Wednesday 31 May 2017

PRO/AH> European foulbrood, apis - Europe (03): Romania (GJ) OIE

Other Animal Disease -- Romania
Information received on [and dated] 31 May 2017 from Dr Marius Grigore, director, head of Unit Animal Health Department General Sanitary Veterinary Directorate, National Sanitary Veterinary and Food Safety Authority, Bucharest, Romania
Summary
Report type: immediate notification
Date of start of the event: 15 May 2017
Date of confirmation of the event: 19 May 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 27 Oct 2016
Manifestation of

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PRO/EDR> Cholera, diarrhea & dysentery update (41): Asia (Yemen)

Cholera -- Yemen
57. Luquero FJ, Grout L, Ciglenecki I, et al. Use of _Vibrio cholerae_ vaccine in an outbreak in Guinea. N Engl J Med. 2014; 370(22): 2111-20;
.
58. Sévère K, Rouzier V, Anglade SB, et al. Effectiveness of oral cholera vaccine in Haiti: 37-month follow-up. Am J Trop Med Hyg. 2016; 94(5): 1136-42; .
59. Bhattacharya SK, Sur D, Ali M, et al. 5 year efficacy of a bivalent killed whole-cell oral cholera vaccine in Kolkata, India: a cluster-randomised, double-blind, placebo-controlled trial.

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PRO/AH/EDR> Salmonellosis - Turkey: (MN) barracks

Salmonella -- Turkey
Bad meat could be the source of an infectious outbreak in a barracks in Turkey that has killed one soldier and hospitalized 1046, said Dr Tur Yildiz Bicer. The outbreak was detected on [Tue 23 May 2017] at the First Manisa Infantry Brigade training center in western Manisa, but the Ministry of Health has not offered any official conclusions, pending the outcome of an investigation by a team of 10 experts.
Bicer, who is also a deputy of the main opposition group, the Republican People's

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PRO/EDR> Foodborne illness - Philippines: (Manila region) prisoners, RFI

Foodborne Illness -- Philippines
A total of 910 prisoners at the New Bilibid Prison (NBP) in Muntinlupa City have fallen ill due to apparent food poisoning since Fri 26 May 2017. Director general Benjamin Delos Santos of the Bureau of Corrections (BuCor) told The Manila Bulletin that the "proximate cause is food served by caterer [Thu 25 May 2017] evening." However, investigators are also testing the facility's water source.
"(We) will do lab tests on food and water tomorrow [Mon 29 May 2017]," said Delos Santos. Quoting

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PRO/EDR> Dengue/DHF update (06): Israel ex Seychelles

Dengue -- Seychelles
Eli Schwarz from the GeoSentinel Tel Hashomer site in Israel has alerted us to a number of cases of dengue fever in Israeli travelers returning from a group tour to the Seychelles islands during the period April 13 to 22 2017. The group included 32 travelers and each day they visited a different island. The islands visited, in consecutive order, were: Mahe, Curieuse, Aride, Praslin, La digue and Moyenne.
Febrile illness started 1-2 days after return to Israel in 9 of the travelers. In 6 of

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PRO/AH/EDR> Avian influenza (105): Netherlands, wildfowl, HPAI H5N5

Avian Influenza -- Netherlands
In the municipality of Utrecht, 2 dead wild geese were found to be infected by HPAI H5N5. This avian influenza variant may originate from a combination of the H5N8-type virus (which circulated in Europe last month [April 2017]) with a different, low pathogenic type. This H5N5 variant has been found more frequently in wild birds over the past few years.
The risk of contamination has recently decreased so that almost all rural measures could be withdrawn as of [Wed 19 Apr 2017]. Although the

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PRO/AH/EDR> Avian influenza (104): Congo DR (IT) poultry, HPAI H5, 1st rep, OIE

Avian Influenza -- DR Congo
Information received on 26 May 2017 from Mr Honore Robert N'Lemba Mabela, directeur et chef de service, Service de la Production & de la Sante Animale, Ministere de l'Agriculture, Peche et Elevage, Kinshasa, Congo (Dem Rep of the)
Summary
Report type: immediate notification
Date of start of the event: 25 Apr 2017
Date of confirmation of the event: 24 May 2017
Reason for notification: first occurrence of a listed disease in the country
Causal agent: highly pathogenic avian influenza

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PRO/AH/EDR> Hantavirus - Americas (34): Uruguay (SO)

Hantavirus -- Uruguay
A school teacher from Soriano is currently in the Fray Bentos intensive care unit affected by [a] hantavirus [infection]. According to the physicians, her status for the past 15 days [has been] delicate.
The individual is a young 24 year old working as a substitute teacher in a Soriano rural school according to Paolo Centomo, the Rio Negro deputy director of health. Initially, leptospirosis was suspected, but tests results ruled out this disease and led to confirmation that it is [a]

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PRO/AH> Transboundary animal diseases - status recognition, members: OIE

Pests -- Paraguay
OIE's official disease status can be issued for 6 priority diseases and are of major importance to OIE members. Recognized by the World Trade Organization (WTO) as reference standards in the field of animal health, these official statuses reflect the level of transparency and quality of the veterinary services of the country, increase the value of its livestock sector and facilitate access to regional and international markets.
New countries and zones obtained official recognition of their

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PRO/AH> Porcine epidemic diarrhea - North America (02): Canada (MB)

Novel Swine Enteric Coronavirus -- Canada
Another 2 barns in south east Manitoba have tested positive for porcine epidemic diarrhea (PED) in the 4th and 5th cases of the disease this year [2017]. A finisher and sow barn were confirmed PED positive in the space of 2 days. Manitoba Pork Council general manager Andrew Dickson said finisher barn staff noticed signs [on Sun 14 May 2017].
"That doesn't mean every pig in the barn has got it at this moment in time, it just means some of the pigs got it, but it's likely to spread," Dickson

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Tuesday 30 May 2017

PRO/EDR> Cholera, diarrhea & dysentery update (40): Africa

Cholera -- Kenya
1. Guerrant RL, Carneiro-Filho BA, 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, 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, Pierce NF. Impact of rice based oral rehydration solution on stool output and duration of diarrhoea:

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PRO/AH/EDR> Yellow fever - Americas (47): Brazil, PAHO/WHO

Yellow Fever -- Brazil
Since epidemiological week (EW) 1 [Sun 1 to Sat 7 Jan 2017] to EW 19 [Sun 7 to Sat 13 May 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. The situation in the other countries was reported in the epidemiological update of [25 Apr 2017] and in previous updates, and no significant changes have been reported since then.
In Brazil,

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PRO/AH/EDR> Crimean-Congo hem. fever - Iran: fatal

Crimean-Congo Hemorrhagic Fever -- Iran
Crimean-Congo hemorrhagic fever (CCHF) has killed 1 person in south eastern Iran over the past 2 months, Abbas Abbasi of Iran Veterinary Organization said on [Sun 28 May 2017]. The fatality occurred in Sistan-and-Baluchestan Province, with 2 more deaths also unofficially reported in Isfahan Province and the western province of Kermanshah via social media, he said.
People mainly contract the CCHF virus from infected ticks or contact with infected animal blood and tissue. Abbasi said those

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PRO/AH/EDR> Avian influenza, human (54): CHINA, H7N9, WHO

Avian Influenza H7N9 -- China
Onset dates ranged from [11 Apr to 6 May 2017]. Of these 23 case patients, 10 were female. The median age was 58 years (range 31 to 83 years). The case patients were reported from Beijing (2), Fujian (1), Gansu (1), Hebei (5), Henan (3), Hubei (1), Jiangsu (2), Shaanxi (3), Sichuan (3), Tianjin (1), and Zhejiang (1).
At the time of notification, there were 7 deaths, 15 case patients were diagnosed as having either pneumonia (5) or severe pneumonia (10), and 1 case was mild. A total of 19

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PRO/AH/EDR> Rabies (22): Americas (USA)

Rabies -- United States
The Virginia Department of Health (VDH) is investigating a rare case of human rabies in central Virginia.
VDH public health veterinarian Julia Murphy says the victim was bitten by a dog in India, but didn't seek any treatment until returning home to the commonwealth (of Virginia) in April [2017]. Murphy says the patient did not get a rabies vaccine, and was diagnosed 5 days ago [Sun 7 May 2017]. Rabies, if left untreated for too long, is most often fatal. "In this case, this patient's

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Irish authorities investigating Salmonella outbreak

An outbreak of Salmonella has sickened more than 50 people in Ireland.



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PRO/AH> White nose syndrome, bats - North America (06): (NC) surveys

White nose syndrome -- United States
White nose syndrome [WNS], a fungal disease that has killed millions of bats in the eastern United States since it was 1st detected in 2006, continues its deadly spread in North Carolina. During winter bat surveys in January and February [2017], biologists with the NC Wildlife Resources Commission and NC State Parks, documented the 1st case of WNS in Stokes County, which marks the farthest east record of WNS in North Carolina and the 1st record of visible WNS in the Piedmont.
Historically,

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PRO/AH/EDR> Salmonellosis - Ireland: (Dublin) caterer, poultry

Salmonella -- Ireland
The assistant national director for public health with the Health Service Executive has said an outbreak of salmonellosis in north Dublin has been isolated to a single producer, who was providing food for a number of parties on the weekend of 13 May 2017.
Dr Kevin Kelleher said this is probably the largest outbreak of salmonellosis in Ireland in the past 10 years and the cause of the problem is believed to have been poultry. Speaking on RTÉ's Morning Ireland, he said: "We, on average, get

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PRO/EDR> Hepatitis - Iraq (02): (AN) RFI

Hepatitis -- Iraq
Viral hepatitis has spread in Al-Saqlawiyah city (8 km or 5 miles north west of Fallujah) in Al-Anbar governorate, amid shortages of medicines and lack of health care services.
The correspondent of Yaqein News Agency said that "more than 15 cases of viral hepatitis have been recorded in Al-Saqlawiyah, Al-Anbar governorate. He indicated that the health centers lack medical supplies and vaccines to prevent the disease. The correspondent added that "the viral hepatitis cases have been

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PRO/EDR> Cholera, diarrhea & dysentery update (39): Asia (Yemen)

Cholera, Diarrhea, Dysentery -- Yemen
The number of people who have died in a cholera epidemic affecting Yemen has risen to at least 471, according to World Health Organization (WHO) figures released on [Mon 29 May 2017]. But the latest WHO bulletin covering the period from [Thu 27 April 2017], said that there was a "significant decrease" in the daily average number of cases recorded in the week up to [Sat 27 May 2017] compared to the previous 7-day period.
The epidemic began in October 2016 and grew until December 2016. It

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PRO/EDR> Foodborne illness - Uruguay: (MO) RFI

Salmonella -- Uruguay
The Ministry of Public Health (MSP) has confirmed that they are investigating 2 outbreaks of food poisoning that have affected more than 100 people in recent days. Sources report they analyzed the germ and the bacteria that were in the foods consumed. One of the cases occurred in a family setting and affected 10 people -- one of them is in a serious condition. The other outbreak affected more than 100 people who attended a social event.
The cause of this intoxication is being investigated

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PRO/AH/EDR> Lassa fever - West Africa (18): Nigeria

Lassa Fever -- Nigeria
1. Lassa fever
Please note that the data reflect the routine reports -- that is, all suspected cases including the laboratory positive and negative cases.
1.1. Eleven suspected cases of Lassa fever were reported from 3 LGAs ([local government areas] (2 states) in week 18 of 2017 compared with 3 suspected cases from 3 LGAs (3 states) during the same period in 2016.
1.2. Laboratory results of the 11 suspected cases are pending (Edo - 10 and Taraba - 1).
1.3. Between weeks 1 and 18

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Monday 29 May 2017

PRO/AH/EDR> Prion disease update: CJD

BSE -- Worldwide/Unknown
Abstract
--------
Sporadic Creutzfeldt-Jakob disease (sCJD) has not been previously reported in patients with clotting disorders treated with fractionated plasma products. We report 2 cases of sCJD identified in the United Kingdom in patients with a history of extended treatment for clotting disorders; 1 patient had hemophilia B and the other von Willebrand disease. Both patients had been informed previously that they were at increased risk for variant CJD because of past treatment with

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PRO/EDR> Zika virus (10) - Americas, Asia, Middle East, research

Zika virus -- Worldwide/Unknown
Abstract
--------
Zika virus (ZIKV) remained obscure until the recent explosive outbreaks in French Polynesia (2013-2014) and South America (2015-2016). Phylogenetic studies have shown that ZIKV has evolved into African and Asian lineages. The Asian lineage of ZIKV was responsible for the recent epidemics in the Americas. However, the underlying mechanisms through which ZIKV rapidly and explosively spread from Asia to the Americas are unclear. Non-structural protein 1 (NS1) facilitates

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One dead in German E. coli O157 outbreak

Germany is investigating an outbreak of E. coli O157 linked to minced meat in which one person has died.



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PRO/AH/EDR> Leishmaniasis, cutaneous - Nepal (02)

Leishmaniasis -- Nepal
Cutaneous leishmaniasis [CL] is not endemic in Nepal, but saying extremely rare might be an understatement. Sporadic cases of CL have been reported from hospitals of Nepal from the eastern and central regions using staining, culture, and PCR analysis.
--
communicated by:
ProMED-mail

******
[2]
Date: Fri 26 May 2017
Source: EpiCore Global Surveillance Project [edited]

Among the 4 cases I treated; one female was from Tanahu District, Nepal with travel history to Chitawan

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PRO/EDR> Hepatitis E - Niger (04): (DF) fatal, pregnant women

Hepatitis E -- Niger
Hepatitis E has killed 30 people in the Diffa region of south eastern Niger, close to Nigeria, home to some 300 000 displaced and refugees who fled the violence of the Nigerian jihadist group Boko Haram. "A total of 664 suspected and confirmed cases were reported on 23 May 2017. On the same date, 30 deaths related to the disease were recorded," reported the UN Office for the Coordination of Humanitarian Affairs (OCHA) Niamey, on its website.
A previous report dated 19 Apr 2017 reported 25

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PRO/EDR> Ebola update (26): news, research

Ebola -- Nigeria
"...we have used a non-invasive assay to show that asymptomatic Ebola virus infection occurs, but accounted for only a small proportion of infections, so would have little effect on herd immunity. It is unknown whether those with asymptomatic Ebola virus infection are infectious, or could harbour virus in the long term, like some survivors. In that respect, the low proportion of asymptomatic infections is reassuring because these transmissions would be challenging to prevent. We also

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E. coli investigation continues as Ardent Mills expands flour recall

Ardent Mills has expanded a recall of flour as Canadian authorities investigate an E. coli O121 outbreak that has sickened 30 people.



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Sunday 28 May 2017

PRO/EDR> Dengue/DHF update (05): Asia, Pacific, Africa, diagnosis, vaccine, research

Dengue -- Worldwide/Unknown
Since the beginning of the year 2017, 15 cases of dengue have been reported in Reunion: 5 imported cases (returning from travel) and 10 indigenous cases (contracted in Reunion). The surveys carried out by the ARS OI identified 4distinct contamination situations, 3 of which could be related to an imported travel case. The 1st 3 situations identified in the communes of Saint-Leu, Saint-Louis and Sainte-Marie concerned only a few sporadic cases and seem to be at this stage contained. The 4th

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PRO/AH/EDR> Tilapia syncytial hepatitis - worldwide: FAO, alert

Other Animal Disease -- Worldwide/Unknown
A highly contagious disease is spreading among farmed and wild tilapia, one of the world's most important fish for human consumption, the UN Food and Agriculture Organization (FAO) said on [Fri 26 May 2017].
The Rome-based UN agency said the outbreak should be treated with concern, and countries importing tilapias should take appropriate risk-management measures, including intensifying diagnostics testing, enforcing health certificates, deploying quarantine measures and developing

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PRO/AH/EDR> Canine influenza - USA (02): (FL)

Canine Influenza -- United States
Veterinarians across Central Florida are warning dog owners to get their pets vaccinated because of a spike in influenza.
The dog flu spreads quickly and veterinarians told Channel 9's Jeff Deal that if owners go to someplace like a dog kennel or dog park, they recommend the vaccine.
[AJ] takes her 8-month-old dog, to the dog park every day. "She's got a whole crew she likes to hang with," AJ said. She said the dogs share everything, but she hopes the flu isn't one of them. "I'd never

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PRO/AH/EDR> Canine distemper - USA: (SC)

Canine distemper -- United States
[Canine distemper] is a [viral disease] looking just like rabies, and it's just as lethal for your dog. It doesn't have a cure, and there's an outbreak of it in Kershaw County.
"It's airborne," veterinarian Dr Wendy King said. "It can go from one cage to the next and they don't even have to touch each other. So what happens is if any of these pets in quarantine are in the same area, they can spread the disease."
King, who works at Elgin's Spears Creek Veterinary Clinic, says the virus

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Saturday 27 May 2017

PRO/AH/EDR> Antibiotic resistance (05): China, colistin, mcr-1, hospital outbreak

E. coli, Klebsiella pneumoniae -- China
Chinese scientists are reporting a deadly outbreak of MCR-1-producing _Klebsiella pneumoniae_ among pediatric leukemia patients in China, apparently the 1st reported hospital outbreak involving the colistin-resistance gene [1].
In a letter published in The Lancet Infectious Diseases, researchers say clinical isolates--including 1 _Escherichia coli_ and 5 _K. pneumoniae_--from 6 patients with pneumonia admitted to a pediatric leukemia ward in Guangzhou, China, were found to harbor the

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PRO/AH/EDR> Bluetongue - Europe (02): (France) bovine, st 8, spread susp, assessment

Bluetongue -- France
Officials raised concern for south-easterly farmers as the disease currently lies only 150km [93.20 mi] from the English south coast.
UK chief vet Nigel Gibbens said farmers should consider vaccination and be aware of symptoms, including: mouth ulcers; drooling; swelling of the mouth; head and neck; fever; lameness and breathing problems.
He said: "Our latest assessment shows the risk of outbreak in the UK is currently low, but the detection of the virus in northern France is a timely

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PRO/AH/EDR> Hantavirus - Americas (33): Argentina (BA)

Hantavirus -- Argentina
The Secretary of Public Health Policy, Dr Monica Pusso, together with Dr Gustavo Eachavi, Associate Hospital Director, reported a case of [a] hantavirus [infection]. They reported that after [receiving] a serology report sent to the Pergamino hospital they confirmed the admission of [a] hantavirus [infection case], a 14-year-old hospitalized with pneumonia 14 days ago. Fortunately, the patient progressed favorably from an acute condition, since this aggressive virus [infection] has a high case

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PRO/AH/EDR> MERS-CoV (29): Qatar, animal reservoir, camels

MERS -- Qatar
Ministry of Public Health (MOPH) has announced that a new Middle East Respiratory Syndrome Corona Virus (MERS-CoV) case has been confirmed for a 29-years-old, resident in Qatar, marking the 3rd MERS-CoV case to be confirmed in the country this year [2017] and bringing the cumulative number of confirmed MERS-CoV cases since 2012 to 21 cases among whom 7 have died.
The patient is a camel worker and had complaints of fever and dry cough for several days. He sought medical attention in Hamad

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PRO/EDR> Measles update (29)

Measles -- Somalia
Somali officials have announced that measles outbreak has killed several children in Middle Shabelle region in southern Somalia, Garowe Online reports.
Mandheere district was reported to be among areas where measles has spread affecting many young children, according to district official Salah Mohamed Ali.
In the last 3 days, several children have fallen ill due to the disease amid lack of proper health services and centers to treat the affected children in the district, added

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Friday 26 May 2017

PRO/EDR> Poliomyelitis update (08): global (Congo DR cVDPV)

Polio -- Worldwide/Unknown
Poliovirus Weekly Update
24 May 2017, World Health Organization
New wild poliovirus cases reported this week: 0
Total number of wild poliovirus cases in 2017: 5
Total number of wild poliovirus cases in 2016: 37
New cVDPV cases reported this week: 4
Total number of cVDPV cases in 2017: 4
Total number of cVDPV cases in 2016: 5

Headlines
- The World Health Assembly (WHA) is meeting this week in Geneva, Switzerland. Ministers of Health and public health professionals from around

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PRO/AH/EDR> Hendra virus, equine - Australia (04): (QL)

Nipah/Hendra Virus -- Australia
Queensland has confirmed it is managing a new hendra virus case in a horse in Queensland.
A press release issued this afternoon [Fri 26 May 2017] said the positive test result from the horse in the Gold Coast Hinterland area had been received last night [Thu 25 May 2017].
Queensland Chief Biosecurity Officer Dr Jim Thompson said one horse had been euthanized on the property after rapid deterioration. "Tracing and risk assessments are being undertaken on any animals that may have had

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PRO/EDR> Norovirus - USA (05): (CA)

Norovirus -- United States
California state health officials said they are working with local public health departments across the state to help control norovirus outbreaks that have increased in the past few weeks, and are occurring in schools and other institutional settings.
"Norovirus outbreaks usually have an annual peak like we are seeing now. They can be particularly large and disruptive in schools, affecting both students and teachers," said CDPH [California Department of Public Health] Director and State

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PRO/EDR> Jaundice - India: (HP)

Hepatitis -- India
Hospitals in the capital town saw an unusual rush over the past week with several hundred people testing positive for jaundice after allegedly consuming polluted water.
People from numerous suburbs have now complained about the alleged supply of contaminated and non-chlorinated water by the municipal and IPH authorities here. "The authorities are not adding the required bleaching powder to the water sources and muddy water is coming from the taps," complained a resident who had fallen sick,

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PRO/EDR> Influenza (12): India (HP), H1N1pdm09, ass. fatal cases

Influenza -- India
The number of patients who are reporting positive for Swine flu is increasing every day in the State. After the death of a Maharashtra tourist - [AP] -- last week [week of Sun 14 May 2017] some tourists in Manali also tested positive for influenza. Many patients have been admitted in the Tanda Medical College hospital in Kangra and the IGMC hospital in Shimla. An elderly person died in Dehra because of swine flu a few days ago.
As many as 35 patients have died in the last couple of years

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PRO/EDR> Cholera, diarrhea & dysentery update (38): Asia (Yemen)

Cholera -- Yemen
About 10 000 cholera cases and nearly 100 deaths have been reported in war-torn Yemen since our last report earlier this week []. According to a press release Thu 25 May 2017 the WHO reported that an aircraft carrying 67 tons of intravenous fluids and cholera kits has successfully landed at Sana'a airport, noting this is the largest planeload of medical goods WHO has brought into the country since the escalation of the conflict in March 2015.
"Flying a jumbo jet into a war zone is not

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Histamine in tuna, Norway tackles fraud and Campylobacter warning

It is time again to dig out your preferred online translation tool, contact colleagues abroad or buy a phrase book as we look at news from food safety agencies wider than English-speaking ones.



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Recalls: Chickpea quality, glass and pathogens

Food and beverage warnings alerts have been made by USA, Ireland, England, New Zealand, Canada, Belgium, Czech Republic, Hungary, Norway, Netherlands, Sweden, Switzerland, Luxembourg, Germany and Denmark.



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PRO/AH/EDR> Seal finger - Canada (02): (BC) comment

Other Animal Disease -- Canada
A recent case of "seal finger" in Canada complements an increasing number of zoonotic bacterial diseases associated with animal bites. The following list is extracted from Gideon (primary references available on request):
_Bacteroides pyogenes_: case of bacteremia following a cat bite.
_Bacteroides tectus_: cat bites
_Bergeyella zoohelcum_: dog-bite infection
Bisgaard's taxon 16 [_Pasteurella_-like organisms: Mod. LL]- animal bite wounds
_Canibacter oris_: dog-bite

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PRO/PL> Wheat viruses - USA: (KS)

Other Plant Disease -- United States
Kansas Wheat has identified another significant threat to the 2017 crop -- wheat streak mosaic virus (WSMV). Alerting growers, [they] said the disease is "crippling western Kansas wheat crop." Kansas State University said 6 counties are indicating widespread incidence of WSMV and related viruses -- High Plains mosaic and triticum mosaic.
"Many fields in this area are severely diseased and could experience more than 70 per cent yield loss, if not a complete loss," the Wheat Commission said.

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PRO/EDR> Foodborne illness - Nepal: (DH) religious ceremony

Foodborne Illness -- Nepal


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PRO/AH/EDR> Leishmaniasis, cutaneous - Nepal

Leishmaniasis -- Nepal
[DL], 32, had gone to Dolpa [Province Six] in 2016. After staying there for about 3-4 months he was back in Kathmandu on [11 Oct 2016]. Upon his return, he noticed blisters on his nose and cheeks. Dismissing it as pimple, he bought a pimple cream from a local pharmacy in Bhaktapur but the cream didn't work. Rather the size of the blisters increased. In an attempt to treat it, he squeezed making them more reddish, and the shape changed too. So, he visited a hospital in the Capital [Kathmandu]

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PRO/AH/EDR> Foot & mouth disease - Israel (03): (HZ) bovine, st A, spread, OIE

Foot and Mouth -- Israel
Date of report [submission to the OIE]: 25 May 2017
Date of start of the event: 1 May 2017
Causal Agent: Foot and mouth disease virus
Date of confirmation of the event: 8 May 2017
Serotype(s): A
Location: Qela, Golan, HaZafon
Start date [current, 2nd outbreak]: 22 May 2017
Clinical signs: yes
Species / Susceptible / Cases / Deaths / Killed and disposed of / Slaughtered
Cattle / 68 / 1 / 0 / 0 / 0
Affected population: vaccinated herd. Free ranging cattle. 50 dams and 18 calves.

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Thursday 25 May 2017

PRO/AH/EDR> Bovine tuberculosis - UK (02): (England) bovine

Bovine TB -- United Kingdom
Robert Davies, of Hopes Ash Farm, in Hope Mansell, near Ross-on-Wye, has
told the Gazette that the farm is in the grip of a devastating bovine
tuberculosis (bTB) outbreak, but he feels it is important to share his
experience with the local community.
Mr Davies told the Ross Gazette that he had kept a diary where he outlined
what was happening at the farm and how the loss of the cattle, which had
been part of their herd for many years, affected the family, emotionally

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

PRO/AH/EDR> Antibiotic resistance (04): Canada, Fosfomycin, fosA7 gene, Salmonella, chickens

Salmonella -- Canada
"We previously described _Salmonella_ Heidelberg harbouring a chromosomal gene cluster similar to the glutathione S-transferase gene, a putative fosA conferring resistance to fosfomycin. Here we show that this new gene named fosA7 confers resistance to fosfomycin. Introduction of fosA7 into fosfomycin susceptible _Salmonella_ Enteritidis resulted in a substantial increase in the fosfomycin MIC. This finding increases awareness of antibiotic resistance in _Salmonella_ Heidelberg from broiler

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

PRO/AH/EDR> Seal finger - Canada: (BC)

Other Human Disease -- Canada
A recent case of seal finger which was misdiagnosed and hence mistreated at the patient's 1st presentation is described. The patient was eventually referred to a hand specialist and after the correct treatment with tetracycline, responded well without any long-term sequelae. Seal finger is an occupational injury that occurs to those who work directly or indirectly with seals. The disease entity has been described in both Scandinavian and Canadian literature. The causative microorganism was

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2r19372

PRO/EDR> Cholera, diarrhea & dysentery update (37): Africa

Cholera -- Kenya
However, these official statements are widely contradicted by reports reaching Radio Dabanga from the areas affected by the disease, which repeated tests according to WHO standards show to be cholera. There have been calls to declare a State of Emergency. The Governor of the White Nile, Abdelhameed Kasha, says 53 people have died in the state. In a statement to the Council of States in Khartoum on [Tue 23 May 2017], Kasha said 2755 people and 129 villages have been infected in the 'watery

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qh7Zih

PRO/AH/EDR> Contagious ecthyma, human - UK: (Wales)

Other Human Disease -- United Kingdom
Orf is a viral skin disease that can be spread to humans by handling infected sheep and goats. In humans, the 1st sign of orf is a small, red, itchy or painful lump (lesion) that usually appears on the fingers, hands, forearms or face after an incubation period of 3 to 5 days. In some cases there may be more than one lesion.
The lesion will usually be firm, red or blue in colour and 2-5cm in diameter. As the condition progresses over a 3- to 6-week period, a pustule or blister that weeps

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2rVcY5q

PRO/AH/EDR> E. coli EHEC - Germany: O157, sorbitol-fermenting, packaged minced meat

E. coli -- Germany
We report an ongoing, protracted and geographically dispersed outbreak of hemolytic uremic syndrome (HUS) and gastroenteritis in Germany, involving 30 cases since December 2016. The outbreak was caused by the sorbitol-fermenting immotile variant of Shiga toxin-producing (EHEC) _E. coli_ O157. Molecular typing revealed close relatedness between isolates from 14 cases. One HUS patient died. Results of a case-control study suggest packaged minced meat as the most likely food vehicle. Food safety

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

Rocky Mountain Spotted Fever -- Mexico
The Baja California State Health Secretariat has confirmed 3 new deaths from rickettsiosis. They are a girl of 1 year and 4 months, resident of Nuevo León in Mexicali, a young girl of 16, and a man of 59, both originating from Ensenada. Guillermo Trejo Dozal, head of the unit, also reported the case of another 55-year-old man living in Nuevo León, who remains at the General Hospital of Mexicali, where he is stable. With these, there are now 6 deaths due to rickettsiosis and 12 confirmed

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

PRO/AH/EDR> Foot & mouth disease - China (03): (XJ) st A, bovine, OIE

Foot and Mouth -- China
Information received on [and dated] 24 May 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: immediate notification
Date of start of the event: 24 Apr 2017
Date of confirmation of the event: 4 May 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 12 Dec 2013
Manifestation of disease: clinical disease
Causal agent:

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

PRO/EDR> Cholera, diarrhea & dysentery update (36): Czech Republic ex Tanzania

Cholera -- Czech Republic
57. Luquero FJ, Grout L, Ciglenecki I, et al. Use of _Vibrio cholerae_ vaccine in an outbreak in Guinea. N Engl J Med 2014; 370(22): 2111-20; .
58. Sévère K, Rouzier V, Anglade SB, et al. Effectiveness of oral cholera vaccine in Haiti: 37-month follow-up. Am J Trop Med Hyg 2016; 94(5): 1136-42; .
59. Bhattacharya SK, Sur D, Ali M, et al. 5 year efficacy of a bivalent killed whole-cell oral cholera vaccine in Kolkata, India: a cluster-randomised, double-blind, placebo-controlled trial.

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PRO/EDR> Botulism - USA (10): (CA) nacho cheese, type A toxin, unrelated 2nd death

Botulism -- United States
The country's foremost researchers on botulism in dairy products are calling the recent [botulism] outbreak at a gas station in Walnut Grove a "perfect storm" of circumstances that left one dead and 9 sickened.
"Botulism in cheese products, including processed cheese, is extremely rare," said Eric Johnson, professor in the department of bacteriology at the Botulinum Toxins Laboratory at the University of Wisconsin. "Outbreaks of botulism in commercially processed cheese during the past 50

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PRO/EDR> Poliomyelitis update (07): Mozambique, Congo DR, VDPV, RFI

Polio -- Mozambique
1. Kew OM, Wright PF, Agol VI, et al: Circulating vaccine-derived polioviruses: current state of knowledge. Bull World Health Organ. 2004; 82(1): 16-23. Epub 2004 Feb 26; available at .
2. Dowdle WR, De Gourville E, Kew OM, et al: Polio eradication: the OPV paradox. Rev Med Virol. 2003; 13(5): 277-91; abstract available at .
3. Yang CF, Naguib T, Yang SJ, et al: Circulation of endemic type 2 vaccine-derived poliovirus in Egypt from 1983 to 1993. J Virol. 2003; 77(15): 8366-77; available at

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

Wednesday 24 May 2017

PRO/AH/EDR> Tilapia syncytial hepatitis - Israel: (HZ) emerging disease, OIE

Other Animal Disease -- Israel
Information received on [and dated] 21 May 2017 from Dr Nadav Galon, Director, Veterinary Services and Animal Health, Ministry of Agriculture and Rural Development, BET DAGAN, Israel
Summary
Report type: Immediate notification
Date of start of the event: 1 Aug 2011
Date of confirmation of the event: 1 Mar 2014
Report date: 21 May 2017
Date submitted to OIE: 21 May 2017
Reason for notification: emerging disease
Morbidity: 6 percent
Mortality 2 percent
Zoonotic impact: No
Causal

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PRO/EDR> Typhoid fever - Zambia: (LS)

Typhoid -- Zambia
Ty21a / 1 capsule orally / 4 / 2 days / 5 years
Typhim Vi / Injection / 1 / N/A / 2 years
(The old parenteral heat-phenol-inactivated vaccine -manufactured by Wyeth-Ayerst- has been discontinued).
- Mod.LL
A HealthMap/ProMED-mail map can be accessed at: .]
[See Also:
Typhoid fever - New Zealand (04): (MW) http://bit.ly/2qdAb5w
Typhoid fever - Kenya: H58 haplotype, antimicrobial resistance http://bit.ly/2qY6O48
Typhoid fever - Tonga

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PRO/AH/EDR> Rabies - Bolivia: (SC) human, fatal

Rabies -- Bolivia
An 11-year-old girl died of rabies after being in a coma for a week. This is the 2nd case of death caused by rabies reported in Bolivia during May [2017]. The girl was in a coma at the Hospital Niño Mario Ortiz, in Santa Cruz city, where she was hospitalized several days before. After being vaccinated against human papilloma virus, she felt sick and was taken to the hospital.
"Clinical exams and lab tests allow confirming that the cause of death was encephalitis due to rabies, and there is

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qXlh2w

PRO/AH/EDR> MERS-CoV (28): Qatar, Saudi Arabia (RI,AS,HA)

MERS -- Qatar
The Ministry of Public Health (MOPH) has announced that a new Middle East Respiratory Syndrome Corona Virus (MERS-CoV) case has been confirmed for a 29 years old, resident in Qatar, marking the 3rd MERS-CoV case to be confirmed in the country this year [2017] and bringing the cumulative number of confirmed MERS-CoV cases since 2012 to 21 cases among whom 7 have died.
The patient is a camel worker and had complaints of fever and dry cough for several days. He sought a medical attention in

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2rVr2ep

PRO/AH/EDR> Salmonellosis - Australia (02): (NSW) sandboxes, bandicoot droppings

Salmonella -- Australia
A playground on the northern beaches has been closed after 2 children became sick with salmonella after playing in the sandpit. The young children caught the infection, which is believed to be spread by contact with bandicoot droppings, after playing at Warriewood Valley Rocket Park, in Casuarina Dr.
Northern Sydney Local Health District director of public health Dr Michael Staff said he hoped to have contained the outbreak by advising the council to close the park quickly. "We hope that

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

PRO/EDR> Cholera, diarrhea & dysentery update (35): Africa, Asia

Cholera, Dysentery, Diarrhea -- Sudan
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

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

PRO> Febrile rhabdomyolysis - Italy (02): ex West Africa, commentary

Fever -- Italy


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

PRO/EDR> Typhoid fever - New Zealand (04): (MW)

Typhoid -- New Zealand
Medical staff in Palmerston North are moving quickly to contact anyone who was in proximity with a child who has a confirmed case of typhoid. Medical Officer of Health Dr Patrick O'Connor says a patient was admitted to the hospital with a blood infection last week [week of Sun 14 may 2017], with results now confirming it is the disease. It is believed the child has family connections to the Auckland outbreak of typhoid in April 2017, which afflicted 18 people and caused one woman to die due to

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

PRO/EDR> Vaccine-preventable diseases - Pakistan: (SD), varicella, measles, RFI

Measles, Chicken Pox -- Pakistan
The sudden outbreak of the dangerous viral diseases measles and chickenpox in Larkana and Sukkur divisions has increased to the extent that 25 children were admitted in one day on [Sun 21 May 2017] at a private medical center in Larkana.
During the last 2 months, as many as 116 affected children were admitted in Children's Hospital Larkana and Paeds Ward of Sukkur Hospital out of which as many as 25 children have died. In both these major hospitals, 25 to 30 children are brought daily to

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

PRO/AH/EDR> Lumpy skin disease - Europe (05): FYR Macedonia, bovine, OIE

Lumpy Skin Disease -- Republic of Macedonia
Information received on 23 May 2016 from Msc Zoran Popovski, director, Food and Veterinary Agency, Food and Veterinary Agency, Skopje, FYR of Macedonia
Summary
Report type: immediate notification (final report)
Date of start of the event: 4 Jan 2017
Date of confirmation of the event: 10 Jan 2017
Date event resolved: 10 Apr 2017
Reason for notification: Recurrence of a listed disease
Date of previous occurrence: 4 Apr 2016
Manifestation of disease: Clinical disease
Causal agent:

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2rQJKV4

PRO/AH/EDR> Equine infectious anemia - USA (03): (CO)

Equine Infectious Anemia -- United States
Earlier this month [May 2017] the Colorado Department of Agriculture (CDA) quarantined a Weld County facility after a horse residing there tested positive for equine infections anemia (EIA). Now, 6 additional horses at that premises have tested positive for EIA, as well.
On [Thu 4 May 2017] the CDA's State Veterinarian's Office received notice of the positive test from the USDA National Veterinary Services Laboratory. The index horse was euthanized following the positive test. At the time,

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

PRO/AH/EDR> Ebola update (25): news, research, vaccine

Ebola -- DR Congo
Healthcare and other front-line workers are at particular risk of infection with Ebola virus (EBOV). Despite the large-scale deployment of international responders, few cases of Ebola virus disease have been diagnosed in this group. Since asymptomatic or pauci-symptomatic infection has been described, it is plausible that infections have occurred in healthcare workers but have escaped being diagnosed. We aimed to assess the prevalence of asymptomatic or pauci-symptomatic infection, and of

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qjWKk4

PRO/AH/EDR> Varroosis, apis - France: (Reunion Island), 1st report, OIE

Other Animal Disease -- Région d'outre-mer de Réunion, France
Information received on [and dated] 22 May 2017 from Dr Loic Evain , Directeur General adjoint, CVO, Direction generale de l'alimentation, Ministere de l'Agriculture, de l'Agroalimentaire et de la Foret, Paris, Reunion (France)
Summary
Report type: immediate notification
Date of start of the event: 4 May 2017
Date of confirmation of the event: 9 May 2017
Reason for notification: 1st occurrence of a listed disease
Manifestation of disease: clinical disease
Causal agent: _Varroa

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

PRO/AH/EDR> European foulbrood, apis - Europe (02): Liechtenstein (BA) OIE

Other Animal Disease -- Liechtenstein
Information received on [and dated] 22 May 2017 from Dr. med. vet. Peter Malin, CVO / Chief Veterinary Officer, Ressort Gesundheit, Amt fur Lebensmittelkontrolle und Veterinarwesen, Schaan, Liechtenstein
Summary
Report type: immediate notification
Date of start of the event: 18 May 2017
Date of confirmation of the event: 18 May 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: May 2017
Manifestation of disease: clinical disease
Causal agent:

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qk5NBQ

Tuesday 23 May 2017

PRO/EDR> Cholera, diarrhea & dysentery update (34): Asia (Yemen)

Cholera -- Yemen
The number of cholera cases in Yemen has leapt, a WHO document showed on [Tue 23 May 2017], with 35 217 suspected cases since 27 April 2017 when the outbreak began to spread rapidly. That represents a 50 percent increase in the reported incidence compared with figures given last [Fri 19 May 2017], by the WHO representative in the country, Nevio Zagaria, who said at that point there had been 23 425 cases since 27 April 2017.
A WHO epidemiology bulletin covering the period up to 22 May 2017

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PRO/EDR> Undiagnosed disease - Liberia (08): fatal, meningitis diagnosed

Meningitis -- Liberia
In a follow-up on the cluster of acute illness and sudden deaths in Liberia, the World Health Organization (WHO) says the etiology has been established as meningococcal meningitis.
Out of 24 samples analysed, 13 were confirmed as _Neisseria meningitidis_ serotype C using polymerase chain reaction (PCR) technique. In addition, 4 out of the 5 cases that manifested typical clinical features of meningococcal disease [purpura fulminans (seen in 4 cases), ecchymosis (2 cases), petechial rashes (4

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

PRO/AH> Tick-borne encephalitis virus - Latvia (02): comment

Tick-borne Encephalitis -- Latvia


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

PRO/EDR> Febrile rhabdomyolysis - Italy: ex West Africa, RFI

Fever -- Italy


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

PRO/EDR> Typhoid fever - Syria: (HL)

Typhoid -- Syria
A former Islamic State stronghold in Syria's northern Aleppo province is now facing a public health crisis "beyond the city's capabilities," sources on the ground tell Syria Direct, as dozens of residents are contracting typhoid fever daily as a result of contaminated water. The source of the outbreak is likely contaminated drinking water from makeshift wells inside al-Bab, a city still reeling in the aftermath of a months-long military campaign by Turkish-backed rebels to drive the Islamic

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2q9r99A

PRO/AH> Hepatitis E - UK (02): EU pork products, commentary

Hepatitis E -- United Kingdom
A recent posting in ProMED discussed the threat of hepatitis E related to pork products imported into the United Kingdom from France, Germany and the Netherlands. Indeed, all countries concerned have been reporting increasing rates for this disease in recent years - see graph [1] :
Reference:
1. Gideon Graphs Tool,
--
Communicated by:
Prof. Steve Berger
Geographic Medicine
Tel Aviv Medical Center
Israel

[ProMED once again thanks Steve Berger and Gideon online for this

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PRO/AH/EDR> Avian influenza, human (53): CHINA, H7N9

Avian Influenza H7N9 -- China
China will shutter poultry markets in a district of southwestern Sichuan province after a man fell ill with the H7N9 bird flu, state-owned China News Service reported [Sun 21 May 2017]. The 44-year-old man sold live poultry at a farmers market, China News reported, citing officials in Zigong city.
Poultry markets in Zigong's Ziliujing district will be closed starting from midnight [Mon 22 May 2017], the report said.
Cases of bird flu have been unusually high for China since last year

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

PRO/EDR> Hepatitis C - USA (08): (TN) pregnant women, 2009-2014

Hepatitis C -- United States
Hepatitis C virus (HCV) affects an estimated 3.5 million people in the USA (1), making it the most common bloodborne infection in the country. Recent surveillance data showed increased rates of HCV infection among adolescents and adults who are predominantly white, live in nonurban areas, and have a history of injection drug use. American birth certificate data were used to analyze trends and geographic variations in rates of HCV infection among women giving birth during 2009-2014. Birth

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

PRO/EDR> Hepatitis C - USA (07): injection drug use

Hepatitis C -- United States
Viral hepatitis C may affect thousands of Pierce County residents. National Hepatitis Awareness month calls attention to the potentially deadly infection that can cause cirrhosis or liver cancer -- and how to avoid it.
"Cases of acute and chronic hepatitis C in Pierce County are on a dramatic rise, especially among young people," said Kim Desmarais, Tacoma-Pierce County Health Department viral hepatitis coordinator. "Before 2013, we saw up to 5 cases a year. Now we see up to 5 cases a

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

PRO/EDR> Cholera, diarrhea & dysentery update (33): Africa

Cholera -- Tanzania
At least 45 people have been killed following an ongoing outbreak [of cholera] in Southern Africa and Tanzania. Angola and Tanzania are bearing the brunt with 20 and 15 deaths respectively. The water borne disease is most severe in Mozambique where 2159 cases have been recorded. As many as 4 people have died. In total, Southern Africa and Tanzania have suffered 3848 cases according to the Joint Cholera Initiative for Southern Africa (JCISA).
JCISA said for the last few weeks, Malawi,

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2rQWH0h

PRO/EDR> Botulism - USA (09): (CA) gas station food, nacho cheese conf, fatal

Botulism -- United States
Gas station nacho cheese that sickened 10 people and killed one of them was contaminated with botulinum toxin, the California Department of Public Health (CDPH) confirmed Mon 22 May 2017. "The nacho cheese sauce was removed from sale on 5 May 2017. (The California Department of Public Health) believes there is no continuing risk to the public," the agency said in a statement.
"While there are still unanswered questions about this outbreak, these tragic illnesses are important reminders to

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2ree3b8

PRO/AH/EDR> Crayfish plague - Ireland: white-clawed crayfish

Other Animal Disease -- Ireland
All water users are being urged to take precautions after confirmation of an outbreak of crayfish plague on a stretch of the River Suir downstream of Clonmel to Carrick-on-Suir. It comes after large numbers of dead freshwater crayfish were reported on the river earlier this month [May 2017]. DNA analysis has now confirmed that the cause of death was crayfish plague.
The kill has only impacted white-clawed crayfish and other freshwater animals are not affected. This is a characteristic

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2q8ojSq

PRO/AH/EDR> Avian influenza (103): Libya (JG) poultry, LPAI H7, OIE

Avian Influenza -- Libya
Information received on 21 May 2017 from Dr Abdelghani Hamed, Chairman of the National Centre for Animal Health (NCAH) Chief Veterinary Officer, National Centre for Animal Health (NCAH), Public Authority of Agriculture, Livestock & Fisheries, Beida, Libya
Summary
Report type: immediate notification
Date of start of the event: 8 May 2017
Date of confirmation of the event: 16 May 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: June

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qSK1a7

PRO/AH/EDR> Lyme disease - USA (03): (WV) canine

Lyme Disease -- United States
Here is the pertinent section about canine Lyme disease on page 174 in my book "Lyme disease: Why it's spreading, how it makes you sick, and what to do about it" (Johns Hopkins University Press, 2015):
"Antibiotic therapy for companion animals
-----------------------------------------
The risk of _Borrelia burgdorferi_ infection for dogs exceeds the risk for people in a given geographic area. More than half the dogs may be antibody positive in some high-risk areas, while the antibody

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PRO/EDR> Measles update (28)

Measles -- New Zealand
Health officials have issued a measles warning after a Christchurch [New Zealand] man contracted measles while holidaying in Bali [Indonesia].
Results from laboratory testing released today [18 May 2017] confirmed the 23-year-old man has measles.
Dr Ramon Pink, Canterbury Medical Officer of Health, says measles is highly infectious.
"The measles virus spreads easily from person to person through the air, via breathing, coughing, and sneezing. It starts with fever, runny nose, cough,

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qTa1lz

Monday 22 May 2017

PRO/AH/EDR> Undiagnosed disease - Angola: (HL) fatalities, RFI

Undiagnosed -- Angola
A still unidentified disease caused the death of 15 people recently in Camunhandi village, a community in Mulondo, Matala municipality in the Huila province in Angola, as announced by local health authorities.
This situation was announced by the Hula Provincial Health Director, Altino Matias, who heads a team of technicians of the Ministry of Health, that is present starting today [Wed 17 May 2017] in that province, to carry out investigations.
According to the Angola news agency, ANGOP,

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PRO/AH/EDR> Sheep pox & goat pox - Egypt: (WJ) ovine, first report, OIE

Sheep/Goat Pox -- Egypt
Information received on 22 May 2017 from Dr Ibrahim Mahrous Saleh Mohamed, Chairman, General Organization for Veterinary Services (GOVS), Ministry of Agriculture and Land Reclamation, Cairo, Egypt
Summary
Report type: immediate notification
Date of start of the event: 2 Feb 2017
Date of confirmation of the event: 28 Feb 2017
Reason for notification: First occurrence of a listed disease
Manifestation of disease: clinical disease
Causal agent: Sheep pox virus
Nature of diagnosis:

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2rvd6eh

PRO/AH/EDR> Tick-borne encephalitis virus - Latvia

Tick-borne Encephalitis -- Latvia
The Latvian Infectology Center has received this season's 1st 2 patients with alleged tick-borne encephalitis, Riga Eastern Hospital Representative Aija Lietina said.
This year [2017] 343 ticks have been removed from patients and inspected, and 17 of them were infected with encephalitis [virus].
The 1st tick this year was brought for inspection on 18 February [2017], and the next one on 8 March [2017].
Tick season usually lasts from March to October, but could be longer during a

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

PRO/EDR> Antibiotic resistance (03): USA (TX) MDR K. pneumoniae, CG307 predominant clone

Klebsiella pneumoniae -- United States
_Klebsiella pneumoniae_ is a major human pathogen responsible for high morbidity and mortality rates. The emergence and spread of strains resistant to multiple antimicrobial agents and documented large nosocomial outbreaks are especially concerning. To develop new therapeutic strategies for _K. pneumoniae_, it is imperative to understand the population genomic structure of strains causing human infections.
To address this knowledge gap, we sequenced the genomes of 1777 extended-spectrum

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2rvrq6L

PRO/AH/EDR> Hepatitis E - UK: EU pork products

Hepatitis E -- United Kingdom
As Britain basks in its warmest weather since September 2016, barbecue-goers have been warned to check their meat is properly cooked to avoid a mutant strain of hepatitis E found in one in 10 sausages. The bug has been dubbed the "Brexit virus" as it is believed to come from pig farms in France, Holland, Germany and Denmark.
More than 60 000 people in Britain are reportedly experiencing flu-like symptoms each year after being infected with a new strain of the virus, which led to serious

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qbb4wh

PRO/AH> West Nile virus - Americas: USA (MI)

West Nile Virus -- United States
Health experts confirmed [Fri 19 May 2017] the discovery of 3 birds that tested positive for West Nile virus in Michigan -- the earliest detection of the virus in the past decade.
The 1st detection of positive birds in the state this early into the year indicates a higher risk for human West Nile cases later in the summer, said Ned Walker, a researcher of mosquito-borne diseases at Michigan State University.
"Early bird positive means early season transmission activity and heightened

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

PRO/EDR> Rotavirus - UK: (England) hospital outbreak

Rotavirus -- United Kingdom
Rotavirus infections are common in children ages 3 to 35 months, particularly those who spend time in child care settings. Older adults and adults caring for young children have an increased risk of infection as well.
In the United States, the risk of rotavirus is highest in winter and spring.
Severe diarrhea can lead to dehydration, particularly in young children. Left untreated, dehydration can become life-threatening regardless of its cause.
(excerpted with minor edits from

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2qb8PZH

PRO/EDR> Cholera, diarrhea & dysentery update (32): Asia (Yemen)

Cholera -- Yemen
A cholera outbreak in war-ravaged Yemen has killed 315 people since [27 Apr 2017], the UN World Health Organization (WHO) said on [Sun 21 May 2017]. The cholera infection is continuing to spread across Yemen with more than 29 300 suspected cases reported in 19 of the country's 22 provinces, the agency added in a tweet.
The latest tallies come a day after the international charity organisation Doctors without Borders [Médecins Sans Frontières] warned that the cholera outbreak could get out

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2rLSj2A

PRO/EDR> Chikungunya (18): Asia (Pakistan)

Chikungunya -- Pakistan
As many as 627 Chikungunya suspected cases have been reported in Karachi since [1 May 2017], to date, taking the patients toll to 2722 in the city since [1 Jan 2017].
As per statistics released by the Sindh Health Department, at least 627 more suspected chikungunya cases have been surfaced in the city from [1 to 19 May 2017] out of which 343 were reported from Malir, 188 from District West, 42 from District Central, 24 from District South, 23 from District East and 7 from District Korangi,

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

Sunday 21 May 2017

PRO/AH/EDR> Hantavirus - Americas (32): Chile (LL)

Hantavirus -- Chile
A 67-year-old man from the Puyehue community in Osorno province [Los Lagos region], was taken to the after having had health problems on Thursday afternoon [18 May 2017].
Various signs of illness led the family of the affected individual to accompany him to the health facility in Entre Lagos, where it was determined by rapid test that the symptoms corresponded to a hantavirus infection, a hantavirus cardiopulmonary syndrome that is transmitted from the long-tailed rat to humans.
Luis

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PRO/AH/EDR> Undiagnosed illness - Zimbabwe: (MN) RFI

Undiagnosed -- Zimbabwe
Close to 50 people from Change, Dinde and Nekabandama in Hwange District, Matabeleland North have since the beginning of May 2017 been hospitalized at Lukosi Hospital and surrounding health institutions complaining of severe pain which causes paralysis of the backbone, lower and upper body rendering patients immobile.
However, although no deaths have been reported in the area, health officials said they are failing to detect what the disease was or its causes after all patients tested

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PRO/AH/EDR> Undiagnosed deaths, bovine, caprine - India: (GJ)castor plant poisoning susp,RFI

Animal Die-off -- India
As many as 29 cows died after eating green fodder containing castor plant residues at Dod village in Tharad taluka [sub district] of Banaskantha [district of Gujarat ] late on Sunday night [14 May 2017]. Over 200 cows were affected at the cattle shed run by a private trust some 15 km [9.3 mi] from Tharad town. Of the cows that suffered food poisoning 18 died on the spot while 11 others succumbed during treatment at the animal hospital, said district animal husbandry officer SB Upadhyay on [Mon

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

Novel Swine Enteric Coronavirus -- Canada
Facilities that have been in contact or lie within 5 km [3.1 mi] of infected farms have been asked to monitor for the disease. Testing is ongoing and the provincial Emergency Operations Centre has been active since initial reports of the outbreak. Infected farm locations have been revealed to veterinarians with clients in the 5-km bubble.
Sows in infected locations are being exposed to the virus to bolster immunity in the next generation, the pork council has said. All infected locations

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PRO/AH/EDR> Ebola update (24): news, research, vaccine

Ebola -- Nigeria
The proposed VSV-ZEBOV program will not involve the whole population, but will be a ring vaccination, in which immediate contacts of patients infected with Ebola are immunized. That was the approach used in the phase III study of VSV-ZEBOV, which took place in Guinea during the 2013-2016 Ebola epidemic. That trial, published in December 2016, showed the vaccine to be 100 percent effective, with no one who received VSV-ZEBOV contracting the virus. (See BioWorld Today, 27 Dec 2016; .)
Salama

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PRO/AH/EDR> Lyme disease - USA (02): (WV) canine

Lyme Disease -- United States
Anyone with 4-legged loved ones may want to be sure their flea and tick medications are up to date, because area veterinarians say cases are increasing.
Dr Scott Moore, a veterinarian at Fairmont Veterinary Hospital, said his clinic sees 1 to 2 cases per week, not only through the summer but year round.
"Over the last 3 years, it has gone up dramatically in this area," Moore said. "In the state of West Virginia last year [2016], it was about 1 in 16 dogs tested positive for Lyme disease.

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Saturday 20 May 2017

PRO/AH/EDR> Phosphine gas poisoning - Spain: (Burgos) fatalities

Poisoning -- Spain
A couple has died today in Villafruela, a village in Burgos with 197 inhabitants. The woman, 56, sounded the alarm after the death of her husband, 54, and succumbed hours later without being able to do anything at the University Hospital of Burgos.
The Judicial Police of the Civil Guard continues at this time collecting samples and investigating the causes of what happened, although everything points to an "inadequate use" of phytosanitary products that caused an aluminum phosphide

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PRO/AH/EDR> Avian influenza (102): Congo DR (IT), poultry, HPAI, RFI

Avian Influenza -- DR Congo
A bird flu outbreak in eastern part of Democratic Republic of Congo killed thousands of chicken and ducks.
According to veterinary officer in Ituri province Benon Mando, the governor of the province has officially declared the epidemic of the viral infection in the localities of Joo and Kafe on the shores of Lake Albert.
Bird flu, also known as avian flu, is a viral infection, which spreads from bird to bird. Some time back, a particularly deadly strain of bird flu H5N1 continued to

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PRO/EDR> Hepatitis A - UK (03): (Scotland) bakery

Hepatitis A -- United Kingdom
The number of confirmed cases of hepatitis A linked to a bakery in North Lanarkshire has increased to 61. Health officials have urged the public to be on the lookout for symptoms of the infection, especially people living in Airdrie and Coatbridge. The outbreak has been linked to products sold by the JB Christie bakery in Airdrie. Hepatitis A is a viral infection that leads to inflammation of the liver and can cause mild to severe illness.
Dr Femi Oshin, NHS Lanarkshire consultant in public

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PRO/AH/EDR> Trypanosomiasis (Chagas Disease) - Brazil: under reported

Chagas -- Brazil
Chagas disease, affecting millions of people in Central and South America, is classified as one of the 17 most important neglected diseases by the World Health Organization.
Now, researchers have found that even the non-symptomatic stage of Chagas infection, which can last for many years, more than doubles a person's risk of death.
The new study, published in PLOS Neglected Tropical Diseases, also concludes that deaths from Chagas have likely been under-reported in the past.
Chagas

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PRO/AH/EDR> Cryptosporidiosis - USA (02)

Cryptosporidium -- United States
Outbreaks of a parasitic infection linked to swimming pools and water playgrounds are increasingly being reported to CDC, with twice as many outbreaks in 2016 as in 2014.
At least 32 outbreaks caused by _Cryptosporidium_ (also known as "Crypto") linked to swimming pools or water playgrounds in the United States were reported in 2016, compared with 16 outbreaks in 2014, according to preliminary data published today [Thu 18 may 2017] in CDC's Morbidity and Mortality Weekly Report [1,2]. The

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PRO/AH/EDR> E. coli EHEC - Canada (10): (BC) O121, flour

E. coli -- Canada
A total of 6 people in British Columbia were infected with the same strain of _E. coli_ between February and April 2017, according to the BC Centre for Disease Control (BCCDC). A sample of flour from one of the people who got ill was tested by the BCCDC. The flour tested positive for the same strain of _E. coli_ O121, which was seen in all the illnesses.
While it is unknown at this time whether the other people who got sick consumed the same flour, the BCCDC recommends that consumers

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PRO/EDR> Candida auris - USA (04): nosocomial, epidemiology, drug resistance

Antimicrobial resistance -- United States
Tsay S, Welsh RM, Adams EH, et al
In June 2016, CDC released a clinical alert about the emerging, and often multidrug-resistant, fungus _Candida auris_ and later reported the first 7 U.S. cases of infection through August 2016 (1). Six of these cases occurred before the clinical alert and were retrospectively identified. As of May 12, 2017, a total of 77 U.S. clinical cases of _C. auris_ had been reported to CDC from 7 states: New York (53 cases), New Jersey (16), Illinois (4), Indiana (1),

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PRO/EDR> Hand, foot & mouth disease update (04): Australia (VI)

Hand, Foot and Mouth Disease -- Australia
A leading Ballarat emergency doctor has quelled rising community concern for hand, foot and mouth disease.
The call comes after multiple parents have contacted The Courier about cases in primary schools and childcare centers across the city.
While the condition is highly contagious, Dr Nigel Beck said the key message was the name tended to spark worry for what was mostly fairly benign.
Hand, foot and mouth disease is not notifiable to the health department. It is also confused to the

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PRO/EDR> Mumps update (18): USA

Mumps -- United States
The number of mumps cases rose to 94 in the Dallas area this week [week of Sun 14 2017]. At the same time, the Department of State Health Services confirms numbers in Central Texas are rising too -- 5 in Travis County in March and April [2017], and 2 cases in Hays County. Public health experts say the MMR vaccine is the key to stopping the outbreak from reaching the Austin area, but even if you got the shots, you may not be immune to the mumps.
That's because the MMR vaccine is 88 percent

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PRO/EDR> Cholera, diarrhea & dysentery update (31): Africa

Cholera, Diarrhea, Dysentery -- Worldwide/Unknown
Cholera continues to claim more lives in White Nile state. Yesterday, [Mon 15 May 2017], 2 deaths were reported, in addition to the escalation of infections to a total of 20 cases. One person died of cholera in Sheikan village and another died in El Tamrin, journalist El Tahir Ishag told Radio Dabanga. Health centers in both villages witnessed 10 new infected cases each. El Tamrin's new patients were transferred to El Gezira Aba medical isolation center.
Abdelrahman El Siddig, the head of

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Friday 19 May 2017

PRO/AH/EDR> MERS-CoV (27): Saudi Arabia (RI,AS,QS) nosocomial transmission

Hospital-Related Infection, MERS -- Saudi Arabia
As of 14:00 [2:00 PM] today [Fri 19 May 2017], there have been a total of:
1611 laboratory-confirmed cases of MERS-CoV infection, including
663 deaths [reported case fatality rate 41.2 percent],
935 recoveries, and
13 currently active cases
[As previously mentioned, the numbers of deaths, recoveries and currently active cases come from my spreadsheet tallies and differ from those listed on the Saudi MOH website. - Mod.MPP]
Since the last ProMED-mail update [Sun 14 May 2017], there

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PRO/AH/EDR> Hantavirus - Americas (31): Panama (LS)

Hantavirus -- Panama
A 3rd case positive for [a] hantavirus fever was confirmed by authorities of the Ministry of Health (MINSA) in Los Santos province.
This case concerns a 61-year-old patient, from the El Bebedero community in Tonosí, who is currently is in the emergency unit of the Joaquín Pablo Franco Hospital in Las Tablas.
Carlos Muñoz, a Los Santos MINSA epidemiologist, stated that the patient became ill on [12 May 2017], but it was just this past [Wed 17 May 2017] that tests confirmed the case [as

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PRO/EDR> Pertussis (04): Canada, USA

Whooping Cough -- Canada
The Prince Albert Parkland Health Region (PAPHR) [Saskatchewan] announced a whooping cough [pertussis] outbreak focused in its northwest portion on [Fri 5 May 2017].
Pertussis, commonly known as whooping cough, is a serious and highly contagious infection of the lungs and throat caused by _Bordetella pertussis_ bacteria.
The health region, Health Canada and surrounding First Nation communities [aboriginal peoples in Canada] are currently assessing and coordinating a response to the

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PRO/EDR> Meningitis, meningococcal - Niger: fatal

Meningitis - Neisseria -- Niger
At least 179 people, almost half of them children, have died of meningitis since January [2017] in Niger, where some 3000 suspected cases have been reported, the United Nations said [Wed 17 May 2017]. "From [2 Jan to 7 May 2017], a total of 3037 suspected cases of meningitis, including 179 deaths, was reported in the country," said the UN's humanitarian agency, OCHA. "The fatality rate is 5.9 percent."
Meningitis is caused by different types of bacteria, 6 of which can cause epidemics. It

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PRO/EDR> Varicella - Pakistan (03): (PB) RFI

Chicken Pox -- Pakistan
For months now, reports have been trickling in from Faisalabad [Punjab], and the surrounding areas, of people dying of chickenpox [varicella]. [Wed 17 May 2017] saw yet another case when a man at the Allied Hospital succumbed to the largely benign but infectious illness. By some accounts, the death toll over the past few weeks alone exceeded 20. Exact figures are difficult to come by, and therein lies the problem: far from the provincial administration, immediately coming up with a plan to

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PRO/EDR> Norovirus - Spain: (CT) hospital staff

Norovirus -- Spain
There are already 252 persons affected by the outbreak of acute gastroenteritis that last week [week of 8 May 2017] ravaged the Hospital of Bellvitge, in L'Hospitalet de Llobregat [Catalonia]. The Public Health Agency of Catalonia (ASPCAT) has reported the increase in the number of victims, which last Fri 12 May 2017, had been set at 190, all workers at the health center.
In all cases the symptomatology has been mild so, despite the high number of affected persons, the outbreak has had no

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PRO/AH/EDR> Anthrax - Switzerland (03): (JU) second bovine

Anthrax -- Switzerland
A 2nd bovine animal with anthrax was discovered on the Jura farm where a 1st case had already been detected. After the discovery of a 1st case of anthrax on the Jura farm, a surveillance system was set up by the Consumer and Veterinary Affairs Department (Scav) of the Canton of Jura. This detected a 2nd bovine infected with this epizootic of bacterial origin, also transmissible to humans.
On [Fri 12 May 2017], a bovine from the Jura farm, which had already been sequestered, revealed

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PRO/EDR> Botulism - USA (08): (CA) gas station food, nacho cheese

Botulism -- United States
Outside, Valley Oak Food and Fuel in Walnut Grove is open for business. But inside, health officials have stopped the sale of food items and roped off a part of the store, after the gas station was linked to last week's [5 May 2017] botulism outbreak -- a rare and sometimes fatal form of food poisoning. Health inspectors have linked the case to a nacho cheese sauce traced back to the mom-and-pop gas station.
State and county health officials have confirmed 9 people have been hospitalized,

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PRO/AH/EDR> Malaria - South Africa (04): (LP, MP) Kruger National Park

Malaria -- South Africa
The Kruger National Park (KNP) has warned holidaymakers to take measures to avoid mosquito bites. SanParks spokesperson William Mabasa says the large amount of rain received this year [2017] has resulted in a spike in cases of malaria.
"There are pools of water in abundance everywhere and there are more cases (of malaria), especially in the northern part of the park. We would like for visitors to take precautionary measures by taking medication and consulting with their doctors to prevent

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PRO/EDR> Cholera, diarrhea & dysentery update (30): Asia (Yemen)

Cholera -- Yemen
Nearly 23 500 suspected cases of cholera have been registered in war-ravaged Yemen in the past 3 weeks, the World Health Organization said, as the death toll of the outbreak climbed to at least 242. "The speed of the resurgence of this cholera epidemic is unprecedented," Nevio Zagaria, WHO country representative for Yemen, told reporters in a conference call on [Fri 19 May 2017]. Zagaria warned that there could be as many as 250 000 cases in the country within 6 months.
On [Sun 14 May

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PRO/AH/EDR> Trypanosomiasis - The Netherlands (02): ex Tanzania, comment

Trypanosomiasis -- Netherlands
Number of imported cases of African Trypanosomiasis 1970 - 2017
Year / Patient from / Infected in / Cases (number)
1970 / Switzerland / multiple ** / 1
1970 / United States / multiple / 2
1975 / Sweden / Gambia / 1
1977 / Switzerland / multiple / 1
1981 / United States / Tanzania / 1
1986 / United States / Zambia / 1
1990 * / Switzerland / Rwanda / 2
1991 / United States / multiple / 1
1991 / New Zealand / multiple / 1
1992 / France / Angola / 1
1994* / France / Rwanda /

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PRO/AH/EDR> Undiagnosed die-off, fish - USA (03): (CA) shark, update

Animal Die-off -- United States
A ghoulish mystery is playing out along the shores of San Francisco Bay, where at least 80 leopard sharks -- docile spotted animals that don't eat people -- have washed up dead in recent weeks.
Scientists suspect the sharks are being killed by a fatal brain infection linked to a fungus that may have been spread around by the huge amounts of rain California received this year [2017]. The historic storms also reduced the bay's salinity in ways that could have weakened the sharks, some

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PRO/AH/EDR> Ebola Update (23): DRC, news, vaccine

Ebola -- DR Congo
The country "has considerable experience and capacity in confronting these outbreaks," Dr. Daniel Bausch, an Ebola expert at the WHO, said in an email. He added, "I think there is a very good probability that control can be rapidly achieved."
Dr. Salama said that aid workers had reached a town in the Likati zone, which was as close as they had been able to come to the epicenter of the outbreak. He said aid groups were setting up centers for treatment and isolation, and mobile labs.
The

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Thursday 18 May 2017

PRO/AH/EDR> Foot & mouth disease - Jordan (02): livestock, st. O, genotype O/ME-SA/Ind-2001d

Foot and Mouth -- Jordan
FMD type O has been reported in sheep at Jiza, Amman [21 Feb 2017], goats at Deir Alla, Al Balqa [2 Mar 2017], cattle at Hwarah, Irbid [9 Mar 2017] and cattle at Kraymah, Jordan Valley, Al Balqa [14 Mar 2017].
VP1 sequencing (performed at the Jordan University of Science and Technology) has determined the genotype of these viruses as O/ME-SA/Ind-2001d.
--
Communicated by:
ProMED-mail

[In ProMED-mail's post http://bit.ly/2qxH4NF "Foot & mouth disease -

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Recalls: Missing nitrites and fish fingers

Food and beverage warnings alerts have been made by USA, Ireland, England, Australia, Canada, Belgium, Czech Republic, Hungary, Norway, Netherlands, Finland, Sweden, Switzerland, Luxembourg, Germany and Denmark.



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PRO/AH/EDR> Marteilia refringens - United Kingdom: (Northern Ireland) mussels, 1st rep, OIE

-- United Kingdom
Information received on [and dated] 17 May 2017 from Dr Nigel Gibbens, Chief Veterinary Officer, Department for Environment, Food and Rural Affairs, Department for Environment, Food and Rural Affairs, London, United Kingdom
Summary
Report type: immediate notification (final report)
Date of start of the event: 6 Dec 2016
Date of confirmation of the event: 11 Apr 2017
Reason for notification: first occurrence of a listed disease
Manifestation of disease: sub-clinical infection
Casual

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PRO/AH/EDR> Chikungunya (17): Asia (Bangladesh)

Chikungunya -- Bangladesh
Mosquito-borne chikungunya is spreading fast in the capital Dhaka with intermittent rains. The government's disease monitoring arm, IEDCR [Institute of Epidemiology Disease Control & Research], has asked people to be aware of the viral infection that has some similarities with dengue fever caused by _Aedes aegypti_ mosquito.
[SHS] has been struggling to bring his fever down. A doctor by training, he could not figure out why his fever persisted as high as 104 deg F [40 deg C] despite taking

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PRO/AH/EDR> Ebola update (22): WHO sit rep, news, research, vaccine

Ebola -- DR Congo
Situation update
----------------
WHO continues to monitor the outbreak of Ebola virus disease (EVD) in Likati Health Zone, Bas Uele Province located in the north east of the Democratic Republic of the Congo. Between 15 May and 16 May 2017, 2 new suspected EVD cases were reported in Azande (1 case) and Nambwa (1 case) health areas in Lakati Health Zone. As of 16 May 2017, 21 suspected EVD cases including 3 deaths (case fatality rate of 14.3 percent) have been reported. Most of the cases

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PRO/AH/EDR> Trypanosomiasis - The Netherlands: ex Tanzania

Trypanosomiasis -- Netherlands


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Wednesday 17 May 2017

PRO/AH/EDR> Venomous snake bites - Nepal: (Kathmandu) incidence increase

Poisoning -- Nepal
Over the past few days, there has been a sudden increase in the number of snakebite victims who visited Sukraraj Tropical and Infectious Disease Hospital (STIDH) to receive medical treatment. The majority of these patients showed coagulopathy due to viper bites. The number of snakebite cases usually increases significantly during the monsoon season. A total of 60 snakebite victims were admitted in the month of June alone last year [2016]. More snakebite victims, therefore, are expected to be

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PRO/EDR> Zika virus (09): Americas, Asia, Europe, research, observations

Zika virus -- Worldwide/Unknown
Country / Locally acquired: suspected / Confirmed /Imported / Deaths / Conf. Congenital Syndrome
North America:
Bermuda / 0 / 0 / 6 / 0 / 0
Canada / 0 / 0 / 499 / 0 / 1
USA / 0 / 225 / 4973 / 0 / 66
Latin America:
Mexico / 0 / 8731 / 15 / 0 / 5
Central American Isthmus:
Belize / 1294 / 206 / 0 / 0 / 0
Costa Rica / 6327 / 1800 / 32 / 0 / 5
El Salvador / 11 499 / 51 / 0 / 0 / 4
Guatemala / 3634 / 921 / 0 / 0 / 59
Honduras / 32 130 / 302 / 0 / 0 / 4
Nicaragua / 0 / 2060 / 3 / 0 /

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PRO/AH/EDR> Whirling disease - Canada: (AB) fish removal

Other Animal Disease -- Canada
Officials have started pulling all the fish from the lake in Banff National Park where the deadly fish parasite that causes whirling disease was 1st detected in Canada, in a bid to stop its spread.
Whirling disease now infects entire Oldman River basin, including Waterton Lakes National Park.
The disease predominantly affects trout and whitefish and can cause them to swim in a whirling pattern and die prematurely.
Whirling disease was 1st detected in Canada when it was found in

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PRO/EDR> Cholera, diarrhea & dysentery update (29): Asia (Yemen)

Cholera, Diarrhea, Dysentery -- Yemen
A cholera outbreak in Yemen has killed 209 people in recent weeks with 17 200 suspected cases across the war-torn country, the United Nations children's agency said [Wed 17 May 2017]. UNICEF's Yemen mission said that there had been an "alarming increase" in cholera-related deaths.
The agency's Yemen spokesman Mohammed Al-Asaadi told AFP that 3000 new suspected cholera cases a day were being reported.
The International Committee of the Red Cross said [Mon 15 May 2017] that 184 people had

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PRO/AH/EDR> Anthrax - Niger: (TL) livestock, OIE

Anthrax -- Niger
Information received on 17/05/2017 from Dr Abdoul Malick Haido, Directeur général des Services véterinaires, Direction de la Santé Animale, Direction Générale des Services Vétérinaires, Niamey, Niger
Summary
Report type: Immediate notification
Date of start of the event: 23/03/2017
Date of confirmation of the event: 24/03/2017
Report date: 17/05/2017
Date submitted to OIE: 17/05/2017
Reason for notification: Recurrence of a listed disease
Date of previous occurrence:

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PRO/EDR> Varicella - Pakistan (02): Punjab

Chicken Pox -- Pakistan
Punjab is in the midst of a chickenpox epidemic as at least 19 deaths have been reported from Faisalabad's hospitals thus far in 2017.
According to the health department, 1591 cases of chickenpox have been reported in Punjab, of which 821 were from Faisalabad district alone. In Lahore, 86 cases were reported, while there were 6 in Chinot, 11 in Nankana Sahib, 189 in Toba Tek Singh and 185 in Sahiwal. In Gujaranwala and Multan, one case from each city was reported.
Minister for Primary

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PRO/EDR> Hepatitis C - Taiwan: nosocomial, reused needles

Hospital-Related Infection -- China
The reuse of syringes at a Taoyuan clinic to treat hepatitis C patients may have spread the disease to an estimated 1200 patients, according to the Ministry of Health and Welfare.
The ministry investigated the incident after 5 hepatitis C cases emerged at Weilian Clinic in Taoyuan City. It later determined that needles used to administer treatment for the 5 infected patients were not disposed of but used repeatedly, possibly infecting 1200. The incident represents the first iatrogenic

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PRO/AH/EDR> Hepatitis E - France (03): rabbit source

Hepatitis E -- France
Abravanel F, Lhomme S, El Costa H, Schvartz B, Peron J-P, Kamar N and Izopet J
Reports of hepatitis E virus (HEV) infections in humans and animals are becoming more frequent. HEV is a member of the family _Hepeviridae_. HEV strains that infect humans (HEV1, HEV2, HEV3, HEV4, and HEV7) belong to the genus _Orthohepevirus_ (1). In industrialized countries, HEV transmission is mainly zoonotic, and the most prevalent genotype is HEV3. This genotype is transmitted mainly by direct contact with

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PRO/AH/EDR> Ebola Update (21): Congo DR, Nigeria, news, research, vaccine

Ebola -- DR Congo
[The isolation of the Northeast area of the Democratic Republic of the Congo affected by Ebola poses a considerable logistical challenge to the deployment of medical aid but also acts as a natural barrier limiting the progression of the highly contagious disease.
The authorities said on [Fri 12 May 2017] that the country was facing its 8th epidemic of Ebola since the discovery of this virus on its soil in 1976. The disease was detected in the province of Bas-Uélé, about 1300 km [807.78

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PRO/AH/EDR> Anthrax - Kenya (05): (KB) human recovery

Anthrax -- Kenya
"We closed the slaughter house because the 8 are people who regularly transport meat from the slaughter house. Our fears were that they could have visited the slaughter house and contaminated it without our knowledge. We are yet to find out where the 8 transporters came into contact with the carcass," Kiambu director of veterinary services, livestock and fisheries development Dr Philip Ndarua said during a meeting attended by stakeholders at the closed Makongeni slaughter house. The police are

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PRO/AH/EDR> Avian influenza, human (52): CHINA, H7N9

Avian Influenza H7N9 -- China
According to the HFPC of Sichuan province, Sichuan province reported 11 new human H7N9 AIV cases during the period of 26th April to 15th May. Sichuan province has reported 31 human H7N9 AIV cases so far.
--
Communicated by:
ProMED-mail

******
[2] Hebei
Date: Mon 15 May 2017, 12:5 PM
Source: FIC (Flu Information Centre/Flu in China) [edited]

One human H7N9 AIV case reported in Dongjiazhuang village of Qianxiguan town of Gaocheng district of Shijiazhuang city on the morning

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PRO/AH/EDR> African swine fever - Europe (09): Ukraine (CK, PL) domestic swine, spread

African Swine Fever -- Ukraine
Ukraine's State Service for Food Safety and Consumer Rights Protection in the past several days received confirmation of an African swine fever (ASF) outbreak recorded in Poltava and Cherkasy regions.
According to a posting on the website of the authority, pigs died in public joint-stock company Kaplyntsivske (Poltava region) and private enterprise Shulz (Cherkasy region). ASF was diagnosed during the examination of the selected samples of biological material of the pigs on [12 and 13 May

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PRO/AH/EDR> Kyasanur Forest disease - India (10): (MH), update

Hemorrhagic Fever -- India
The Kyasanur Forest Disease (KFD), commonly known as the monkey fever, has claimed 11 lives in Maharashtra this year [2017], according to health officials. All the victims were from Sindhudurg district and succumbed to the viral infection between [January and May 2017], they said.
According to Sindhudurg District Health officer, Dr Yogesh Sale, cases of monkey fever were detected in Maharashtra last year in February [2016] when it claimed 8 lives. This year [2017], the disease death toll

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PRO/AH/EDR> Chronic wasting disease, cervid - USA (05): (PA)

Chronic Wasting Disease -- United States
The Pennsylvania Game Commission plans to expand the disease management area (DMA) in Franklin County after finding chronic wasting disease (CWD) in wild deer and on deer farms outside DMA 2.
The eastward expansion will include the area around the captive facility in Franklin County where a CWD-positive deer was detected. The expanded boundaries for DMA 2 are not yet final.
Special regulations for DMAs aim to reduce the risk of spreading CWD. Transporting deer carcasses, feeding deer and

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PRO/PL> Blight, sweet chestnut - Germany: (BY)

Other Plant Disease -- Germany
In June 2016, _Cryphonectria parasitica_ (EPPO A2 List) was found on _Castanea sativa_ (sweet chestnut) in Bavaria, Germany. Before this finding, the fungus was known to occur in Germany only in parts of Baden-Württemberg and Rhineland-Palatinate.
The infection was detected on 2 trees growing in a forest during a research project on sweet chestnuts, and then notified to the plant protection service. The 2 infected trees were destroyed in November 2016 and the forestry district concerned

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New case in botulism outbreak linked to fish

A new case of Clostridium botulism from fish, a jump in hepatitis A illnesses and investigations ending in US and Canada are outbreaks reported recently.



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

Cholera, Diarrhea, Dysentery -- Worldwide/Unknown
An outbreak of cholera in war-torn South Sudan has killed more than 20 people in the country's southeastern state of Kapoeta, which borders
northern Kenya, a health official said [Mon 15 May 2017]. Stella Lorika, the Kapoeta minister of health, told local radio that 20 people have died of cholera in the region since an outbreak was declared in April 2017. "The cases of cholera are increasing on a daily basis in Kapoeta North County especially when it rains," Lorika said.
In April 2017,

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Tuesday 16 May 2017

PRO/AH/EDR> European foulbrood, apis - Europe: Liechtenstein (SN) OIE

Other Animal Disease -- Liechtenstein
Information received on 16 May 2017 from Dr. med. vet. Peter Malin, CVO / Chief Veterinary Officer, Ressort Gesundheit, Amt fur Lebensmittelkontrolle und Veterinarwesen, Schaan, Liechtenstein
Summary
Report type: immediate notification
Date of start of the event: 10 May 2017
Date of confirmation of the event: 11 May 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 21 Jun 2016
Manifestation of disease: clinical disease
Causal agent:

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PRO/AH/EDR> Cutaneous & renal glomerular vasculopathy, canine - UK (05): England, spread

Other Animal Disease -- United Kingdom
Four new cases emerged over the weekend and, for the 1st time, a greyhound has been confirmed as suffering from the flesh-destroying condition [Alabama rot/cutaneous & renal glomerular vasculopathy].
The 1st dogs to contract the mysterious disease were greyhounds in the southern United States in the 1980s. It took then almost 30 years to appear in Britain, but since 2012, cases have steadily increased across a wide geographical area.
The announcement today [16 May 2017] that 4 new cases

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PRO/AH/EDR> Yellow fever - Americas (46): Brazil, virus mutations

Yellow Fever -- Brazil
Researchers from the Owsaldo Cruz Institute have discovered that the virus from the latest outbreak of yellow fever in Brazil -- the largest since the Health Ministry began record keeping -- has a genetic sequence that has never been encountered before.
Motivated by the extent of the current epidemic, they performed a complete genetic sequencing of the genome of the virus and discovered 8 mutations that had never been seen before in some of the genetic sequences.
Of the variations, 7

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PRO/AH/EDR> Foot & mouth disease - Palestinian Auth (03): (WE) bovine,ovine, st pending, OIE

Foot and Mouth -- Palestinian Authority
Information received on 16 May 2017 from Dr Iyad Adra, Director General of Veterinary Services & Animal Health, CVO, Ministry of Agriculture, Ramallah, Palestinian Auton. Territories
Summary
Report type: immediate notification
Date of start of the event: 1 May 2017
Date of confirmation of the event: 10 May 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: Nov 2016
Manifestation of disease: clinical disease
Causal agent: Foot and mouth disease

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PRO/EDR> Measles update (27)

Measles -- Pakistan
Confirmed cases as of 12 May 2017: 54
(Updated Monday-Friday at 1 p.m.)
Outbreak Overview
--------------------
54 total cases: 48 in Hennepin County
2 in Ramsey County
4 in Crow Wing County
Vaccination status: 51 confirmed to be unvaccinated
1 had 1 dose of MMR
2 had 2 doses of MMR
Age: 51 in children (ages 0-17 years)
3 cases in adults
47 of the cases are Somali Minnesotan.
--
Communicated by:
ProMED-mail Rapporteur Kunihiko Iizuka
[The state of Minnesota can be

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PRO/PL> Pepino mosaic virus, tomato - UK

Other Plant Disease -- United Kingdom
Pepino mosaic virus (PepMV) is one of the most economically important diseases of tomatoes. There are known to be 3 strains present on UK crops. Fruit infected with multiple strains of the virus experience more severe symptoms. As a result, steps must be taken to ensure, even where infection has already been confirmed, that no additional strains are brought in. Severe infections can have significant economic impact, with one nursery estimating that the disease caused around GBP 400 000 [about

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