Sunday 30 April 2017

PRO/EDR> Typhoid fever - Kenya: H58 haplotype, antimicrobial resistance

Typhoid -- Kenya
Poor lab capability and surveillance and lack of sanitation are enabling the spread of a typhoid strain that is resistant to drugs, a researcher has warned.
Prof. Sam Kariuki, head of microbiology at Kenya Medical Research Institute, said that H58, whose origins can be traced to the Nepalese capital, Kathmandu, is now in East Africa.
H58, an older strain of typhoid causing _Salmonella_ Typhi, has edged out other strains to become resistant to more than 60 per cent of locally available

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PRO/EDR> Rocky Mountain spotted fever - Panama: fatalities

Rocky Mountain Spotted Fever -- Panama
The health authorities of Panama confirmed today, 3 Apr 2017, the deaths of 2 children due to rickettsiosis, a tick-borne disease that is very rare in the country. "At first, it was thought that it could be a serious dengue. The studies and the tests of dengue were negative," local health director of the Ministry of Health (Minsa) Itza Barahona explained on local television.
One of the minors was 8 years old and lived in El Valle de Antón, a mountainous town in the interior that belongs to

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PRO/EDR> Rocky Mountain spotted fever - Mexico: (CH) fatalities

Rocky Mountain Spotted Fever -- Mexico
So far in 2017, 20 confirmed cases of rickettsial infection, transmitted by tick bite, have been registered in Chihuahua. Of these, 9 people have died, according to Ministry of Health staff.
All the cases of rickettsiosis have occurred in the municipality of Chihuahua, so it is recommended to maintain personal hygiene at home and to allocate an adequate space for pets, keeping it clean and bathing pets at least twice monthly with anti-insect soap.
In 2016 in the state of Chihuahua, 55

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PRO/EDR> Candida auris - USA (03): (NY) fatality

-- United States
A local patient infected with a "superbug" fungus died from "complex medical issues" several weeks after coming to Rochester General Hospital, according to Rochester Regional Health. The patient, a New York City resident, died in March 2017, said Veronica Chiesi Brown, medical relations specialist for Rochester Regional Health, which oversees the hospital.
First identified in Japan in 2009, the fungus has spread to more than a dozen countries. The oldest of the 66 cases reported in the USA

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PRO/EDR> Hepatitis C - USA (05): (MN) injection drug use

Hepatitis C -- United States
Sexually transmitted infections in Minnesota reached another record high in 2016, according to a report issued in April 2017, but another trend has state public health experts concerned: a spike in hepatitis C infections that is tied to the opioid abuse epidemic and the misuse of intravenous drug needles.
The Minnesota Department of Health identified 51 new hepatitis C infections in 2016, compared with 37 in 2015. That's the highest number of new infections identified in one year since at

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PRO/EDR> Wohlfahrtiimonas bacteremia - USA: (WA) myiasis

Myiasis -- United States
_Wohlfahrtiimonas chitiniclastica_ is a rarely reported cause of bacterial infection associated with skin lesions and sepsis. It has been isolated in nonbiting flies that can cause myiasis (fly larvae infestation); however, it has neither been isolated from fly larvae on patients with _W. chitiniclastica_ infection, nor from insects in the Americas. In August 2016, a man was hospitalized in Washington State with necrosis of the foot, myiasis, and _Wohlfahrtiimonas_ spp. bacteremia. We

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PRO/EDR> Measles update (24)

Measles -- Italy
We describe characteristics of an ongoing measles outbreak in Wallonia, Belgium, and difficulties in control measures implementation. As at [12 Mar 2017], 177 measles cases were notified, of which 50 percent were 15 years and older, 49 percent female. Atypical clinical presentation and severe complications, mainly among adults, in combination with late notification, low or unknown vaccination coverage of contacts, infected healthcare workers and increased workload due to contact tracing, are

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PRO/EDR> Poliomyelitis update (04): fractional IPV

Polio -- Afghanistan
1. Esteves K. Safety of oral poliomyelitis vaccine: results of a WHO enquiry. Bull World Health Organ. 1988; 66(6):739-46; .
2. Maass G, Quast U. Acute spinal paralysis after the administration of oral poliomyelitis vaccine in the Federal Republic of Germany (1963-1984). J Biol Stand. 1987 Apr;15(2):185-91.
3. Joce R, Wood D, Brown D, Begg N. Paralytic poliomyelitis in England and Wales, 1985-91. BMJ. 1992 Jul 11;305(6845):79-82; .
4. Novello F, Lombardi F, Amato C, et al. Paralytic

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Saturday 29 April 2017

PRO/EDR> Zika virus (07): Americas, PAHO/WHO

Zika virus -- Worldwide/Unknown
Since epidemiological week (EW) 44 of 2016, no additional countries or territories of the Americas have confirmed autochthonous, vector-borne transmission of Zika virus disease. To date, 48 countries and territories in the Americas have confirmed autochthonous, vector- borne transmission of Zika virus disease since 2015, while 5 countries have reported sexually transmitted Zika cases (Figure 1).
Figure 1 [map]. Countries and territories in the Americas with confirmed autochthonous (vector-

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PRO/EDR> Hepatitis A - UK: (Scotland) bakery

Hepatitis A -- United Kingdom
An outbreak of hepatitis A in North Lanarkshire has been potentially linked to JB Christie's bakery in Airdrie. NHS Lanarkshire are currently investigating 9 confirmed cases and 9 suspected cases, where initial suggestions lead them back to the shop. Environmental health and public health staff are working with the bakery to carry out further investigations.
Dr Josephine Pravinkumar, NHS Lanarkshire consultant in Public Health Medicine said: "Our initial investigations have indicated that

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PRO/AH/EDR> Tick-borne encephalitis virus - USA (02): (ME) Powassan virus

Powassan virus -- United States
When a Maine woman died suddenly in 2013 after a tick bite, the state went on alert against the dangerous virus that claimed her life.
A Rockland-area artist fell ill almost immediately after finding a tick stubbornly embedded in her shoulder that November [2013]. She died just weeks later.
At the time, Powassan virus hadn't been documented in Maine in nearly a decade. Much rarer than Lyme disease, but transmitted more quickly and potentially more devastating, Powassan had appeared in

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PRO/AH/EDR> Unpasteurized dairy - USA: infection risk, 2009-2014

-- United States
Consumer demand for organic and natural foods (i.e., minimally processed foods) has been on the rise (1). However, in contrast to some perceptions (2), natural food products are not necessarily safer than conventional ones, as evidenced by higher rates of foodborne illnesses associated with unpasteurized dairy products (3-6). Pasteurization has greatly reduced the number of foodborne illnesses attributed to dairy products, and continuous efforts to reduce milk contamination pre- and

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PRO/AH/EDR> Avian influenza, human (48): China, H7N9

Avian Influenza H7N9 -- China
The Chinese province of Gansu (northwest) reported 3 cases of avian influenza H7N9, local authorities said on [Tue 25 Apr 2017].
These are the 1st human infections with influenza in this province since the beginning of the year [2017], it was learned.
On [Fri 7 Apr 2017], the city of Jiuquan recorded the 1st human infection at Gansu H7N9. The patient recovered and was able to leave the hospital, according to a report from the provincial government.
A total of 2 more cases were

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PRO/EDR> Botulism - USA (04): (CA) deer antler tea

Botulism -- United States
Tea made from deer antlers may have sickened 2 Orange County residents with botulism, a serious illness caused by a [toxin produced by a] bacterium that can cause paralysis, breathing difficulty and is potentially deadly. One adult has a confirmed case of botulism, and the other has a suspected case, the Orange County Health Care Agency said [Fri 28 Apr 2017]. An investigation by the Los Angeles County Department of Public Health suggests the botulism illnesses may be connected with drinking

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PRO/EDR> Antibiotic resistance - USA: (CA) MDR-Acinetobacter, bacteriophage therapy

Acinetobacter baumannii -- United States
Scientists and physicians at University of California San Diego School of Medicine, working with colleagues at the U.S. Navy Medical Research Center - Biological Defense Research Directorate (NMRC-BDRD), Texas A&M University, a San Diego-based biotech and elsewhere, have successfully used an experimental therapy involving bacteriophages - viruses that target and consume specific strains of bacteria - to treat a patient near death from a multidrug-resistant bacterium.
Infected with a

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PRO/EDR> Candida auris - USA (02): (IL, NY)

-- United States
_Candida auris_ is an emerging, multidrug-resistant yeast causing invasive infections globally but not reported in the USA before 2016. In August 2016, the Chicago Department of Public Health was notified of 2 patients with _C. auris_ infections who were treated at the same acute care hospital (ACH) and long-term acute care hospital (LTACH). We investigated possible health care transmission to guide control measures.
Cases were defined as _C. auris_ isolated from clinical cultures. We

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PRO/AH/EDR> Tularemia - USA (03): increased northern spread, 1965-2013

Tularemia -- United States
Tularemia is an uncommon but debilitating arthropod-borne zoonosis caused by _Francicella tularensis_. Although human infection occurs sporadically throughout the continental USA, historically, cases have been concentrated in the south central states of Louisiana, Arkansas, and Missouri. We used 2 methods to assess changes in the geographic distribution of human tularemia cases reported to CDC through the Nationally Notifiable Diseases Surveillance System during 1965-2013.
Reported cases

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PRO/AH/EDR> Undiagnosed disease - Liberia (03): (SI) fatal

Undiagnosed -- Liberia
Liberian officials said on [Fri 28 Apr 2017] 11 people have died and 5 are in hospital after contracting a mystery illness the World Health Organization (WHO) said was linked to attendance at the funeral of a religious leader.
"We are still investigating. The only thing we have ruled out is ... Ebola," said Liberia's Chief Medical Officer Francis Kateh, adding samples from the victims had been sent abroad for further testing.
On [Wed 26 Apr 2017], the WHO said Liberian health authorities

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PRO/AH/EDR> Pentobarbital, dog food - USA (04): recall

Poisoning -- United States


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PRO/EDR> Chikungunya (13): Asia (Pakistan)

Chikungunya -- Pakistan
WHO and the Ministry of National Health Services, Regulations and Coordination of Pakistan conducted an intensive house-to-house investigation over the past few weeks to confirm an outbreak of chikungunya fever in Balochistan province in Pakistan where it has been reported for the 1st time.
The investigation was carried out in response to a sudden rise in the number of cases of acute febrile illness in Gwadar city in Balochistan. The number of suspected chikungunya cases reported in

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Friday 28 April 2017

PRO/AH/EDR> Dermatobia hominis - China ex Brazil: returning tourist

-- Brazil
A woman had maggots burst out of her skin in a scene that would fit right into the popular sci-fi film 'Alien'. Known only by her surname [G], the 28-year-old was backpacking around South America at the end of March [2017] with her friends. While in a Brazilian rainforest, she was bitten by a 'peanut-sized insect' on her right leg. After returning home to Shanghai, she noticed the lump left by the bite had split open and was itching intensely. [G] was horrified when larvae, the 'grub' stage of

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PRO/AH/EDR> Foot & mouth disease - Tunisia: (BZ) bovine, serotype A, OIE

Foot and Mouth -- Tunisia
Information received on [and dated] 28 Apr 2017 from Dr Malek Zrelli, Directeur General, Direction Generale des Services Veterinaires, Ministere de l'Agriculture, Tunis, Tunisia
Summary
Report type: immediate notification
Date of start of the event: 24 Apr 2017
Date of confirmation of the event: 27 Apr 2017
Reason for notification: Recurrence of a listed disease
Date of previous occurrence: 4 Nov 2014
Causal agent: Foot-and-mouth disease virus
Serotype: A
Nature of diagnosis:

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PRO/AH/EDR> Yellow fever - Americas (42): USA vaccine

Yellow Fever -- United States
Recent manufacturing problems resulted in a shortage of the only U.S.-licensed yellow fever vaccine. This shortage is expected to lead to a complete depletion of yellow fever vaccine available for the immunization of U.S. travelers by mid-2017. CDC, the Food and Drug Administration (FDA), and Sanofi Pasteur are collaborating to ensure a continuous yellow fever vaccine supply in the United States. As part of this collaboration, Sanofi Pasteur submitted an expanded access investigational new

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PRO/AH/EDR> MERS-CoV (25): Saudi Arabia, Qatar, WHO

MERS -- Saudi Arabia
Between [18 Mar and 20 Apr 2017] the national IHR Focal Point of Saudi Arabia reported 13 additional cases of Middle East Respiratory Syndrome (MERS) including 2 fatal cases. [Of note is that during this same period, there were 12 cases of MERS-CoV infection reported on the Saudi MOH MERS-CoV website, with case no. 2 below having been reported as a fatality but not as a newly confirmed case. - Mod.MPP] On [Tue 18 Apr 2017] the national IHR Focal Point of Qatar reported one additional case of

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PRO/EDR> Diphtheria - New Zealand: (OT) NOT, corr

Diphtheria -- New Zealand
[1]
Date: Fri 28 Apr 2017
From: Mark Bosson [edited]

Not sure if your scanning system was responsible for picking up the alert, but the outbreak I think is based on a piece that is a news item focused on the past -- it identifies what was happening 100 years ago in Otago!
Stirling is also tiny, only about 300 inhabitants, although the SE Otago area may have more than 200 000 people.
Health stats indicate, "Since 1979, there have only been 4 confirmed diphtheria cases in New

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PRO/EDR> Hepatitis C - USA (04): (MA) injecting drug use

Hepatitis C -- United States
Boston, Springfield and New Bedford were identified as infection "hot spots" in the state's heroin-fueled hepatitis C epidemic; a revelation researchers say will help double down on prevention efforts and cut soaring Medicaid costs. "This is another occasion where we're seeing the multiple negative outcomes of the opioid epidemic that has created tremendous challenges for the public health system and health care in Massachusetts," said Thomas Stopka, an author on the recent analysis and

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PRO/EDR> Tetanus - Australia (02): (SA) child

Tetanus -- Australia
A 22-month-old toddler is in a stable condition in hospital with the 1st confirmed case of tetanus in a South Australian child in 17 years.
The state's chief medical officer Professor Paddy Phillips has urged parents to get their children fully vaccinated against tetanus and other diseases.
"Sadly, we have been notified of the 1st tetanus case in South Australia since 2013 and the 1st case in a child since 2000," he said. Professor Phillips confirmed the child was a boy but would not

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PRO/EDR> Cholera, diarrhea & dysentery update (17): Americas (Haiti)

Cholera -- Haiti
More than 6 years after a 7.0-magnitude earthquake set the stage for a cholera outbreak in Haiti, people in the resource-poor West Indies nation are still in danger of being infected, researchers said. Results of their study, presented at the CDC's Annual Epidemic Intelligence Service (EIS) Conference, suggest that rural residents are particularly at risk for infection.
On 12 January 2010, a devastating earthquake killed more than 200 000 in Haiti. A cholera outbreak soon followed the worst

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PRO/AH/EDR> Avian influenza (95): Turkey (TT) poultry, HPAI susp, RFI

Avian Influenza -- Turkey
Turkish officials have launched a bird flu investigation in a Central Anatolian town; one day after authorities confirmed an incident in the country's north, quarantining a village.
The inspection was launched in the town of Sazlıca in Niğde after an animal breeder reported 100 chicken deaths on his farm, according to Doğan news agency.
Officials from the provincial Food, Agriculture and Livestock Directorate took samples from the dead chickens to conduct further analyses for the bird

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PRO/EDR> Brown recluse spider - USA: (MI) nonstandard location

-- United States
A family in Michigan is scratching their heads after discovering unusual tenants inside their garage last week [week of 16 April 2017]. On the floor of their unheated, detached garage in Davison, they spotted 2 long-legged spiders, which turned out to be brown recluse spiders -- a dangerous type of spider with a powerful bite. Most bites are minor, but occasionally, skin around a brown recluse bite will become necrotic, turning a dark color and becoming a deep, open sore.
The family has no

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PRO/AH/EDR> Lumpy skin disease - Europe (03): bovine, data collection & analysis, vaccination

Lumpy Skin Disease -- Worldwide/Unknown
Experts made recommendations on how to improve data collection and analysis. They also recommended laboratory confirmation of suspected cases in vaccinated animals to differentiate the strains.
[Background information]
------------------------
Lumpy skin disease is an infectious disease of cattle, which causes economic losses and occasionally is fatal. It is characterised by skin nodules.
It was previously limited to southern and eastern Africa. After it was confirmed in Turkey in

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PRO/EDR> Foodborne illness - France: (ND) schoolchildren

Foodborne Illness -- France
More than 300 students were taken ill on [Thu 27 Apr 2017] due to suspected food poisoning in Rouen city in France, regional authorities said. Children, aged between 3 and 12, reported symptoms of vomiting and nausea after eating school lunches prepared at the same central canteen, Xinhua news agency reported.
"The children were treated by a group of 100 healthcare workers including, doctors, nurses, and rescue teams in 41 schools and 6 nurseries," Jean-Marc Magda, Director of Normandy and

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PRO/EDR> Diphtheria - India (02): (KL) fatality, commentaries

Diphtheria -- India
More so than most of its European neighbours, Spain at the turn of the 21st century thought it had relegated diphtheria to the past: the country had not seen a case of diphtheria since 1986. Not, that is, until a 6-year old boy was diagnosed with the disease in May 2015. Although diphtheria has been a curable disease since the development of diphtheria antitoxin (DAT) in the 1890s and its widespread manufacture in the early 20th century, scarcely a month after his diagnosis, the child

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PRO/EDR> Hepatitis - Syria: (DR) RFI

Hepatitis -- Syria
The epidemiological monitoring team in Tafas town, in the western countryside of Dara'a, has launched an awareness campaign on viral hepatitis during the past few days. The campaign is implemented within a comprehensive health program that includes awareness about the symptoms of diseases such as hepatitis. The campaign has come after recording more than 50 cases of viral hepatitis in the town in less than a month, in light of the inability of the field hospitals to deal with the disease and

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PRO/AH/EDR> Ebola update (16): news, research, vaccines, funding

Ebola -- Liberia
25 Apr 2017 Liberia: Communities welcome Prevail-V Ebola Natural history study
[Various communities around Liberia have signed up to the recently launched reinforced vaccine study being conducted by PREVAIL-V, also known as PREVAC, the Partnership for Research on [Ebola virus disease (EVD)] in Liberia. According to the Medical Affairs Scientist at PREVAIL, Jestina Doe Anderson, the objective of the study is to know if previous vaccines tested in the region are safe and effective in

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PRO/AH/EDR> Bovine tuberculosis - USA (08): (MI)

Bovine TB -- United States
A Lake County [Michigan]farm and the surrounding area is under specific surveillance after one of its cows tested positive for bovine tuberculosis.
The farm, which has not been publicly named, was identified amid the discovery of an infected herd in Indiana, according to a Michigan Department of Agriculture news release.
The identified 3-year-old cow was imported to Michigan in December 2016 from the Indiana herd.
"Every time a bovine tuberculosis herd is identified, the US Department

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PRO/PL> Blast disease, rice - Bangladesh

Other Plant Disease -- Bangladesh
An unusually early flashflood [that] struck the northeastern regions of Bangladesh, has come as a blow to Boro, the biggest of the country's 3 rice seasons. Reports also came in from some other parts of the country.
Prof M Bahadur Meah, Bangladesh Agricultural University (BAU), [said] that crops were getting sterile due to neck blast attacks. "We sent out messages to farmers to spray anti-blast fungicides," he said. He feared a substantial crop loss this year [2017] [and] recommended that

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PRO/AH/EDR> African swine fever - Zambia: (NR) OIE, RFI

African Swine Fever -- Zambia
Information received on [and dated] 19 Nov 2013 from Dr Yona Sinkala, director, Department of Veterinary Services, Ministry of Fisheries and Livestock, Lusaka, Zambia
Summary
Report type: immediate notification
Date of start of the event: 7 Apr 2017
Date of confirmation of the event: 21 Apr 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: May 2016
Manifestation of disease: clinical disease
Causal agent: African swine fever virus
Nature of

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Thursday 27 April 2017

PRO/EDR> Diphtheria - New Zealand: (OT)

Diphtheria -- New Zealand
During the last few days 4 more cases of diphtheria have occurred at Stirling, making a total of 8 since the outbreak was discovered. One of the sufferers, a little lad [boy] named [D], has succumbed to the malady, but none of the other cases is considered to be of a particularly serious nature.
In order that the patients might be more effectively isolated, and at the same time receive proper nursing treatment, Dr Brugh made representation to the Public Health Department through the Dunedin

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PRO/AH/EDR> Monkeypox - Sierra Leone: (SO)

Monkeypox -- Sierra Leone
A 35-year old peasant farmer from Kpaku village, Galliness Perri chiefdom, Pujehun district in the southern region of Sierra Leone has been diagnosed with monkeypox, according to UN health officials.
The patient developed ill-health on [Tue 14 Mar 2017]. He presented to a local health facility on [Thu 16 Mar 2017] with fever, body pain, malaise, dysphagia, and enlarged cervical lymph nodes; and was presumptively treated for malaria and sore throat as an out-patient.
On [Fri 17 Mar 2017],

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PRO/AH/EDR> Undiagnosed disease - Liberia (02): (SI) fatal

Undiagnosed -- Liberia
The Liberian Ministry of Health and Social Welfare has disclosed that the number of deaths in the Sinoe County unknown disease has increased to 10.
Speaking on a local radio station in Monrovia, the Chief Medical Officer of Liberia, Dr Francis Ketteh said 8 persons who are isolated [in hospital] are currently undergoing thorough medical check.
Dr Kateh speaking further said this unknown disease is not related to the deadly Ebola virus that took thousands of lives in the

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PRO/AH/EDR> E. coli EHEC - Canada (09): O121, flour, further recalls

E. coli -- Canada
Various brands of pie and tart shells are being recalled due to the presence of _E. coli_. The Canadian Food Inspection Agency says the shells are produced by Edmonton-based Harlan Bakeries and were sold across Canada. The Deep Dish Pie Shells, Sweetened Tart Shells and Tart Shells are sold under the Great Value, Apple Valley, Western Family and No Name brands.
The CFIA says the best-before dates on the affected shells range from 24 November 2017 to 21 December 2017. The federal agency says

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PRO/AH/EDR> Anthrax - Burkina Faso: (HB) bovine, OIE

Anthrax -- Worldwide/Unknown
Information received on 26/04/2017 from Dr Joseph Savadogo, Directeur Général des Services Vétérinaires, Services Vétérinaires, Ministère des Ressources Animales et Halieutiques, Ouagadougou , Burkina Faso
Summary:
Report type: Immediate notification
Date of start of the event: 17/04/2017
Date of confirmation of the event: 21/04/2017
Report date: 26/04/2017
Date submitted to OIE: 26/04/2017
Reason for notification: Recurrence of a listed disease
Date of previous occurrence:

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PRO/EDR> Botulism - USA (03): (TX) wound, drug-related, 2005-2015

Botulism -- United States
Wound botulism tied to subcutaneous injection of "black tar" heroin -- 1st reported 20 years ago -- appears to be problem that won't go away, with another case series published. A total of 15 cases of the condition, all of which were serious enough to require mechanical ventilation, were seen from 2005 to 2015 at the Texas Tech University Health Sciences Center in El Paso in Texas, according to Ihtesham Qureshi, MBBS, and colleagues.
The report also included a tip for other clinicians who

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PRO/AH/EDR> Angiostrongylus cantonensis - France: (Paris)

Other Human Disease -- France
Nguyen Y, Rossi B, Argy N et al. Autochthonous Case of Eosinophilic Meningitis Caused by _Angiostrongylus cantonensis_, France, 2016. Emerg Infect Dis. 2017;23(6), http://bit.ly/2qkdeJB.

We report a case of a 54-year-old Moroccan woman living in France diagnosed with eosinophilic meningitis caused by _Angiostrongylus cantonensis_. Diagnosis was based on clinical symptoms and confirmed by testing of serum and cerebrospinal fluid samples. Physicians should consider the risk for _A.

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PRO/AH/EDR> Anthrax - Russia (02): (YN) reindeer microchip & vaccination

Anthrax -- Russia
The Yamal-Nenets Autonomous Area's [YNAA ] reserve of vaccines -- about 900,000 doses -- will be enough to inoculate the entire local reindeer population of 730 000, the YNAA official website reports.
Test inoculations were performed in the Priuralsky, Nadymsky, Krasnoselkupsky and Tazovsky districts. The vets staged a campaign in the cold season to find out how the animals react to being inoculated in winter and early spring. Their conclusion is that the vaccine can be used in March and

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Recalls: Arsenic, aflatoxin and allergens

Food alerts have been made by USA, England, Australia, New Zealand, Hong Kong, Canada, Czech Republic, Netherlands, Austria, Finland, Sweden, Slovakia, Belgium, Germany, Denmark and Switzerland.



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PRO/EDR> Legionellosis - China: Hong Kong ex Macao, hotel, RFI

Legionnaires' -- China
Casino resort the Parisian Macao ­ located in Macau's Cotai district ­ has been linked by the city's Health Bureau to 3 confirmed cases of Legionnaires' disease. Sands China Ltd ­ the owner and operator of the Parisian Macao ­ confirmed to GGRAsia it had been contacted by the Macau health authorities about the matter. The firm said in an emailed reply it was "fully cooperating" with the bureau's investigations. "As we currently have no other details, we are not in a position to comment

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PRO/AH/EDR> Cytauxzoonosis, feline - USA: (OK)

Other Animal Disease -- United States
A deadly assailant may be lurking in your backyard. Rural Norman residents mourn companion pets.
Ticks, and in particular the Lone Star tick, carry many diseases which can be hazardous to pets and humans. Few diseases are more deadly, however, than Bobcat fever, or _Cytauxzoon felis_, which infects cats and has a very high mortality rate.
"The Lone Star tick has been carrying this disease for a long time, and cats have been getting it for a long time," said Dr Laura Nafe, a veterinarian

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Wednesday 26 April 2017

PRO/AH/EDR> Hantavirus - Americas (29): Chile (LL) fatal

Hantavirus -- Chile
A 29 year old woman died of [a] hantavirus [infection] in the Concepción Regional Hospital. The patient had been sent from Lebu, Arauco province, where she become infected since her residence is located near rural sectors of the area.
The Chief of the Patient Critical Care Unit of the hospital, Leontina Ferreira, explained that the multiorgan failure that the patient suffered was not manageable. The woman was connected to an ECMO [extra-corporeal oxygenation] machine, the latest technology

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PRO/AH/EDR> Pythiosis - USA (OK): canine

Other Animal Disease -- United States
Veterinarians say now is the time of year pet owners need to be vigilant, especially after a rare illness killed a dog earlier this week. The disease is called Pythiosis - it's a fungal disease the animal experts want you to be aware of.
If it's not their toy or treat, and if it's not their food or water, veterinarians say you'll want to pay attention to what's going in your dog's mouth.
Their latest example of Pythiosis is Samson; when the Oklahoma Alliance for Animals (OAA) took him

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PRO/EDR> Undiagnosed disease - Liberia: (SI) fatal, RFI

Undiagnosed -- Liberia
Thanks to Greg Folkers for emailing the link to this 25 Apr [2017] report from GNN Liberia: "9 Persons Die Mysteriously In Sinoe County" [see link in the URL above]. The full report and then a comment:
"Police in Sinoe County, southeastern Liberia, are investigation the mysterious death of 9 persons after a repass of one late Edwin Dunbar, former Proprietor of One Family Entertainment Center who died a few weeks ago in Greenville following a 2-night wake keeping.
"According to our

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PRO/AH/EDR> Avian influenza (94): Europe (Sweden), HPAI H5N8, poultry

Avian Influenza H5N8 -- Sweden
An outbreak of H5N8 bird flu has been detected at a hen farm near the town of Nykoping in eastern Sweden, the country's board of agriculture said on [Tue 25 Apr 2017].
The authorities have taken steps to contain the outbreak of the disease, imposing a 3 km [approx. 1.8 mi] safety perimeter and banning visits to the farm. All or parts of the hen population would be destroyed, the agriculture board said in a statement.
Sweden eased restrictions on bird farms earlier this month [April

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PRO/AH/EDR> Hepatitis E - Australia: 1st postransfusion case, zoonotic

Hepatitis E -- Australia
Donated blood from a man who ate pork in France has infected a 6-year-old boy with a form of hepatitis that is rare in Australia. It is the first confirmed case of the hepatitis E virus being transferred through blood donated in Australia. Hepatitis E, also known as HEV, has been known to cause cirrhosis, or permanent liver damage in liver transplant patients. Most people recover within 6 weeks, and many won't have any symptoms, but HEV can be severe for pregnant women and people with

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

PRO/EDR> Hepatitis E - Niger (02): (DF) fatalities, IDP

Hepatitis E -- Niger
"Hepatitis E virus (HEV) infection is severe during pregnancy, with a pregnant case fatality rate around 30 percent. In Bangladesh, plasma samples from 1100 women during the 1st trimester (TM) and 3rd TM of pregnancy and 3 months postpartum (PP) were tested for anti-HEV IgG. During this time, 40 women developed antibody responses to HEV. These seroconverters are classified as the cases (incidence equal to 46 infections per 1000 person-years). All except 1 seroconversion occurred between the

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PRO/AH/EDR> Yellow fever - Americas (41): PAHO/WHO

Yellow Fever -- Worldwide/Unknown
Since epidemiological week (EW) 1 to EW 16 [week ending 30 Apr 2017] of 2017, Brazil, Colombia, Ecuador, Peru, the Plurinational State of Bolivia, and Suriname have reported suspected and confirmed yellow fever cases.
The following is an update on the situation in Brazil and Peru.
In Brazil, since the beginning of the outbreak in December 2016 up to [20 April 2017], there were 2900 cases of yellow fever reported (681 confirmed, 1451 discarded, and 768 suspected under investigation),

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PRO/EDR> Measles Update (23)

Measles -- United States
A 2nd case of measles was recently discovered in Michigan. Officials with the Wayne County Department of Health want residents to know of a possible measles exposure from 1 of those 2 cases.
[Patrons at a restaurant named in the URL above] may have been exposed to measles. Officials say the possible contamination was due to a customer with measles at the restaurant, not due to a food safety or sanitation-related issue. There is no further risk at this establishment - only for those who

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PRO/EDR> Hepatitis - Iraq: (AN), RFI

Hepatitis -- Iraq
A member of the local council of Al-Baghdadi sub-district in Al-Anbar governorate, Abdul-Jabbar Al-Obeidi, revealed on [Tue 25 Apr 2017] the spread of viral hepatitis in the sub-district and called on the Ministry of Health to intervene.
Al-Obeidi said in an interview with Alsumaria News that "viral hepatitis has spread among more than 20 people in Al-Baghdadi sub-district (90 km or 56 miles west of Ramadi)." He called on the Ministry of Health to "intervene and send medical teams to

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PRO/AH/EDR> Kyasanur Forest disease - India (08): (GA)

Kyasanur Forest Disease -- India
A 45-year-old woman from a remote area in Sattari taluka [sub district, North Goa district] of Goa died of monkey fever [Kyasanur Forest Disease (KFD)], state health officials said today [Tue 25 Apr 2017]. "[GG] who was being treated at Goa Medical College and Hospital (GMCH) died yesterday [Mon 24 Apr 2017]," a senior official attached to Directorate of Health Services told PTI today [Tue 25 Apr 2017].
The woman was admitted to GMCH 5 days ago with high fever, cough, breathlessness and

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PRO/EDR> Herpes simplex type 1, genital - USA (03): (NYC) circumcision, editorial

Herpes -- United States
13. Preuss J. Julius Preuss' Biblical and Talmudic Medicine. Rosner F, trans-ed. New York, NY: Ktav Publishers; 1971: 375.
14. Rosner F. Hemophilia in the Talmud and rabbinic writings. Ann Intern Med. 1969; 70(4): 833-7; abstract available at .
15. Semmelweis I, Carter K. The etiology, concept, and prophylaxis of childbed fever. In: Wisconsin Publications in the History of Science and Medicine No. 2. Madison, WI: University of Wisconsin Press; 1983: 263.
16. Katz J. Controversy over the

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Tuesday 25 April 2017

PRO/EDR> Malaria vaccine trial RTS,S - Ghana, Kenya, Malawi

Malaria -- Ghana
The World Health Organization Regional Office for Africa (WHO/AFRO) announced today [Mon 24 Apr 2017] that Ghana, Kenya, and Malawi will take part in a WHO-coordinated pilot implementation program that will make the world's 1st malaria vaccine available in selected areas, beginning in 2018.
The injectable vaccine, RTS,S, was developed to protect young children from the most deadly form of malaria caused by Plasmodium falciparum. RTS,S will be assessed in the pilot program as a complementary

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PRO/EDR> Cholera, diarrhea & dysentery update (16): Africa (Horn of Africa)

Diarrhea, Cholera -- Ethiopia
An important outbreak of acute watery diarrhea is sweeping through Doolo zone, in Ethiopia's Somali region, exacerbated by one of the worst droughts in 30 years. In response, teams from Medecins Sans Frontieres (MSF) are working alongside Ethiopian health authorities to bring the outbreak under control, while warning that more external funding and resources are urgently needed to stop the disease from spreading further.
Officially declared on [7 Apr 2017], the outbreak has affected more

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PRO/AH/EDR> Foot & mouth disease - Algeria (07): (TO) bov, st A, new strain, spread susp

Foot and Mouth -- Algeria
A total of 3 suspected outbreaks of foot-and-mouth disease [FMD] were detected in the province of Tizi-Ouzou, yesterday [Sun 23 Apr 2017] by the veterinary inspection of the province's agricultural services. The outbreaks occurred in 3 private farms. The 1st farm is located in Nezla village, in the town of Timizart. "Veterinarians from the Tizi-Ouzou Veterinary Inspectorate and the Fréha Agricultural Subdivision have moved to Timizart where they have taken samples that have been transferred

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PRO/EDR> Shigellosis - India: (TG) increasing fluoroquinolone resistance

Shigellosis -- India
Researchers have found that the _Shigella_ bacterium that causes severe diarrhea and even deaths in children has developed resistance to the powerful drug, ciprofloxacin. Shigellosis strains have emerged and they are not responding to ciprofloxacin. City doctors say indiscriminate use of antimicrobials has led to the bacteria developing resistance to the powerful drug.
Dr Rajib Paul, critical care specialist, Apollo Hospitals, Jubilee Hills, said the incidence of drug-resistant bacteria is

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PRO/AH/EDR> Undiagnosed die-off, fish - USA: (TN, KY) Asian carp, RFI

Animal Die-off -- United States
Fishermen, recreational boaters, campers and all lake dwellers have been concerned this week as to an ongoing die-off of Asian carp along Kentucky Lake. Big numbers have been seen floating and washing up on shorelines.
While most have voiced concern as to the encroachment of this non-native species and view the die-off as somewhat of a mixed blessing, there is also concern as to just what's causing it.
So far, no game fish or other species have experienced problems. Fishery biologists

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PRO/AH/EDR> Crimean-Congo hem. fever - Spain: (EX) detection in ticks

Crimean-Congo Hemorrhagic Fever -- Spain
A study coordinated by the Ministry of Health has detected the presence of ticks infected by the virus that causes Crimean-Congo hemorrhagic fever [CCHF] in several areas of Madrid, Castilla-La Mancha, Extremadura, and Castilla y León. Despite the finding, they assert that the risk of human infection in Spain remains low.
"There is no cause for alarm; we cannot rule out any sporadic case of the disease but the risk is very low," said the General Director of Public Health of the Ministry,

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PRO/AH/EDR> MERS-CoV (24): UAE (AZ), Saudi Arabia (RI), WHO

MERS -- United Arab Emirates
Between [9 and 11 Apr 2017], the National IHR Focal Point of United Arab Emirates (UAE) reported 2 additional cases of Middle East Respiratory Syndrome Coronavirus (MERS-CoV).
Details of the cases
The 2 cases identified in Abu Dhabi, UAE, were roommates. The case reported to WHO on 9 Apr 2017 (31-year-old) passed away on 16 Apr 2017 and the 2nd case reported to WHO on 11 Apr 2017, identified through tracing of household contacts, is asymptomatic and has been admitted to a negative pressure

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PRO/AH/EDR> Salmonellosis, serotype 11:z41:e,n,z15 - Europe: poss. sesame seed source

Salmonella -- Worldwide/Unknown
On 10 May 2016, Greece reported a cluster of salmonellosis with an antigenic formula 11:z41:e, n, z15, not previously described in the White-Kauffmann-Le Minor-scheme [1]. The isolates from these cases were susceptible to 16 antimicrobial agents, and their PFGE profiles were indistinguishable (The European Surveillance System (TESSy) reference XbaI.2460): .
On 26 May 2016, the Pasteur Institute in Paris confirmed the results of the Greek laboratory, verifying a putative new serotype of

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PRO/AH/EDR> Salmonellosis - USA (02): (MO) restaurant link

Salmonella -- United States
The number of confirmed cases of salmonella in a central Missouri region has reached 36 according the Cole County Health Department.
Kristi Campbell, the department's director, said 14 of those that contracted the infection ate at the same restaurant and that the Missouri Department of Health and Senior Services is working with the Jefferson City Environmental Health Division to investigate that establishment.
'The way it works is information is reported to the County Health Department

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Monday 24 April 2017

PRO/AH/EDR> Avian influenza (93): Iran (MN) HPAI H5N1, poultry, OIE

Avian Influenza H5N1 -- Iran
Information received on [and dated] 24 Apr 2017 from Dr Mehdi Khalaj, Head, Iran Veterinary Organization (IVO), Ministry of Jihad-e-Agriculture, Tehran, Iran
Summary
Report type: immediate notification
Date of start of the event: 15 Jan 2017
Date of confirmation of the event: 16 Jan 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 29 Jul 2015
Manifestation of disease: clinical disease
Causal agent: Highly pathogenic avian influenza

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PRO/AH/EDR> Foot & mouth disease - China (02): (XJ) st. O, bovine, spread, OIE

Foot and Mouth -- China
Foot and mouth disease, China (People's Rep. of)
Information received on [and dated] 24 Apr 2017 from Dr Zhang Zhongqui, Director General, China Animal Disease Control Centre, Veterinary Bureau, Ministry of Agriculture, Beijing, China (People's Rep. of)
Summary
Report type: Follow-up report No. 2
Date of start of the event: 22 Nov 2016
Date of confirmation of the event: 28 Nov 2016
Report date: 24 Apr 2017
Date submitted to OIE: 24 Apr 2017
Reason for notification:

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PRO/AH/EDR> Hantavirus - Americas (28): Chile (LL) NOT

Hantavirus -- Chile
After having the results of the tests [on samples] sent to the laboratory in Valdivia, the Ministry of Health discarded the case as a hantavirus infection.
The individual is a 46-year-old patient from Hornopirén who was sent to the Puerto Montt hospital and was later released.
The Health SEREMI [regional ministerial unit], Eugenia Schnacke, stated that materials have been developed for distribution in hospitals as well as [health] posts to adopt protocols when dealing with suspected

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PRO> Infant botulism - USA (02): (CA) possible dust exposures, commentary

Botulism -- United States
Please see the list below for additional references the ProMED moderator may wish to include related to the appended post. Of note, the name of the human antitoxin licensed by the US FDA for the treatment of infant botulism due to toxin types A and B is BIG-IV, Botulism Immune Globulin Intravenous (Human), proprietary name BabyBIG [R]. The commentary below states the name of the product as "BIG".
1. Centers for Disease Control and Prevention. National Botulism Surveillance .
2. Arnon SS:

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PRO/EDR> Hepatitis A - India: (KL)

Hepatitis A -- India
Nearly 40 cases of hepatitis A were reported so far as on [Sun 23 Apr 2017], from Kalamassery Municipality with 21 cases being reported from the Ernakulam Medical College alone. Meanwhile the Food Safety Department carried out raids at eateries and collected water samples for examination.
"The number of cases reported from the Ernakulam Medical College alone is 21, though the disease has also been reported from other areas, too. In most of the cases, the patients are those who eat from

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PRO/AH/EDR> Rat bites - Nepal: (Kathmandu)

Bite -- Nepal
Very few rats infected with rabies have ever been found in the United States. Winkler (1973) reviewed the literature on rodent rabies in the United States. He found that during the 18-year period of 1953 and 1970, a small number of rabid rats (39 rats) were found in the United States. The numbers were extremely small: only 11 rabid rats were found in the USA during the 3 year period of 1953-1955. The number of rabid rats declined during the period of time covered by the review, and by the 3

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PRO/AH/EDR> E. coli EHEC - Canada (08): O121, flour

E. coli -- Canada
1. Hussein HS and Omaye ST. Introduction to the food safety concerns of verotoxin-producing _Escherichia coli_. Exp Biol Med. 2003;228(4):331-2.
2. Blanco J, Blanco M, Blanco JE, et al. Verotoxin-producing _Escherichia coli_ in Spain: prevalence, serotypes, and virulence genes of O157:H7 and non-O157 VTEC in ruminants, raw beef products, and humans. Exp Biol Med. 2003 Apr;228(4):345-51.
3. Law D and Kelly J. Use of heme and hemoglobin by _Escherichia coli_ O157 and other

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PRO/AH/EDR> Avian influenza, human (47): CHINA, H7N9, WHO

Avian Influenza H7N9 -- China
On [14 Apr 2017], the National Health and Family Planning Commission of China (NHFPC) notified WHO of 15 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in mainland China.
Details of the cases
--------------------
Onset dates ranged from [27 Mar to 11 Apr 2017]. Of these 15 cases, 3 were female. The median age is 58 years old (age range among the cases is 39 to 81 years old). The cases were reported from Anhui (1), Beijing (1), Gansu (1), Henan

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PRO/AH/EDR> Psittacosis - Japan: fatalities, pregnancy, 2016

Psittacosis -- Japan
Two pregnant women have died after they contracted a disease spread through a parrot's infected feces, health ministry officials said, in what is likely to be the 1st such cases in Japan. According to a research team at the Japan Agency for Medical Research and Development, 2 maternal deaths related to the disease were found in a probe it conducted in fiscal year 2016.
The ministry and the national research agency would not say when the 2 women died.
Animal-to-human transmission of the

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PRO/AH/EDR> Chytrid fungus, zebra fish: experimental infection

Other Animal Disease -- Worldwide/Unknown
The deadly chytrid fungus has for the 1st time been found to infect and kill species other than amphibians, giving clues on how it causes disease.
The fungus, _Batrachochytrium dendrobatidis_ (Bd), is a type of chytrid that has severely affected over 700 amphibian species worldwide, and has made more species extinct than any other infectious disease known to science -- at least 200 so far. It causes chytridiomycosis, a disease that damages amphibian skin and rapidly kills its host.
Until

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PRO/PL> Announcements (02): plant material & seed exchange, new global IPPC guidelines

Not Yet Classified -- Worldwide/Unknown
The International Plant Protection Convention (IPPC)'s governing body, the Commission on Phytosanitary Measures (CPM) adopted new global standards to help ensure that the international trade in plants and seeds is safer. The rapid growth in agricultural trade via online marketplaces is making it harder to ensure that all shipments are free from bugs and diseases.
Of particular concern is the threat of pest transmission posed by seeds. Unlike other agricultural products destined for

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PRO/PL> Undiagnosed fungus, rice - Bangladesh: (RP)

Undiagnosed -- Bangladesh
Fungus attack on paddy fields is discolouring the crops in [Gaibandha district, Rangpur division], much to the worry of the farmers. Their fields have turned white in 2 weeks. The attack is spreading to adjoining fields, which will have an adverse affect on production.
"The ears turned white and there is no rice inside the husk," said a farmer. [An official said,] "Adverse weather affected cultivation and I am being informed about the attack by fungal disease from different areas every day.

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (04): (BA)

Crimean-Congo Hemorrhagic Fever -- Pakistan
A new case of Congo virus [Crimean-Congo hemorrhagic fever virus] has been confirmed in Kohlu area of Balochistan, local hospital sources said on [Sun 23 Apr 2017].
A patient suspected of suffering from the Congo virus was admitted to Fatima Jinnah hospital 3 days ago. The patient remains under treatment at the hospital and has been declared to be out of danger, the sources said.
This is the 2nd case of the Congo virus reported in Balochistan during the ongoing month [April 2017]. At

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PRO/AH/EDR> Tuberculosis, elephant - USA: (OR) RFI

Tuberculosis -- United States
An Asian elephant at the Oregon Zoo has tested positive for tuberculosis, officials said [Thu 20 Apr 2017], less than 3 months after beloved elephant Packy was euthanized due to a drug-resistant form of the disease.
Preliminary test results for Sung-Surin, a 34-year-old pachyderm, came back positive on [Wed 19 Apr 2017] and veterinarians at the zoo quarantined the female elephant from the rest of the herd and were preparing to begin administering antibiotics. Sung-Surin is Thai for

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Sunday 23 April 2017

PRO/EDR> Cholera, diarrhea & dysentery update (15): Africa, Asia

Cholera, Diarrhea -- Somalia
At least 25 000 people have become ill from cholera within a period of 3 months, Health and Social Care Minister Fowsia Abiikar Nur announced today [Thu 20 Apr 2017]. Addressing journalists in Mogadishu, Minister Nur said the most hit regions are Gedo Bay and Bakool. Nur put the number of child deaths due to cholera at 3000. "We currently have 25 000 cholera patients admitted in hospitals in those regions" Nur told journalists.
Medical sources have reported that hospital capacity in these

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PRO/AH/EDR> Avian influenza, human (46): WHO, human-animal interface

Avian Influenza -- Worldwide/Unknown
- New infections: Since the previous update, new human infections with influenza A(H7N9) and A(H9N2) viruses were reported.
- Risk assessment: The overall public health risk from currently known influenza viruses at the human-animal interface has not changed, and the likelihood of sustained human-to-human transmission of these viruses remains low. Further human infections with viruses of animal origin are expected.
- IHR compliance: All human infections caused by a new influenza subtype are

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PRO/EDR> Diphtheria - India: (KL): fatality

Diphtheria -- India
The district health authorities are investigating 3 cases that appear to be that of diphtheria in Ernakulam. A press release here said that measures were being taken to prevent the spread of the disease.
A 16-year-old boy from Assam, who had come to visit his relatives, had died of suspected diphtheria at the Thrissur Medical College on [Thu 20 Apr 2017]. He had received medical treatment at various hospitals in Ernakulam before being admitted to the Thrissur Medical College.
Samples

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PRO/EDR> Hepatitis E - Niger: fatalities

Hepatitis E -- Niger
"Hepatitis E virus (HEV) infection is severe during pregnancy, with a pregnant case fatality rate around 30 percent. In Bangladesh, plasma samples from 1100 women during the 1st trimester (TM) and 3rd TM of pregnancy and 3 months postpartum (PP) were tested for anti-HEV IgG. During this time, 40 women developed antibody responses to HEV. These seroconverters are classified as the cases (incidence = 46 infections per 1000 person-years). All except one seroconversion occurred between the 3rd TM

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PRO/AH/EDR> Hepatitis E - Europe: blood donation screening

Hepatitis E -- Worldwide/Unknown
Background
-----------------
Hepatitis E is a liver disease caused by infection with a small, non-enveloped, single-stranded RNA virus known as hepatitis E virus (HEV). Of 4 major HEV genotypes which infect humans, genotypes 1 and 2 are endemic and responsible for waterborne epidemics. Genotypes 3 and 4 are associated with zoonotic HEV infections transmitted to humans through consumption of raw or undercooked infectious pork and game products, and very rarely shellfish, or by contact with

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PRO/AH/EDR> Tularemia - USA (02): (CO) wild rabbit

Tularemia -- United States
A wild rabbit found in the Kirkwood Drive area of Pueblo West has tested positive for tularemia.
Tularemia is commonly found in mammals such as rabbits, rodents and hares, according to public health officials.
Tularemia, also known as "rabbit fever," is a bacterial infection most commonly transmitted to humans by the handling of sick or dead animals infected with tularemia. Infection can also occur from the bite of infected insects (most commonly ticks and deer flies) as well as exposure

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PRO/AH/EDR> Hendra virus, equine - Australia (03): (QL) vaccine not mandatory

Nipah/Hendra Virus -- Australia
The use of Hendra virus vaccine will not be made mandatory in Queensland, and organisers of equestrian events will have the discretion to make their own decisions around conditions of entry.
Agriculture minister Bill Byrne said the final response, tabled in parliament today [21 Apr 2017], supported most of the recommendations made in the Agriculture and Environment committee's report on the Hendra virus vaccine and its use by veterinary surgeons.
Mr Byrne said it was the responsibility

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PRO/EDR> Mumps update (16): USA (TX, MN)

Mumps -- United States
[Mumps] has suddenly sprung up in the United States, and authorities are trying to figure out how to get a handle on the situation.
A very unpleasant disease [mumps] has reared its ugly head in the United States, and authorities have been trying to understand why it's happening and how to stop it. Health department officials in Texas have announced that cases of mumps have surged to a 20-year high, and there may have been a bunch of exposures on South Padre Island where spring-breakers are

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PRO/AH/EDR> Yellow fever - Americas (40): Brazil (RJ)

Yellow Fever -- Brazil
Brazil health authorities confirmed today [Thu 20 Apr 2017] the death of a person from yellow fever in Maricá, one of the municipalities in metropolitan Rio de Janeiro, the city most emblematic and the tourist destination of Brazil, as well as the 2nd most populated.
The confirmation was made nearly one month after the municipal authorities initiated a vaccination campaign against the disease for the 6.6 million inhabitants of the metropolitan region.
According to a bulletin issued this

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Saturday 22 April 2017

PRO/AH/EDR> Hantavirus - Americas (27): Chile (LL), susp.

Hantavirus -- Chile
The Health SEREMI confirms a new suspicious case of [a] hantavirus [infection] in the Los Lagos region. The case is a man who lives in the Cochamó community, who was bitten by a rodent that is assumed to be the long-tailed species [long-tailed pygmy rice rat, _Oligoryzomys longicaudatus_], and now had a positive rapid test for [a] hantavirus [infection].
The Health SEREMI [local ministerial administrative unit], Eugenia Schnake, confirmed the suspected case when pointing out that the exams

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PRO/AH/EDR> E. coli EHEC - USA (09): (AR) fatality, unrelated cases

E. coli -- United States
The Arkansas Department of Health is investigating all 3 recent _E. coli_ cases and has determined that the 3 cases are all unrelated infections without epidemiological or laboratory evidence of linkage to one another. There is no outbreak. The grouping in time appears to be an unfortunate coincidence.
Of the cases; 2 are O157:H7 but have different PFGE [Pulsed-field gel electrophoresis] fingerprints. The 3rd is O103.
None are currently related isolates involved in outbreaks reported to

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PRO/AH/EDR> Foot & mouth disease - Algeria (06): (SF) bov, st SAT1 NOT, st A, new strain, OIE

Foot and Mouth -- Algeria
Information received on [and dated] 20 Apr 2017 from Dr Djamila Hadj Amar, Directrice des Services Vétérinaires, Services Vétérinaires, Ministère de l'Agriculture, du Développement Rural et de la Pêche, Alger, Algeria
Summary
Report type: Follow-up report No. 1
Date of start of the event: 7 Apr 2017
Date of confirmation of the event: 09 Apr 2017
Reason for notification: New strain of a listed disease in the country
Causal agent: Foot and mouth disease virus
Serotype: A

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PRO/EDR> Legionellosis - USA (03): (FL) spa & showers susp, RFI

Legionnaires' -- United States
State health officials hope to know early next week if an outbreak of Legionnaires' disease was definitely linked to the LA Fitness gym in Ocoee. A total of 3 people who went to the gym at 1560 E. Silver Star Road recently contracted the disease, according to the Florida Department of Health in Orange County. The disease can result in a severe form of pneumonia.
LA Fitness followed health department recommendations to decontaminate its hot tub and change out shower heads, said Alvina Chu,

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PRO/AH/EDR> Avian influenza, human (45): China, H7N9

Avian Influenza H7N9 -- China
Beijing has reported 10 human H7N9 avian flu cases so far this year [2017], the capital's Center for Disease Prevention and Control said yesterday [Tue 18 Apr 2017]. The latest cases were reported on April 5 [2017]. Both patients are said to have had contact with live poultry. One patient died from the infection on April 8 [2017] while the other is still being treated in hospital and is said to be in a stable condition.
--
Communicated by:
ProMED-mail

******
[2] Beijing (17-19 Apr

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Friday 21 April 2017

PRO/EDR> Measles update (22)

Measles -- India
Livingston County Health Department officials are warning [residents] they may have been exposed to measles.
The warning follows a confirmed case of measles in a Livingston County resident. It affects anyone who was at [specific locations listed in URL above]. "This is not a matter of food safety or restaurant sanitation," Chelsea Moxlow, health promotion coordinator said in a press release [Mon 17 Apr 2017]. "The individual with measles was a customer of the restaurant while

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PRO/AH/EDR> Contagious bovine pleuropneumonia - Zambia: (SO) OIE

Bovine Pleuropneumonia -- Zambia
Information received on [and dated] 21 Apr 2017 from Dr Yona Sinkala, Director, Department of Veterinary Services, Ministry of Fisheries and Livestock, Lusaka, Zambia
Summary:
Report type: immediate notification
Date of start of the event: 6 Apr 2017
Date of confirmation of the event: 18 Apr 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: Jan 2010
Manifestation of disease: clinical disease
Causal agent: _Mycoplasma mycoides_ subsp.

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PRO/AH/EDR> MERS-CoV (23): Saudi Arabia (AS) animal reservoir, human contact, OIE, RFI

MERS -- Saudi Arabia
Information received on [and dated] 20 Apr 2017 from Dr Mohammed Alblowi, Director General, Diagnostic Veterinary Laboratories, Ministry of Environment, Water and Agriculture, Riyadh , Saudi Arabia
Summary
Report type: Follow-up report No. 5
Date of start of the event: 29 Dec 2015
Date of confirmation of the event: 20 Jan 2016
Report date: 20 Apr 2017
Date submitted to OIE: 20 Apr 2017
Reason for notification: Emerging disease
Morbidity: 2.36 percent
Mortality: 0 percent
Zoonotic

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PRO/EDR> Hepatitis B & C - global: WHO update

Hepatitis C, Hepatitis B -- Worldwide/Unknown
New WHO data reveal that an estimated 325 million people worldwide are living with chronic hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. The WHO Global hepatitis report, 2017 indicates that the large majority of these people lack access to life-saving testing and treatment. As a result, millions of people are at risk of a slow progression to chronic liver disease, cancer, and death.
"Viral hepatitis is now recognized as a major public health challenge that requires an urgent

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PRO/AH/EDR> E. coli EHEC - USA (08): (AR) fatality, RFI

E. coli -- United States
A community in Sharp County, Arkansas is grappling with a possible outbreak of _E. coli_ from a mystery source after a child has died and another battles for his life at a local children's Hospital. The Spring River Chronicle reports that the child has undergone surgery and dialysis and appears to be recovering as of [Tue 18 Apr 2017]. The child's aunt informed the media that the child was released from the Intensive Care Unit on [Sat 15 Apr 2017]. The Cave City, AK toddler who recently died

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PRO/AH/EDR> Waterfowl die-off - USA: (MT) heavy metal and sulfuric acid

Animal Die-off -- United States
The estimated 3000 to 4000 snow geese that perished in December 2016 in the Berkeley Pit's toxic water died of both heavy metals and sulfuric acid, according to US Fish and Wildlife Service spokesperson Ryan Moehring.
The necropsy report does not make the findings clear, stating only that lesions in the stomach, intestines, and throats were severe and "suggestive of chemical tissue damage induced by a corrosive substance."
Copper and zinc, both of which were found inside the birds'

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PRO/AH/EDR> Anthrax - Zimbabwe (03): (MN) wildlife, human death

Anthrax -- Zimbabwe
One person has died while 11 others are being treated for suspected anthrax after consuming meat from hippos that died a fortnight ago in Binga's Mlibizi area.
The Ministry of Health and Child Care has since deployed a team to the area to fight the outbreak. The Matabeleland North Provincial Medical Director Dr Nyasha Masuka said the death of the 19-year-old man at Siansundu Clinic on [Wed 18 Apr 2017] is suspected to be related to an anthrax outbreak in the area. "A man who showed signs

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

Amoeba -- Pakistan
'Brain-eating amoeba' _Naegleria fowleri_ claimed its 1st victim of 2017 in Karachi on [Fri 14 Apr 2017], health officials said.
According to the Sindh Department of Health, the victim was identified as a 23-year-old resident of Tando Allah Yar [Tando Allahyar, Sindh]. He succumbed to the lethal amoeba while admitted at a private hospital in the city.
_N. fowleri_, which is found in freshwater, claimed 5 lives during 2016, Health Department officials said.
Doctors and health experts

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PRO/AH/EDR> Brucellosis, swine - USA: (TX) feral swine study results

Brucellosis -- United States
Abstract
---------
"Various tissues, nasal swabs, urine, and blood samples were collected from 376 feral swine at 2 federally inspected abattoirs in Texas during 6 separate sampling periods in 2015. Samples were tested for _Brucella_ spp. by culture and serology. _Brucella_ spp. were cultured from 13.0 percent of feral swine, and antibodies were detected in 9.8 percent. Only 32.7 percent of culture-positive feral swine were also antibody positive, and 43.2 percent of antibody-positive feral

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PRO/AH/EDR> Bovine tuberculosis - USA (07): (MI,SD)

Bovine TB -- United States
Bovine tuberculosis has been found in a small herd of beef cattle in Michigan's northeastern Lower Peninsula.
The state Department of Agriculture and Rural Development says [Tue 18 Apr 2017] that the Alcona County herd was identified through routine surveillance testing.
An informational meeting with cattle producers in Alpena and Alcona counties will be held 25 Apr 2017 at the Hubbard Lake Community Center in Hubbard Lake.
State officials say the bacterial disease primarily affects

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PRO/AH/EDR> Toxic algae - UK (02): (Wales, England) alert

Algae -- United Kingdom
A type of algae which can be toxic to animals has been confirmed as present in a lake.
Natural Resources Wales have confirmed that blue green algae have been detected in Fagl Lake in Hope [in Flintshire, north east Wales].
Public Health Wales have been informed about the issue.
In a statement, Anthony Randles, environment manager at Natural Resources Wales, said: "Our samples confirm that there is a bloom of blue-green algae at Fagl Lake.
"Some types of algae can produce toxins and

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PRO/AH/EDR> Infectious laryngotracheitis - Canada: (ON) poultry, alert

Other Animal Disease -- Canada
Poultry producers in Dufferin County [Ontario] are being warned after a flock of chickens tested positive for an infectious disease near Shelburne.
Earlier this month [April 2017], the Feather Board Command Centre (FBCC), a partner of the Chicken Farmers of Ontario, issued an infectious laryngotracheitis (ILT) disease advisory to all poultry producers within a 10-kilometre [6.2 mi] zone southwest of Shelburne.
The advisory was released after Ontario's Ministry of Agriculture, Food and

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PRO/AH/EDR> Japanese encephalitis & other - India (03): (PB)

Japanese Encephalitis -- India
Japanese encephalitis, caused by a mosquito-borne virus, has claimed the life of a 20-year-old labourer at Lohgarh village [of Zirakpur, Mohali (SBS Nagar) district, Punjab]. This is the 1st death caused by the virus in Zirakpur this year [2017].
The victim has been identified. His blood samples had tested positive for Japanese encephalitis at the PGI. Dr Gagandeep Singh Grover, State Programme Officer, National Vector-Borne Disease-Control Programme, said the victim, a resident of Bihar,

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Thursday 20 April 2017

PRO/EDR> Shigellosis - USA: CDC recommendations regarding fluoroquinolones

Shigellosis -- United States
This Health Advisory describes the identification of emerging _Shigella_ strains with elevated minimum inhibitory concentration values for ciprofloxacin and outlines new recommendations for clinical diagnosis, management, and reporting, as well as new recommendations for laboratories and public health officials. Current interpretive criteria provided by the Clinical and Laboratory Standards Institute (CLSI) categorize these strains as susceptible to ciprofloxacin, which is a fluoroquinolone

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Recalls: Histamine, norovirus and cream contamination

Food alerts have been made by USA, England, Australia, Canada, Netherlands, Italy, Finland, Belgium, Croatia and France.



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PRO/AH/EDR> Tick-borne encephalitis virus - USA: (CT) Powassan virus

Powassan virus -- United States
Tutolo JW, Staples JE, Sosa L, Bennett N. Notes from the Field: Powassan Virus Disease in an Infant -- Connecticut, 2016.
In early November 2016, a previously healthy male infant aged 5 months from eastern Connecticut developed fever and vomiting. Right-sided facial twitching began over the next several days, and progressed to seizures that included rightward eye deviation and right arm stiffening. He was admitted to the hospital for evaluation and management of his seizures. There was no

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PRO/AH/EDR> Anthrax - Zimbabwe (02): (MN) wildlife, human

Anthrax -- Zimbabwe
A total of 9 people from Binga District, Matabeleland North, are being treated for anthrax after consuming meat from infected hippos that died a fortnight ago. Anthrax is a life-threatening infectious disease caused by bacteria that normally affects animals, especially ruminants. Speaking to The Herald yesterday [19 Apr 2017], Matabeleland North provincial medical director Dr Nyasha Masuka said the 9, who included 3 children, were among 58 others whom health workers were following up for

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PRO/EDR> Scombroid fish poisoning - USA: imported fish, risk

Food-related toxin -- United States
Histamine poisoning results from the consumption of foods, typically certain types of fish and cheeses that contain unusually high levels of histamine. Spoiled fish of the families, Scombridae and Scomberesocidae (e.g. tuna, mackerel, bonito), are commonly implicated in incidents of histamine poisoning, which leads to the common usage of the term, "scombroid fish poisoning", to describe this illness. However, certain non-scombroid fish, most notably mahi-mahi, bluefish, and sardines, when

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PRO/EDR> Botulism - USA (02): (CA) satay, risk, recall

Botulism -- United States
TP Food Processing, Inc. of Westminster, California, is recalling Lemongrass Satay; and Shrimp Satay (Lot code 2016) because the acidified sauces were not properly produced, making them susceptible to contamination with [spores of] _Clostridium botulinum_. No illnesses, customer complaints, or illnesses have been reported to date.
Below are the product descriptions and photographs:
Product Name / Container Size / Description / Lot Code
TPF Lemongrass Satay / 9 oz / Lemongrass satay, 9 oz

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PRO/EDR> Infant botulism - USA: (CA) possible dust exposures

Botulism -- United States
1. Underwood K, Rubin S, Deaker T, Newth C: Infant botulism: A 30-year experience spanning the introduction of botulism immune globulin intravenous in the intensive care Unit at Childrens Hospital Los Angeles. Pediatrics 2007; 120(6): e1380-5; available at .
2. Pifko E, Price A, Sterner S: Infant botulism and indications for administration of botulism immune globulin. Pediatric Emerg Care 2014; 30(2): 120-4; quiz 125-7. doi: 10.1097/PEC.0000000000000079; abstract available at .
- Mod.LL
A

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PRO/EDR> Norovirus - USA (03): (WI) fast food restaurant

Norovirus -- United States
The Marathon County Health Department is investigating cases of food poisoning connected to a Jimmy John's restaurant in Weston. The Marathon County Health Department said the outbreak was due to norovirus. Members of the department tell Newsline 9 they've spoken with around 100 people who reported being sick. The department said it won't know exactly what caused the outbreak until a full report is complete. That is expected by June.
"We have received some complaints and are doing

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PRO/AH/EDR> Rabies (20): Asia (Pakistan) animal, human

Rabies -- Pakistan
1. Salahuddin N, Gohar MA, Baig-Ansari N: Reducing cost of rabies post exposure prophylaxis: experience of a tertiary care hospital in Pakistan. PLoS Negl Trop Dis. 2016; 10(2): e0004448. .
- Mod.AS]
[See Also:
Rabies (19): Asia (Taiwan) animal, human exposure, clarification http://bit.ly/2oUH6g2
Rabies (18): Asia (Taiwan, Kyrgyzstan) animal, human http://bit.ly/2pHS5wb
Rabies (17): Asia (India) bat

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (03): (PB)

Crimean-Congo Hemorrhagic Fever -- Pakistan
1. Ergonul O: Crimean-Congo hemorrhagic fever virus: new outbreaks, new discoveries. Curr Opin Virol. 2012; 2(2): 215-20; abstract available at
2. Abbas T, Younus M, Muhammad SA: Spatial cluster analysis of human cases of Crimean Congo hemorrhagic fever reported in Pakistan. Infect Dis Poverty. 2015; 4:9; available at .
- Mod.UBA
Maps of Pakistan can be seen at and . - Sr.Tech.Ed.MJ]
[See Also:
Crimean-Congo hem. fever - Pakistan (02): (PB)

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PRO/EDR> Chikungunya (12): Asia (Pakistan)

Chikungunya -- Pakistan
An outbreak of the mosquito-borne viral disease chikungunya was confirmed in city's [Karachi] coastal areas after around 840 people were reported by health authorities to have contracted the virus in the first 15 days of April [2017] only. Of these, 198 patients were confirmed to have contracted the virus by the National Institute of Health in Islamabad.
The areas from where the highest numbers of cases were reported include Ibrahim Hyderi, Keamari, Malir and Lyari among others. "The NIH,

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PRO/PL> Leafroll disease, grapevine - China: (NX)

Other Plant Disease -- China
Ningxia has destroyed 7000 grapevines after they were found to be infected with leafroll virus types 1 and 3. [Amongst] samples from 22 varieties and 612 rootstocks and nursery vines submitted by local companies, 2 batches of nursery vines were [found to be] infected.
This disease is more commonly associated with red wine varieties. According to Professor Gui Pei Wen from Ningxia University, [it was] identified as one of the main viruses affecting vines in Ningxia.
Based on figures

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PRO/AH/EDR> Yellow fever - Americas (39): PAHO/WHO, Brazil

Yellow Fever -- Brazil
Since epidemiological week (EW) 1 to EW 15 of 2017 [1 Jan-14 Apr 2017], Brazil, Colombia, Ecuador, Peru, the Plurinational State of Bolivia, and Suriname have reported suspected and confirmed yellow fever cases.
Following is an update on the situation in Brazil.
In Brazil, since the beginning of the outbreak in December 2016 up to 12 Apr 2017, there were 2422 cases of yellow fever reported (623 confirmed, 1128 discarded, and 671 suspected under investigation), including 326 deaths (209

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PRO/PL> Undiagnosed virus, watermelon - India: (TN)

Undiagnosed -- India
The sudden attack of virus on watermelons has come as a rude shock for farmers in Sirkali [or Sirkazhi, in Nagapattinam district, Tamil Nadu], where the crop has been raised on about 100 acres [40.5 ha].
One of the farmers, regarding cultivation of the crop for the past 8 years, said he had never witnessed such a serious crisis. Against his anticipated yield of 15 tonnes an acre, he could hardly get one tonne. "The growth of fruits has come to a close after the first yield as the virus has

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Wednesday 19 April 2017

PRO/AH/EDR> Tick-borne encephalitis - Netherlands (02): (OV)

Tick-borne Encephalitis -- Netherlands
We report the presence of tick-borne encephalitis virus (TBEV) in the Netherlands. Serologic screening of roe deer found TBEV-neutralizing antibodies with a seroprevalence of 2 percent, and TBEV RNA was detected in 2 ticks from the same location. Enhanced surveillance and awareness among medical professionals has led to the identification of autochthonous [human] cases.
[Background]
---------------
TBEV is transmitted through bites of infected ticks to many animals, including deer, which

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PRO/EDR> Waterborne diseases - WHO global update

Waterborne Illness -- Worldwide/Unknown
Hundreds of thousands of people die each year because they are forced to drink water contaminated with fecal matter, the World Health Organization said [Thu 13 Apr 2017], warning that dramatic improvements are needed in ensuring access to clean water and sanitation worldwide. "Today, almost 2 billion people use a source of drinking-water contaminated with feces, putting them at risk of contracting cholera, dysentery, typhoid and polio," Dr Maria Neira, who heads WHO's Department of Public

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PRO/AH/EDR> Salmonellosis - USA: (MO)

Salmonella -- United States
The cases of salmonellosis in Cole County have increased to 25 since last week [10 to 16 Apr 2017]. In an official press release, the Cole County Health Department explained that "CCHD has alerted City of Jefferson Environmental Public Health staff, who has jurisdiction over food establishments in Jefferson City, about food establishments that sick individuals have eaten at."
Last week, Cole County Health Department Director Kristi Campbell told ABC17 News the department has not pinpointed

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PRO/AH/EDR> Foot & mouth disease - Algeria (05): (SF) bovine, control, regional alerts

Foot and Mouth -- Algeria
ONSSA also will seek information from local authorities in neighboring provinces to strengthen border control in relation to illegal introductions of animals and their products.
There will also be a ban on all imports of animals, animal products of animal origin from that country, in addition to the mobilization of ONSSA laboratories for the rapid diagnosis of this disease in case of suspicion.
Similarly, the necessary arrangements will be made for the vaccine to be available as soon as

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PRO/AH/EDR> Brucellosis - Kenya: false positive serologies

Brucellosis -- Kenya
"Human brucellosis is considered to be an important but typically under-diagnosed cause of febrile illness in many low and middle-income countries. In Kenya, and throughout East Africa, laboratory diagnosis for the disease is based primarily on the febrile antigen Brucella agglutination test (FBAT), yet few studies of the diagnostic accuracy of this test exist. Assessment of the performance of the FBAT is essential for its appropriate clinical use, as well as for evaluating surveillance data

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PRO/AH/EDR> Plague, animal - USA (04): (NM) feral cat, alert

Plague -- United States
The discovery of a plague-infected cat this month [April 2017] in far Northeast Albuquerque prompted a city health official to warn people not to feed feral animals, and to take precautions against disease when handling strays.
The cat's death, after the death of a pet dog from plague in March [2017], has raised concerns about the re-emergence of plague in North Albuquerque Acres, where the bacterial illness had not been observed since the late 1990s.
North Albuquerque Acres is in far

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PRO/EDR> Measles update (21)

Measles -- United States
Through [31 Mar 2017], Wallonia reported 266 measles cases. The outbreak affects all provinces of Wallonia, with the exception of the province of Luxembourg. All age groups are affected and 53 percent of cases are over 15 years. Most of the cases were not vaccinated or did not know their vaccination status. Nearly 40 percent were hospitalized. No deaths have been reported.
Italy
-----
Since the beginning of 2017 and as of 4 Apr 2017, Italy reported 1333 cases of measles, with 131 cases

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PRO/AH/EDR> Anthrax - Kenya: (LK) wildlife, NOT, RFI

Anthrax -- Kenya
Carcasses examined had common heavy tick infestation, frothy lungs, constipated pellet-like faeces and petechial haemorrhages in the spleen. A preliminary report by the Mountain Region Mobile Veterinary Unit seen by the Nation shows that the animals were dying of a disease of a tick-transmitted blood-borne pathogen. "The veracity of the infection and deaths suggest either wildlife is naive to the pathogen or a very high dose of infection," the report reads. The last anthrax outbreak in the

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Tuesday 18 April 2017

PRO/AH/EDR> Anthrax, human, livestock, 2016 - Argentina

Anthrax -- Argentina
The annual assessment of rural anthrax in Argentina is a communicational strategy throughout the last 14 years of consecutive reports that validate this epidemiological information. This report assesses different scenarios where people and cattle coexist in a livestock country with more than 53 million units. The annual assessment is performed over:
1- Assessment area of rural anthrax in the Province of Buenos Aires made up of 30 districts. Random outbreaks of anthrax arose on 3 districts:

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PRO/AH/EDR> Bat Lyssavirus - Taiwan

Other Animal Disease -- China
A Japanese house bat found dead in Yunlin last week [week 10-16 Apr 2017] tested positive for lyssavirus. Gene sequencing showed that it was 98.7 percent similar to the virus found in another Japanese house bat in November last year [2016].
--
Communicated by:
ProMED-mail from HealthMap Alerts

[This novel virus was reported in November 2016 (see ProMED post http://bit.ly/2o1zjQc).
Bats are the natural reservoirs of most lyssaviruses. Bat lyssaviruses, reported

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PRO/AH/EDR> Salmonellosis - Peru: (AR) chicken barbeque

Salmonella -- Peru
A barbeque caused a stir at a support hospital in the province of Camaná in Arequipa, when 60 people arrived at the hospital with symptoms of foodborne illness. The number of patients who arrived that day reached 84, including 24 patients that were attended at a hospital in Essalud.
The local emergency and observation offices of the Ministry of Health were saturated by the number of patients who arrived from dawn until the afternoon. They had severe stomach pains, cramps, fever, vomiting

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PRO/AH/EDR> Leishmaniasis - Spain: (MD) rabbit reservoir

Leishmaniasis -- Spain
When the health authorities in Fuenlabrada, a southwest suburb of Madrid, noticed a spike in cases of the tropical disease leishmaniasis in 2010, their efforts to track down its origins became an epidemiological detective story.
Leishmaniasis has been endemic in dogs in southern Europe for centuries, but there is widespread acquired immunity among humans. Spain normally has about 200 cases in humans a year, but in the course of this outbreak (later determined as being between 2009 and

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PRO/EDR> Human enterovirus - Taiwan: alert

Enterovirus -- China
http://bit.ly/2oKvpIB

Taipei City's Department of Health on [Mon 17 Apr 2017] warned of an enterovirus outbreak this spring [2017], and urged the public to practice good personal hygiene to prevent infection.
Enterovirus infections are common among infants and children and usually peak in spring and summer months, especially between April and June, the department said.
In Taiwan, enterovirus outbreaks occur approximately every 3 to 4 years. In 2005, the nation

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PRO/EDR> Cholera, diarrhea & dysentery update (14): Americas, Asia

Cholera -- Haiti
When a 7.0 magnitude earthquake struck Haiti in 2010, approximately 230 000 people died and over a million were displaced. Approximately 9 months after the earthquake, the Haitian Ministry of Public Health and Population (MSPP) confirmed cases of cholera for the 1st time. Since the emergence of cholera, Haiti has reported about 805 000 suspected cases and nearly 9500 deaths. In 2016 alone, Haiti reported 41 421 suspected cholera cases and 447 cholera deaths.
Cholera is an acute, diarrheal

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PRO/AH/EDR> Malaria, autochthonous - Brazil: (RJ)

Malaria -- Brazil
Municipal sources reported today [17 Apr 2017] that at least 5 residents of Petropolis, a tourist destination about 70 kilometers [44 mi] from Rio de Janeiro, have been diagnosed with malaria.
According to a statement from the mayor's office, the 5 victims are men aged 16 to 54. All are being treated for the disease, which is transmitted by the anopheles mosquito.
In 2016 there were 2 cases of malaria in Petropolis, which is located in the mountainous region of Rio de Janeiro state and

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Monday 17 April 2017

PRO/AH/EDR> Avian influenza (92): Europe (France) HPAI H5N8, poultry, international trade

Avian Influenza H5N8 -- France
Foie gras producers in France have been ordered to clear their farms of ducks and geese in a bid to curtail an outbreak of bird flu.
About 2000 farms in the southwest were told today [17 Apr 2017] to halt production of the delicacy for 6 weeks and kill their birds as the H5N8 strain of the virus spreads. The order from the government has plunged the industry into crisis, prompting warnings that its existence could be threatened if it fails to eradicate bird flu.
Last year [2016], an

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PRO/EDR> Meningitis, meningococcal - Nigeria (06): (NI) fatal, sg. A, B and C

Meningitis - Neisseria -- Nigeria
A total of 33 people have died from the cerebrospinal meningitis (CSM) in Niger state out of 116 suspected cases recorded, an official disclosed to the News Agency of Nigeria (NAN) on Fri [14 Apr 2017].
The Executive Director of the state Primary Health Care Development Agency (SPCDA), Dr Yahaya Na'uzo, said that 9 persons died from the type [meningococcal serogroup] C meningitis while the remaining 24 died of the type [meningococcal serogroups] A and B since the outbreak of the

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PRO/AH/EDR> Tick-bite fever - Nepal: (Dolakha), eschar, hard-bodied tick

Tick-borne disease -- Nepal


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PRO/AH/EDR> Avian influenza, human (44): China, H7N9, updates, pandemic potential

Avian Influenza H7N9 -- China
Objective: Since the 1st case of avian influenza A (H7N9) virus infection in humans identified in Suining, Sichuan province on [25 Jan 2017], there were other 5 severely ill patients confirmed in the following 3 weeks. It is urgent to find out the common clinical characters of these patients, so that to make sure the optimal ways for early diagnosis and treatment for H7N9 virus infection in community hospitals or primary hospitals as soon as possible.
Methods: The early symptoms, the data of

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PRO/AH/EDR> White nose syndrome, bats - North America (05): (MO) bat population decline

White nose syndrome -- United States
The population of the northern long-eared bat, a species once common in Missouri caves, dropped from 2684 in 2015 to only 7 last winter [2016-2017], which could lead to a "domino effect" on the food chain and cave ecosystems, conservation officials said.
The Missouri Department of Conservation surveyed more than 300 caves and mines in the winter and found the alarming results when compared with surveys of 375 caves and mines in 2015, The Columbia Missourian reported ().
Shauna Marquardt,

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PRO/EDR> Legionellosis - France: (LP) fatal, recurrence

Legionnaires' -- France
A new case of legionellosis led to hospitalization at the Montpellier CHU [Centre Hospital Universitaire] of a tenant of the residence of La Nouvelle Vague, on the road to Carnon, east of Palavas-les-Flots. He is out of danger, according to the Regional Health Agency-Occitania.
In June [2016], 3 tenants of the residence contracted this acute lung infection, with 1 death and 2 emergency hospitalizations, including a patient who had been in a coma for several days.
Surveys of hot water

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PRO/EDR> Foodborne illness - India (02): (BR) RFI

Foodborne Illness -- Worldwide/Unknown
Suspected food poisoning indisposed about 200 people, including women and children, at Aanti in [Nawada] district, an official said today, [17 Apr 2017]. About 200 people complained of nausea and vomiting after having dinner at a 'Shradh' ceremony last night [16 Apr 2017], Block Development Officer [BDO] Prabhakar Singh said. 40 affected people were undergoing treatment at the Nawada Sadar hospital, its Deputy Superintendent Ramnandan Singh said.
Others were getting treatment at several

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PRO/EDR> Cholera, diarrhea & dysentery update (13): Asia

Cholera -- Iraq
1. Guerrant RL, Carneiro-Filho BA and Dillingham RA. Cholera, diarrhea, and oral rehydration therapy: triumph and indictment. Clin Infect Dis. 2003;37(3):398-405.
2. Gregorio GV, Gonzales ML, Dans LF and Martinez EG. Polymer-based oral rehydration solution for treating acute watery diarrhoea. Cochrane Database Syst Rev. 2009;(2):CD006519. doi: 10.1002/14651858.CD006519.pub2.
3. Gore SM, Fontaine O and Pierce NF. Impact of rice based oral rehydration solution on stool output and duration of

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Sunday 16 April 2017

PRO/AH/EDR> Ebola update (15): news, research, vaccine

Ebola -- Worldwide/Unknown


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PRO/AH/EDR> Q fever - Germany: (RP) sheep cell therapy, 2014

Q Fever -- Germany
Gram negative intracellular bacteria (_Coxiella burnetii_) cause Q fever, a zoonotic disease usually subclinical in livestock and humans. Typically, human patients show signs and symptoms, such as fever, severe headache, nausea, pneumonia, or hepatitis, 2-3 weeks after injection. Chronic Q fever develops in 1 per cent to 5 per cent of patients (1).
On 5 Aug 2014, a local health department in the Federal State of the Rhineland Palatinate in southern Germany alerted the Federal State Agency

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PRO/EDR> Zika virus (06): Americas, Pacific, Asia, Africa, research

Zika virus -- Worldwide/Unknown
Vaccinations have begun in a multi-site Phase 2/2b clinical trial testing an experimental DNA vaccine designed to protect against disease caused by Zika infection. The vaccine was developed by government scientists at the National Institute of Allergy and Infectious Diseases (NIAID), part of the National Institutes of Health (NIH). NIAID is leading the trial, which aims to enroll at least 2490 healthy participants in areas of confirmed or potential active mosquito-transmitted Zika infection,

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PRO/EDR> Cholera, diarrhea & dysentery update (12): Africa

Cholera -- Worldwide/Unknown
An outbreak of cholera/acute watery diarrhea (AWD) in Somalia's semi-autonomous regions of Somaliland and Puntland has killed over 85 people, a global charity said [on Wed 12 Apr 2017].
The International Federation of Red Cross and Red Crescent Societies (IFRC) said 28 people were killed in the last 10 days and 167 others hospitalized in Somaliland alone. In neighboring Puntland, more than 1600 cases of cholera/AWD with 57 deaths have been recorded since January [2017], the charity said in

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PRO/AH/EDR> Hantavirus - Americas (26): Chile (LL)

Hantavirus -- Chile
In a meeting with the participation of the agriculture SEREMI [local ministerial unit] Pamela Betin, the labor SEREMI Federico Vengas and the health SEREMI Eugenia Schnake, they addressed the steps to follow after the latest known cases of hantavirus [infection] in the Los Lagos region.
In consultation with the health SEREMI about a possible new case of hantavirus [infection] in the region, Schnake mentioned that the latest laboratory report indicated that in Los Lagos, there are 9 known

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PRO/EDR> Poisoning, belladonna - USA (03): homeopathic teething product recall

Poisoning -- United States
The maker of Hyland's teething tablets has issued a recall for any remaining packages at the urging of US regulators, who say the medicine has inconsistent levels of an herb that can be poisonous. Standard Homeopathic Co of Los Angeles stopped making and shipping the tablets last October [2016]. It said that it is notifying distributors and stores to return any leftover products, while consumers should throw them out.
The recall announced late [on] Thursday [13 Apr 2017] covers Hyland's

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PRO/AH> Chronic wasting disease, cervid - Norway (02): reindeer herd slaughter

Chronic Wasting Disease -- Norway
Deer, elk, and reindeer commonly gnaw the bones of their own species as a source of calcium, especially in extreme habitats.
It is my understanding that the prions associated with chronic wasting disease, mad cow disease, etc can remain in skull and spinal tissue for many years, capable of being ingested by deer, elk, or reindeer gnawing those bones, who may thereby infect themselves.
Inviting hunters to kill 2000 reindeer in rugged territory accordingly strikes me as practically an

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Saturday 15 April 2017

PRO/EDR> Undiagnosed disease - Congo DR: (NK) fatal, RFI

Undiagnosed -- DR Congo
The provincial health minister, Marcel Kambumbu, [has] confirmed the presence of an unknown illness, which has already killed 15 people and more than 100 people ill within the past 2 weeks in the territory of in the village of Iremera, Bulengya group of Lubero (North Kivu). He said, however, that it was not yet possible to speak of an epidemic.
The area chief doctor of Iremera has announced an epidemic in this area, advancing the same record of 15 deaths and 100 registered patients.
"I

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