Outbreak and Current Disease Status Information

PRO/EDR> Botulism - USA (07): cheese dip, risk, recall

ProMED Mail Reports - Sat, 08/04/2018 - 21:36
Botulism -- United States
A Taco Bell dip is being recalled because it can cause an extreme form of food poisoning. Kraft Heinz voluntarily recalled about 7000 cases of Taco Bell's Salsa Con Queso Mild Cheese Dip on Tue 24 Jul 2018. Officials said anyone who has the dip at home should return it for a refund or toss it out. Do not eat the dip, even if it doesn't look or smell spoiled.
The dip showed signs of product separation, which can allow for the growth of _Clostridium botulinum_ (_C. botulinum_), officials

PRO/EDR> Foodborne illness - USA: (OH) fast food restaurant, RFI

ProMED Mail Reports - Sat, 08/04/2018 - 17:47
Foodborne Illness -- United States
Hundreds of people have fallen ill after eating at a Chipotle Mexican Grill in Ohio, and now the fast food chain is facing several lawsuits because of it. Authorities have yet to determine the exact cause of the outbreak, but Chipotle closed the said branch on [Mon 30 Jul 2018] "out of an abundance of caution," a spokesperson said. As of writing, nearly 700 people have reported getting sick or seeking medical care after eating at the Chipotle branch in question. Initial stool samples tested

PRO/AH/EDR> Crimean-Congo hem. fever - East Africa (07): Uganda (NG, Nakivale) WHO update

ProMED Mail Reports - Sat, 08/04/2018 - 13:58
Crimean-Congo Hemorrhagic Fever -- Uganda
The World Health Organization (WHO) says 42 suspected cases of Crimean-Congo haemorrhagic fever (CCHF) have been detected in the Nakivale Refugee Settlement in northern Uganda. In its latest epidemiological analysis, WHO said the first case, involving a female who came from Rwanda through the Democratic Republic of Congo, was confirmed by the Uganda Virus Research Institute on 18 Jul [2018].
"She presented with a 4-day history of fever and a bleeding diathesis [on 7 Jul 2018]. By [17 Jul

PRO/AH/EDR> Salmonellosis, st. Agona - EU (03): Spanish cucumbers

ProMED Mail Reports - Fri, 08/03/2018 - 19:12
Salmonella -- Worldwide/Unknown
A total of 17 food isolates matching the _Salmonella_ outbreak strain linked to 147 illnesses were detected earlier this year [2018] in 4 plants of one company and the site of a different firm in the UK. The _Salmonella_ Agona food isolates were found to be closely genetically related to the human strains. They were from cucumbers sampled during processing, before and after washing (11 isolates), and 6 were found in ready-to-eat food (RTE) products containing cucumbers. Production continued at

PRO/AH/EDR> Salmonellosis, st Sandiego, subsp IIIb - USA: pasta salad, alert, recall

ProMED Mail Reports - Fri, 08/03/2018 - 19:10
Salmonella -- United States
Since the last update on 18 Jul 2018, 58 ill people have been added to this investigation. This includes 6 people who have been infected with a strain of _Salmonella enterica_ subspecies IIIb, and 2 people infected with this strain and with the outbreak strain of _Salmonella_ Sandiego at the same time.
As of 30 Jul 2018, 79 people infected with the outbreak strains of _Salmonella_ Sandiego (71 people), _S. enterica_ subspecies IIIb (6 people), or both (2 people) have been reported from 9

PRO/AH/EDR> African swine fever - Asia: China (LN) domestic swine, 1st report, OIE

ProMED Mail Reports - Fri, 08/03/2018 - 17:01
African Swine Fever -- China
Information received on [and dated] Fri 3 Aug 2018 from Dr. Zhang Zhongqui, Director General, China Animal Disease Control Centre, Veterinary Bureau, Ministry of Agriculture, Beijing, China (People's Rep. of)
Report type: Immediate notification
Date of start of the event: 1 Aug 2018
Date of confirmation of the event: 3 Aug 2018
Reason for notification: 1st occurrence of a listed disease
Causal agent: African swine fever virus
Nature of diagnosis: Clinical, laboratory (basic

PRO/EDR> Poliomyelitis update (32): global (DR Congo, Nigeria, Papua New Guinea), cVDPV

ProMED Mail Reports - Fri, 08/03/2018 - 16:49
Polio -- DR Congo
New wild poliovirus cases reported this week: 0
Total number of wild poliovirus cases in 2018: 13
Total number of wild poliovirus cases in 2017: 22
New cVDPV cases reported this week: 6
Total number of cVDPV cases in 2018: 21
Total number of cVDPV cases in 2017: 96
Summary of new viruses this week:
- Democratic Republic of Congo, 4 new circulating vaccine-derived poliovirus type 2 (cVDPV2) cases
- Nigeria, 1 new cVDPV2 case
- Papua New Guinea, 1 new cVDPV type 1

PRO/AH/EDR> Tularemia - USA (07): (CO, OR) beaver, marmot, corr

ProMED Mail Reports - Fri, 08/03/2018 - 09:44
Tularemia -- United States
A ProMED-mail Rapporteur and Sylvia Miller DVM of Miller Farm & Veterinary Service in Washington state, USA, have pointed out that Crater Lake on Teton Pass, where the dead marmot was found, is located in the state of Wyoming, not in Oregon.
The state of Wyoming can be located on the HealthMap/ProMED-mail interactive map at . A Wyoming county map can be seen at .
We thank the ProMED-mail Rapporteur and Dr Miller for bringing this to our attention and apologize for any inconvenience this

PRO/AH/EDR> African swine fever - Europe (32): Latvia (SD) domestic

ProMED Mail Reports - Fri, 08/03/2018 - 09:39
African Swine Fever -- Latvia
The biggest outbreak of African swine fever [ASF] since 2014 just took place in Latvia, with a flock of 15 570 domestic pigs affected at a farm in Saldus, western Latvia.
The Food and Veterinary Service told the press that operations at the Druvas Unguri pig farm have been suspended and a zone of quarantine set across the perimeter.
Precise reasons of the outbreak are being investigated.
This is the 8th outbreak of the dangerous porcine disease in Latvia this year [2018], among

PRO/EDR> Non-TB mycobacteria - Australia: (NS) M. chimaera, nosoc, fatal, heater-coolers

ProMED Mail Reports - Fri, 08/03/2018 - 09:34
Mycobacteria, non-TB -- Australia
"The TGA has received reports for _m. chimaera_ contamination of 4 Stöckert 3T Heater-Cooler System (3T) devices manufactured after September 2014. The investigation into these recent reports is under way. The root cause has not yet been identified.
"The TGA had previously received reports for _M. chimaera_ contamination of Stöckert 3T devices manufactured before September 2014, as reported in our previous web statement below. All patient infections have to date been associated with

PRO/AH/EDR> Bovine anaplasmosis - Croatia: (SM) 1st report, OIE

ProMED Mail Reports - Fri, 08/03/2018 - 09:27
Anaplasmosis -- Croatia
Information received on [and dated] 2 Aug 2018 from Dr Damir Tudan, assistant to minister, chief veterinary officer, Veterinary and Food Safety Directorate, CRO Ministry of Agriculture, Zagreb, Croatia
Report type: immediate notification
Date of start of the event: 10 Jul 2018
Date of confirmation of the event: 2 Aug 2018
Reason for notification: 1st occurrence of a listed disease in the country
Causal agent: _Anaplasma marginale_
Nature of diagnosis: laboratory (basic,

PRO/EDR> Cholera, diarrhea & dysentery update (26): Americas (USA) toxigenic O141, 2017

ProMED Mail Reports - Fri, 08/03/2018 - 09:25
Cholera -- United States
_Vibrio cholerae_ serogroups O1 and O139 are toxigenic strains associated with epidemic cholera; however, other _Vibrio cholerae_ serogroups, such as O75 and O141, can also produce cholera toxin, leading to a cholera-like illness identified as vibriosis (1). Cholera and vibriosis are more common in the Gulf Coast region of the USA and are related to exposure to coastal water sources and consumption of raw or undercooked shellfish. Persons typically become ill approximately 24-72 hours after

PRO/AH/EDR> Bovine tuberculosis - UK: (England) canine, 2016-2017, epidemiology

ProMED Mail Reports - Fri, 08/03/2018 - 09:15
Bovine TB -- United Kingdom
_Mycobacterium bovis_ can cause tuberculosis (TB) in social mammals including lions, cattle, and man, but canine infections are considered rare. In 2016/17 we investigated a _M. bovis_ TB outbreak in a pack of approximately 180 Foxhounds within the bovine TB Edge Area of England. We employed a combination of immunological tests including an interferon gamma release assay (IGRA) and a serological assay (DPP VetTB, Chembio). Test‐positive hounds were euthanased and subjected to post-mortem

PRO/AH/EDR> Ebola update (58): Congo DR (NK) outbreak, Ebola Zaire confirmed

ProMED Mail Reports - Thu, 08/02/2018 - 22:28
Ebola -- DR Congo
On Thu 2 Aug 2018, the minister of health, Dr. Oly Ilunga Kalenga, visited Beni and Mangina, North Kivu province, accompanied by a team of 12 experts from the Ministry of Health and officials from different partner agencies, including WHO, UNICEF, the World Bank, and MONUSCO, to assess the situation and needs in the field. The delegation from Kinshasa was welcomed in Beni by the governor of North Kivu Province, the provincial minister of health, the mayor of the city, and the general who

PRO/EDR> Measles update (48): Americas, Europe

ProMED Mail Reports - Thu, 08/02/2018 - 22:04
Measles -- Venezuela
According to the latest epidemiological update from the Pan American Health Organization (PAHO), emitted on [Fri 20 Jul 2018], a total of 2472 confirmed cases of measles have been reported from 11 countries in the Americas so far this year. The majority of the cases occurred in Venezuela (1613 cases) and Brazil (677), followed by the United States (91), Colombia (40), Canada (19), Ecuador (17), Argentina (5), Mexico (5), Peru (3), Antigua and Barbuda (1) and Guatemala (1).
Data show that

PRO/ALL> New in IJID (08): August 2018

ProMED Mail Reports - Thu, 08/02/2018 - 17:21
HIV/AIDS, Mycobacteria, non-TB, Gastroenteritis, Staph, Hepatitis E, Other Human Disease -- Mozambique
Antimicrobial resistance in the context of the Syrian conflict: Drivers before and after the onset of conflict and key recommendations
International Journal of Infectious Diseases, Volume 73, August 2018, Pages 1-6
Aula Abbara, Timothy M. Rawson, Nabil Karah, Wael El-Amin, James Hatcher, Bachir Tajaldin, Osman Dar, Omar Dewachi, Ghassan Abu Sitta, Bernt Eric Uhlin, Annie Sparrow

Consequences of brucellosis infection during pregnancy: A systematic review of the

PRO/AH/EDR> Tularemia - USA (07): (CO, OR) beaver, marmot

ProMED Mail Reports - Thu, 08/02/2018 - 14:33
Tularemia -- United States
A dead beaver found in the Lily Lake area of Rocky Mountain National Park has tested positive for tularemia, an uncommon but serious infectious disease, Kyle Patterson with RMNP said in a release.
Tularemia is often spread through insects and ticks or by handling infected or dead animals, like rabbits, beavers and other rodents.
The disease can also be spread to humans and can cause serious symptoms like fever, chills, joint pain, muscle aches and chest pain. In early stages, it can be
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