Thursday 31 August 2017

PRO/EDR> Poliomyelitis update (23): global (Syria, Pakistan, DR Congo) WPV1, cVDPV2

Polio -- Syria
New wild poliovirus cases reported this week: 0
Total number of wild poliovirus cases in 2017: 9
Total number of wild poliovirus cases in 2016: 37
New cVDPV cases reported this week: 7
Total number of cVDPV cases in 2017: 47
Total number of cVDPV cases in 2016: 5
Headlines
---------
- Pakistan and Afghanistan polio eradication teams convened last week in Islamabad to follow up on the southern corridor (Quetta Block - Greater Kandahar) joint planning for the upcoming low

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PRO/AH/EDR> Leptospirosis - Philippines (02): increased cases

Leptospirosis -- Philippines
The number of leptospirosis cases and deaths in the Philippines has increased, the Department of Health (DOH) disclosed [Thu 31 Aug 2017]. According to the latest disease surveillance report of the DOH, 910 leptospirosis cases were recorded from [1 Jan to 5 Aug 2017]. "This is 71.1 percent higher compared to [what was recorded in] the same period as last year [2016], which was 532," said the DOH report.
Leptospirosis is an infectious disease caused by the _Leptospira interrogans_ bacteria.

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PRO/AH/EDR> Anthrax - Italy: (LZ) bovine

Anthrax -- Italy
Information received on [and dated] 31 Aug 2017 from Prof. Dr. Romano Marabelli, Chief Veterinary Officer, Secretary General, Ministry of Health, Rome, Italy
Summary:
Report type: immediate notification
Date of start of the event: 26 Aug 2017
Date of confirmation of the event: 29 Aug 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: December 2016
Manifestation of disease: clinical disease
Causal agent: _Bacillus anthracis_
Nature of diagnosis:

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PRO/EDR> Hepatitis B - Ireland (03): post-transfusion, seronegative blood

Hepatitis B -- Ireland


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PRO/AH/EDR> Lumpy skin disease - Europe (08): Russia (OB) bovine, Kazakhstan (AR) susp.

Lumpy Skin Disease -- Russia
Outbreaks of the cattle disease nodular dermatitis [lumpy skin disease] were 1st recorded on the territory of the Orenburg oblast in July of this year [2017]. The 7 affected districts were Tashlinsky District (2 named villages), Sol-Iletsky District (3 villages), Novosergievsky District (1 village), Akbulaksky District (1 village), Ileksky District (1 village), Orenburg District (1 village) and Belyaevsky District (1 village). In the 10 affected locations, quarantines including restrictive

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PRO/EDR> Legionellosis - USA (14): (NY) apartment complex

Legionnaires' -- United States
The New York City Health Department is testing the water in a Rego Park [borough of Queens, New York City] building after 2 residents were diagnosed with Legionnaires' disease within the past 12 months.
According to the Health Department, one patient has been discharged, while the other remains hospitalized from the disease. The 2 cases were diagnosed within 6 months of each other. DNAinfo reported the address to be 93-10 Queens Blvd., but the Health Department did not confirm or deny that

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Four ill and one dead from Listeria in salmon

Four people have been sickened and one has died from Listeria in salmon processed in Poland and sold in Denmark.



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Recalls: Listeria, allergens and patulin

Food and beverage alerts were made by USA, Canada, Australia, England, Hong Kong, Singapore, Austria, Belgium, Norway, Germany, Netherlands and Denmark.



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Wednesday 30 August 2017

PRO/AH/EDR> Foot & mouth disease - South Africa (02): (LP) bovine, serotype SAT 1, OIE

Foot and Mouth -- South Africa
Information received on [and dated] 30 Aug 2017 from Dr Bothle Michael Modisane, chief director, Department of Agriculture, Forestry and Fisheries, Animal Production and Health, Pretoria, South Africa
Summary
Report type: immediate notification
Date of start of the event: 21 Aug 2017
Date of confirmation of the event: 24 Aug 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: April 2016
Manifestation of disease: clinical disease
Causal agent:

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PRO/AH/EDR> Invasive mosquito - New Caledonia

Other Human Disease -- Collectivité spéciale de New Caledonia, France
Health officials in New Caledonia have discovered the presence of the type of mosquito which can carry malaria.
But the officials say there is no risk to the public because the parasite that triggers the disease is not present in the territory.
It is not known when and how the _Anopheles_ mosquitoes entered New Caledonia but they are now established in the area of La Tontouta, north of Noumea.
Malaria is found in other parts of Melanesia.
Reports say the mosquitoes were found

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PRO/AH/EDR> Crimean-Congo hem. fever - Mauritania: (BT)

Crimean-Congo Hemorrhagic Fever -- Mauritania
On 24 Aug 2017, the Mauritania Ministry of Health notified WHO of a confirmed case of Crimean-Congo hemorrhagic fever (CCHF) in a 47-year-old shepherd, from Arafat Village in Mohammedia, Boutilimit Prefecture, located about 150 km southeast of the capital, Nouakchott.
In May 2017, health officials reported 2 imported cases of Crimean-Congo hemorrhagic fever (CCHF) in Senegal imported from Mauritania. A 3rd imported case was reported in June 2017.
He developed headache, muscle and joints

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PRO/AH/EDR> Hard tick-borne relapsing fever - USA: (MA) Borrelia miyamotoi

Tick-borne disease -- United States
_Borrelia miyamotoi_ is the latest tick-borne disease to hit Cape Cod. As an emergency room nurse, [this nurse] has grown used to seeing patients with symptoms of Lyme disease and a few other tick-borne illnesses. But it wasn't until [he] was hospitalized this month [August 2017] for 4 days that [he], 37 years old, became acquainted with a tick-borne sickness only recently known to infect humans.
_Borrelia miyamotoi_ was 1st associated with fever in a 2011 report from Russia; a 2013 article

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PRO/EDR> Hepatitis B - Ireland: post-transfusion, seronegative blood

Hepatitis B -- Ireland
To minimize the risk of HBV infection through the route of transfusion:
1. Screening should be performed using a highly sensitive and specific HBsAg immunoassay (EIA/CLIA [enzyme immunoassay/chemiluminescent immunoassays]).
2. Screening using a highly sensitive and specific HBsAg rapid assay or particle agglutination assay may be performed in laboratories with small throughput, in remote areas or in emergency situations.
3. Screening for anti-HBc is not recommended as a routine. Countries

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (11): (BA)

Crimean-Congo Hemorrhagic Fever -- Pakistan
Two people including a woman died of Crimean-Congo haemorrhagic fever (CCHF), commonly known as Congo virus, here on [Sat 26 Aug 2017].
According to Health Department sources, BK, son of SY, from Chamzai, suffering from Congo virus, expired while being shifted to Quetta for treatment.
Another woman in the locality also fell to the fatal Congo virus. Several people were hospitalized after being found affected with the virus. The locals have demanded the provincial government and health

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PRO/AH/EDR> Avian influenza (134): Viet Nam (BL) backyard, HPAI H5N1, OIE

Avian Influenza H5N1 -- Vietnam
Information received on [and dated] 28 Aug 2017 from Dr Dong Pham Van, director general, chief veterinary officer, Department of Animal Health, Ministry of Agriculture and Rural Development, Hanoi, Viet Nam
Summary
Report type: immediate notification
Date of start of the event: 24 Aug 2017
Date of confirmation of the event: 27 Aug 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 25 Jul 2017
Manifestation of disease: clinical disease
Causal

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PRO/EDR> Gastroenteritis - Iraq: (Kurdistan)

Gastroenteritis -- Iraq
The Director General of Health in Sulaymaniyah revealed that 2000 cases of diarrhea and vomiting were recorded in the hospitals in Sulaymaniyah city [Iraqi Kurdistan] in one week, and they have taken a number of measures to control the outbreak.
Dr Miran Mohammed, the Director General of Health in Sulaymaniyah, informed Bas News that "according to the data and information received from Sulaymaniyah city hospitals, 2000 cases of diarrhea and vomiting were recorded during one week only. In

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

Japanese Encephalitis -- India
The idea that most cases of "acute encephalitis" in Uttar Pradesh are caused by diseases other than Japanese encephalitis is borne out by reporting statistics. In the following chart, note the precipitous decline in "Japanese encephalitis" incidence which followed introduction of reporting for "acute encephalitis" in 2008 (upper graph). This phenomenon is even more striking for India as a whole (lower graph). [1,2]
References
----------
1. Berger S. Japanese Encephalitis: Global Status.

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PRO/AH/EDR> Japanese encephalitis - Philippines (02): (LG)

Japanese Encephalitis -- Philippines
The provincial health office in Laguna said 2 children succumbed to Japanese encephalitis, the 1st confirmed cases of the mosquito-borne disease in the Southern Tagalog province this year [2017].
On [Tue 29 Aug 2017], Dr Rene Bagamasbad, Laguna health officer, said the victims were a 9-year-old boy in Calauan town and a 6-year-old boy in San Pablo City. He said the children died around 2 weeks ago.
Calauan and San Pablo City, being adjacent to each other, were also placed under

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PRO/AH/EDR> Scrub typhus - Nepal (09): (KT) urban cases

Scrub Typhus -- Nepal
1. Murdoch DR, Woods CW, Zimmerman MD et al. The etiology of febrile illness in adults presenting to Patan Hospital in Kathmandu. Nepal. Am J Trop Med Hyg. 2004; 70(6): 670-5; .
--
Dr Sher Bahadur Pun, MD, PhD
Clinical Research Unit
Sukraraj Tropical and Infectious Disease Hospital
Kathmandu
Nepal

[ProMED-mail thanks Dr Sher Bahadur Pun for his continued contributions on scrub typhus in Nepal.
Doxycycline is the drug of choice and it is preferred over other tetracyclines for

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PRO/EDR> Zika virus (17): Americas, research, observations

Zika virus -- Mexico
Highlights
- Ribavirin inhibits ZIKV replication in mammalian cells.
- Ribavirin prevents ZIKV-induced apoptosis and cell death.
- Ribavirin administration abrogates viremia in ZIKV-infected STAT1-deficient mice.
- Leading to a prolonged survival.
Abstract
Zika fever, a mosquito-borne infectious disease caused by Zika virus (ZIKV), is an epidemic disease for which no effective therapy has been established. The recent outbreaks of ZIKV in Brazil and French Polynesia have been linked to a

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PRO/AH/EDR> Lumpy skin disease, bovine - Kazakhstan (03): (AR) spread susp, vaccination, RFI

Lumpy Skin Disease -- Kazakhstan


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PRO/AH/EDR> Salmonellosis, st Agbeni - USA: pet turtles

Salmonella -- United States
CDC and multiple states are investigating a multistate outbreak of human Salmonellosis linked to contact with pet turtles. 37 people infected with the outbreak strain of _Salmonella_ [enterica_ serotype] Agbeni have been reported from 13 states. Illnesses started on dates ranging from 1 Mar 2017 to 3 Aug 2017. Of 33 people with available information, 16 have been hospitalized. No deaths have been reported. 12 (32 percent) ill people are children 5 years of age or younger.
States / Case

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Tuesday 29 August 2017

PRO/AH/EDR> Avian influenza (133): Germany (ST) wild bird, HPAI H5N8, OIE

Avian Influenza H5N8 -- Germany
Information received on [and dated] 29 Aug 2017 from Dr. Karin Schwabenbauer, Ministerial Dirigentin and Chief Veterinary Officer, Directorate of Animal Health, Animal Welfare, Bundesministerium für Ernährung und Landwirtschaft (BMEL), Bonn, Germany
Summary
Report type: immediate notification
Date of start of the event: 22 Aug 2017
Date of confirmation of the event: 25 Aug 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: June

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PRO/EDR> Hepatitis A - USA (23): (CA) fatal

Hepatitis A -- United States
Cases / Deaths / Hospitalizations
378 / 15 (4%) / 263 (70%)
The table does not include all reported hepatitis A cases in the county, only those that are local-outbreak related. Also, data are provisional and subject to change.

--
Communicated by:
ProMED-mail

******
[2] Expansion of HAV vaccination
Date: Mon 28 Aug 2017
Source: County of San Diego Communications Office [edited]

The ongoing hepatitis A outbreak in San Diego County has claimed 14 lives and hospitalized

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PRO/EDR> Respiratory syncytial virus - Chile

Respiratory Syncytial Virus -- Chile
Last weekend, more than 20 children with severe respiratory symptoms were admitted to the Regional Hospital, and they were diagnosed with respiratory syncytial virus (RSV) infection.
During the last week, 2 3-year-old children with severe respiratory illness were admitted to the intensive care unit, and one of them was waiting to be referred to Puerto Montt.
Therefore, with information updated until last Sat [26 Aug 2017], more than 30 children with RSV infection have been reported, and

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PRO/AH/EDR> E. coli EHEC - Australia: (QL) O157, mild disease, mutant toxin, 2013

E. coli -- Australia
Shiga toxin producing _E. coli_ (STEC [or enterohemorrhagic _E. coli_, EHEC - Mod. LL]) is a major cause of serious human gastrointestinal illness and have the potential to cause life-threatening complications, such as hemolytic uremic syndrome (HUS) (1). An average of 0.4 cases of EHEC illness per 100 000 persons per year are reported to public health authorities in Australia (2). Disease severity can range from asymptomatic infection to serious and sometimes fatal illness, particularly in

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PRO/AH/EDR> MERS-CoV (56): UAE, Saudi Arabia (JF, HA, RI), WHO

MERS -- United Arab Emirates
On [29 Jul 2017], the national IHR focal point of the United Arab Emirates reported one additional case of Middle East Respiratory Syndrome Coronavirus (MERS-CoV)
Details of the case
-------------------
MERS-CoV case reported on 29 July 2017*
Please note, data corresponds to Disease Outbreak News as published on [28 Aug 2017].
* Data subject to change due to ongoing investigations. Fields related to the final status of the case are updated as information is available.
NA = Not

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PRO/AH/EDR> Avian influenza (132): South Africa (WC) HPAI H5 poultry, H5N8 susp

Avian Influenza H5N8 -- South Africa
Avian flu has spread to a commercial layer poultry farm in the [Western Cape] province, killing at least 30 000 chickens. There are 140 000 chickens on the affected farm in the Paardeberg region, according to the provincial department of agriculture head of communication, Petro van Rhyn. She confirmed that at least 30 000 have died and said the rest would be culled.
The virus has not yet been confirmed as the highly pathogenic avian influenza (HPAI) type H5N8, which is the strain in

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PRO/AH/EDR> Invasive mosquito - Gibraltar (02): comment

Other Human Disease -- Gibraltar [UK]
The tiger mosquito, _Aedes albopictus_, has been recently found in Gibraltar. The ProMED-mail post rightly mentions the collaboration with international experts to build surveillance in Gibraltar. However we would like to set the record straight as experts were mandated by ECDC (European Centre for Disease Prevention and Control) and EFSA (European Food Safety Authority) through VectorNet activities (European network for sharing data on the geographic distribution of arthropod vectors,

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PRO/AH/EDR> Undiagnosed hemorrhagic illness - Mauritania: (TR) RFI

Hemorrhagic Fever -- Mauritania
A case of confirmed haemorrhagic fever has been detected in Mauritania, medical sources said [Thu 24 Aug 2017] in Nouakchott.
A male patient is currently hospitalized at Hamed Ben Khalifa hospital in Boutilimit [Trarza region], 160 km [99 mi] southeast of Nouakchott, the same sources added, without specifying what type of haemorrhagic fever.
The patient was evacuated [Tue 22 Aug 2017] from an area located 140 km [87 mi] south of Boutilimit and some 30 km [19 mi] north of the town of

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PRO/AH/EDR> Invasive mosquito - USA (10): (MI)

Other Animal Disease -- United States
A type of mosquito that can spread the Zika virus has been found in the Metro Detroit area.
"Finding Asian tiger mosquitoes in Michigan is no reason for great concern." However, it is always a good idea to take precautions against all mosquito bites since they can carry a number of diseases, such as the Zika and West Nile viruses.
Efforts to investigate the spread of Asian tiger mosquitoes [_Aedes albopictus_] in Wayne County are ongoing. Preventative measures include eliminating sources

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Monday 28 August 2017

PRO/PL> Septoria, wheat - Australia: (VI, SA)

Other Plant Disease -- Australia
Farmers in the Victorian Wimmera and the Upper South East of South Australia are set to be confronted with a fungal disease they have not seen at damaging levels since the 1970s. Septoria tritici blotch has built up to levels that could cause significant damage this year [2017].
Agriculture Victoria cereal pathologist Grant Hollaway said septoria is now the major fungal disease issue in south-west Victoria. "It has really emerged as a problem over the past five or six years." He said the

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PRO/AH/EDR> Anthrax - Indonesia (03): (GO) bovine

Anthrax -- Indonesia
Cattle deaths due to anthrax bacteria re-spread in Gorontalo District. At least 25 cows owned by local residents were reported dead suddenly in Tumbuo Hamlet, Tenilo. Cow carcasses are feared will spread the bacteria to humans and can also kill more cows.
"We have received reports of the cow's death in Tumbuo Village," said Vivi Tayeb, Head of Animal Health and Veterinary Public Health, Gorontalo district on [Mon 28 Aug 2017].
After receiving the report, Vivi Tayeb and the team headed

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PRO/EDR> Melioidosis - Thailand

Melioidosis -- Thailand
People living in flooded areas have been warned to keep time spent wading through water to a minimum lest they be infected with melioidosis, a disease that has claimed 21 lives in 2017. Department of Disease Control (DDC) chief Dr Jessada Chokdamrongsuk reported on [Mon 28 Aug 2017], that 1978 cases of melioidosis had been reported from [1 Jan 2017] to [22 Aug 2017].
The disease, caused by the bacterium _Burkholderia pseudomallei_ and prevalent during the rainy season in the subtropics,

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PRO/AH/EDR> Ciguatera fish poisoning - Belize: barracuda, alert

Poisoning -- Belize
Each year, between 10 000 and 50 000 people who live in or visit tropical and subtropical areas suffer from Ciguatera Fish Poisoning (CFP), which is said to be one of the most frequently reported seafood-toxin illness in the world. Ciguatera poisoning, which causes symptoms such as tingling and numbness in fingers and toes, around lips, tongue, mouth and throat; nausea, vomiting, diarrhea and/or abdominal cramps; joint pains and headache; and breathing difficulty, has also been reported in

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PRO/EDR> Cholera, diarrhea & dysentery update (91): Asia (Yemen)

Cholera -- Yemen
A total of 2018 people have been killed by a cholera epidemic in war-torn Yemen since late April 2017, the WHO said [Sat 26 Aug 2017].
In a statement, the WHO said 565 041 suspected cases of cholera have been recorded in the country since 27 Apr 2017. According to the WHO statement, the recorded suspected cases were in 22 out of 23 provinces. The UN agency said the highest number of fatalities, 382 cases, was recorded in the northwestern Hajjah province, while in western Yemen's Hudaida

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PRO/AH/EDR> Ebola update (36): news, research

Ebola -- Sierra Leone
In the 1st study, researchers followed 27 Ebola survivors in Sierra Leone for 1 year after diagnosis and found they were 7 times more likely than their close contacts to report a disability.
77.8 percent of the survivors reported a disability 1 year post-infection, compared with 11.1 percent of their close contacts. Disabilities included major limitations in vision, mobility, and cognition.
Disability was measured using the Washington group disability questionnaire, and the survivors were

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PRO/PL> Undiagnosed disease, potato - Nigeria: (PL)

Undiagnosed -- Nigeria
[An] unknown disease attacks potato farms in Plateau [and] farmers in some parts of [the] state have raised the alarm that [it is] leading to low yield. Most of the problems were linked to planting, germination, [and] general production. One of the farmers said [the potatoes] will begin to grow well and bring out fresh leaves, but after a while, the leaves will wither and that affects the potatoes in the ground.
Dr Tony Onoja, Agricultural Policy Research Network (APRNet), said that their

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PRO/AH/EDR> Crimean-Congo hem. fever - Uganda: (QO, NK)

Crimean-Congo Hemorrhagic Fever -- Uganda
Sudden, with fever, myalgia, (muscle ache), dizziness, neck pain and stiffness, backache, headache, sore eyes and photophobia (sensitivity to light), nausea, vomiting, diarrhoea, abdominal pain, and sore throat early on, followed by sharp mood swings and confusion.
After 2 to 4 days, the agitation may be replaced by sleepiness, depression, and lassitude, and the abdominal pain may localize to the upper right quadrant, with detectable hepatomegaly (liver enlargement).
[Byline: David

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PRO/AH/EDR> West Nile virus - Europe (05): Greece

West Nile Virus -- Greece
Greek authorities said on [Fri 25 Aug 2017] that 3 people in Greece infected with the West Nile virus [WNV] died of complications related to the illness this summer [2017]. All cases were reported in August and all victims were over 70 years old, the national Center for Disease Control and Prevention (KEELPNO) noted.
A total of 37 cases have been detected this year [2017], including a patient who is still in hospital in intensive care experts said. In most cases, patients suffered from mild

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Sunday 27 August 2017

PRO/EDR> Dengue/DHF update (10): Asia, Pacific, Africa, research, WHO

Dengue -- Sri Lanka
Northern hemisphere
-------------------
Cambodia
As of 8 Aug 2017, a total of 1604 suspected dengue fever cases were reported in 2017. The total number of reported dengue cases including dengue haemorrhagic fever and dengue shock syndrome was lower than the 3 year-threshold of the same period from 2014-2016.
China
As of 31 Jul 2017, there were 503 cases of dengue reported in China in 2017. This number is higher than that reported during the same period since 2012 but follows historical

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PRO/EDR> Measles update (43): Asia and Pacific, Europe, demographics

Measles -- Japan
Abstract
--------
The largest measles outbreak in Berlin since 2001 occurred from October 2014 to August 2015. Overall, 1344 cases were ascertained, 86 per cent (with available information) unvaccinated, including 146 (12 per cent) asylum seekers. Median age was 17 years (interquartile range: 4-29 years), 26 per cent were hospitalised and a 1 year old child died. Measles virus genotyping uniformly revealed the variant 'D8-Rostov-Don' and descendants. The virus was likely introduced by and

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PRO/AH> Invasive mosquito - Gibraltar

Other Human Disease -- Gibraltar [UK]
An aggressive species of mosquito known to transmit viral diseases has been detected in Gibraltar, but public health officials insist there is no cause for alarm. Public Health Gibraltar and the Environmental Agency confirmed that the mosquito of the species _Aedes albopictus_, also known as the tiger mosquito, has been found in Gibraltar.
Last June [2017] after 9 months of intensive surveillance, officials said no tiger mosquito had been found in Gibraltar. But this has now changed after

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PRO/AH> Equine infectious anemia - USA (05): (NC) mule

Equine Infectious Anemia -- United States
A 14 year old female mule in Johnston county, North Carolina, has tested positive for equine infectious anemia (EIA). The disease was discovered during a routine blood test by the North Carolina Veterinary Diagnostic Laboratory, in Raleigh, and confirmed by the USDA [United States Department of Agriculture]. This is the 1st new case of EIA documented in North Carolina since 2005.
"The Johnston County facility is under a quarantine order that restricts movement of equines until further

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PRO/AH> Invasive mosquito - USA (09): (CA)

Other Human Disease -- United States
Efforts are under way to fight back against an aggressive invader spotted in Southern California -- a mosquito species that has never been seen before [in this locality? There are numerous reports of _Aedes aegypti_ and _Ae. albopictus_ detected in several places in Southern California over several years.- Mod.TY] Known as _Aedes aegypti_, the black insects with white stripes are not typical mosquitoes. They are an invasive species with the potential to transmit yellow fever, dengue, the West

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PRO/AH/EDR> Eastern equine encephalitis - USA (07): (GA,WI) equine

Eastern Equine Encephalitis -- United States
A horse in Lowndes county has tested positive for eastern equine encephalitis [EEE], according to health officials. EEE is a rare disease caused by a virus spread by infected mosquitoes, according to the Centers for Disease Control and Prevention. It can cause inflammation of the brain, but on average, only 8 cases of EEE in humans are reported each year, CDC said.
"The more time someone is outdoors, the more time the person is at risk of being bitten by an infected mosquito; that is why we

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PRO/AH/EDR> Jamestown Canyon virus - USA (03): (ME)

Other Human Disease -- United States
Two more cases of Jamestown Canyon virus have been identified in Maine. This is the 1st year that the mosquitoborne disease has been detected in the state, with a total of 3 cases so far. But state epidemiologist Dr Siiri Bennett says it's unclear whether the virus is more common, or it's been detected through better testing. "We just have to be really cautious when there are mosquitoes are around," says Bennett. "Use the insect repellant; cover up; make sure you are aware of what you can do

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PRO/AH/EDR> Hantavirus - Americas (46): Panama (LS)

Hantavirus -- Panama
The number of cases of hantavirus [infections] has risen to 14, since the Ministry of Health confirmed 3 new cases of fever and hantavirus cardiopulmonary syndrome. Carlos Muñoz, regional coordinator of epidemiology in Los Santos, stated that the 3 latest cases registered are a girl whose illness is yet to be confirmed as hantavirus fever, a 44 year old woman resident of Via Hacia Santo Domingo with hantavirus cardiopulmonary syndrome admitted yesterday [Thu 24 Aug 2017], and a 23 year old

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PRO/AH/EDR> Glanders, equine - India (04): (UP)

Glanders -- India
The animal husbandry department here [Bijnor] has sounded an alert after 2 horses in Bijnor's Najibabad succumbed to the deadly glanders disease, while 4 other equines are suspected to be suffering from the disease. As a precautionary measure, as many as 100 blood samples of horses have been taken so far and sent for testing.
The infectious disease is caused by a bacterium which spreads from animal to animal. Humans who come in contact with the affected animals can also contract this

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PRO/ALL> Obituary: Louisa Elaine Chapman

Not Yet Classified -- United States


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Saturday 26 August 2017

PRO/AH/EDR> Avian influenza (131): South Africa (WC) HPAI H5N8, poultry, other avian

Avian Influenza H5N8 -- South Africa
South Africa has reported 8 more cases of the H5N8 highly pathogenic avian influenza (HPAI) to the World Organization for Animal Health (OIE), the Department of Agriculture, Forestry and Fisheries (DAFF) said. "These new outbreaks bring the total number of outbreaks to 24 since [June 2017]: 10 outbreaks in commercial chickens, 3 outbreaks in commercial ostrich, 5 outbreaks in wild birds, 3 outbreak in birds that were kept as a hobby and 3 outbreaks in backyard poultry," spokesperson Bomikazi

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PRO/AH> Koi herpesvirus disease - Canada: (BC) 1st rep

Herpes -- Canada
The Canadian Food Inspection Agency (CFIA) has confirmed the presence of koi herpesvirus disease (KHVD) in cultured koi carp (_Cyprinus carpio koi_) in British Columbia (BC). This is the 1st detection of KHVD in BC by the CFIA, but the disease has been previously detected in Manitoba and Ontario.
The disease detection was associated with an import of koi from Israel by a wholesaler who distributed fish to greenhouses, pet stores and garden centres within BC for sale to private individuals.

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PRO/AH/EDR> Brucellosis - USA (07): (MT) bovine

Brucellosis -- United States
Brucellosis has been found in a heifer within Montana's Designated Surveillance Area (DSA), according to the Montana Department of Livestock. The infected animal was first identified during voluntary herd testing on a Madison County ranch. Infection was confirmed by the National Veterinary Services Laboratory (NVSL) in Ames, Iowa (IA) by tissue culture following euthanasia of the animal. The ranch has been placed under quarantine and the department has initiated an epidemiological

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

Other Animal Disease -- Australia
Sheep graziers across New South Wales (NSW) are being warned that an outbreak of virulent footrot is spreading, despite dry seasonal conditions. Graziers have also been told that the risk of infection from new stock purchases is also a possibility.
Key points:
- highly infectious bacterial disease of the hoof in sheep and goats
- causes serious production losses and control costs
- legally notifiable disease, requiring quarantine
- normally associated with moist or wet conditions
-

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Friday 25 August 2017

PRO/AH> Lumpy skin disease, bovine - Kazakhstan (02): (WK) spread susp, RFI

Lumpy Skin Disease -- Kazakhstan
At least 120 head of cattle have been killed in the Atyrau region [West Kazakhstan]; the cause of the death of the animals is unknown. The Kazakh edition of "Ak Zhayik" states that 120 cows died in the Isatay district of Atyrau region in the west of Kazakhstan [map at ] in the period from [20 Jul to August 2017].
Veterinarians do not know the cause of the animal's deaths."Since the cattle are still in the pastures, the owners themselves bring sick animals to us. Although they do not have a

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PRO/AH/EDR> E. coli EHEC - Japan (04): O157, outbreaks

E. coli -- Japan
No release on EHEC strain analysis from the 2 Japanese outbreaks yet. Below is confirmation of the genetic type of 2 cases (teenage female and 80s male) from Yokohama matched to each other (1,2), but they were not able to isolate pathogen nor identify its genetic material in the food commodity collected from the restaurant (3). The shared 4 items of fresh vegetable salad, boneless short rib, almond tofu, cooked white rice, and a couple more meat slices for yakiniku [grilled meat] were

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PRO/EDR> Cholera, diarrhea & dysentery update (90): Africa

Cholera -- Burundi
On Monday and Tuesday [21-22 Aug 2017] 4 displaced people died of cholera and 49 others have been infected at camp Kalma in Nyala, capital of South Darfur. More deaths and infections have been reported from across the country as rates resurge along the Nile. Yagoub Abdallah, the general coordinator of displaced persons and refugee camps, told Radio Dabanga that "the camp has seen a wide spread of cholera over the past 2 days."
On [Mon 21 Aug 2017], the camp's 2 health centers reported 1

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PRO/AH> Acute hepatopancreatic necrosis disease - USA: (TX) shrimp, 1st rep, OIE

Other Animal Disease -- United States
Information received on [and dated] 23 Aug 2017 from Dr John Clifford, official delegate, chief trade advisor, Animal and Plant Health Inspection Service, United States Department of Agriculture, Washington, United States of America
Summary
Report type: immediate notification
Date of start of the event: 14 Jun 2017
Date of confirmation of the event: 21 Jul 2017
Reason for notification: 1st occurrence of a listed disease in the country
Causal agent: _Vibrio parahaemolyticus_
Nature of

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

Japanese Encephalitis -- India
Uttar Pradesh chief minister Yogi Adityanath has ordered criminal action against hospital staff and the gas firm for 30 child deaths between [9-11 Aug 2017]. However, 15-18 children continue to die every day at the 950-bed Gorakhpur's Baba Raghav Das (BRD) Medical College and Hospital; a third of these deaths are due to encephalitis.
Japanese encephalitis (JE) and the deadlier acute encephalitis syndrome (AES) became the national buzzwords after 30 children died between [9-11 Aug 2017] in

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PRO/PL> Multiple pathogens, seed yam - Nigeria

Other Plant Disease -- Nigeria
According to the United Nations' Food and Agriculture Organization [FAO], Nigeria's yam yield has presently dropped to its lowest level in 2 decades, even though the area under cultivation is rapidly rising. Nigeria accounts for 61 per cent of yam production in the world.
"Seed yam is a big problem," said Robert Aseidu, International Institute of Tropical Agriculture (IITA). "It's only now that we're seeing how big a problem this could become." Due to many years of flawed farm practice,

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PRO/AH> Invasive mosquito - UK: (England)

Other Human Disease -- United Kingdom
Health specialists have blitzed a clutch of notorious [Asian] tiger mosquitoes suspected to have smuggled their way into Britain through the Eurotunnel. The invasive Asiatic mosquitoes can carry dengue fever and the chikungunya virus, and attack in daylight.
Experts from Public Health England destroyed the batch of mosquito eggs and larvae at the busy Ashford International truck stop earlier this month [August 2017]. This is the 2nd time that one of the planet's most dangerous insects --

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PRO/AH/EDR> Salmonellosis - Czech Republic: (BK) egg, control, RFI

Salmonella -- Worldwide/Unknown
The Czech veterinary authorities have started destroying thousands of laying hens at a farm in Pohořelice, southern Moravia, following a salmonella outbreak.
As many as 35 000 of around 60 000 hens have so far been destroyed and the market chain Lidl has taken all egg deliveries from the farm off its shelves. People have been asked to return eggs already purchased at the market chain. This concerns eggs with an expiry date up to [11 Sep 2017].
The salmonella was detected due to health

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PRO/AH> Invasive mosquito - USA (08): (NM)

Other Human Disease -- United States
Socorro County is now in the list of New Mexico counties with mosquitoes capable of transmitting Zika virus. Researchers have found _Aedes aegypti_ -- one of 2 mosquito species capable of transmitting the viral illness -- in the City of Socorro, the New Mexico Department of Health [DOH] said today [Tue 22 Aug 2017]. Socorro marks the northern-most location of _Aedes aegypti_ yet found in the state.
No human cases of Zika virus have been identified in Socorro County to date. There have been

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Thursday 24 August 2017

PRO/AH/EDR> Tularemia - USA (08): (AZ) human, fatal, canine, 2016

Tularemia -- United States
On 6 Jun 2016, Arizona public health officials were notified of a presumptive positive _Francisella tularensis_ blood culture result from a woman aged 73 years with pulmonary sarcoidosis who had recently died from respiratory failure. She had been taking amoxicillin for a dental infection. She was evaluated on 6 Jun 2017 for 4 days of fever, myalgia, anorexia, and diarrhea. Because of suspected colitis she was advised to discontinue amoxicillin; she declined hospital admission. Two days later,

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PRO/AH/EDR> Avian influenza, human (68): Philippines, H5N6

Avian Influenza H5N6 -- Philippines
The bird flu that has hit parts of the Philippines has been confirmed to be H5N6 -- a strain that can be transmitted to humans. This was confirmed upon receipt of laboratory results from test samples that were sent to Australia. Agriculture officials were quick to assure, however, that the strain is slow to spread and causes few deaths.
"The rate of transmission is very, very low," Arlene Vytiaco, who heads animal disease control in the Bureau of Animal Industry, said in a press briefing on

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PRO/EDR> Cholera, diarrhea & dysentery update (89): Asia (Yemen)

Cholera, Diarrhea, Dysentery -- Yemen
Country level:
- The cumulative total from 27 Apr 2017 to 20 Aug 2017 is 542 278 cases and 2003 deaths (case fatality rate [CFR] 0.37 per cent). A total of 27 766 cases and 17 deaths were reported in week 33.
- A peak is observed week 26 and the weekly number of cases have been decreasing since that week (6 consecutive weeks).
- However, the trend of the last 3 weeks is considered as stable (-7 percent). The average of weekly cases for the last 3 weeks is 36 603.
- Children under 5

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PRO/EDR> Chikungunya (28) : Asia (Pakistan)

Chikungunya -- Pakistan
At least 4 people have died after contracting the chikungunya virus -- which is [usually] non-life threatening -- in Tharparkar over the past week [week of Sun 13 Aug 2017], with hundreds others believed to have been diagnosed with the virus this month [August 2017]. According to district health officer (DHO) Dr Shafiqur Rehman Memon, 567 people have been diagnosed with the chikungunya virus in the district in the past 3 weeks. However, locals and doctors claim over 2000 people have been

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PRO/AH/EDR> Avian influenza, human (67): China, H7N9

Avian Influenza H7N9 -- China
The Centre for Health Protection (CHP) of the Department of Health is today [Fri 18 Aug 2017] monitoring a notification from the National Health and Family Planning Commission that one additional human case of avian influenza A(H7N9) was recorded from August 11 to 17 [2017] in Hunan, and strongly urged the public to maintain strict personal, food and environmental hygiene both locally and during travel.
The 47 year old male patient in Xiangxi was known to have had exposure to a live poultry

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PRO/AH/EDR> E. coli EHEC - USA (26): (MI) O157, antimicrobial resistance

Antimicrobial resistance -- United States
Shiga toxin-producing _Escherichia coli_ (STEC) [also called enterohemorrhagic _E. coli_ - EHEC - Mod.LL] contributes to 265 000 cases of foodborne illness annually in the USA (1). Most infections are caused by O157 strains; however, non-O157 EHEC infections have increased (2). Antimicrobial drug resistance among EHEC has been reported (3-5) but is probably underestimated. Given the importance of resistance in _E. coli_ pathotypes, we sought to determine the prevalence of resistant EHEC

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PRO/AH/EDR> Glanders - Brazil: (TO) equine, human susp, RFI

Glanders -- Brazil
"General symptoms
"Many forms of glanders have been described, including chronic, disseminated, pulmonary, and septicemic. The variety of infections is largely explained by various routes of infection. Localized infections are generally regionally confined and typically characterized by foci of suppuration. The abscesses can ulcerate and drain for long periods of time. However, localized infections may disseminate, leading to pulmonary, septicemic, or multi-tissue infection [9]. The most

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PRO/AH/EDR> E. coli EHEC - Japan (03): (KN) restaurant, O157, RFI

E. coli -- Japan
The city of Yokohama [has] ordered a grilled-meat restaurant in the area to suspend operation [Wed 23 Aug 2017], after 2 people who had dined there were infected with the O157 strain of the _Escherichia coli_ bacterium. A teenage girl and a man in his 80s had symptoms of food poisoning, including diarrhea, after eating separately at the restaurant Anrakutei on 30 Jul 2017. Both were hospitalized and are recovering, according to the local government. The O157 strain of the bacterium was found

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PRO/AH> Foot & mouth disease - Nepal: (CH) bovine, new, st A, gt VII, OIE

Foot and Mouth -- Nepal
Information received on 23 Aug 2017 from Dr Bimal Kumar Nirmal, Department of Livestock Services, Ministry of Livestock Development, Nepal
Summary
Report type: immediate notification (final report)
Date of start of the event: 2 Apr 2017
Date of confirmation of the event: 6 Apr 2017
Report date: 22 Aug 2017
Date event resolved: 3 May 2017
Reason for notification: new strain of a listed disease in the country
Causal agent: foot and mouth disease virus (lineage G-VII)
Serotype:

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PRO/AH/EDR> Hantavirus - Americas (45): Panama (LS)

Hantavirus -- Panama
The Ministry of Health (Ministerio de Salud; MINSA) in Los Santos province confirmed a new case of hantavirus fever from Tonosí. The epidemiologist Carlos Muñoz stated that the case is a 7 year old child, who was hospitalized in the Tonosí Rural Hospital and today [21 Aug 2017] was moved to the Joaquín Pablo Franco Hospital where he is in a stable condition.
Muñoz indicated that this is the 3rd case of a child [infected] by the virus in Tonosí, which has led to initiating a clean up

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PRO/AH/EDR> Oropouche virus - Brazil (02)

Other Human Disease -- Brazil
After the Zika epidemic, which began in 2015, and the outbreak of yellow fever early in 2017, Brazil runs a serious risk of being afflicted by Oropouche, another virus that is widely distributed throughout South and Central America and the Caribbean. Oropouche has adapted to urban environments and is moving ever closer to Brazil's major cities. An arbovirus transmitted by a mosquito (like Zika and yellow fever), Oropouche causes acute fever and may lead to meningitis and meningoencephalitis

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PRO/AH/EDR> Anthrax - USA (02): (SD) bovine

Anthrax -- United States
Anthrax is blamed for recent deaths in a cattle herd in south eastern Pennington County. South Dakota state veterinarian Dustin Oedekoven says at least 9 adult cattle died suddenly last week [week of 14 Aug 2017] in the herd. The herd had not been vaccinated against anthrax. Anthrax spores survive indefinitely in contaminated alkaline soils. Nearly all parts of South Dakota have the potential for an anthrax outbreak under ideal climatic conditions. Drought, floods and wind can expose grazing

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Recalls: Fipronil, milk and Listeria

Food and beverage alerts were made by USA, Canada, Australia, Austria, Norway, Sweden, Germany, Luxembourg, Netherlands and Denmark.



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PRO/AH/EDR> Yellow fever - Americas (56): French Guiana

Yellow Fever -- RĂ©gion d'outre-mer de French Guiana, France
Yellow fever is an acute viral disease transmissible from animal (monkey) to man and man to man by various mosquitoes (genus _Aedes_, but also other genera circulating in the forest). The yellow fever virus is transmitted by the bite of an infected mosquito.
After an incubation period of about one week, the disease is characterized by fever, chills, muscle pain, headache, nausea, vomiting. Severe forms (hemorrhage, liver disorders, kidney problems) can develop in 15 per cent of

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PRO/AH> Epizootic hemorrhagic disease - USA (06): (TN) cervid

Epizootic Hemorrhagic Disease -- United States
Sightings of several dead deer are being reported but are not uncommon, according to officials with the Tennessee Wildlife Resources Agency [TWRA], due to a yearly string of bluetongue cases.
The sickness is called hemorrhagic disease [HD] and reaches various levels of severity each year, the agency reported [Mon 21 Aug 2017], but a predominant number of cases have been catalogued in East Tennessee and are part of a larger multi-state outbreak involving several nearby states.
At least 20

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Wednesday 23 August 2017

PRO/AH/EDR> Anthrax - Pakistan (03): (TA) bovine

Anthrax -- Pakistan
An outbreak of anthrax has reportedly killed several animals in [Mamund] and Salarzai tehsils [sub districts] of Bajaur Agency [Federally Administered Tribal Areas, FATA], local people and officials said on [Tue 22 Aug 2017]. They said at least 26 cattle heads had been killed and several others infected by the disease in the 2 mountainous subdivisions. The locals said the disease had spread fear and panic among them.
Meanwhile, sources in the local livestock department confirmed the death

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PRO/EDR> Typhoid fever - South Korea: (HN) ex India, student

Typhoid -- South Korea
5 Korean students who visited India have been stricken with typhoid fever. The students are from Sangmyung University's Cheonan Campus in South Chungcheong Province, according to the Korea Centers for Disease Control and Prevention on [Mon 21 Aug 2017]. They had visited India's northern region, including the cities of Agra and New Delhi, with 18 other students and 2 instructors as part of the school's overseas education program from [19 to 27 Jul 2017].
After they returned, 7 sought medical

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PRO/AH/EDR> Brucellosis - Mexico (02): (ZA)

Brucellosis -- Mexico
The Ministry of Health of Zacatecas, through Health Jurisdiction Number IV, confirmed that up to now there have been 19 cases of brucellosis, the pertinent measures have been taken, and those affected are being taken care of.
Raúl Pinales Sarabia, coordinator of Sanitary Jurisdiction number IV, which includes the municipalities of Francisco R Murguía (Nieves); Juan Aldama, Miguel Auza, Cañitas de Felipe Pescador, and Rio Grande, reported that for the time being, 19 cases of brucellosis

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PRO/EDR> Cholera, diarrhea & dysentery update (88): Africa, Asia

Cholera -- Malawi
In 2 months, 42 people have died of cholera in Kalma camp for displaced people in South Darfur. 539 others have been infected. The deaths occurred between [26 Jun and 20 Aug 2017], the coordinator of the camp in Nyala, Yagoub Abdallah Furi, informed Radio Dabanga yesterday [21 Aug 2017]. "There are 3 medical isolation centres belonging to 2 organizations from the USA that have been established in the camp since the cholera broke out [in Nyala] in June [2017]."
Currently there are 37

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PRO/AH/EDR> West Nile virus - Americas (09): USA, equine

West Nile Virus -- United States
Kentucky animal health officials have now confirmed 5 equine cases of West Nile virus (WNV) this year [2017]. Kentucky Equine Programs manager ES "Rusty" Ford said Murray State University's Breathitt Veterinary Center confirmed 2 additional cases -- one in a horse from Hart County in another in a Russell County horse -- on 18 Aug 2017.
In Hart County, an 8 year old Tennessee walking horse gelding presented [on Aug 2017] with lethargy, muzzle twitching, muscle fasciculation (twitching) in

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PRO/AH> Invasive mosquito - Canada: (ON)

Other Human Disease -- Canada
An adult _Aedes aegypti_ mosquito, the species responsible for the majority of human Zika virus cases, has been found in Canada for the 1st time. Evidence shows mosquitoes capable of carrying Zika virus may have [a] colony in Ontario.
Staff from the Windsor-Essex County Health Unit recently found the insect in a trap, a discovery health officials believe signals the species is becoming established in southern Ontario. "It was just in such good shape, we are absolutely 100 per cent sure of

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PRO/EDR> Chikungunya (27) - Americas, Europe, Asia

Chikungunya -- Worldwide/Unknown
Cases by Country / Week [ending], all 2017 / Local suspected / Local confirmed / Imported (conf) / Deaths
North America
---
Mexico / 31 [4 Aug] / 0 / 21 / 0 / 0
USA / 32 [11 Aug] / 0 / 0 / 29 / 0
Central American Isthmus
---
Costa Rica / 30 [28 Jul] / 256 / 0 / 0 / 0
El Salvador / 31 [4 Aug] / 381 / 0 / 0 / 0
Nicaragua / 32 [11 Aug] / 579 / 13 / 0 / 0
Panama / 30 [28 Jul] / 1570 / 19 / 1 / 0
Latin Caribbean
---
Guadeloupe / 30 [28 Jul] / 0 / 11 / 0 / 0
Martinique / 30 [28

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Tuesday 22 August 2017

PRO/AH/EDR> Anthrax - Mozambique: (MP) wildlife, OIE

Anthrax -- Mozambique
Information received on 22 Aug 2017 from Dr Américo Da Conceicao, national director, Veterinary Services, Ministry of Agriculture, Maputo, Mozambique
Summary:
Report type: immediate notification
Date of start of the event: 11 Aug 2017
Date of confirmation of the event: 11 Aug 2017
Report date: 21 Aug 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: August 2008
Manifestation of disease: clinical disease
Causal agent: _Bacillus

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PRO/EDR> Hepatitis A - USA (22): (CA) fatal

Hepatitis A -- United States
Since early 2017, the Public Health Services Division, in the County of San Diego Health and Human Services Agency, has been investigating a local hepatitis A outbreak. The majority of people who have contracted hepatitis A are homeless and/or illicit drug users, although some cases have been neither. The outbreak is being spread person-to-person and through contact with a fecally contaminated environment. No common sources of food, beverage or drugs have been identified that have contributed

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PRO/AH> Invasive mosquito - USA (07): (OH)

Other Human Disease -- United States
The Toledo Area Sanitary District has discovered a breeding population of Asian tiger mosquitoes, or _Aedes albopictus_. The mosquitoes were found in the area of Dorr Street and Westwood on [Fri 18 Aug 2017]. Asian Tiger mosquitoes are typically daytime biting mosquitoes that are associated with being potential carriers for several mosquitoborne diseases of concern, such as the Zika virus.
The mosquitoes are the 1st documented population of the invasive species within Lucas County. They

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PRO/AH/EDR> E. coli EHEC - Japan (02): (ST) O157, potato salad

E. coli -- Japan
According to the Mainichi Shimbun News ( [in Japanese]), _Escherichia coli_ O157 was detected from a total of 10 cases. 6 consumed potato salad that was provided by a supermarket called the Delicious Kagohara. 3 consumed potato salad sold by the Delicious Kumagaya, a supermarket affiliated with Delicious Kagohara. Another case was reported from Maebashi city who consumed potato salad sold by another affiliated supermarket in Maebashi. The potato salad was produced by a food producer located in

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PRO/AH/EDR> Foodborne illness - USA (03): sprouts, FDA report

Foodborne Illness -- United States
"The FDA set out to collect and test sprouts in 2014 as part of a new proactive and preventive approach to deploying its sampling resources with the ultimate goal of keeping contaminated food from reaching consumers.
"The new approach, detailed in the Background section of this report (page 4 [available at the URL above]), centers on the testing of a statistically determined number of samples of targeted foods over a relatively short period of time, 12 to 18 months, to ensure a

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PRO/AH/EDR> Salmonellosis - USA (09): live poultry, multiple serotypes

Salmonella -- United States
Since the last update on 13 Jul 2017, 172 more ill people have been reported. The most recent illness began on 31 Jul 2017.
CDC and multiple states are investigating 10 separate multistate outbreaks of salmonella infections in people who had contact with live poultry in backyard flocks. These outbreaks are caused by several DNA fingerprints of different salmonella bacteria: _S._ Braenderup, _S._ Enteritidis, _S._ Hadar, _S._ I 4,[5],12:i-, _S._ Indiana, _S._ Infantis, _S._ Litchfield, _S._

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PRO/AH/EDR> E. coli EHEC - Japan: (ST) O157, potato salad, RFI

E. coli -- Japan
.
A 5 year old girl is in a critical condition and 2 others are severely ill after eating a supermarket potato salad product infected with _Escherichia coli_ O157, Saitama Prefecture said [on Mon 21 Aug 2017]. The victims all ate potato salad sold at the Shokusaikan Marche Kagohara supermarket in the city of Kumagaya, Saitama prefecture, the prefecture said. In addition to the girl, who remains unconscious, a 4 year old boy and a 60 year old woman have been hospitalized. All 3 are not

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PRO/AH> Undiagnosed cough, canine - USA: (MT)

Undiagnosed -- United States
As an outbreak of severe, sometimes fatal, upper respiratory infections in dogs continues in Bozeman, Montana, veterinarians elsewhere in the state and beyond say they, too, are seeing serious cases of canine cough. Reports from practitioners in Georgia, Missouri, Wyoming, and Billings, Montana, posted on a message board of the Veterinary Information Network (VIN), suggest the problem is not confined to Bozeman -- although whether the multistate outbreaks are related is undetermined.
The

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PRO/EDR> Cholera, diarrhea & dysentery update (87): Asia (Yemen)

Cholera -- Yemen
WHO has announced another 22 deaths within the last 5 days caused by cholera in Yemen. The reported numbers affirm a total of 1997 deaths starting from the end of April 2017. As of Saturday evening [19 Aug 2017], the number of cholera cases stands at 527 000.
The WHO report also noted that Yemen's Sanaa and Al Hudaydah governorate, located in the west of the country, have the highest rates of cholera spread compared with other governorates. The combined number of infected individuals in the

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PRO/EDR> Hemorrhagic disease - Nigeria (04): (KW) RFI

Gastroenteritis, Norovirus -- Nigeria


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Monday 21 August 2017

PRO/EDR> Malaria - South Sudan

Malaria -- South Sudan
An outbreak of malaria in South Sudan has killed over 4000 people since February [2017], a senior health official disclosed last week [week of Sun 13 Aug 2017]. "This year's malaria is the most severe the country has ever seen," Dr Isaac Mapeer, the deputy head of the Malaria Control Program at South Sudan's Ministry of Health, told Anadolu Agency on [Thu 17 Aug 2017]. A total of over 900 000 malaria cases had so far been registered, according to Mapeer. "Up to 4073 deaths were recorded since

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PRO/EDR> Legionellosis - Spain: (VC)

Legionnaires' -- Spain
The Directorate General of Public Health of the Ministry of Universal Healthcare and Public Health reports that it has been notified of a new case of legionnaires' [disease], the 7th related to the outbreak in the downtown area of Calicanto de Chiva, which has claimed the life of one victim, as revealed by Levante-EMV and confirmed later by the ministry. As has been reported by the regional administration, this case is a 59 year old woman who displayed symptoms in July [2017] and was admitted

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PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (10): (PB) advice issued

Crimean-Congo Hemorrhagic Fever -- Pakistan
A patient undergoing treatment at one of the 3 teaching hospitals in town, Holy Family Hospital, tested positive for Crimean-Congo hemorrhagic fever (CCHF) on [Sat 19 Aug 2017]. The patient was taken to the Holy Family Hospital on [Mon 14 Aug 2017] from Tehsil Hazro of District Attock, some 80 kilometres [49.70 mi] from Rawalpindi.
The confirmation of the patient has strengthened doubts that the population in the region may face a possible spike of CCHF ahead of Eidul Azha [Islamic

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PRO/AH/EDR> Salmonellosis, st Kiambu - USA (05): papaya, more serotypes

Salmonella -- United States
Since the last update on 11 Aug 2017, 34 more ill people were added to this investigation from 11 states.
As of [16 Aug 2017], 173 people infected with the outbreak strains of _Salmonella_ Kiambu (51), _S._ Thompson (111), _S._ Agona (7), or _S._ Gaminara (4) have been reported from 21 states. A list of the states and the number of cases in each is shown:
States / Case count
Connecticut / 6
Delaware / 4
Iowa / 2
Illinois / 3
Kentucky / 4
Louisiana / 1
Maryland / 8
Massachusetts /

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PRO/AH/EDR> Hepatitis E - UK (03): gt 3, European sausage

Hepatitis E -- United Kingdom
Abstract
--------
"Since 2010, human hepatitis E infections have increased in England and Wales. Most cases are locally acquired and caused by hepatitis E virus genotype 3 (HEV G3). HEV G3 is linked to the consumption of pork products. The increase is associated with the emergence of a new phylotype, HEV G3-group 2 (G3-2, also known as G3abcdhij). 60 individuals with confirmed hepatitis E infection and no history of travel outside the UK were recruited: 19 were infected with HEV G3-group 1

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

PRO/AH> African swine fever - Europe (20): update, international impact

African Swine Fever -- Worldwide/Unknown
The continued advance of African swine fever (ASF) through eastern European countries has triggered concern amongst pig farmers and governing bodies. DEFRA [UK Department for Environment, Food, and Rural Affairs] has upgraded the threat to the UK from 'very low' to 'low' -- meaning the risk is "rare but could occur" (EFSA [European Food Safety Authority] terminology). This severe disease of pigs entered Europe through Georgia in 2007, and has since continued to the Russian Federation and

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2x6d1xT

PRO/PL> Crown & root rot, apple - USA: (eastern)

Other Plant Disease -- United States
This [2017] season has been tricky for eastern apple growers. Growers contacted Dan Cooley, University of Massachusetts, with new trees dying back. The trees were either completely dead with brown leaves, some were wilting, some had yellow leaves. In a very wet part, the incidents were concentrated. The trees were dug up to be examined further. "It looks like _Phytophthora_ crown and root rot," [Cooley] said. Soils saturated for more than 24 hours are breeding grounds for

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PRO/EDR> Measles update (42): Europe, Middle East, Africa, Pacific

Measles -- Romania
A total of 8493 confirmed measles cases had been reported by [Fri 11 Aug 2017], since the outbreak of the disease in 2016, informs a release on the website of the National Center for the Surveillance and Control of Communicable Diseases of the National Public Health Institute. Among these cases there were 32 deaths, as follows: 8 in Timis County, 6 in Arad, 7 in Dolj, 3 in Caras-Severin, and one in each Bihor, Cluj, Calarasi, Satu Mare, Vaslui, Galati, Mures, and Bucharest. Measles outbreaks

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Four Salmonella strains linked to papaya outbreak

Two different types of Salmonella have been added to an outbreak investigation into papayas which has sickened 173 people.



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Sunday 20 August 2017

PRO/AH/EDR> Japanese encephalitis and other - India (16): (OR)

Japanese Encephalitis -- India
Monsoon fevers are de rigueur in Odisha. While swine flu and dengue are spreading in the urban areas, the tribal hinterland has been beset with outbreaks of encephalitis since 2012. Though no Japanese encephalitis (JE) mortalities have been registered as yet in the official records, 473 acute encephalitis syndrome (AES) cases have been diagnosed so far. Odisha stands 5th in AES mortality after Uttar Pradesh, Assam, West Bengal and Bihar.
According to the National Vector Borne Disease

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PRO/AH/EDR> Equine infectious anemia - USA (04): (KS)

Equine Infectious Anemia -- United States
A horse property in southwest Kansas is under quarantine following confirmation of 6 cases of equine infectious anemia in horses. The infected horses on the property in Finney County will be euthanized because there is no cure and there is a risk the animals may infect other horses.
The Kansas Department of Agriculture's Division of Animal Health was told this month [August 2017] of the initial positive test for the disease, also known as Swamp fever. The horse facility was quarantined and

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PRO/EDR> Mumps update (24): Australia (QL), New Zealand (OT), Brazil (AM)

Mumps -- Australia
Far North Queenslanders have been urged to vaccinate their children following a spike in mumps cases in Cairns. There have been 14 cases of the highly infectious disease identified by Queensland Health since [24 Jul 2017], compared to the yearly average of only one case in the Cairns and Hinterland health district.
Tropical Public Health director Dr Steven Donohue said the mumps outbreak had spilled over to Cairns from northwest Queensland and the Northern Territory's Top End.
"Outbreaks

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PRO/AH/EDR> Toxic algae - Canada: (AB) blue green algae, alert

Algae -- Canada
A cyanobacteria [blue-green algae] bloom has been detected in the Edmonton-area Chip Lake, according to a Alberta Health Services advisory issued [Thu 17 Aug 2017].
Chip Lake is among 5 Edmonton-area lakes currently under a blue-green algae advisory.
Naturally occurring blue-green algae appears like scum, grass clippings, fuzz or globs on the surface of water, AHS said. It can appear green, blue, brown or even shades of pink and often has a musty smell.
People who come in contact with

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PRO/EDR> Chlorine gas - India: (UT) waterworks, RFI

Poisoning -- India
In the early hours of [Fri 18 Aug 2017], 17 people, including 5 children, were taken ill after chlorine gas leakage from a cylinder at a waterworks unit of Uttarakhand Jal Sansthan in Dehradun.
Police rushed to the spot immediately and threw the leaking cylinder into the water to neutralise it, SP (City) Pradeep Kumar Rai, told PTI.
People living in the waterworks area including children, mostly sleeping at that hour, were rushed to different hospitals in the city after they complained

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PRO/AH/EDR> West Nile virus - Americas (08): (DE,NV) equine

West Nile Virus -- United States
Authorities have confirmed the 1st case of West Nile virus in a horse in Delaware since 2015.
The Office of the State Veterinarian said [Tue 15 Aug 2017] the infected horse was an 11-year-old Quarter horse mare in Kent County. Officials say the horse started showing signs of weakness in its limbs on [6 Aug 2016] and was euthanized days later when it was no longer able to stand.
While this is the 1st confirmed horse case this year, officials have detected the virus in sentinel chickens

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Saturday 19 August 2017

PRO/AH/EDR> Lassa fever - West Africa (32): Nigeria

Lassa Fever -- Nigeria
Kwara State government has said that Lassa fever has claimed the life of one person in the state.
The state Commissioner for Health, Mr. Atolagbe Alege, who disclosed this yesterday [Fri 18 Aug 2017] in Ilorin said the alert became necessary in view of the outcome of the results of the samples taken to Virology Department of Lagos State University Teaching Hospital (LUTH), for verification.
Alege, however, said there was no cause for alarm, said the state government had procured

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PRO/EDR> Undiagnosed illness - Nigeria (02): (KO) fatal, RFI

Undiagnosed -- Nigeria
Kogi State Commissioner for Health, Dr Saka Audu has denied that 62 persons died from an unknown disease. While speaking with newsmen in Lokoja, Audu said those diagnosed were suffering from gastroenteritis and malaria. "The current information available to us is that the strange disease actually started 6 weeks ago in Okoloke village in Yagba West, which is a settlement that is predominantly inhabited by Fulani herdsmen.
"There have been cases of reported deaths following abdominal pain,

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PRO/EDR> Zika virus (16): Americas, Asia, research, observations

Zika virus -- United States
Abstract
--------
Because of global spread of Zika virus, accurate and high-throughput diagnostic immunoassays are needed. We compared the sensitivity and specificity of 5 commercially available Zika virus serologic assays to the recommended protocol of Zika virus IgM-capture ELISA and plaque-reduction neutralization tests. Most commercial immunoassays showed low sensitivity, which can be increased.
--
Communicated by:
ProMED-mail

[The low sensitivity is a significant concern.

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PRO/EDR> Hepatitis E - Bangladesh: bloodborne risk

Hepatitis E -- Bangladesh
Fecal contamination of drinking water is associated with large hepatitis E virus (HEV) outbreaks of genotypes 1 and 2 in endemic areas. Sporadic transmission of HEV genotypes 3 and 4 in high-income countries has been associated with exposure to blood and animal contact. The objective of the study was to identify the risk factors for hepatitis E and the genotype(s) causing sporadic hepatitis E in Dhaka, Bangladesh. We selected, from a diagnostic center in Dhaka between November 2008 and

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PRO/AH/EDR> African swine fever - Europe (19): Ukraine (DP), domestic swine, OIE

African Swine Fever -- Ukraine
Information received on [and dated] 17 Aug 2017 from Dr Andrii Zhuk, first deputy head of the State Service of Ukraine on Food Safety and Consumer Production, International Cooperation of the State Service of Ukraine on Food Safety and Consumer Protection, UKR Ministry of Agrarian Policy and Food, Kiev, Ukraine
Summary
Report type: immediate notification
Date of start of the event: 14 Aug 2017
Date of confirmation of the event: 16 Aug 2017
Reason for notification: recurrence of a listed

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PRO/AH/EDR> Influenza, swine - USA (07): H3N2v

Influenza H3N2 -- United States
The US Centers for Disease Control and Prevention (CDC) announced today [Fri 18 Aug 2017] 3 variant influenza cases among fairgoers in North Dakota, Ohio, and Pennsylvania. Information about the cases appears in this week's FluView report.
The cases bring the number of novel flu infections reported this year [2017] to 19, all but 1 reported in the last 30 days.
The CDC said all 3 patients had contact with swine at agricultural fairs. At this time, 2 of the viruses have been fully

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PRO/AH/EDR> Jamestown Canyon virus - USA (02): (NH)

-- United States
A Hanover resident has tested positive for a rare mosquito-borne virus. The New Hampshire Department of Health and Human Services [NH DHHS] said it is the 1st human case of Jamestown Canyon virus [JCV] in the state in 2017. It is the state's 3rd case of the virus found in a human. The 1st case was in May 2013 and the 2nd was in November 2015.
"Jamestown Canyon Virus is one of several viral infections that can be transmitted through the bite of an infected mosquito in New Hampshire," said

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PRO/AH/EDR> Newcastle disease - Sweden: (KA) poultry, OIE

Newcastle Disease -- Sweden
Information received on [and dated] 18 Aug 2017 from Ingrid Eilertz, Chief Veterinary Officer Director and Head, Swedish Board of Agriculture Department for Animal Welfare and Health, Ministry for Rural Affairs, Jonkoping, Sweden
Summary:
Report type: Immediate notification
Date of start of the event: 13 Aug 2017
Date of confirmation of the event: 17 Aug 2017
Report date: 18 Aug 2017
Reason for notification: Recurrence of a listed disease
Date of previous occurrence: 14 Feb

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PRO/AH/EDR> Hendra virus - Australia: (eastern) incr. risk, intrusion on fruit bat habitats

Nipah/Hendra Virus -- Australia
There is a rising risk of human and domestic animal exposure to deadly Hendra virus (HeV) carried by fruit bats in Eastern Australia due to human intrusion into their habitats, human proximity to woodlands and vegetation loss, a new study reveals.
Reported today [Tue 15 Aug 2017] in Scientific Reports by researchers from the University of Sydney, University of Melbourne and State University of New York, the study traces how pressures such as expanding human populations, urbanization and

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PRO/AH/EDR> African swine fever - Europe (18): Czech Republic (ZK) wild boar, spread, control

African Swine Fever -- Worldwide/Unknown
As of the above date, 159 dead feral pigs have been recorded by the State Veterinary Administration in the ZlĂ­n Region. African swine fever [ASF] has been confirmed in 90 of them; in 69 cases, the test was negative.
The number of feral pigs caught in the part of the infected area where they may be hunted (green zone) [for map, see commentary] increased to 96; all tested ASF negative.
In the area with intensive catches, 1917 wild boars have been shot. Most of them, in the districts of

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PRO/AH/EDR> Tularemia - USA (07): (AK) snowshoe hares

Tularemia -- United States
The state Department of Fish and Game is warning pet owners in the Interior and Southcentral Alaska about a recent spike in reports of tularemia - sometimes called "rabbit fever." The disease is treatable, but it's essential to get an animal to a veterinarian as soon as possible when they're showing signs, like high fever.
State Wildlife Veterinarian Kimberlee Beckmen said her office is getting the word out about tularemia after a recent rash of reports of animals sickened by the disease

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PRO/AH/EDR> Glanders, equine - USA: (FL) ex Europe sporting events

Glanders -- United States
An American dressage horse returning to the United States after a competition tour in Europe has tested positive for Glanders. Shipped from Amsterdam to Miami after participating in Sweden and UK
An American dressage horse returning to the United States after a competition tour in Europe could be euthanized or shipped back out of the country after testing positive for glanders during routine USDA equine import quarantine.
Glanders is a highly contagious upper respiratory disease that can

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PRO/EDR> Septic arthritis - USA (02): (KY) nosocomial, intra-articular injection, RFI

Hospital-Related Infection -- United States
Staph [infection], injectable cortisone, Louisville, KY. I have a friend currently in isolation receiving IV antibiotics after receiving cortisone injections in both knees and her spine. Only one knee was infected. She observed her doctor administering all injections using individual vials and new syringes. I have been told that this is occurring in other parts of the city, and suspect an emerging outbreak due to errors at the compounding pharmacy. I am unaware of which pharmacy produced the

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PRO/AH/EDR> Avian chlamydiosis - Canada: (ON)

-- Canada
A pet cockatiel purchased through a home-based aviary business in Brampton has tested positive for avian chlamydiosis, an infection that can cause avian chlamydiosis, an infection that can cause psittacosis in humans. There are no reported instances of human infection in connection with this case and the risk to the general public is low.
Peel Public Health advises anyone who may have recently purchased a bird from a home-based Brampton aviary, or through Kijiji, to take that bird, and any

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PRO/AH/EDR> Food poisoning, fatalities - Ghana: (TV) puffer fish susp.

Food-related toxin -- Ghana
A total of 4 people have died in Alavanyo in the Volta Region in what has been described as food poisoning from a fish which looks like a puffer fish.
Up to 3 others have also been hospitalised at the Margaret Marquart Catholic Hospital in Kpando after they ate the fish which is known by the local people as "Gedde".
According to the Hospital Administrator, Emmanuel Hanson Torde, similar cases were reported 2 weeks ago after residents reportedly ate the same kind of fish. He told Citi FM

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PRO/AH/EDR> MERS-CoV (55): Saudi Arabia (MK, MD, BA), WHO

MERS -- Saudi Arabia
Between [4 Jul 2017 and 12 Aug 2017], the national IHR Focal Point of Saudi Arabia reported 26 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection including 6 deaths, and 2 deaths among previously reported cases.
Details of the cases
MERS-CoV cases reported between [4 Jul and 12 Aug 2017].
Case no. / Date report WHO / City of residence / Age / Sex / HCW / Co-morbidities / Camel exposure / Camel milk / Exposure to other cases / Date of onset of symptoms

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Friday 18 August 2017

PRO/EDR> Cholera, diarrhea & dysentery update (86): Africa, Asia

Cholera -- Worldwide/Unknown
The United Republic of Tanzania is battling an outbreak of Cholera that has since August 2015 affected 26 046 people and claimed 410 lives. Ending the outbreak and preventing its spread beyond Tanzania's borders is a high priority for WHO. To that end, WHO and partners support a well-coordinated multisectoral response through the National Cholera Task Force which plans, coordinates and support subnational authorities.
Indeed, learning requires a continuous assessment of performance, a

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PRO/EDR> Amebic meningoencephalitis, primary - Pakistan (05): (SD) fatal

Amoeba -- Pakistan
Deadly microorganisms found in the unchlorinated water of Karachi have claimed the year's 5th life, as health authorities confirmed the death of a young man from Dalmia's Mujahid Colony due to Naegleria fowleri.
"[AA], 20, was taken to the Aga Khan University Hospital (AKUH) in a serious condition from another private hospital on [Mon 14 Aug 2017], but he died the next day [Tue 15 Aug 2017]," Sindh Health Department's focal person for the brain-eating bug, Dr Zafar Mehdi, told The News on

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PRO/AH/EDR> Influenza, swine - USA (06): (ND) H3N2v

Influenza H3N2 -- United States
The North Dakota Department of Health (NDDoH) reports a confirmed case of variant influenza A H3N2v in a child with exposure to pigs. Influenza viruses that normally circulate in pigs are called variant influenza when the virus is found in people.
Variant influenza viruses are different from typical circulating human influenza A viruses. Most cases of variant influenza occur during summer months in people who raise pigs, or who had contact with pigs at agricultural events like fairs.

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PRO/AH/EDR> Avian influenza, human (66): Philippines, H5

Avian Influenza -- Philippines
Up to 2 farm workers isolated for possible bird flu human transmission in northern Luzon, 12 quarantine stations have been set up in affected areas
A total of 2 workers in farms that were hit by flu virus in central Luzon starting April [2017] have been isolated after showing flu -- like symptoms, health
officials said. "One has been coughing and the other has a fever. They have been isolated in a hospital for close monitoring. Results of tests conducted on them will be released [Wed 16

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PRO/AH/EDR> Scrub typhus - Nepal (08): (KT) more cases

Scrub Typhus -- Nepal


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PRO/EDR> Diphtheria - South Africa: (WC) fatal

Diphtheria -- South Africa
Officials with the National Institute for Communicable Diseases (NICD) in South Africa are reporting a diphtheria outbreak that has affected 4 people, including one fatality, according to a local media report today [Mon 14 Aug 2017]. The 4 cases were reported in Helderberg in the Western Cape. The patients include a mother and 2 children and a neighbor. It is not published who died.
Professor Lucille Blumberg with the NICD said it was likely the infected children did not receive all their

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PRO/EDR> Infant botulism - USA (04): comment

Botulism -- United States
Rates of foodborne botulism in the United States have declined somewhat since the 1990s, while those of infant botulism continue to increase [1]. See graph at .
Reference
---------
1. Berger S. Botulism: Global Status, 2017. 99 pages, 90 graphs, 877 references, Gideon e-books,
--
Communicated by:
Stephen Berger
Geographic Medicine
Tel Aviv Medical Center
Tel Aviv, Israel

[ProMED thanks Dr Berger for his continued contributions to our efforts. Given the differences in

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PRO/AH/EDR> Ranavirus, salamander - China: (Hong Kong) 1st rep, OIE

Other Animal Disease -- China
Information received on [and dated] 17 Aug 2017 from Dr Thomas Sit, Chief Veterinary Officer/Assistant Director (Inspection & Quarantine), Agriculture, Fisheries and Conservation Department, Hong Kong Special Administrative Region Government, Hong Kong, Hong Kong (SAR-PRC)
Summary
Report type: immediate notification (final report)
Date of start of the event: 20 Mar 2017
Date of confirmation of the event: 11 Aug 2017
Report date: 16 Jan 2014
Date submitted to OIE: 16 Jan 2014
Date

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PRO/EDR> Botulism - UK (02): pâtés, risk, recall

Botulism -- United Kingdom
Product: Chatsworth Delicatessen Mushroom Pate
Pack size: All pack sizes
Best before end: All date codes up to and including 28/01/2019
Batch code: All batch codes
Product: Chatsworth Delicatessen Spicy Bean Crush Pate
Pack size: All pack sizes
Best before end: All date codes up to and including 28/01/2019
Batch code: All batch codes
Product: Chatsworth Delicatessen Salmon Pate with Lemon
Pack size: All pack sizes
Best before end: All date codes up to and including

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PRO/AH/EDR> E. coli EHEC - USA (25): (CA) O157, recreational water

E. coli -- United States
1. Keene WE, McAnulty JM, Hoesly FC, et al. A swimming-associated outbreak of hemorrhagic colitis caused by _Escherichia coli_ O157:H7 and _Shigella sonnei_. N Engl J Med 1994; 331(9): 579-84; available at .
2. CDC: Lake-associated outbreak of _E. coli_ O157:H7 - Illinois. MMWR 1996; 45(21): 437-9; available at .
3. Ackman D, Marks S, Mack P, et al. Swimming-associated hemorrhagic colitis due to _Escherichia coli_ O157:H7 infection: evidence of prolonged contamination of a fresh water lake.

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PRO/AH/EDR> St. Louis encephalitis virus - USA (02): (CA)

St. Louis Encephalitis -- United States
A chicken in Merced County has tested positive for St Louis encephalitis virus for the 1st time in decades, the mosquito abatement district reported.
St Louis encephalitis can cause people to have mild flu-like symptoms. In more serious cases, symptoms could include seizures, paralysis, a coma and could even result in death. The virus has no specific treatment.
"The sentinel chicken sampled that tested positive for (the virus) is the 1st detection of the virus in Merced County in over 40

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PRO/AH/EDR> Japanese encephalitis - Philippines: (PM)

Japanese Encephalitis -- Philippines
The Department of Health (DOH) has recorded a total of 149 cases of the deadly Japanese encephalitis with at least 22 cases in noted Pampanga , the highest in the [Central Luzon] region during the 1st quarter of 2017.
Japanese encephalitis is a viral disease spread by blood-sucking insects, particularly mosquitoes. The mosquitoes of the _Culex_ species are known to be the viral carriers.
The DOH said it affects the nervous system, causes severe complications and even death. The disease

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PRO/PL> Barley yellow dwarf, cereals - UK, Canada

Other Plant Disease -- United Kingdom
A warning has been issued over [a] virus infection threat to cereal harvests. Growers should be aware of the higher risks of barley yellow dwarf virus (BYDV) infection in crops sown this autumn [2017] and were advised by Hutchinsons' [Crop Consultants] Cam Murray to make every effort to mitigate the possible impacts.
He said that pressure in several areas of Scotland had been "excessive" after large flights of aphids through spring, with classic yellowing symptoms found in spring oats,

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PRO/AH/EDR> Avian influenza (130): Switzerland (VD) wild bird, HPAI H5N8, OIE

Avian Influenza H5N8 -- Switzerland
Information received on [and dated] 17 Aug 2017 from Mr Hans Wyss, Chief Veterinary Officer, Schwarzenburgstrasse 161, Swiss Federal Veterinary Office, Liebefeld, Berne, Switzerland
Summary
Report type: immediate notification
Date of start of the event: 10 Aug 2017
Date of confirmation of the event: 17 Aug 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 22 Mar 2017
Manifestation of disease: clinical disease
Causal agent: highly pathogenic

Read more about it at HealthMap Global Disease Alerts via http://bit.ly/2v8crxl

PRO/AH/EDR> Foot & mouth disease - Zimbabwe: (MV,MA) bovine, OIE

Foot and Mouth -- Zimbabwe
Information received on [and dated] 16 Aug 2017 from Dr Unesu Hildah Ushewokunze-Obatolu, principal director, Department of Livestock and Veterinary Services, Harare, Zimbabwe
Summary
Report type: immediate notification
Date of start of the event: 21 Jul 2017
Date of confirmation of the event: 25 Jul 2017
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 14 Oct 2016
Manifestation of disease: clinical disease
Causal agent: Foot and mouth disease

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

PRO/EDR> Poliomyelitis update (22): Syria, Afghanistan, Somalia, global

Polio -- Syria
Key highlights
--------------
Three new cases of cVDPV2 were reported this week from 3 new districts: 1 case from Deir ez-Zor district, Deir ez-Zor governorate; 1 from Boukamal district, Deir ez-Zor governorate; and 1 from Tadmour district, Homs governorate.
Five districts in 3 governorates are now infected.
The total number of cVDPV2 cases is 33 (this includes the previously reported 29 cases from Mayadeen district, Deir ez-Zor governorate, and 1 case from Tell Abyad district, Raqqa

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PRO/EDR> Malaria: effect of rapid malaria diagnostic tests on the use of antibiotics

Malaria -- Worldwide/Unknown
In the early 2000s, researchers developed rapid diagnostic tests (RDTs) for malaria, a major childhood killer. Simple as a home pregnancy kit, RDTs need just one drop of blood from a finger prick to detect the malaria parasite. They enabled health workers in remote villages in Africa and Asia to accurately and almost instantly diagnose malaria, making them less likely to overuse the new generation of "wonder drugs," artemisinin-based combination therapies (ACTs), which were in danger of being

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Thursday 17 August 2017

PRO/AH> Japanese encephalitis & other - India (15): (UP) AES due to scrub typhus

Scrub Typhus, Encephalitis -- India
Based on a study carried out in 2015, a team led by Dr Manoj V Murhekar, Director of the Chennai-based National Institute of Epidemiology, found scrub typhus to be responsible for acute encephalitis syndrome (AES) in 63 percent of patients admitted to the Baba Raghav Das Medical College Hospital in Gorakhpur [Uttar Pradesh state, UP].
The study was repeated last year [2016] by the same team by comparing children with AES and healthy children who are siblings of the patients or living in the

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PRO/EDR> Measles update (41): Europe (Finland, Italy)

Measles -- Finland
Seppälä E, Zöldi V, Vuorinen S, Murtopuro S, et al.
A young Italian adult was diagnosed with measles in Finland in June 2017. During the stay in Finland and subsequent travel to Estonia, the case exposed altogether several hundred persons to measles. As of [Fri 11 Aug 2017], 5 secondary cases of measles have been detected. As the investigation is still ongoing, we present here the preliminary findings and implemented control measures regarding this cluster of measles.
Description of

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PRO/EDR> Infant botulism - USA (03): (AZ)

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

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PRO/AH/EDR> Lassa fever - West Africa (31): Nigeria

Lassa Fever -- Nigeria
1. Lassa fever
Please note that the data reflects the routine reports i.e. all suspected cases including the laboratory positive and negative cases
1.1. Up to 12 suspected cases of Lassa fever were reported from four LGAs [local government areas] (3 States; Edo - 10, Nasarawa - 1 and Plateau - 1) in week 30, 2017 compared with 14 suspected cases with 2 Laboratory confirmed cases reported from 3 LGAs (3 States) at the same period in 2016.
1.2. Laboratory results of the 12 suspected cases are

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PRO/AH/EDR> Brucellosis - Algeria: (EO)

Brucellosis -- Algeria
No less than 70 cases of human brucellosis have been recorded during the 1st half of 2017 in the province of El-Oued. Of the total number of cases recorded, 60 percent were diagnosed in 4 communes (El-M'ghair, Reguiba, Oum-Toyour and Still) considered as foci of this disease, due to high amount of livestock, goats and cattle in particular, said the APS doctor at the prevention department Kamel Dif.
The highest number of cases of brucellosis is generally recorded during the spring period

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PRO/AH/EDR> Novel coronavirus - China: shrew

Coronavirus -- China
Abstract
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Although shrews are one of the largest groups of mammals, little is known about their role in the evolution and transmission of viral pathogens, including coronaviruses (CoVs). We captured 266 Asian house shrews (_Suncus murinus_) in Jiangxi and Zhejiang Provinces, China, during 2013 to 2015. CoV RNA was detected in 24 Asian house shrews, with an overall prevalence of 9.02 percent. Complete viral genome sequences were successfully recovered from the RNA-positive samples.

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PRO/EDR> Hepatitis A - USA (21): (MI) RFI

Hepatitis A -- United States
The Oakland County Health Division says 63 cases of hepatitis A have been confirmed over the past year, that's 58 more than the previous year [2016]. This includes 8 more cases of hepatitis A that have been confirmed in the Farmington Hills area over the past week.
The health division has not identified a source but are urging residents to get vaccinated to reduce the risk of contracting the disease.
"We contribute this increase in confirmed cases to illicit drug use in the community,"

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PRO/EDR> Herpes simplex type 1, neonatal - USA: (IA)encephalitis,oral transmission, fatal

Herpes -- United States
Following the recent death of an Iowa infant who suffered complications after becoming infected with the herpes simplex virus type 1 (HSV-1) likely due to a kiss, health experts are reminding the public that the virus can spread easily to babies.
Oral herpes is a highly contagious virus that is spread via oral-to-oral contact, such as kissing. The WHO estimates that 3.7 billion individuals around the world have an HSV-1 infection, with the Americas having the lowest prevalence of the virus.

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PRO/EDR> Hepatitis A - USA (20): (CA) fatal

Hepatitis A -- United States
This health advisory updates local healthcare providers about recent hepatitis A virus (HAV) infections disproportionately affecting homeless and illicit drug-using individuals in San Diego County. Updated recommendations and resources on HAV are provided.
Situation
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As of 14 Aug 2017, 333 confirmed or probable HAV cases have been reported in an ongoing local outbreak in San Diego County. The cases had symptom onsets between 22 Nov 2016 and 8 Aug 2017. 232 (70 percent) of the

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PRO/EDR> Cyclosporiasis - USA (04): background

Other Human Disease -- United States
1. Berger SA. Cyclosporiasis: Global Status, 2017. 35 pages, 8 graphs, 435 references. Gideon e-books,
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Communicated by:
Stephen Berger
Geographic Medicine
Tel Aviv Medical Center
Tel Aviv, Israel

[ProMED thanks Professor Steve Berger for providing this background information extracted from the GIDEON database. The numbers most probably represent an underestimation as mild, self limiting cases probably would never be investigated by a feces microscopy for protozoan parasites. -

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PRO/AH/EDR> Trypanosomiasis - Germany: ex Zambia

Trypanosomiasis -- Germany


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PRO/AH/EDR> Equine herpesvirus - North America (17): USA (VA) equine

Equine Herpes Virus -- United States


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Recalls: Norovirus, Clostridium botulinum and Salmonella

Food and beverage alerts were made by USA, England, Ireland, Scotland, Canada, Australia, Singapore, Belgium, Switzerland, Austria, Finland, Sweden, Czech Republic, Slovakia, Netherlands and Denmark.



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PRO/PL> Anthracnose, mango - Mexico

Other Plant Disease -- Mexico
As volume of mangoes from Mexico starts building, customers are noticing a problem that can pester mango growers and sellers. Anthracnose black spots have developed thanks in part to a rainy season. Part of the problem is that the anthracnose isn't being detected until it's too late.
"In Florida [USA], we pick mango with great ripeness," says [a Florida mango grower]. "But in Mexico, they have to pick it almost green and they don't see the anthracnose until it gets ripe. So when they come

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K-Bar Dairy recalls raw milk due to Brucella concerns

At least one person has been hospitalized by brucellosis with a link to raw milk, according to the Texas Department of State Health Services (DSHS).



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