Outbreak and Current Disease Status Information

PRO/EDR> Hand, foot & mouth disease update (12): China, comment

ProMED Mail Reports - Mon, 11/13/2017 - 18:17
Hand, Foot and Mouth Disease -- China
Reported rates of severe HFM disease and infection due to Enteroviruses (with the exception of EV-71) in Hong Kong have been increasing for the past 10 years [1,2]. See graphs and references at .
1. Gideon multi-graph tool,
2. Berger SA. Infectious Diseases of Hong Kong, 2017. Gideon e-books. 316 pages, 115 graphs, 718 references .
Steve Berger
Tel Aviv Medical Center

[ProMED thanks Steve Berger for submitting this information on HFMD in Hong Kong. -

PRO/AH/EDR> Newcastle disease - Bulgaria (04): (PZ) poultry

ProMED Mail Reports - Mon, 11/13/2017 - 18:00
Newcastle Disease -- Bulgaria
An outbreak of Newcastle disease was found in hens on a farm in the village of Sinitevo in the region of Pazardzhik, Director of the Regional Food Safety Directorate Dr. Petko Mitev told Focus Radio - Pazardzhik. The outbreak is localized, all birds in the 3 km [approx.1.8 mi] protection zone are vaccinated. These are the villages of Sinitevo, Miryantsi and Ognyanovo, Dr. Mitev said.
No other outbreaks of Newcastle disease or avian influenza have been reported in the area so

PRO/EDR> Measles update (54): Asia, South America, Europe

ProMED Mail Reports - Mon, 11/13/2017 - 17:58
Measles -- Bangladesh
[3] Venezuela (Bolivar State)
[4] Greece and other European countries
[1] Bangladesh (Cox's Bazaar)
Date: Fri 10 Nov 2017, 11:47 PM
Source: Prothom-alo [edited]

The government and UN partners have stepped up immunisation efforts in overcrowded camps and makeshift shelters of Rohingyas close to the border with Myanmar amid an increased number of suspected measles cases among the newly arrived Rohingyas and their host communities, reports

PRO/PL> Undiagnosed disease, rice - India: (UP)

ProMED Mail Reports - Sun, 11/12/2017 - 21:05
Undiagnosed -- India
Farmers from Banda district of Uttar Pradesh put on record the destruction of their entire paddy crop due to a disease, which broke out after Diwali [19 Oct 2017]. Many of them were small and marginal farmers. [They] demanded that the additional district magistrate (ADM) take cognisance of this and give compensation.
The farmers claim that the paddy crop was attacked by what is locally known as the papaha disease, which has been a destructive element in the area for decades. The ADM, S.L.

PRO/EDR> Foodborne illness - USA (07): (MD) oyster festival, RFI

ProMED Mail Reports - Sun, 11/12/2017 - 20:52
Foodborne Illness -- United States
Health officials say they are investigating a "stomach flu" outbreak, after over 100 people are apparently ill after attending an oyster festival, in Worcester County.
The Maryland Department of Health said on Fri 10 Nov 2017 that their Division of Outbreak Investigation is working with the Worcester County Health Department to investigate a gastroenteritis outbreak that happened at a Beer and Oyster Festival in Ocean City. The festival was apparently held at Fager's Island Restaurant on 4

PRO/EDR> Hepatitis A - USA (54): (MI, CA)

ProMED Mail Reports - Sun, 11/12/2017 - 20:45
Hepatitis A -- United States
Cases / Hospitalizations / Deaths
495 / 416 (84.0 percent) / 19 (3.8 percent)
Table does not include all reported hepatitis A cases in the SE MI outbreak region; only those cases that are identified as outbreak-related. More descriptive data on the current outbreak can be found within the Comprehensive Summary. Data are provisional and subject to change.
Total # of Cases / 495
Secondary Confirmed Cases / 39
Female, n (percent) / 182 (36.8)
Hospitalized / 416 (84.0)
Median Age

PRO/EDR> Meningitis, pneumococcal - Ghana: fatal, RFI

ProMED Mail Reports - Sun, 11/12/2017 - 17:56
Meningitis - Strep/Pneumoccocal -- Ghana
Dreadful, life-threatening, and infectious pneumococcal meningitis has hit Ghana, taking 93 lives so far since last year [2016].
Pneumococcal meningitis is caused by _Streptococcus pneumoniae_, a bacterium that affects the lungs and is easily spread through coughing, sneezing, and prolonged body contact with an infected person. Living in a crowded setting, intimate kissing, and eating from the same bowl or drinking from the same cup as an infected person can equally help spread the

PRO/PL> Liberibacter, carrot - Greece: 1st rep (TC)

ProMED Mail Reports - Sun, 11/12/2017 - 16:57
Other Plant Disease -- Greece
In July 2016, a sample of carrot plants (_Daucus carota_ cv. Dordogne) showing suspicious symptoms (formation of secondary taproots) was collected [in the district of] Boeotia in [the region of Thessaly and] Central Greece. Results of the analysis (PCR) confirmed the presence of '_Candidatus_ Liberibacter solanacearum' [Lso] (potato haplotypes are listed in the EPPO A1 List) in the symptomatic carrot sample.
In addition, [Lso] was detected in archived DNA from leaves of 3 carrot plants (cv.

PRO/AH/EDR> Anthrax - Pakistan (04): (TA) bovine

ProMED Mail Reports - Sun, 11/12/2017 - 16:37
Anthrax -- Pakistan
A mysterious disease, declared by livestock officials as anthrax, has reportedly killed a number of animals in Bajaur Agency [Federally Administered Tribal Areas, FATA] over the last few days, locals told Dawn on Friday [10 Nov 2017].
They said several cattle had died of the disease during the past 2 weeks in various localities of Mamond and Khar tehsils. According to them, a number of cattle had also been infected with the disease.
The locals said the disease had panicked them, as they

PRO/AH/EDR> Crimean-Congo hem. fever - India (02): (GJ)

ProMED Mail Reports - Sun, 11/12/2017 - 16:27
Crimean-Congo Hemorrhagic Fever -- India
[JP], a 39-year-old resident of Khedbrahma taluka in Sabarkantha district, was tested positive for Congo fever [Crimean-Congo hemorrhagic fever]. JP is currently taking treatment at VS [Sheth Vadilal Sarabhai] Hospital and is likely to be discharged on [Sat 11 Nov 2017]. Top sources in the civic body-run hospital confirmed that JP had been tested positive for Congo fever.
"[JP] had been admitted on [Sat 4 Nov 2017] and was tested positive for Congo fever on [Tue 7 Nov 2017]. She had been

PRO/AH/EDR> Monkeypox - Africa (16): Nigeria (DE) conf. susp.

ProMED Mail Reports - Sun, 11/12/2017 - 12:19
Monkeypox -- Nigeria
The dreaded monkey pox virus has continued to spread in Delta state, with the state government on Wed 8 Nov 2017 confirming one case of the virus among the 5 suspected cases that were earlier reported.
Results from the other samples sent to the laboratory in distant Dakar, Senegal are expected, according to the Commissioner for Health, Dr. Nicholas Azinge, who made this known during the debriefing session of officials of the National Centre for Disease Control (NCDC).
NCDC officials have

PRO/AH/EDR> Avian influenza (157): Japan (SM) wild bird, HPAI H5N6, OIE

ProMED Mail Reports - Sun, 11/12/2017 - 12:15
Avian Influenza H5N6 -- Japan
Information received on [and dated] 10 Nov 2017 from Dr Kazuo Ito, Director, International Animal Health Affairs Office, Animal Health Division, Food Safety and Consumer Affairs Bureau, Ministry of Agriculture, Forestry and Fisheries, Tokyo, Japan
Report type: Immediate notification
Date of start of the event: 5 Nov 2017
Date of confirmation of the event: 9 Nov 2017
Report date: 10 Nov 2017
Date submitted to OIE: 10 Nov 2017
Reason for notification: Recurrence of a listed

PRO/AH/EDR> Undiagnosed illness, canine - UK: (Wales)

ProMED Mail Reports - Sun, 11/12/2017 - 11:19
Undiagnosed -- United Kingdom
People are being warned to avoid a mystery substance that's washed up on a number of beaches on Anglesey. Deposits of white and yellow fatty substances have been washed ashore on the northwest coast of the island.
The white substance has been found on beaches, including Porth Nobla, Tyn Towyn, Cymyran, Aberffraw and Rhosneigr. A ball of yellow fatty substance has also been found on Cemaes beach. Experts say it could potentially be dangerous to dogs if they try to eat the

PRO/AH/EDR> Leptospirosis - India (02): (MH)

ProMED Mail Reports - Sat, 11/11/2017 - 21:12
Leptospirosis -- India
Two more people tested positive for leptospirosis at a state government referral laboratory this month [November 2017]. A 36-year-old man of Yerawada and another 46-year-old man, a resident of Link road in Pimpri, tested positive for the disease in the 1st week of November. "Both the patients tested positive at the referral laboratory. Hence, they are confirmed cases. We have directed the health officials of the Pune and Pimpri Chinchwad municipal corporations to step up surveillance in the

PRO/EDR> Hepatitis C - USA (12): (CO) injection drug use

ProMED Mail Reports - Sat, 11/11/2017 - 17:59
Hepatitis C -- United States
Cases of hepatitis C have tripled over the past 4 years among 21-to 30-year-olds in Adams, Arapahoe, Denver and Douglas counties, according to the Colorado Department of Public Health and Environment. In 2012, there were just 91 cases and in 2016, there were 255 cases. Between 2015 and 2016, cases rose by 65 percent, from 151 to 255.
Denver Public Health said the increase in hepatitis cases is linked to the increase in injection drug use. It reminds the public it provides access to free,

PRO/EDR> Varicella - Zambia, Bhutan

ProMED Mail Reports - Sat, 11/11/2017 - 17:51
Chicken Pox -- Zambia
The Ministry of Health in Mambwe district in Eastern Province have recorded an increase in cases of Chicken Pox [Varicella] from 80 -- 349 [cases] in the 3rd quarter.
Mambwe District Acting Public Health Officer Moses Sakala said the district has also recorded an increase in the number of diarrhea cases from 136 -- 219 in the same quarter.
Mr Sakala observed that the increase in the number of patients with chicken pox is attributed to the challenges being faced by the department to

PRO/AH/EDR> Leptospirosis - Trinidad & Tobago: fatal, flooding

ProMED Mail Reports - Sat, 11/11/2017 - 16:51
Leptospirosis -- Trinidad & Tobago
Agricultural economist Omardath Maharaj is calling for Government to be more proactive regarding post-flooding food safety policies after a number of leptospirosis cases were reported in South Trinidad. According to media reports, 13 cases of leptospirosis were reported at the San Fernando General Hospital.
It is thought the cases connected to unhygienic conditions due to recent flooding in parts of South Trinidad.
Newsday reported that 2 people have since died from the

PRO/AH/EDR> Plague - Madagascar (31): fatal

ProMED Mail Reports - Sat, 11/11/2017 - 16:47
Plague -- Madagascar
14 Sep 2017 / 28 / 5
30 Sep 2017 / 73 / 17 / 3
3 Oct 2017 / 194 / 30 / 40
5 Oct 2017 / 258 / 36 / 32
7 Oct 2017 / 343 / 42 / 43
8 Oct 2017 / 387 / 45 / 44
9 Oct 2017 / 449 / 48 / 62
10 Oct 2017 / 500 / 54 / 51
11 Oct 2017 / 561 / 57 / 61
13 Oct 2017 / 684 / 57 / 61
16 Oct 2017 / 805 / 74 / 40
17 Oct 2017 / 878 / 80 / 44
18 Oct 2017 / 1032 / 89 / 164
19 Oct 2017 / 1153 / 94 / 121
20 Oct 2017 / 1297 / 102 / --
23 Oct 2017 / 1192 / 124 / 10
25 Oct 2017 / 1309 / 93 / 58
27 Oct

PRO/AH/EDR> Q fever - Chile (02): (LG, LR) dairy industry workers

ProMED Mail Reports - Sat, 11/11/2017 - 16:43
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 (21): (CA) fatal, amusement park, cooling tower susp., RFI

ProMED Mail Reports - Sat, 11/11/2017 - 16:34
Legionnaires' -- United States
Disneyland has shut down 2 bacteria-contaminated cooling towers after Orange County [in U.S. state of California] health officials discovered several cases of Legionnaires' disease in people who had visited the Anaheim theme park, authorities said.
The 12 cases of the bacteria-caused illness were discovered about 3 weeks ago [October 2017] among people who had spent time in Anaheim and included 9 people who had visited Disneyland Park in September [2017] before developing the illness,
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