
Information received on [and dated] 8 Jun 2018 from Dr Obadiah Nyaga Njagi, director of veterinary services, Directorate of Veterinary Services, State Department of Livestock, Ministry of Agriculture, Livestock and Fisheries, Nairobi, Kenya
Report type: immediate notification
Date of start of the event: 3 Jun 2018
Date of confirmation of the event: 6 Jun 2018
Report date: 8 Jun 2018
Date submitted to OIE: 8 Jun 2018
Reason for notification: recurrence of a listed disease

PRO/EDR> Poliomyelitis update (18): Pakistan (BA) RFI

ProMED Mail Reports - Sat, 06/09/2018 - 13:00
Polio -- Pakistan
A fresh case of polio has surfaced from Duki district of Balochistan. According to sources in the provincial health department, an 18 month old boy from Killi Babran of Duki fell victim to the virus that was diagnosed in him on Friday [8 Jun 2018] morning.
Sources in the health department said [the boy] was administered the anti-polio vaccine only once during the last 6 months. He was not found present at home 5 times during the polio drive.
This is the 3rd case of polio virus from

PRO/AH/EDR> Salmonellosis, st Adelaide - USA: pre-cut melon

ProMED Mail Reports - Sat, 06/09/2018 - 12:58
Salmonella -- United States
CDC, public health, and regulatory officials in several states, and the Food and Drug Administration [FDA] are investigating a multistate outbreak of _Salmonella [enterica_ serotype] Adelaide infections. Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting is performed on salmonella bacteria

PRO/ALL> New IJID (06): June 2018

ProMED Mail Reports - Sat, 06/09/2018 - 12:53
Tuberculosis, Antimicrobial resistance, Hepatitis B, Hepatitis E, Mycobacteria, non-TB, HIV/AIDS, Schistosomiasis, Meningitis, Diphtheria, MERS, Sexually Transmitted Infection, Other Human Disease, Diarrhea, Scrub Typhus, Tularemia -- Ethiopia
The preventable tragedy of diphtheria in the 21st century
Int J Infect Dis. 2018 (June); 71: 122-123.
LH Blumberg, MA Prieto, JV Diaz, MJ Blanco, B Valle, C Pla, et al

Healthcare worker exposure to Middle East respiratory syndrome coronavirus (MERS-CoV): Revision of screening strategies urgently needed
Int J Infect Dis. 2018 (June); 71: 113-116.
Hala Amer, Abdulrahman S Alqahtani, Faisal Alaklobi, Juhaina Altayeb, Ziad A Memish.

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