Outbreak and Current Disease Status Information

PRO/EDR> Amebic meningoencephalitis, primary - Pakistan (02): (SD) fatal

ProMED Mail Reports - Sat, 06/09/2018 - 07:00
Amoeba -- Pakistan
The Sindh Health Department confirmed on [Mon 4 Jun 2018] that the 'brain-eating' amoeba, called _Naegleria fowleri_, claimed its 2nd victim in Karachi. "This is the 2nd life claimed by naegleria this year [2018] in Karachi," confirmed Dr Zafar Mehdi, the focal person for naegleria-related deaths in Sindh.
The recent victim of the deadly disease was [a] 16 year old girl from North Nazimabad. Dr Mehdi said that [the deceased] was admitted to a hospital with the symptoms of high fever,

PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (07): (BA)

ProMED Mail Reports - Sat, 06/09/2018 - 05:25
Crimean-Congo Hemorrhagic Fever -- Pakistan
This year's [2018] 3rd case of Crimean-Congo haemorrhagic fever (CCHF) in Karachi was reported late on Tuesday night [5 Jun 2018] after an 18 year old patient was admitted to Jinnah Postgraduate Medical Centre (JPMC). Speaking to The Express Tribune, JPMC executive director Dr Seemin Jamali confirmed that the patient tested positive for CCHF, commonly known as Congo virus. "The patient hails from Quetta [Balochistan]," she said, adding that he was bleeding when he was brought to the

PRO/AH/EDR> Ebola update (30): Congo DR, cases, WHO, action

ProMED Mail Reports - Sat, 06/09/2018 - 05:22
Ebola -- DR Congo
Yesterday [7 Jun 2018], the DRC's Ministry of Health said a team of Chinese experts was arriving today in Kinshasa to assist the Congolese health authorities and reportedly bringing an experimental Chinese Ebola vaccine to health authorities, according to STAT today [see items [3] and [4] below]. To date, DRC has approved only the use of Merck's vaccine.
Finally, yesterday The Lancet published a letter by US experts who suggested that, although costly, using rapid diagnostic tests (RDTs)

PRO/EDR> Meningitis, meningococcal - Kazakhstan (02): fatal, RFI

ProMED Mail Reports - Sat, 06/09/2018 - 05:01
Meningitis - Neisseria -- Kazakhstan
Epidemiological situation on meningococcal infection:
Since the beginning of 2018, 59 cases of meningococcal infection have been registered in the Republic of Kazakhstan, including 21 cases among children under 14 years of age. 13 of them have died: Almaty -- 6 cases; in Almaty region -- 4 cases; in South Kazakhstan -- 2 cases; and in Kyzylorda region -- 1 case.
The situation is under the control of the Ministry of Health.
communicated by:
Irene Lai, MD
International SOS

PRO/AH/EDR> Rift Valley fever - Kenya (02): (WJ) susp

ProMED Mail Reports - Sat, 06/09/2018 - 04:55
Rift Valley Fever -- Kenya
In Wajir, 2 more people have died of suspected Rift Valley fever (RVF) bringing death toll to 4 as panic grips the county.
Wajir county's chief health officer Noor Sheikh Mohamed said the 2 deaths occurred outside the local referral hospital but have not independently verified the report. "We cannot exactly confirm the 2 deaths, but we have sent a team on the ground for confirmation since the area has low network connectivity and the victims died away from our facilities," Mr Mohamed

PRO/EDR> Infant botulism - Canada (02): cases spike, comment

ProMED Mail Reports - Fri, 06/08/2018 - 17:52
Botulism -- Canada
We wish to thank the moderator for his comments. We also wish to provide the following clarification:
It deserves emphasis that infant botulism is not a form of food poisoning and, for the vast majority of cases, the source of spores is never determined. Nonetheless, consumption of honey remains an important preventable risk factor despite it being associated with relatively few cases of infant botulism in North America (1). While improperly canned foods or traditional indigenous foods may

PRO/AH/EDR> Monkeypox - Africa (11): Nigeria (PL)

ProMED Mail Reports - Fri, 06/08/2018 - 17:45
Monkeypox -- Nigeria
The Plateau State Government has confirmed that the state has recorded 2 positive cases of monkeypox in Shendam Local Government Area of the state. Dr Kunden Deyin, the state commissioner for health, told the News Agency of Nigeria on [Thu 7 Jun 2018] in Jos that the 1st case recorded was imported from Port-Harcourt, as the victim came in from Rivers for treatment.

According to the commissioner, the infected victim eventually infected his brother and both of them were treated at the

PRO/AH/EDR> Invasive mosquito - USA (02): (FL)

ProMED Mail Reports - Fri, 06/08/2018 - 17:37
Undiagnosed -- United States
1. Sardelis MR, Turell MJ, Andre RG. Laboratory transmission of La Crosse virus by _Ochlerotatus j. japonicus_ (Diptera: Culicidae). J Med Entomol. 2002; 39(4): 635-9; abstract available at .
2. Sardelis MR, Turell MJ, Andre RG. Experimental transmission of St Louis encephalitis virus by _Ochlerotatus j. japonicus_. J Am Mosq Control Assoc. 2003; 19(2): 159-62; abstract available at .
3. Sardelis MR, Dohm DJ, Pagac B, Andre RG, Turell MJ. Experimental transmission of eastern equine

PRO/AH/EDR> Rabies (30): Americas, USA (MN) bat, comment

ProMED Mail Reports - Fri, 06/08/2018 - 17:09
Rabies -- United States
The moderator commented: "Never, but NEVER pick up a sick bat. In fact leave sick and dead bats alone. Leave it to the state wildlife folk to come and collect it for testing. Not all sick bats have rabies but many of the diseases that they suffer from you do not want to share."
Excellent advice, but there is little more to be said, which we summarized in this article:

This is the most important part of the what-to-do-if-you-see-a-bat-on-the-ground advice: "Practically unknown is that

PRO/AH/EDR> Anthrax - USA: (TX) bovine

ProMED Mail Reports - Fri, 06/08/2018 - 12:33
Anthrax -- United States
Texas Animal Health Commission (TAHC) officials confirmed anthrax in one calf on a Jim Hogg County premises on [1 Jun 2018]. This is the 1st anthrax case in Texas this year.
The premises is located about 30 miles [48 km] south of Hebbronville and has been quarantined. TAHC rules require proper disposal of affected carcasses and vaccination of other cattle on the premise prior to release of the quarantine. "TAHC will continue to closely monitor the situation," said Dr Susan Rollo, TAHC state

PRO/AH/EDR> Undiagnosed hemorrhagic fever - Uganda (03): (MW) children, malaria conf

ProMED Mail Reports - Fri, 06/08/2018 - 12:09
Malaria -- Uganda
We defined a suspected case as onset of high grade fever and red/black/brown/maroon coloured urine with any of the following: loss of appetite, fatigue, abdominal pain, abdominal distention, anemia, jaundice, headache, vomiting, palpitation, sweating and painful urination.
We actively searched for suspected cases in Bugobero HCIV [health centre IV] and some of the affected communities. We reviewed current and past medical records for the suspected cases (deceased inclusive) whenever

PRO/AH/EDR> West Nile virus (05): Americas (Brazil) equine, OIE

ProMED Mail Reports - Fri, 06/08/2018 - 06:36
West Nile Virus -- Brazil
Information received on [and dated] 6 Jun 2018 from Dr Figueiredo Marques Guilherme Henrique, director, [Department of Animal Health, Ministry of Agriculture, Livestock, and Supply], Brasilia, Brazil
Report type: immediate notification
Date of start of the event: 25 Apr 2018
Date of confirmation of the event: 4 Jun 2018
Reason for notification: 1st occurrence of a listed disease
Manifestation of disease: clinical disease
Causal agent: West Nile fever virus
Nature of

PRO/AH/EDR> Ebola update (29): Congo DR, cases, MSF, antivirals

ProMED Mail Reports - Fri, 06/08/2018 - 05:57
Ebola -- DR Congo
Ebola is back. The disease that killed more than 11 000 people in West Africa just a few years ago has returned, striking the Democratic Republic of the Congo (DRC). Last week [week of 28 May 2018], intervention with a new vaccine was initiated to help contain the outbreak, adding another tool to a response that is exponentially better than it was 4 years ago. But we are not out of the woods. No matter how long this Ebola outbreak continues, the world faces critical tests in its battle against

PRO/AH/EDR> Japanese encephalitis - Viet Nam

ProMED Mail Reports - Fri, 06/08/2018 - 05:40
Japanese Encephalitis -- Vietnam
In all, 37 severe cases of encephalitis--meningitis are being treated at the Department of Infectious Diseases of Viet Nam National Children's Hospital, reported Phu Nu Viet Nam (Viet Nam Women) newspaper. Of all these cases, 2 children were diagnosed with the deadly Japanese encephalitis, a contagious [infectious] disease carried by mosquitoes. Both were not vaccinated properly, or possibly not at all.
A 13 year old from Hai Duong Province was hospitalised after suffering from acute fever

PRO/AH/EDR> Lassa fever - West Africa (32): Sierra Leone

ProMED Mail Reports - Fri, 06/08/2018 - 05:36
Lassa Fever -- Sierra Leone
The surveillance supervisor of the Lassa Fever Unit at the government hospital in Kenema, Lansana Kanneh, said the rate of Lassa fever infection in the Kenema district is increasing at an alarming rate. In 2017, in Kenema District, the Lassa Fever Unit recorded 17 cases and 11 died. From January to May 2018, 18 cases have been recorded and 7 have died. He said the unit is expecting more cases.
Kanneh attributed the high rate of death to delayed arrival at the hospital. He said people

PRO/EDR> Hepatitis A - USA (22): (KY,NC)

ProMED Mail Reports - Fri, 06/08/2018 - 05:19
Hepatitis A -- United States
There is a hepatitis A outbreak in Louisville. The outbreak was declared in November of 2017. As of [Tue 5 Jun 2018], there have been 432 cases and 3 deaths associated with this outbreak.
The Louisville Metro Department of Public Health and Wellness continues to work to control an outbreak of acute hepatitis A that has centered in the city's homeless, people with unstable housing, and among those who with any illicit drug use (not just injecting drug use).
Hepatitis A is a

PRO/EDR> Poliomyelitis update (17): Venezuela, cases conf. global (Pakistan), RFI

ProMED Mail Reports - Thu, 06/07/2018 - 23:35
Polio -- Venezuela
New wild poliovirus cases reported this week: 1
New cVDPV cases reported this week: 0
Type of Virus: 2017 / 2018 (to date) / new this week
WPV: 22 / 10 / 1
cVDPV: 96 / 5 / 0
Summary of newly-reported viruses this week:
Pakistan: 1 new wild poliovirus type 1 (WPV1) case
Afghanistan: 1 new WPV1-positive environmental sample
- No new cases of wild poliovirus type 1 (WPV1) have been reported this week. The total number of WPV1 cases in 2018 remains 8.
- 1 new

PRO/AH> Newcastle disease, poultry - USA (04): (CA) more cases

ProMED Mail Reports - Thu, 06/07/2018 - 16:29
Newcastle Disease -- United States
The United States Department of Agriculture's (USDA) Animal and Plant Health Inspection Service confirmed 3 additional cases of virulent Newcastle disease in backyard birds in San Bernardino County, California.
A complete list of confirmed cases is available on our website at .
Virulent Newcastle disease has not been found in commercial poultry in the United States since 2003.
communicated by:

[The count today is as follows for the 13 outbreaks to date:
17 May

PRO/AH/EDR> Sarcoptic mange, bear - USA: (PA)

ProMED Mail Reports - Thu, 06/07/2018 - 15:19
Scabies -- United States
[ProMED-mail regrets the delay in posting]

Pennsylvania's black bear population is experiencing a mange epidemic, and a Penn State research team will work with the state Game Commission to gain a better understanding of the disease and develop strategies to manage it.
Mange is a highly contagious skin disease carried by parasitic mites that results in hair loss and sometimes emaciation and death. It has afflicted mammals around the world for centuries and likely much longer. To learn

PRO/AH/EDR> Japanese encephalitis & other- India (06): (HP)

ProMED Mail Reports - Thu, 06/07/2018 - 15:15
Japanese Encephalitis -- India
The Centre [source does not specify further. - Mod.SH] on [Tue 5 Jun 2018] confirmed the outbreak of Japanese encephalitis in Himachal, with 2 children from Solan district testing positive for the mosquitoborne viral infection of the brain.
Both children are currently in Indira Gandhi Medical Hospital, Shimla. One, a 3 year old boy from Dharampur is critical and on ventilator support. The other, a 6 year old boy from Dhalli is also under intensive care. Altogether, 7 Solan kids were
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