Friday 30 September 2016

PRO/AH/EDR> Bluetongue - Europe (17): Cyprus (LA) ovine, caprine, st 8, OIE

Bluetongue -- Cyprus
Information received on [and dated] 30 Sep 2016 from Dr Penelope Stylianou, Acting Director, Veterinary Services, Ministry of Agriculture, Natural Resources and Environment, Nicosia, Cyprus
Summary
Report type: Follow-up report No. 2
Date of start of the event: 19 Sep 2016
Date of confirmation of the event: 20 Sep 2016
Date submitted to OIE: 30 Sep 2016
Reason for notification: Reoccurrence of a listed disease
Date of previous occurrence: 4 Dec 2014
Manifestation of disease: Clinical

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PRO/EDR> Undiagnosed rash - USA: (CA) airborne lepidopterism susp, RFI

Rash -- United States
1. Cruse K, Atrubin D, Loyless T. Rash illness outbreaks at daycare facilities associated with the tussock moth caterpillar, April 2004 and April 2005. Florida J Environ Health 2007;195:14-7.
2. Knight HH. Observations on the poisonous nature of the white-marked tussock moth. J Parisitology 1922;8:133-5.
3. Redd JT, Vorhees RE, Torok TJ. Outbreak of lepidopterism at a Boy Scout camp. J Am Acad Dermatol 2007;56:952-5.
4. Goodard J. Physician's guide to arthropods of medical importance. 5th

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PRO/EDR> Syphilis, gonococcal disease, chlamydia, HIV - USA: (CA) LA, MSM, condom use

HIV/AIDS, Syphilis, Gonorrhea, Chlamydia -- United States
Syphilis rates among gay men have been rising in Los Angeles County [California] and around the country for several years, leading the Centers for Disease Control and Prevention (CDC) to finally take a look at the numbers of this sexually transmitted disease on a state-by-state level.
Nationwide data shows a 15 percent increase in the number of syphilis infections overall from 2013 to 2014 alone.
Two new studies presented at the CDC's 2016 STD Prevention Conference [], however, suggest

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PRO/AH/EDR> European foulbrood, apis - Europe (04): Romania (PH) OIE

Other Animal Disease -- Romania
Information received on [and dated] 30 Sep 2016 from Dr. Marius Grigore, Director, Head of Unit Animal Health Department General Sanitary Veterinary Directorate, National Sanitary Veterinary and Food Safety Authority, Bucharest, Romania
Summary
Report type: immediate notification
Date of start of the event: 1 Sep 2016
Date of confirmation of the event: 6 Sep 2016
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 29 Aug 2016
Manifestation of

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PRO/EDR> Hepatitis A - USA (18): (HI) frozen scallops

Hepatitis A -- United States
A total of 8 more people have been confirmed as victims in a hepatitis A outbreak in Hawaii as health officials continue to ask for help from the public, health care providers and foodservice workers to stem the spread of the virus. The outbreak, traced to frozen scallops imported from the Philippines and served raw at Genki Sushi restaurants on Oahu and Kauai, has sickened 284 adults. Onset dates of their illnesses range from 12 Jun 2016 through 16 Sep 2016.
As of Wed [28 Sep 2016] weekly

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PRO/AH/EDR> European foulbrood, apis - Europe (03): Norway (AA) OIE

Other Animal Disease -- Norway
Information received on [and dated] 29 Sep 2016 from Dre Kristina Landsverk, Chief Veterinary Officer, Norwegian Food Safety Authority, Ministry of Agriculture and Food, Brumunddal, Norway
Summary
Report type: immediate notification
Date of start of the event: 26 Sep 2016
Date of confirmation of the event: 26 Sep 2016
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 17 Jun 2016
Manifestation of disease: sub-clinical infection
Causal agent:

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PRO/AH> Rabies: World Rabies Day, corr

Rabies -- Worldwide/Unknown
Date: Tue 29 Sep 2016
From: Pam Wilson [edited]

The Elsevier Connect article at
, states, "The rabies pre-exposure vaccination regimen consists of three vaccinations given over a period of three to four weeks."
This is correct, as the pre-exposure vaccinations are given on days 0, 7, and either 21 or 28.
However, the ProMED article was somehow modified and states, "The rabies pre-exposure vaccination regimen consists of 5 vaccinations given over a period of three to four

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PRO/AH/EDR> Crimean-Congo hem. fever - India (07): (GJ)

Crimean-Congo Hemorrhagic Fever -- India
A 35-year-old man from Amod village near Bharuch [Gujarat], who was diagnosed with the rare Crimean-Congo hemorrhagic fever (CCHF), commonly known as Congo fever, has recovered and been discharged from a city-based hospital
The patient was admitted to the Bankers Heart Institute (BHI) on [7 Sep 2016] after he complained of high fever and vomiting blood. His blood pressure had also dropped dangerously and he was extremely dehydrated.
Initially, doctors suspected dengue but his blood tests

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Thursday 29 September 2016

PRO/AH/EDR> Yellow fever: Aedes albopictus as virus vectors

Yellow Fever -- Worldwide/Unknown
Amraoui F, Vazeille M, Failloux AB. French _Aedes albopictus_ are able to transmit yellow fever virus.
[Abstract]
We assessed the ability of a French population of _Aedes albopictus_ to transmit yellow fever virus (YFV). Batches of 30-40 female mosquitoes were analysed at 7, 14 and 21 days post-exposure (dpe). Bodies, heads and saliva were screened for YFV. Infectious viral particles were detected in bodies and heads at 7, 14 and 21 dpe whereas the virus was found in saliva only from 14

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PRO/AH/EDR> Monkeypox - Central African Republic (03): (BK,HK) fatal

Monkeypox -- Central African Republic
At least 10 people have died in an outbreak of monkeypox in western Central African Republic, a country already hit by cholera, the health ministry announced Wednesday [28 Sep 2016].
"We have logged 10 deaths out of 19 patients," in the southern province of Basse-Kotto, said Dr Joachim Tenguere of the public health emergencies operations centre. Further deaths have been reported from other villages in Haute-Kotto, the country's largest province.
Preparations are being made for a rapid

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PRO/AH/EDR> African swine fever - Europe (14): Moldova (DO) domestic swine, susp

African Swine Fever -- Moldova
The [African] swine fever is being tackled by the Moldovan authorities, after 2 foci of infection have been discovered in the north of the country.
Agriculture Minister Eduard Grama has told today [29 Sep 2016] a news conference it matters to make the people aware of the disease: "We do have problems with the [African] swine fever. Several slaughterhouses have been quarantined since spring."
Food Safety Agency ANSA deputy director Vsevolod Stamati: "We notified the Government at once

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PRO/AH/EDR> Japanese encephalitis & other - India (19): (OR)

Japanese Encephalitis -- India
A 4-year-old girl died Wednesday evening and 2 other suspected encephalitis deaths were reported Wednesday [28 Sep 2016], taking the death toll to 19 children since 9 Sep [2016]. The deaths have been reported from Manasa, Goreiguda, Baliapari, Koimetla, Sangel, Anlaguda, Palkonda, Sindhiguda, Siadimal, Chitapari, Golaguda and Kopeguda villages under Malkangiri Sadar, Kalimela, Korukunda, Podia and Kudumuluguma blocks [Malkangiri district, Odisha state].
All deceased children were aged

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PRO/AH/EDR> Rift Valley fever - Niger (03): (TH), live stock, human

Rift Valley Fever -- Niger
On 30 Aug 2016, WHO received reports about unexplained deaths among humans, along with death and abortion in livestock in the North Western parts of Niger, and the areas bordering Mali.
From 2 Aug to 22 Sep 2016, 64 human cases including 23 deaths have been reported in Tchintabaraden health district in Tahoua region. The area is mainly populated by nomadic stockbreeders.
Most of the cases are male (62.5 percent), and work as farmers or animal breeders. In the affected area, an epizootic

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PRO/AH/EDR> MERS-CoV (102): Saudi Arabia (RI), new case, RFI

MERS -- Saudi Arabia
As of 13:00 [1 PM] today [29 Sep 2016], there have been a total of:
1457 laboratory-confirmed cases of MERS-CoV infection, including
611 deaths [reported case fatality rate 41.9 percent]
843 recoveries, and
3 currently active cases
Since the last ProMED-mail update on Saudi Arabia [21 Sep 2016], there has been a total of:
1 newly confirmed case
1 newly reported fatality, and
2 newly reported recoveries
Information on newly reported cases:
29 Sep 2016

- A 51-year-old Saudi

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PRO/AH/EDR> Ranavirus, frog - UK: (England) risk factor, garden ponds

Other Animal Disease -- United Kingdom
Garden ponds are playing a role in the spread of deadly frog diseases across the UK, a study suggests. Ranaviruses can infect amphibians, reptiles and fish. In the UK, they have devastated common frog populations. This research suggests that the introduction of infected animals from aquatic retailers into ponds or moving species between different ponds may be exacerbating the problem.
The findings are published in the Proceedings of the Royal Society B. Dr Trent Garner, from the Zoological

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PRO/AH/EDR> Anthrax - USA (04): laboratory errors, GAO investigation report

Anthrax -- United States
Potentially deadly live anthrax spores were mistakenly sent to a laboratory in Hampton Roads from an Army facility in Utah, according to a map in a government watchdog report.
The Army has said samples of anthrax that were supposed to have been inactivated were sent to 194 federal, academic and commercial laboratories in every state, 9 countries and 3 U.S. territories. There were a total of 575 shipments of live anthrax delivered to labs from 2004 through 2015, although the Army says no

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PRO/EDR> Onchocerciasis - Guatemala: eradication

River Blindness -- Guatemala


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PRO/EDR> Mycobacterium abscessus - USA (02): (CA) nosocomial, dental, child, more cases

Mycobacteria, non-TB -- United States
6 Sep 2016: Children's Dental Group in Anaheim voluntarily stoppped performing baby tooth root canals following reports of dental infections after the procedure.
12 Sep 2016: Health Care Agency alerts physicians that 8 children treated at the clinic have developed infections, with 7 hospitalized.
15 Sep 2016: Health Care Agency orders the clinic to stop using water for dental procedures and to replace its water system. 2 more children are hospitalized for a total of 10 cases.
20 Sep 2016:

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PRO/AH/EDR> Anaplasmosis - USA: (VT) increased incidence

Anaplasmosis -- United States
The Vermont Health Department says the state [is] on track for the highest number of cases of a tick-borne disease called anaplasmosis. According to health officials, anaplasmosis is transmitted by the black-legged tick, the very same one that spreads Lyme disease. "Anaplasmosis is a serious illness, and we're seeing more of it in Vermont," said Bradley Tompkins, infectious disease epidemiologist.
Officials say 133 cases of anaplasmosis have been reported in Vermont so far this year [2016];

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PRO/EDR> Legionellosis - USA (18): (MN) fatal, elderly, more cases

Legionnaires' -- United States
State health officials have confirmed 3 new cases of legionnaires' disease linked to the ongoing Hopkins [Minnesota] outbreak, bringing the total number to 20, including one death. In all the cases, including the 3 announced [Tue 27 Sep 2016], patients were exposed to the bacteria in the Hopkins area before [9 Sep 2016] Since then, health officials have taken steps to eliminate possible infection sources; cooling towers on several local businesses were disinfected and a decorative fountain was

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Recalls: Clostridium botulinum, bread contamination and E. coli

Food recalls and alerts for the end of September have been notified by England, Ireland, Australia, Canada, Czech Republic, USA, Austria, Germany, Norway, Sweden, Netherlands, Belgium and Denmark.



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PRO/EDR> Legionellosis - USA (17): (WA) nosocomial, fatal, another case

Legionnaires' -- United States
This story was updated [28 Sep 2016] at 8:45 CT to reflect new information from UW Medical Center. Previously, officials did not know if the 5th patient became infected before or after the hospital instituted water precautions and cleaned the water system.
[Byline: Heather Punkee]
--
Communicated by:
ProMED-mail from HealthMap Alerts

[Clinical isolates from the 1st 4 patients and the environmental isolates (ice machine, sinks, and heater cooler units) are said to be _Legionella

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PRO/AH/EDR> Scrub typhus - India (04): (HP) fatal, more cases

Scrub Typhus -- India
The centre on [Tue 27 Sep 2016] asked for a detailed report on scrub typhus, a bacterial disease, from the Himachal Pradesh government in view of the rising number of cases. According to sources, the disease has affected more than 700 people and claimed 20 lives. Union health minister JP Nadda assured support to the state for managing the endemic disease. "The ministry is closely monitoring the situation and, if requested, shall provide all logistical and technical support to the Himachal

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Wednesday 28 September 2016

PRO/AH/EDR> Koi herpesvirus disease - Czech Republic: (CK) OIE

Other Animal Disease -- Czech Republic
Information received on [and dated] 28 Sep 2016 from Dr Zbynek Semerad, Director General, State Veterinary Administration, Veterinary Administration, Prague, Czech Republic
Summary
Report type: immediate notification
Date of start of the event: 12 Sep 2016
Date of confirmation of the event: 23 Sep 2016
Reason for notification: Reoccurrence of a listed disease
Date of previous occurrence: 2010
Manifestation of disease: clinical disease
Causal agent: Koi herpesvirus
Nature of

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PRO/AH> Rabies: World Rabies Day

Rabies -- Worldwide/Unknown
28 Sep 2016 is World Rabies Day (#WorldRabiesDay), intended to raise awareness of rabies and encourage people to vaccinate their pets. Learn more about it on the website of the Global Alliance for Rabies Control.
All warm-blooded animals can contract rabies, particularly mammals. A viral disease of the central nervous system, rabies is spread between animals, including humans, when saliva containing the virus enters an opening in the skin. This is typically achieved through the bite of a

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PRO/EDR> Hospital supply contamination - Japan: IV bags

Poisoning -- Japan
A surfactant compound that police believe was used to kill 2 elderly male patients at a hospital in Yokohama may have been injected into intravenous drip bags through holes made in their rubber plugs, investigative sources said Tuesday [27 Sep 2016].
Police found small holes in seals on the rubber plugs of multiple unused drip bags stored at a nurses' station at Oguchi Hospital in Yokohama's Kanagawa Ward, the sources said.
The police suspect the latest finding could indicate serial

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PRO/AH/EDR> West Nile virus - Americas (21): USA, equine

West Nile Virus -- United States
The California Department of Food and Agriculture (CDFA) reported that a 10-year-old quarterhorse gelding from Shasta County tested positive for West Nile virus [WNV] on 22 Sep 2016. The horse, whose vaccination status is unknown, was displaying neurological signs but is reportedly recovering, the CDFA said.
Thus far in 2016, 19 horses have tested positive for WNV in the following counties: Calaveras, Fresno (2 cases), Merced, Riverside, Sacramento (3 cases), San Diego, San Joaquin (6

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PRO/EDR> Lead paint - UK: (England) playgrounds

Poisoning -- United Kingdom
Children's parks across Bristol [UK] have tested positive for high levels of lead, which has been banned in paint since 1992.
An investigation by the BBC's "One Show" showed half of the 6 parks tested had a high metallic content on play equipment.
Of the play areas tested Eastville, Dame Emily in Bedminster, and St Andrew's parks all contained high levels of lead. Eastville Park was also said to have a reading for mercury following the experiment.
Lead based paints were banned in the

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PRO/EDR> Measles update (50): Americas, measles-free

Measles -- Worldwide/Unknown
Media advisory
--------------
The region of the Americas will be the 1st in the world to be declared free of measles
A press conference [was] held to announce that the region of the Americas has been declared free of measles, after 22 years of work. The elimination of this disease was verified over a 6-year period by an International Committee of Experts convened by the Pan American Health Organization (PAHO). The Committee will present its final report to the health ministers of member

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Tuesday 27 September 2016

PRO/AH/EDR> Rabies, animal, human (12): Philippines (PN), World Rabies Day

Rabies -- Philippines
The Philippines struggles with human rabies cases, ranking number 10 among the top countries with human rabies deaths. During the 6 months of 2016, the Philippines province of Pangasinan has reported 14 390 animal bite cases and 14 human rabies deaths. To put this into context, in all of 2015, the province saw 19 037 animal bite cases and 19 human rabies deaths.
Last week, the Pangasinan provincial board approved a resolution urging all local government units (LGUs) in the province to

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PRO/AH/EDR> Scrapie, sheep - Iceland (02): (NV), OIE

Scrapie -- Iceland
Information received on [and dated] 27 Sep 2016 from Dr Sigurborg Daoadottir, Chief Veterinary Officer, Icelandic Food and Veterinary Authority, Ministry of Industries and Innovation, Selfoss, Iceland
Summary
Report type: immediate notification
Date of start of the event: 16 Sep 2016
Date of confirmation of the event: 20 Sep 2016
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 2 Mar 2015
Manifestation of disease: clinical disease
Causal agent:

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PRO/AH/EDR> Cyanide poisoning, elephant - Zimbabwe (02): (HA)

Poisoning -- Zimbabwe
A hunter in western Zimbabwe has found the carcasses of 4 more elephants believed to have been poisoned by cyanide, according to a newspaper report on Mon [26 Sep 2016].
The elephants were found on Fri [23 Sep 2016] along the Manzamnyama River in Bulilima district. News of these deaths came as the decline of Africa's elephants was in the spotlight following the release on Sun [25 Sep 2016] of a report by the IUCN that showed that around 111 000 elephants had been lost mostly to ivory

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PRO/AH/EDR> E. coli EHEC - USA (34): O157, ground beef, alert, recall

E. coli -- United States
Connecticut / 2
Massachusetts / 3
Pennsylvania / 1
West Virginia / 1
Illnesses started on dates ranging from 27 Jun 2016 to 4 Sep 2016. Ill people range in age from 1 year to 74, with a median age of 25. A total of 57 percent of ill people are female. Up to 5 ill people have been hospitalized. No one has developed hemolytic uremic syndrome, a type of kidney failure, and no deaths have been reported.
Investigation of the Outbreak
-----------------------------
Epidemiologic,

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PRO/AH/EDR> Anthrax - Bangladesh (13): (RS) buffalo, human, more cases

Anthrax -- Bangladesh
At least 20 persons, including children, have reportedly been infected with anthrax after handling and eating a buffalo in Rajshahi's Makranda village. Confirming this, Godagari upazila Livestock Officer Saiful Islam told The Daily Star that those infected got admitted to Rajshahi Medical College Hospital, Godagari upazila health complex and private clinics over the past couple of days.
"We are vaccinating all of the village's cattle and buffaloes and so we are expecting no further

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PRO/AH/EDR> Anthrax - India (27): (OR) endemic district vaccination planned

Anthrax -- India
With the deadly anthrax outbreak reported in tribal districts of the State, the Fisheries and Animal Resources Development Department has come up with a new project which not only looks to cover the endemic pockets with vaccination but also incentivize the disease reporting. Anthrax has been reported in 19 districts including Angul, Balasore, Bargarh, Cuttack, Deogarh, Dhenkanal, Jajpur, Jharsuguda, Koraput, Kandhamal, Kalahandi, Keonjhar, Khurda, Malkangiri, Mayurbhanj, Nuapada, Puri,

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PRO/AH/EDR> West Nile Virus - Europe (04): Romania

West Nile Virus -- Romania
Yet another 2 persons died in the last week after getting infected with the West Nile virus, boosting the death toll to 8, according to a National Public Health Institute release. According to the source, in the 2016 season 1 May through 22 Sep [2016], as many as 77 cases of West Nile infection were registered, of which 8 were fatal: 1 in eastern Braila, 2 in nearby Ialomita, 1 in northeastern Iasi, 1 in central Mures, 1 in southern Teleorman and 2 in Bucharest. Most of cases were recorded in

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PRO/AH/EDR> Psittacosis - USA (02): (MI) comment

Psittacosis -- United States
Reference outbreak - there was no mention as to the origin of these birds - there is a continuous problem with illegal importation of wild caught species from Central-South America, which in itself is a violation of international accords resulting in birds that are not banded and officially identified, quarantined, and medicated with approved antibiotic protocols.
Follow-up information of the epidemiology and trace back investigation by USDA APHIS needs to be reported in additional

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (22): (NW, PB) new cases

Crimean-Congo Hemorrhagic Fever -- Pakistan
Another patient of Congo virus has died in Peshawar local hospital on Saturday, 24 News HD reported. According to details, 45-year-old S.R. was admitted in Peshawar local hospital for Congo virus treatment. He was being treated in special ward.
Doctors confirmed Congo virus disease in S.R. As many as 8 patients are being treated in Peshawar hospital. Up to 3 patients have died in Peshawar due to Congo virus in this year.
Health experts advised the citizens to take special preventive

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PRO/AH/EDR> Japanese encephalitis & other - India (18): (OR)

Japanese Encephalitis -- India
Death of 14 children, aged between 2 and 15, in one fortnight in Malkangiri district [Odisha] has put the health authorities on tenterhooks. While it is suspected that the children might have died in Japanese encephalitis (JE), health officials claimed they were suffering from acute encephalitis syndrome (AES).
The deaths have been reported from Kalimela, Pandripani, and Korkunda blocks of the district, which had first witnessed the incidence of AES and JE in 2012. At least 4 children have

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PRO/EDR> Non-TB mycobacteria - USA (03): (PA) nosocom, fatal, heater-coolers, more cases

Tuberculosis -- United States
1. Sax H, Bloemberg G, Hasse B, et al: Prolonged outbreak of _Mycobacterium chimaera_ infection after open-chest heart surgery: Clin Infect Dis 2015; 61(1): 67-75; doi: 10.1093/cid/civ198, 1st published online: 11 Mar 2015. Abstract available at .
2. Achermann Y, Roessle M, Hoffmann M, et al: Prosthetic valve endocarditis and bloodstream infection due to _Mycobacterium chimaera_. J. Clin. Microbiol. 2013; 51(6): 1769-73. Available at . - Mod.ML
A HealthMap/ProMED-mail map can be accessed at:

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PRO/AH/EDR> Cryptosporidiosis - USA (07): (NM) unpasteurized milk, alert

Cryptosporidium -- United States
For the 1st time since CDC's Morbidity and Mortality Weekly Report in 2015 documented 2 siblings with cryptosporidiosis associated with raw milk consumption, a state is blaming an invasion of the microscopic parasites on raw milk. New Mexico officials want people to dump raw milk, warning the cryptosporidium parasite causes a diarrheal disease known as cryptosporidiosis.
New Mexico has confirmed 6 new cases of "crypto" since 31 Aug 2016. The state put its departments of health, agriculture,

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PRO/AH/EDR> Bluetongue - Europe (16): Croatia (DN) ovine, st 4, OIE

Bluetongue -- Croatia
Information received on [and dated] 26 Sep 2016 from Dr Tomislav Kis, assistant to minister, Veterinary and Food Safety Directorate, Ministry of Agriculture, Zagreb, Croatia
Summary
Report type: immediate notification
Date of start of the event: 21 Sep 2016
Date of confirmation of the event: 26 Sep 2016
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 1 Mar 2016
Manifestation of disease: clinical disease
Causal agent: bluetongue virus
Serotype:

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PRO/EDR> Hepatitis C - India (02): (NL) injection drug use

Hepatitis C -- India
A [Nagaland] State level workshop on 'Hepatitis B and C virus' (HBV and HCV) was conducted on [21 Sep 2016] at the conference Hall of the Directorate of Health and Family Welfare with the health officials of the Health Department, Government of Nagaland.
Maongwati Aier, IAS [Indian Administrative Service], Secretary, Health and Family Welfare, addressed the workshop as the guest of honor. Sharing concerns about the alarming rate of HCV infection recorded in some studies conducted in

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PRO/AH/EDR> Lumpy skin disease - Namibia (02): (OD) bovine, OIE

Lumpy Skin Disease -- Namibia
Information received on [and dated] 23 Sep 2016 from Dr Adrianatus Florentius Maseke, Chief Veterinary Officer, Veterinary Services, Ministry of Agriculture, Water and Forestry, Windhoek, Namibia
Summary
Report type: immediate notification
Date of start of the event: 13 Sep 2016
Date of confirmation of the event: 16 Sep 2016
Report date: 23 Sep 2016
Date submitted to OIE: 23 Sep 2016
Reason for notification: re-occurrence of a listed disease
Manifestation of disease: clinical

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Monday 26 September 2016

PRO/AH/EDR> Foot & mouth disease - Armenia (05): No spread, OIE

Foot and Mouth -- Armenia
Information received on [and dated] 24 Sep 2016 from Mr Hovhannes Mkrtchyan, Head, Veterinary Inspectorate of the State Service for Food Safety, Ministry of Agriculture, Yerevan, Armenia
Summary
Report type: Follow-up report No. 3
Date of start of the event: 23 Dec 2015
Date of confirmation of the event: 28 Dec 2015
Reason for notification: New strain of a listed disease in the country
Causal agent: Foot and mouth disease virus (genotype VII)
Serotype: A
Nature of diagnosis:

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PRO/AH/EDR> Scombroid fish poisoning - Singapore (02): ex Thailand, canned tuna, recall

Poisoning -- Singapore
To address the question as to whether this recalled involved human cases of scombroid poisoning we contacted the EpiCore Surveillance Project members and we have received the following responses:
One member reminded there was an outbreak involving human cases in Australia during 2015 associated with canned tuna fish from Thailand (thanks to EpiCore member John Cathey). See ProMED-mail post Scombroid fish poisoning - Australia: (NS) canned tuna http://bit.ly/2dbSu26 and

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PRO/AH/EDR> Anthrax - Bangladesh (12): (RS) buffalo, human, more cases

Anthrax -- Bangladesh
Those who prepared and ate the meat of a sick buffalo which had been purchased from India by one RafiqulI of Markanda village got infected, Godagari Livestock officer Dr Saiful Islam said on Sun [25 Sep 2016]. He said the buffalo was slaughtered on 10 Sep [2016].
Of the infected people, 10 were identified as MR, 45, IH, 50, RA, 50, RabiulI, 35, RafiqulI, 35, S, 30, M, 25 of Markanda village; UK, 40, of Bhushona village; and HA, 40 and T, 40, of Bautia village. The infected people said they

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PRO/AH/EDR> Japanese encephalitis & other - India (17): (JH) confirmation

Japanese Encephalitis -- India
The outbreak of JE [Japanese encephalitis] in Jharkhand has been confirmed by positive blood sample testing of the patients for JE virus.
The disease surveillance programme for the district has been intensified and activities like awareness camps about disease cause and symptoms and early reporting to hospital in case of fever have been undertaken. Likewise, vector control by district municipal services is being undergone.
Pig owners are instructed to keep pig sties clean as mosquitoes

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PRO/AH/EDR> Herpesvirus, zoo elephant - USA: (OK)

Herpes -- United States
Oklahoma City Zoo leaders say routine testing showed that 21-month-old Achara, the youngest Asian elephant at the facility, tested positive for endotheliotropic herpesvirus (EEHV), 1A strain.
Officials say all elephants are believed to carry strains of the virus, adding that this isn't the 1st time Achara has tested positive for EEHV. However, this is the 1st time this particular strain has been detected. Zoo officials say that although low levels of the virus were detected, the animal care

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Seven sickened by E. coli O157 in outbreak linked to beef

A multistate outbreak of Shiga toxin-producing E. coli O157:H7 (STEC O157:H7) infections has been linked to Adams Farm Slaughterhouse.



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Deaths reported in Lagos cholera outbreak

Six people have died from a cholera outbreak in a Nigerian city, according to local media .



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PRO/PL> Undiagnosed disease, jujube - Afghanistan: (FH)

Undiagnosed -- Afghanistan
Jujube yield decreased this year [2016] after the orchards were hit by a "viral" disease [see comment below] in western Farah province.
A senior official said the agriculture department lacked specialists and facilities and had been so far unable to prevent the viral disease. The jujube fruit was infested with worms, resulting in decreased yield and low quality. The fruit faced such a major threat once in several years, he said, adding the main reason behind the disaster remained

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PRO/EDR> Undiagnosed illness - India (06): (AP) fatal, leg swelling, RFI

Undiagnosed -- India
Rajamahendravaram CPI (Communist Party of India) district committee expressed anguish over the death of 6 persons who died due to the mysterious leg-swelling disease in Annavaram, Lakshmi Puram and Pada Mattapalli villages of V R Puram in East Godavari [district, Andhra Pradesh state]. He demanded that the government pay a compensation of Rs 10 lakh [about USD 15 000] for the deceased persons. [A lakh is a unit in the Indian numbering system equal to 100 000.]
Former Bhadrachalam MP and CPI

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PRO/AH/EDR> Japanese encephalitis & other - India (16)

Japanese Encephalitis -- India
Instances of small children with symptoms of suspected Japanese encephalitis (JE) have started to emerge from remote rural pockets of Malkangiri district of Odisha.
Medical authorities have started precautionary measures to check resurgence of encephalitis in the district again. As per Chief District Medical Officer (CDMO) of Malkangiri, Uday Shankar Mishra, till now around 14 children between the age of 2-8 years have been identified to be suffering from symptoms of encephalitis. Some of

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Sunday 25 September 2016

PRO/EDR> Legionellosis - USA (16): (WA) nosocomial, fatal, comment

Hospital-Related Infection -- United States
All 4 patients had _Legionella pneumophila_ pneumonia and _L. pneumophila_ has been isolated from environmental samples. Molecular testing is pending.
--
Jeffrey S. Duchin, MD
Health Officer and Chief, Communicable Disease Epidemiology & Immunization Section
Public Health - Seattle and King County
Professor in Medicine, Division of Infectious Diseases, University of Washington
Adjunct Professor, School of Public Health
Seattle, Washington

[ProMED-mail thanks Dr. Jeff Duchin

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PRO/EDR> Legionellosis - USA (15): (WA) nosocomial, fatal, RFI

Hospital-Related Infection -- United States
It has been 11 days since UWMC [University of Washington Medical Center] implemented corrective actions and enhanced precautions to protect patients from _Legionella_, and no cases have occurred. Cases of _Legionella_ [infection] typically occur 2-10 days after exposure to the bacteria. Although it is possible additional cases will be identified, the absence of new cases suggests that the steps taken by UWMC to eliminate _Legionella_ transmission are working.
Although the investigation is

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PRO/AH> Leprosy - USA (04): (CA) comment

Leprosy -- United States
Chakrabarty AN, Dastidar SG. Is soil an alternate source of leprosy infection? Acta Leprol 2001; 12: 79-84.
Lavania M, Katoch K, Sachan P et al. Detection of _Mycobacterium leprae_ DNA from soil samples by PCR targeting RLEA sequences. J Communicable Dis 2006; 38: 269-273.
--
T Jacob John
Retired Professor of Clinical Virology, Christian Medical College
Kamalakshipuram, Vellore, Tamil Nadu
India

[ProMED-mail would like again to thank Professor T Jacob John for his valuable

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PRO/AH/EDR> Undiagnosed fatal illness, canine - USA (NM): RFI

Undiagnosed -- United States
Pet owners are growing worried about a sudden illness that caused the deaths of 2 dogs and clinical signs in a 3rd that is recovering.
After those deaths, one woman put together an online survey, and after dozens of submissions from other residents, they think the illness could be more widespread. The problem is local vets have no idea what's causing it.
Chris Sturtz, a dog owner in Paradise Hills, has a 6-year-old dog named Roxxi. She was healthy and happy, and then all of a sudden,

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PRO/EDR> Poliomyelitis update (15): environmtl. samples, Pakistan WPV, India cVDPV2, RFI

Polio -- Pakistan
Five out of the 27 environmental samples collected from various parts of Balochistan tested positive for poliovirus, the provincial coordinator said on Saturday [24 Sep 2016].
The Coordinator Emergency Operation Cell (EOC) Balochistan, Syed Faisal Ahmed, said the samples were tested positive for poliovirus in Quetta and Pishin districts of the province.
He, however, mentioned that the virus detected in Quetta and Pishin was not indigenous, rather it belonged to Jacobabad and

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PRO/EDR> Syphilis - USA (10): MSM, increase syphilis screening

Syphilis -- United States
Centers for Disease Control and Prevention (CDC) data show a 15 percent increase in the number of syphilis infections from 2013 to 2014 alone. Two new studies presented at the 2016 STD [sexually transmitted diseases] Prevention Conference suggest that syphilis is taking a particularly severe toll on gay, bisexual and other men who have sex with men (MSM), especially in the south.
These studies underscore the critical importance of syphilis screening and care for gay and bisexual men. Prompt

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PRO/AH> Ebola update (59): news, research, funding

Ebola -- Worldwide/Unknown
September 2016. A small stem-loop structure of the Ebola virus trailer is essential for replication and interacts with heat-shock protein A8
[Citation.
J Sztuba-Solinska L Diaz MR Kumar, et al. (EPub 19 Sep 2016). A small stem-loop structure of the Ebola virus trailer is essential for replication and interacts with heat-shock protein A8. Nucl. Acids Res. (2016).doi: 10.1093/nar/gkw825
[Abstract.
Ebola virus (EBOV) is a single-stranded negative-sense RNA virus belonging to the

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PRO/AH/EDR> Scrapie, sheep - Iceland (NV)

Scrapie -- Iceland
A case of scrapie has been confirmed at a farm in Skagafjordur.
Scrapie is a fatal, degenerative disease, which affects the nervous systems of sheep and goats. This is the 4th confirmed case of scrapie in Northwest Iceland since February of 2015. [Prior to] that year, no case had been reported since 2010.
MAST, the Icelandic Food and Veterinary Authority, is currently collecting data and preparing a course of action.
Last week, the farmer of Brautarholt in Skagafjordur suspected a

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PRO/EDR> Meningitis, meningococcal - Australia (03): (WA) sg. W

Meningitis - Neisseria -- Australia
3/4ths of the cases of meningococcal disease in WA [Western Australia] so far this year [2016] have been caused by rare W strains [_Neisseria meningitidis_ serogroup W] that very few people are vaccinated against. Figures obtained by The Weekend West show 9 of the 12 cases of the disease this year have been linked to strains from the bacteria group W. Type B [_Neisseria meningitidis_ serogroup B] caused the other 3.
Meningococcal disease is a rare, life-threatening illness caused by a

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PRO/EDR> Measles update (49): UK (S. Wales) summer festivals, Romania

Measles -- United Kingdom
Public health officials have reported an outbreak of measles in Carmarthenshire with 9 cases so far confirmed this month [September 2016].
All of the cases have been linked to summer festivals, prompting a warning to parents and young adults about the importance of getting the MMR [measles, mumps, rubella] jab.
Public Health Wales say 6 of the cases are thought to be directly linked to patients who contracted the virus while at the Green Gathering environmental festival in Chepstow last

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PRO/EDR> Human enterovirus D68 - Netherlands: acute flaccid myelitis

Enterovirus 68 -- Netherlands
In June and July 2016, we identified 8 adults and 17 children with respiratory enterovirus D68 infections. 13 children required intensive care unit admission because of respiratory insufficiency, and one had concomitant acute flaccid myelitis [AFM]. Phylogenetic analysis showed that all of 20 sequences obtained belong to the recently described clade B3. This upsurge could indicate an active EV-D68 season, as highlighted by the epidemiologic curve, with a potential increase in AFM cases.

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PRO/EDR> Meningitis - Solomon Islands: (ML) susp. bacterial, RFI

Meningitis -- Solomon Islands
There have been unconfirmed reports of an outbreak of meningitis in the Malaita Province of Solomon Islands. A doctor working in the Atoifi Hospital told the Solomon Star on Monday [19 Sep 2016] that 5 people had been diagnosed with the disease. [Dr] Chellion Evan said the patients who arrived at the hospital were in a serious condition but could not be immediately treated. However, they were being closely monitored in isolation.
Dr Evan said he believed these were cases of bacterial

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Saturday 24 September 2016

PRO/AH> Anthrax - Russia (14): (YN) reindeer, complex ecology

Anthrax -- Russia
I am a geographer and ecologist with 25 years of experience of studying Yamal tundra pastures and more than 2 decades of experience with reindeer pastures in Finnish Lapland. I can say with certainty that for Yamal to switch from its open nomadic reindeer grazing to one resembling the fenced-in pastures of Finland would be to simply replace one set of problems with another.
The 'overgrazing' narrative in Finland is almost as old as the one in Yamal. In Sweden and Norway, semi-domesticated

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PRO/AH/EDR> Psittacosis - USA (MI): parrot

Psittacosis -- United States
A local pet store is currently under quarantine after cases of sick birds were investigated by the Michigan Department of Agriculture. Casa La Parrot, located at 124 28th Street in Grand Rapids, has been quarantined for 2 positive cases of psittacosis, also known as "parrot fever." The 2-month quarantine will expire on 31 Oct 2016.
Psittacosis is caused by a bacteria-like organism and can cause birds to have inflamed eyes, difficulty breathing, watery droppings and green urine along with

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PRO/EDR> Gonococcal disease - USA (05): (HI) ceftriaxone plus azithromycin resistance

Gonorrhea -- United States
A worryingly resilient strain of gonorrhea has infected 7 people in Hawaii, the CDC has confirmed. The 6 men and 1 woman were all ultimately treated by the CDC's recommended combination treatment of ceftriaxone and azithromycin. But the Hawaii State Department of Health said lab tests showed the infections were not destroyed as quickly or as easily as they have done in all previous cases.
Health officials fear this means the incredibly common sexually-transmitted disease could become

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PRO/AH/EDR> Leptospirosis - USA: (IL) canine

Leptospirosis -- United States
There is an outbreak of a deadly dog disease. Your dog could get it, just by sniffing. At 1 veterinary hospital, half the dogs that tested positive have died. Here is what to look out for.

Ms P's dog, Oliver, is lucky to be alive. "It was a long road for him, but he's back in action now," she says. That, after 9 days of hospitalization for a disease called leptospirosis. It is a bacteria carried by wildlife like rats and passed in urine; so, it ends up in puddles and cracks on the

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PRO/EDR> Legionellosis - USA (14): (TN) hotel

Legionnaires' -- United States
The Shelby County Health Department (SCHD) has received laboratory confirmation of 5 individuals diagnosed with Legionnaires' disease. Based upon current findings, SCHD has closed the La Quinta Inn located at 2979 Millbranch Road, 38116.
An investigation is currently ongoing, and SCHD officials are working with the establishment to identify sources of transmission, to remediate to prevent future transmission and to educate staff and patrons on the disease including signs and

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PRO/EDR> Legionellosis - USA (13): (MN) fatal, elderly, more cases

Legionnaires' -- United States
The Legionnaires' outbreak linked to Hopkins, Minn. has increased to 14 cases. One individual has died, according to a report from the Minneapolis Star Tribune.
Legionnaires' disease is a type of pneumonia caused by _Legionella_ bacteria. It can be contracted by inhaling mist from infected water sources such as cooling misters, decorative fountains or plumbing systems. It is not spread by person-to-person contact [Possible person-to-person transmission has been described - Correia AM,

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PRO/AH/EDR> Yellow fever - Africa (101): Angola, Congo DR, WHO

Yellow Fever -- Angola
Key updates
Angola epidemiological update (as of 15 Sep [2016]):
- the last confirmed case had symptom onset on 23 Jun [2016];
- 3 of the 4 laboratory positive cases reported in the previous situation report have been discarded as having recent vaccination history. The remaining case reported in Tchindjenje district in Huambo province is under investigation;
- phase II of the vaccination campaign has been prepared and will begin shortly in 12 districts in 9 provinces.
Democratic

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PRO/AH/EDR> Leprosy - USA (03): (CA) conf, child, RFI

Leprosy -- United States
A Southern California elementary school student has been found to have leprosy, public health officials said [Thu 22 Sep 2016], though they emphasize that the student's school and community remain safe.
Two children from Indian Hills Elementary School in Jurupa Valley had initially been diagnosed by a local doctor with the condition known medically as Hansen's disease, Riverside County health officials said. But this week [week of 19 Sep 2016] they received results from the National

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PRO/AH/EDR> Monkeypox - Central African Republic: (BK) fatal

Monkeypox -- Central African Republic
During the past month, 14 monkeypox cases, including one fatality have been reported in 4 villages in the sub-prefecture of Mingala in [Basse-Kotto Prefecture, southern] Central African Republic (CAR).
According to health officials, some patients are being treated at the health post Irra Banda, while others are referred to the District Alindao hospital. In addition, there are reports of 10 fatalities due to an unknown cause in the same villages.
This is the 4th time monkeypox has been

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Friday 23 September 2016

PRO/AH/EDR> Theileria, bovine - Australia (02)

Other Animal Disease -- Australia
Cows are suffering and dying from bovine anaemia because farmers and veterinarians are unable to get the necessary drug, according to a dairy owners and a veterinary doctor in eastern Victoria.
Key points:
- Figures suggest anaemia is costing beef and dairy industries AUD 20 million [about USD 15 million] per annum.
- There is a drug available for treatment but it is not approved in Australia.
- The Government has said the drug is a threat to meat exports.
Dairy farmer BK lost 25

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PRO/AH/EDR> Avian influenza (75): Middle East, HPAI H5N1 spread, risk assessment, FAO

Avian Influenza H5N1 -- Worldwide/Unknown
Summary
-------
This risk assessment provides an estimate of the likelihood of introduction of H5N1 HPAI from recently infected countries (Lebanon and Iraq) to other countries in the Middle East region and neighbouring territories as a result of the movement of live poultry (both legal and illegal), poultry-related products and the migration of wild birds.
The preliminary assessment based on the available information and uncertainties associated indicate that the risk of introduction of

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PRO/AH/EDR> MERS-CoV (101): Saudi Arabia (RI) new cases

MERS -- Saudi Arabia
As of 13:00 [1 PM] today [23 Sep 2016], there have been a total of:
1456 laboratory-confirmed cases of MERS-CoV infection, including
610 deaths [reported case fatality rate 41.9 per cent]
841 recoveries, and
4 currently active cases
Since the last ProMED-mail update on Saudi Arabia [21 Sep 2016], there have been a total of:
2 newly confirmed cases
0 newly reported fatality, and
1 newly reported recovery
Information on newly reported cases:
23 Sep 2016

1- 43-year-old expat

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PRO/AH/EDR> Bluetongue - Europe (15): Cyprus (LA,NI) ovine, caprine, st pending, OIE

Bluetongue -- Cyprus
Information received on [and dated] 23 Sep 2016 from Dr Penelope Stylianou, Acting Director, Veterinary Services, Ministry of Agriculture, Natural Resources and Environment, Nicosia, Cyprus
Summary
Report type: immediate notification
Date of start of the event: 19 Sep 2016
Date of confirmation of the event: 20 Sep 2016
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 4 Dec 2014
Manifestation of disease: clinical disease
Causal agent: bluetongue

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PRO/ALL> Antibiotic resistance (02): UN General Assembly 2016, WHO Global Action Plan

Antimicrobial resistance -- Worldwide/Unknown
World leaders today [21 Sep 2016] signalled an unprecedented level of attention to curb the spread of infections that are resistant to antimicrobial medicines.
Antimicrobial resistance (AMR) happens when bacteria, viruses, parasites, and fungi develop resistance against medicines that were previously able to cure them.
For the 1st time, Heads of State committed to taking a broad, coordinated approach to address the root causes of AMR across multiple sectors, especially human health,

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PRO/AH/EDR> Rabies, animal, human (11): Turkey, India, Israel

Rabies -- Turkey
A town has been quarantined following the outbreak of a rabies concerns in the southern province of Osmaniye, with at least 104 people receiving treatment in hospital.
"In order to prevent a negative outcome caused by rabies, the vaccination process of those coming from Ellek [Düziçi district, Osmaniye province] has been continuing at Düziçi State Hospital," a statement released from the Osmaniye Governor's Office read, noting that a sample taken from a person receiving treatment was

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PRO/EDR> Zika virus (51): Americas, PAHO/WHO

Zika virus -- Worldwide/Unknown
To date, 47 countries and territories in the Americas have confirmed autochthonous, vector-borne transmission of Zika virus disease since 2015. In addition, 5 countries in the Americas have reported sexually transmitted Zika cases (Argentina, Canada, Chile, Peru, and the United States of America). Since the last Zika Epidemiological Update of 8 Sep 2016, Saint Kitts and Nevis has confirmed vector-borne autochthonous transmission of Zika virus.
Figure 1 [see URL for map].
Countries and

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PRO/AH/EDR> West Nile virus - Americas (20): USA, equine

West Nile Virus -- United States
West Nile is transmitted to horses via bites from infected mosquitoes.
The Kentucky State Veterinarian's office has announced that a horse from Bourbon County has tested positive for West Nile virus (WNV). This is the 3rd equine WNV case confirmed in the commonwealth this year [2016].
In a statement Kentucky Equine Programs manager E.S. "Rusty" Ford said both cases were confirmed 22 Sep 2016.
The 3-year-old Standardbred mare with no WNV vaccination history began showing signs of

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PRO/AH/EDR> Potomac horse fever, equine - USA (03): (WV)

Other Animal Disease -- United States
The West Virginia Department of Agriculture confirmed a case of Potomac horse fever (PHF) on 20 Sep 2016 the EDCC [Equine Disease Communication Center] reported.
The horse with PHF -- a 6-year-old Quarter Horse gelding from Hampshire County -- was febrile (he had a fever), lethargic, and passing loose stool, the EDCC said. His vaccination status is unknown, be he is recovering.
Potomac horse fever is most commonly contracted by horses that accidentally ingest infected aquatic insects

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PRO/EDR> Non-TB mycobacteria - USA (02): (PA) nosocomial, heater-cooler machine

Hospital-Related Infection -- United States
3 patients who underwent heart surgery at Penn Presbyterian Medical Center in Philadelphia are being treated for nontuberculous mycobacterium [NTM] infections contracted from contaminated heater-cooler machines used during the surgery. A 4th patient tested positive for the bacteria, but has not displayed signs of infection. According The Philadelphia Inquirer, the addition of the 3 patients brings the total of such infections in the state of Pennsylvania to 20.
Because of these infections,

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PRO/AH/EDR> Rabies - Bulgaria: (Sofia, Silistra), fox, OIE

Rabies -- Bulgaria
Information received on [and dated] 21 Sep 2016 from Dr Damyan Iliev, Chief Veterinary Officer & Deputy Executive Director, Bulgarian Food Safety Agency, Ministry of Agriculture and Food, Sofia, Bulgaria
Summary
Report type: immediate notification
Start date: 10 Sep 2016
Date of confirmation of the event: 10 Sep 2016
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: June 2014
Manifestation of disease: sub-clinical infection
Causal agent: Rabies

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PRO/EDR> Acute flaccid myelitis - USA: human enterovirus D68 susp

Enterovirus 68 -- United States
Before dinner on 29 Jul 2016, a 3-year-old from Chesterfield, Virginia, seemed perfectly healthy. That evening, he vomited. When he woke up the next morning with a slight fever of 99 deg F [37.2 deg C], his mother figured that he was coming down with a cold. The next morning, she found him collapsed on his bedroom floor.
"Mommy," she recalls him saying. "Help me, help me." The boy could barely stand when his mother picked him up, and his neck was arched backward. "What was most alarming,"

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Thursday 22 September 2016

PRO/AH/EDR> Foot rot, ovine - Australia: (NS)

Other Animal Disease -- Australia
Central Tablelands Local Land Services has warned sheep producers to insist on an Animal Health Statement when purchasing or agisting sheep or goats, following reported cases of footrot in central western NSW [New South Wales].
The unusually wet conditions currently being experienced in many areas increases the risk of expression and spread of the disease.
"Reports have emerged in areas that have not seen this notifiable disease in decades, so sheep producers need to be alert," said Dr

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (21): (PB) new case

Crimean-Congo Hemorrhagic Fever -- Pakistan
A 35-year-old woman was admitted at Nishtar Medical Hospital on Saturday [17 Sep 2016] with symptoms of Congo fever. A hospital spokesman said NB, a resident of Chak Gabol, Rajanpur [district, Punjab province], had been brought to the DHQ Hospital with symptoms of the Crimean-Congo hemorrhagic fever on Wednesday [14 Sep 2016].
He said she was later referred to Nishtar Hospital. He said 4 of her children had also been admitted with fever. "However, their fever subsided after intervention and

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PRO/AH/EDR> MERS-CoV (100): Saudi Arabia (JF) new case, WHO

MERS -- Saudi Arabia
Between [23 Aug 2016 and 11 Sep 2016] the National IHR Focal Point of Saudi Arabia reported 5 additional cases of Middle East respiratory syndrome (MERS).
Details of the cases
1- A 55-year-old, national, male, living in Arar city, Northern Border region. He developed symptoms on 3 Sep 2016 and was admitted to hospital on 8 Sep 2016. The patient, who has no comorbidities, tested positive for MERS-CoV on 10 Sep 2016. The case also reports contact with camels and consumption of their raw milk

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PRO/EDR> Hand, foot & mouth disease: St Maarten, USA (CT)

Hand, Foot and Mouth Disease -- Saint Martin [France/Netherlands]
Anyone can be infected, but the disease seems to occur predominately in children under 10 years of age.
When can a person spread the virus to others?
---------------------------------------------
A person may spread the virus to others just prior to the onset of symptoms, during the acute stage of illness and perhaps longer, since this virus may persist in the stool for several weeks. The incubation period is usually 3 to 5 days.
What are the symptoms and when do they

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PRO/AH/EDR> Crimean-Congo hem. fever - Spain (04): contact HCW discharged

Crimean-Congo Hemorrhagic Fever -- Spain
A Spanish nurse who contracted Congo fever while caring for a man who died from the virus, in the 1st non-imported case reported in Western Europe, was discharged from hospital on Wed [21 Sep 2016], officials said.
The unidentified nurse was admitted to the intensive care unit of a Madrid hospital on 31 Aug [2016] where she was treated for the illness, also known as Crimean-Congo hemorrhagic fever, in isolation. The regional government of Madrid said in a statement that she had been

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PRO/AH/EDR> Anthrax - India (26): (OR) elephant, investigation

Anthrax -- India
Anthrax outbreak in the buffer and fringe areas of Similipal Tiger Reserve (STR) has prompted the Animal Diseases Research Institute (ADRI) to seek assistance from Bengaluru-based National Institute of Veterinary Epidemiology and Disease Informatics (NIVEDI). A team from the ICAR-arm is expected to arrive next week to make an on-site inspection of pockets where elephant deaths have been reported, Joint Director of ADRI Dr Lokanath Behera said.
With about 12 elephants falling victim to

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PRO/AH/EDR> Bluetongue virus - Israel: Tainted imported sheep-pox vaccine, untyped, RFI

Sheep/Goat Pox, Bluetongue, Vaccine Complication -- Israel
In this report we describe the detection and identification of Bluetongue virus (BTV) contaminations in commercial vaccines. BTV RNA was detected in vaccine batches of Lumpy skin disease (LSD) and Sheep pox (SP) using quantitative PCR (qPCR) for VP1 and NS3 genes. Both batches were positive for VP1 and NS3 in qPCR. The LSD vaccine-derived sample was positive for VP1 and VP2 in conventional PCR. The SP vaccine-derived sample was examined by amplification of VP1, VP4, VP6, VP7, NS2 and NS3 gene

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PRO/EDR> Human enterovirus: Taiwan, Canada (ON)

Enterovirus -- China
Enterovirus infection has killed a 2 year old girl, being the 1st death this year. The case had incomplete brain development and a medical history of right-sided hemiparesis and development delay. Since the end of August [2016], the case subsequently developed symptoms, including upper respiratory tract infection and middle ear infection in both ears. In the night of 6 Sep [2016], she developed high fever and blisters on the soft palate. After seeking medical attention, she was diagnosed with

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PRO/EDR> Legionellosis - USA (12): (WA) nosocomial, fatal, susp. heater-cooler units, RFI

Hospital-Related Infection -- United States


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PRO/AH/EDR> Malaria, penguin - UK: (England) fatal, zoo colony

Malaria -- United Kingdom
A number of Humboldt penguins at Longleat [Safari and Adventure Park, Wiltshire] have died today [21 Sep 2016] due to an outbreak of avian malaria in the colony.
It is thought that this would have been contracted through an airborne mosquito.
While this disease does not affect humans, Longleat has taken the decision to close Penguin Island to visitors in order to give their team additional space and time to care for their remaining birds and to allow the "heartbroken" keepers time

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PRO/EDR> Foodborne illness - Thailand: (NA) susp. staphylococcal

Foodborne Illness -- Thailand
The number of people hospitalised after eating eclairs [a pastry filled with cream and chocolate] at branches of a big retail store in Nan township rose to 38 on Wed 21 Sep 2016, as health inspectors began a full inquiry. Dr Pongthep Wongwatcharapaiboon, deputy director of Nan Hospital, and a team of health officials inspected the production process for the eclairs at the Makro outlet in Muang district to find the cause of the food poisoning.
Officials said that in all 38 people who

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PRO/EDR> Zika virus (50): Americas, Asia, Europe, Pacific, research, observations

Zika virus -- United States
Summary
Background
The microcephaly epidemic, which started in Brazil in 2015, was declared a Public Health Emergency of International Concern by WHO in 2016. We report the preliminary results of a case-control study investigating the association between microcephaly and Zika virus infection during pregnancy.
Methods
We did this case-control study in 8 public hospitals in Recife, Brazil. Cases were neonates with microcephaly. 2 controls (neonates without microcephaly), matched by

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PRO/AH/EDR> Tularemia - USA (13): (CO)

Tularemia -- United States
Health officials in Mesa County, Colorado announced today, 20 Sep 2016, the 1st human tularemia case of 2016 in the county. The patient was likely exposed to the disease, often referred to as rabbit fever, in the Redlands area. The Mesa County Health Department says rabbits from the east side of the Redlands and southwest of Fruita have tested positive for tularemia this summer [2016]. [Another media report identified the case as an adult female but not further details were provided -

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PRO/AH/EDR> Toxic algae - UK: (04): (Scotland) water alert

Algae -- United Kingdom
Toxins are compounds that have a harmful effect on other cells, tissues and organisms. In the natural environment, these toxins are generally contained within the blue-green algal cell but they are released into the water when the cell is damaged or dies.
Blue-green algal toxins can be divided into the following groups:
1. Hepatotoxins
- Hepatotoxins cause blood to collect in the liver causing circulatory shock and can lead to death by internal hemorrhaging.
- Hepatotoxins can cause

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PRO/AH/EDR> Eastern equine encephalitis - Americas (24): USA (FL,WI) equine

Eastern Equine Encephalitis -- United States
Officials in Florida have reported the 20th case of eastern equine encephalitis (EEE) in a horse in 2016. The 11-year-old Quarter Horse mare from Sumter County was last vaccinated for EEE in late summer 2015 per the owner and had no recent travel history.
Clinical signs began on [13 Aug 2016] and the horse was euthanized for humane reasons later the same day.
EEE causes inflammation of the brain tissue and has a significantly higher risk of death in horses than West Nile virus infection.

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PRO/AH/EDR> West Nile virus - Americas (19): USA, equine

West Nile Virus -- United States
A 6th Wisconsin horse has tested positive for West Nile virus (WNV). On 16 Sep 2016, the Equine Disease Communication Center (EDCC) reported that an unvaccinated Belgian filly from Clark County had tested positive for WNV.
"The filly had trouble standing on 10 Sep 2016 and was tested and treated on that day," the EDCC said. At last report the filly was recovering."
Of the state's 6 equine WNV cases confirmed in 2016, 4 have been in Clark County.
West Nile is transmitted to horses via

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Trichinella threat remains despite EU measures, say researchers

Trichinella remains a threat despite measures taken at a European level, according to the analysis of an outbreak in Belgium two years ago.



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Wednesday 21 September 2016

PRO/AH/EDR> Rift Valley fever - Niger (02): (TH), livestock, human,

Rift Valley Fever -- Niger
Health workers in western Niger are racing to contain an outbreak of Rift Valley fever that has killed at least 21 people over the past month, an aid agency said on Wednesday [21 Sep 2016].
The highly contagious disease, which is transmitted to humans by mosquitoes or close contact with contaminated animals, has infected 52 people in Niger's western region of Tahoua since late August, the country's health ministry said.
The Alliance for International Medical Action (ALIMA) and Niger's

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PRO/EDR> Measles update (48): Asia-Pacific

Measles -- Australia
A 25-year-old woman is in hospital after contracting measles during a trip to Southeast Asia.
Medical experts in South Australia have issued a warning for anyone travelling to Southeast Asia to ensure they are fully immunised after an outbreak of measles in the state in recent weeks.
A 25-year-old woman is in hospital in Adelaide after contracting the illness during a trip to Asia. It is the 3rd case doctors have diagnosed in the past week.
"It is important that anyone travelling to

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PRO/AH/EDR> Dolphin morbilivirus, fatal - Spain: (CT)

Other Animal Disease -- Spain


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PRO/AH> Anthrax - Russia (13): (YN) human, reindeer, cull proposed

Anthrax -- Russia
A region in Russia is to slaughter a quarter of a million reindeer by Christmas because it has "too many animals." The current population of 730 000 is "unsustainable" and risks new outbreaks of deadly anthrax disease unless there is a rapid cull, say officials in the region of Yamelo-Nenets.
The reindeer will be electrocuted by a high voltage charge to the forehead to immobilise them before their antlers are removed, and their throats slit. Blood is often drained from the animals and sold

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PRO/EDR> Legionellosis - USA (11): (WA) nosocomial, fatal, susp. heater-cooler units, RFI

Hospital-Related Infection -- United States
Three heater-cooler units -- equipment used to heat and cool patients during heart surgery -- tested positive for _Legionella_ bacteria at the University of Washington [UW] Medical Center in Seattle, according to a statement from UW Medicine. The news comes after the bacteria infected 4 patients at the hospital, causing a type of pneumonia known as Legionnaires' disease. Two of the infected patients have died.
The source of the outbreak has been linked to the hospital's water system, as

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PRO/AH/EDR> Eastern Equine Encephalitis - USA (23): (WI) Emus

Eastern Equine Encephalitis -- United States
Mosquito season always brings with it the threat of mosquito-borne disease. For the emu farmer, this includes the danger of their flock picking up Eastern Equine Encephalitis (EEE). EEE is known to occur in many species of birds, horses and even man. Signs of EEE in emu include sudden onset of weakness, staggering, bloody diarrhea and rapid death, usually within 24 hours of first onset of symptoms. The virus can be "shed" in feces, blood or vomit. Humans can pick up this disease through

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PRO/AH/EDR> Undiagnosed respiratory disease, equine - UK (02): equine influenza strangles excluded

Undiagnosed -- United Kingdom
Following your request please find below a summary of the limited microbiological investigations conducted at the Animal Health Trust [AHT] on samples that were submitted to our diagnostic microbiology laboratories by veterinary surgeons attending racehorses in Newmarket [Suffolk] during a period of August 2016. We understand that attending veterinary surgeons would also have submitted samples to their own veterinary practice laboratories whilst dealing with this same incident. However,

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PRO/AH/EDR> Scombroid fish poisoning - Singapore: ex Thailand, canned tuna, recall, RFI

Poisoning -- Singapore
The Singapore AgriFood and Veterinary Authority (AVA) issued a recall of Farmland brand canned "Tuna Chunks in Polyunsaturated Oil" imported from Thailand after testing revealed high levels of histamine. The histamine levels raised the risk of scombroid fish poisoning.
Scombroid fish poisoning is an acute syndrome characterized by facial flushing, sweating, rash, a burning or peppery taste in the mouth, diarrhea, and abdominal cramps, and usually resolves within several hours without

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PRO/EDR> Influenza (38): WHO global update, seasonal

Influenza -- Worldwide/Unknown
Summary
Influenza activity varied in countries of temperate South America, is ongoing in South Africa and increased steadily in the last few weeks in Oceania. Influenza activity in the temperate zone of the northern hemisphere was at inter-seasonal levels.
- In temperate South America, influenza and respiratory syncytial virus (RSV) activity decreased throughout most of the sub-region. In Chile, influenza-like illness (ILI) and laboratory confirmed influenza and RSV virus detections

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PRO/AH/EDR> Japanese encephalitis & other - India (15): (JH), RFI

Japanese Encephalitis -- India
Japanese encephalitis, (JE) the viral disease caused by a flavivirus that infects animals and humans are on the rise in the city [Jamshedpur, East Singhbhum district, Jharkhand]. In the last 48 hours about several cases of JE have come to the light forcing the health officials here to remain vigilant.
Sahir Pall, district officer for the Centre's Integrated Disease Surveillance Programme (IDSP), said have come across 14 suspected cases Japanese encephalitis (JE) admitted in various

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PRO/EDR> Syphilis - USA (09): (MS) MSM, PrEP

Syphilis -- United States
Cases of syphilis have skyrocketed by nearly 60 percent in Mississippi this year [2016], according to data released by the Mississippi Department of Health on [Thu 15 Sep 2016]. So far in 2016, 214 people have been diagnosed with primary and secondary syphilis in Mississippi, compared with 136 people during the same period a year ago [2015].
These numbers are part of a national upward trend that state health officials said could be linked to an increase in the use of Truvada, a drug that

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PRO/EDR> Diphtheria - Pakistan: (PB) fatal

Diphtheria -- Pakistan
During the past 2 weeks, 5 children including 2 siblings, died of reported diphtheria in an outbreak in village Kul [Kasur district, Lahore Division, Punjab], while 12 more are fighting for their lives in Children Hospital Lahore.
Talking to media, the residents of Kul Village said that 5 children -- 7, 5, 8, 9, and 3 [years of age] -- died of the infectious disease diphtheria. They expressed concerns over the unexpected outbreak of the disease in the village, which devoured 5 lives during

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PRO/AH/EDR> Plague, animal - USA (06): (CO): bubonic, feline

Plague -- United States
A common house cat is suffering from a disease that has wiped out millions throughout history -- the bubonic plague.
The Jefferson County pet tested positive [Mon 19 Sep 2016] for the disease, which is commonly carried by fleas and can be passed along still to this day.
"It is not uncommon for cats to become infected with plague in an environment where plague is circulating," Jefferson County officials said in a release.
Officials warned against allowing pets to roam, as they could

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PRO/AH/EDR> Strangles, equine - USA (02): (FL)

Strangles -- United States
[On 19 Sep 2016], one premise in Hillsborough County, Florida was placed under quarantine for strangles, according to an Equine Disease Communication Center (EDCC) alert. The horse began showing respiratory signs in 7 Sep 2016 after being imported from a Louisiana Kill Facility and was isolated. A respiratory panel taken returned positive for strangles and EHV-4.
The horse is the only equine on the premises and no animals have left the facility since clinical signs began. This is the 2nd

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Tuesday 20 September 2016

PRO/AH/EDR> Yellow fever - Africa (100): Angola, Congo DR

Yellow Fever -- Angola
A yellow fever outbreak in Angola and Congo has been brought under control by a major vaccination campaign, the World Health Organization's director of infectious hazard management Sylvie Briand has said. "One (piece of) good news is that this outbreak is under control now. We haven't had any new cases in Angola since 23 Jun [2016], and since 12 Jul [2016] in the DRC (Democratic Republic of the Congo)," Briand told a regular U.N. briefing in Geneva.
The entire Congolese capital of Kinshasa,

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PRO/AH/EDR> Anthrax - USA (03): (TX) cervid

Anthrax -- United States
Texas Animal Health Commission (TAHC) officials confirmed anthrax in white-tailed deer in Kinney County on 16 Sep 2016.
The affected premises is located approximately 12 miles east of Brackettville. The premises has been quarantined, and TAHC rules require proper disposal of affected carcasses and vaccination of livestock on the premises prior to release of the quarantine.
"The TAHC will continue to closely monitor the premises," said Dr. T.R. Lansford, TAHC Assistant Executive Director

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PRO/AH/EDR> Die-off, horseshoe crab - Japan

Animal Die-off -- Japan
Hundreds of horseshoe crabs - known as " living fossils" because they are among the Earth" s oldest creatures - have been found dead in southern Japan, confounding experts who study the alien-like side walkers.
Horseshoe crabs, known for their blue blood, are a regular summer visitor to tidal flats in southern and western Japan, including one near Kitakyushu city where they lay their eggs. Some invariably die in the process, but this year [2016] a local conservation group noticed that the

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PRO/AH/EDR> Avian influenza (74): Russia (TU) HPAI H5N8 2.3.4.4., wild bird, intl alert, FAO

Avian Influenza H5N1 -- Russia
AGoose/Guangdong/96 lineage H5N8 highly pathogenic avian influenza (HPAI) virus of clade 2.3.4.4 was detected in migratory birds at Lake Ubsu-Nur in the Tyva Republic of the Russian Federation, located on the Central Asian Flyway, in early June 2016 (World Organisation for Animal Health (OIE), 2016; Department for Environment, Food and Rural Affairs, 2016).
In past seasons, detection of HPAI virus in this region of the Russian Federation was followed by detection of similar viruses in other

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PRO/AH/EDR> MERS-CoV (99): Austria ex Saudi Arabia, WHO

MERS -- Austria
On [8 Sep 2016] the National IHR Focal Point for Austria notified WHO of a laboratory confirmed case of Middle-East respiratory syndrome coronavirus (MERS-CoV) infection. This is the 2nd case of MERS-CoV in Austria. (The 1st MERS-CoV case in Austria was notified on [30 Sep 2014]).
Details of the case reported are as follows
-------------------------------------------
The patient is a 67 year old male visitor from Saudi Arabia (citizen and resident) who arrived in Vienna, Austria on [4 Sep

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Record number of patients infected with Brucella in Texas after eating unpasteurized cheese from Mexico

The Dallas County Department of Health and Human Services issued a health advisory following 13 confirmed cases of brucellosis, affecting patients between the ages of six and 80.



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PRO/AH/EDR> Rift Valley fever - Niger: (TH) livestock, OIE

Rift Valley Fever -- Niger
Information received on [and dated] 19 Sep 2016 from Dr Ibrahim Bangana, [Director General, Veterinary Services], Niamey, Niger
Summary
Report type: immediate notification
Date of start of the event: 4 Sep 2016
Date of confirmation of the event: 17 Sep 2016
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 1992
Manifestation of disease: clinical disease
Causal agent: Rift Valley fever virus
Nature of diagnosis: clinical, laboratory (basic,

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PRO/EDR> Dengue/DHF update (28): Asia, Pacific, Europe

Dengue -- Worldwide/Unknown


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Monday 19 September 2016

PRO/PL> Fireblight, apple - Canada: (QC)

Other Plant Disease -- Canada
Fire blight has hit Quebec apple growers especially hard this year [2016], affecting between 80 and 100 orchards out of 130 in the Laurentians region. Eric Rochon, representing the apple industry, said "Currently, we're in a state of emergency."
The quality of the apples has not been affected, but the immediate future is going to be a lot of hard work for growers. Rochon says the only way to stop the disease from spreading is to rip out the infected branches. Several orchards have already

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PRO/AH/EDR> Porcine epidemic diarrhea - North America (04): Canada (MB)

Novel Swine Enteric Coronavirus -- Canada
A 9th case of porcine epidemic diarrhea (PED) has been found in a sow barn in Manitoba.
On 15 Sep 2016, Manitoba's Chief Veterinary Office (CVO) confirmed positive test results for PED from a southeastern Manitoba sow barn, bringing the number of Manitoba cases to 9 since the 1st one was found in February 2014.
The CVO has consulted with the producer and the producer's private veterinarian, and Manitoba Agriculture's Emergency Operation Centre has been activated. Control measures were

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PRO/AH/EDR> Bacillus cereus, anthrax-like infection - Africa (03): vaccine protection

Anthrax -- Worldwide/Unknown
Emerging _B. cereus_ strains that cause anthrax-like disease have been isolated in Cameroon (CA strain) and Côte d'Ivoire (CI strain). These strains are unusual, because their genomic characterisation shows that they belong to the _B. cereus_ species, although they harbour 2 plasmids, pBCXO1 and pBCXO2, that are highly similar to the pXO1 and pXO2 plasmids of _B. anthracis_ that encode the toxins and the polyglutamate capsule respectively. The virulence factors implicated in the pathogenicity

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PRO/AH/EDR> Undiagnosed respiratory disease, equine - UK: RFI

Undiagnosed -- United Kingdom
Dozens of racing thoroughbreds have been struck down by a mystery respiratory infection sweeping through some of the country's top stables.
Trainers have described the outbreak of infection, which leads to horses suffering from cough and runny eyes, as the worst they have seen in decades.
The revelations coincided with Saturday and Sunday's [17-18 Sep 2016] Newmarket Open Weekend, when 15 stables were lined up to open their doors to members of the public, leading to fears that large

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (20): (PB, BA) fatal

Crimean-Congo Hemorrhagic Fever -- Pakistan
The 1st Congo virus [Crimean-Congo hemorrhagic fever, CCHF] case has been reported in Faisalabad [Punjab] on [Sun 18 Sep 2016]. The 20-year-old patient RA was shifted in Civil hospital's private ward 3 days ago.
Blood samples of the patient were sent to Islamabad where he was confirmed of having the disease. According to doctors, the condition of the patient is critical as the number of his platelets has decreased to 5000. Executive District Officer (EDO) health Nawazish Goraya confirmed

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Sunday 18 September 2016

PRO/AH/EDR> Contaminated honey - USA: glyphosate

Poisoning -- United States
The U.S. Food and Drug Administration (FDA) has found residues of the weed killer glyphosate in samples of U.S. honey, according to documents obtained by the consumer advocacy group U.S. Right to Know through a Freedom of Information Act request. Some samples showed residue levels double the legally allowed limit in the European Union.
There is no legal tolerance level for glyphosate in honey in the U.S., so any amount of detectable glyphosate in honey could technically be considered

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PRO/AH/EDR> Rabies - Americas (37): USA

Rabies -- United States
An employee of a local animal rescue group has started a series of rabies shots after being exposed last week [last week of August 2016] to an infected cat in Elizabethtown.
Connie Kondravy, director of the Organization for the Responsible Care of Animals (ORCA), is worried that people in the neighborhood where the cat was found might also have been scratched or bitten or that other stray and feral cats in the area might also be infected.
Kondravy said her employee responded to a call at

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PRO/AH/EDR> Yellow fever - Americas (10): Brazil (SP) monkey

Yellow Fever -- Brazil
An announcement from the Instituto Adolfo Lutz in São Paulo confirmed the death of a howler monkey in the São José do Rio Preto (Sao Paulo state). The monkey was found on 25 Aug [2016], and the result of the test was announced this Wednesday, 14 Sep [2016]. The animal was found dead by a resident of the area, who advised Epidemiological Surveillance.
The Health Secretariat initiated a yellow fever vaccination campaign and active search for potential cases of the disease in the area of

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PRO/EDR> Ebola update (58): news, research, funding, vaccine

Ebola -- Liberia
15 Sep 2016: Identification of important amino acid replacements in the 2013-2016 Ebola virus outbreak
[Citation.
Olabode AS, Gatherer D, Jiang X, et al. (EPUB 2016, preprint). BioRxiv. doi:
Abstract
The phylogenetic relationships of Zaire Ebolavirus have been intensively analyzed over the course of the 2013-2016 outbreak. However, there has been limited consideration of the functional impact of this variation. Here we describe an analysis of the available sequence data in the context

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PRO/ALL> Antibiotic resistance: International Journal of Infectious Diseases, editorial

Antimicrobial resistance -- Worldwide/Unknown


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PRO/EDR> Legionellosis - USA (10): (MN) elderly, more cases

Legionnaires' -- United States
Minnesota health officials have confirmed 9 cases of legionnaires' disease in Hopkins -- up from 5 late last week -- in the state's largest outbreak of the disease since the mid-1990s.
Investigators with the Minnesota Department of Health (MDH) are homing in on the source of the bacteria, which have infected only people who live and work in Hopkins. Health investigators from Hennepin County and the state are looking at several Hopkins-based businesses, including a Supervalu warehouse, a

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PRO/EDR> Legionellosis - USA (09): (WA) nosocomial, fatal

Hospital-Related Infection -- United States
A 4th patient at University of Washington [UW] Medical Center has been diagnosed with legionella [infection], also known as legionnaires' disease. UW Medicine and the King County Health Department say the patient was hospitalized in the Cascade Tower. That's the same place tests have shown the bacteria exists in an ice machine, a sink, and 3 pieces of operating room equipment which did not make contact with patients.
The patient, a man in his 40s, had an underlying medical condition that

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PRO/EDR> Mycobacterium abscessus - USA: (CA) nosocomial, dental, child

Hospital-Related Infection -- United States
Orange County's Health Care Agency on Thursday [15 Sep 2016] ordered Children's Dental Group in Anaheim to stop using water for procedures after 10 root canal patients were hospitalized with serious infections. The agency said its lab has confirmed that multiple samples taken from the dental office's water system have tested positive for mycobacteria similar to the kind believed to have sickened the children, who all underwent pulpotomies since May [2016].
"I am issuing this order to

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PRO/EDR> Antibiotic resistance - USA (06): ESBL, FQ, E. coli, UTI

E. coli -- United States
The increase in illnesses and deaths linked to medication-resistant bacteria has been well-documented by researchers and received extensive public attention in recent years. Now, UCLA-led research shows how these bacteria are making it more difficult to treat a common but severe kidney infection.
Pyelonephritis -- infection of the kidney usually caused by _Escherichia coli_ bacteria and which can start as a urinary tract infection -- causes fever, back pain and vomiting. About half of

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PRO/AH/EDR> Eastern equine encephalitis - USA (22): (WI,MI) equine

Eastern Equine Encephalitis -- United States
On 15 Sep 2016, the Michigan Department of Agriculture and Rural Development received notice that a 4 month old standardbred filly from Clare County had tested positive for eastern equine encephalitis (EEE). The filly developed a sudden fever, began staggering, and eventually became unable to rise. The filly was not vaccinated against EEE and died.
A viral disease, EEE affects the central nervous system and is transmitted to horses by infected mosquitoes. Clinical signs of EEE include

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PRO/AH/EDR> West Nile virus - Americas (18): Canada, USA, equine

West Nile Virus -- Canada
There are 4 USDA licensed vaccines currently available (2 are inactivated whole WNV vaccines; one is a non-replicating live canary pox recombinant vector vaccine, and one is an inactivated flavivirus chimera vaccine):
Inactivated whole virus vaccines with an adjuvant. Label instructions call for a primary vaccination series of 2 intramuscular injections administered 3 to 6 weeks apart followed by a 12-month revaccination interval. These products are labeled as an aid in prevention of

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PRO/EDR> Pseudomonas - UK: piercing, contaminated spray, recall

P. aeruginosa -- United Kingdom
A warning has been issued by Public Health England (PHE) to those who have recently had body piercings about an unsafe cleansing spray provided by piercing studios across the country for aftercare use, which may cause severe infection. PHE is strongly advising people to stop using the product and, if concerned they may have an infection, to seek medical help urgently.
The product, linked to cases of serious infection, has been provided by piercing studios in many parts of the country. It is

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PRO/AH/EDR> Anthrax - Russia (12): (YN) human, reindeer, impact

Anthrax -- Russia
"You feed a reindeer and step away -- and it suddenly drops dead. Within a day it swells up like a ball ready to burst. We thought the heat was to blame, as they were still in their thick winter coats. A neighbour lost 50 of them." AN is an indigenous Nenets man from the Yamal Peninsula in Northern Russia. He lost most of his reindeer during the sudden outbreak of anthrax in the region this summer.
"People were evacuated, dogs put to sleep, chums (traditional Nenets tents) and sledges and

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PRO/AH/EDR> Yellow fever: WHO

Yellow Fever -- Worldwide/Unknown
Changes in the way humans live and work, and the resurgence of mosquito vectors, particularly the _Aedes aegypti_ mosquito (which spreads Zika, dengue fever and chikungunya), have raised the global risk of yellow fever. The 2 large yellow fever outbreaks in Angola and Democratic Republic of the Congo are now under control but these are just warnings of bigger outbreaks to come if action is not taken.
A coalition of partners working to stop yellow fever outbreaks met in Geneva on 12 Sep 2016

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PRO/AH/EDR> Japanese encephalitis & other - India (14): (UP)

Japanese Encephalitis -- India
In the last 48 hours from Tuesday [13 Sep 2016], 9 children [have] died of acute encephalitis syndrome (AES) at BRD Medical College [Gorakhpur, Uttar Pradesh]. The death toll has reached 254 from January this year [2016]. Over 10 000 children have died of encephalitis in the last 4 decades at the medical college alone. Many deaths occur in private nursing homes which go unrecorded.
Children are dying of acute encephalitis syndrome (AES) which is caused by unhygienic conditions and drinking

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2cGYgIz

Saturday 17 September 2016

PRO/EDR> Botulism - Canada (03): (QC) salmon roe, risk, recall

Botulism -- Canada
Imperial Caviar & Seafood and the Canadian Food Inspection Agency are recalling salmon roe because it may be contaminated with _Clostridium botulinum_. This bacterium produces a toxin that can be deadly in very small quantities. No illnesses have been reported in connection with the consumption of these products.
The recalled product is Imperial Caviar & Seafood brand Salmon Roe in 3 sizes. The 50 gram size has a UPC number of 1 86866 90024 8 and codes BB/MA 23-AUG-2017 LOT: 23616-03.

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PRO/EDR> Pertussis - USA (06)

Whooping Cough -- United States
15 confirmed cases of whooping cough and 7 suspected cases have been found in Jefferson County in recent months, according to a news release from the Jefferson County Health Department. Health officials said the cases have been tracked since 1 May 2016, and they expect many other people might have been exposed.
"At most, we had 37 contacts who were followed after contact, with one confirmed case. Another case had 14 contacts," said Gail Scott, director of the health department. "Usually,

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PRO/EDR> Mumps - USA (19)

Mumps -- United States
The mumps outbreak that has been evident this summer in Long Beach has continued to grow as health experts across the country have begun documenting an unrelated spate of cases in nearly every state, health officials said Tuesday [13 Sep 2016].
Locally, the outbreak has remained concentrated in the barrier island region where multiple suspect cases are under investigation by the State Department of Health.
[byline: Delthia Ricks]
--
communicated by:
ProMED-mail from HealthMap

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PRO/EDR> Cholera, diarrhea & dysentery update (28): Africa, Asia

Cholera -- Eritrea
An outbreak of cholera has killed at least 12 people in Al-Roseires area in Sudan's Blue Nile State, a senior health official said on Wednesday, 14 Sep 2016. Ahmed Al Sheikh, Sudanese doctors' union, told Radio Tamazuj that they received confirmed reports in September 2016 that about 12 people died of cholera in Al-Roseires area near the border with South Sudan and Ethiopia.
Al Sheikh called for the closure of Roseires borders with its neighboring areas so medical staff could contain the

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PRO/EDR> Cholera, diarrhea & dysentery update (27): Americas

Cholera -- Dominican Republic
Between epidemiological week (EW) 1 and EW 34 of 2016, a total of 27 839 cholera cases were reported in 3 countries of the Americas: the Dominican Republic (1039), Ecuador (1), and Haiti (26 799). Haiti alone accounts for 96 per cent of all cholera cases reported in the Region of the Americas up to EW 33 of 2016. Table 1 shows the number of cholera cases reported in selected countries between 2010 and 2016. Figure 1 [for figures, see original URL - Mod.LL] illustrates the distribution of

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PRO/AH/EDR> MERS-CoV (98): Saudi Arabia (RI) new case

MERS -- Saudi Arabia
As of 13:00 [1 PM] today [17 Sep 2016], there have been a total of:
1453 laboratory-confirmed cases of MERS-CoV infection, including
610 deaths [reported case fatality rate 42.0 per cent]
839 recoveries, and
4 currently active cases
Since the last ProMED-mail update yesterday [16 Sep 2016], there has been a total of:
1 newly confirmed case
0 newly reported fatality, and
0 newly reported recoveries
Information on newly reported case:
17 Sep 2016

- 50 year old Saudi male from

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PRO/AH> Lumpy skin disease - Europe (24): Romania, plan, prevention

Lumpy Skin Disease -- Romania
1. Vaccination campaigns should be carried out in the southern part of the country at risk for introduction of the LSDV: borders with Bulgaria and Serbia
2. Second best option: enforce active and passive clinical and laboratory surveillance at the high risk counties and start large scale mass vaccination immediately after the 1st outbreak
3. Investigate trade effects due to vaccination more in detail as derogations can be applied especially for products for human consumption (milk, milk

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PRO/AH> Botulism, avian - USA (04): (NC) waterfowl, susp

Botulism -- United States
Carolina Waterfowl Rescue is asking for the public's help to locate any sick or dying ducks after 48 dead wild mallards were found in the Indian Trail [Union County, North Carolina] area. The nonprofit organization is treating 2 ducks after being rescued and says that they're in critical condition.
Officials with the nonprofit are in agreement that the cause of the sickened and dying ducks is botulism but are unsure of the source. They say they have preliminary laboratory results concluding

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PRO/AH/EDR> Avian influenza, human (61): Cameroon (OU) H5N1, susp

Avian Influenza H5N1 -- Cameroon
After the chickens, is it the Mifi's residents' turn to be infected by H5N1? The prefect of the department has been seeking answers. During a meeting that he chaired on Friday, 8 Sep [2016] to raise the poultry farmers' awareness on the importance of respecting measures enacted by the governor of the West [Ouest] region to fight avian flu, the prefect received some news from the livestock, fishing and animal industry's delegate of the 3rd district of Bafoussam.
[The delegate] said that she

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (19): (BA) new cases

Crimean-Congo Hemorrhagic Fever -- Pakistan
2 more cases of Congo virus have been detected in the provincial capital (Quetta, Balochistan). The management of Fatima Jinnah Chest and TB Hospital said that 2 more patients have been admitted to the hospital. The chief medical officer, Dr Abbas Notkani said that earlier, a female patient suffering from bleeding from mouth and nose was admitted to the hospital whose condition was now better after medical treatment and health care. "The health condition of female patient has been improving

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