Wednesday 28 February 2018

PRO/AH/EDR> Salmonellosis - USA (04) : (CO) restaurant chain

Salmonella -- United States
A Weld County family restaurant chain temporarily closed its Fort Lupton and Dacono locations [Thu 22 Feb 2017] after being linked to a salmonellosis outbreak with 21 confirmed cases, according to the Weld County Department of Health and Environment. Burrito Delight restaurants were determined to be the source of the outbreak, which expanded from 8 to 21 confirmed cases this week, including 12 people who reportedly ate food from Burrito Delight at Aims Community College in Greeley at 2 catered

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PRO/AH/EDR> Salmonellosis, st Typhimurium - Africa: ST313, virulence

Salmonella -- Worldwide/Unknown
_Salmonella enterica_ serovar Typhimurium ST313 is a relatively newly emerged sequence type that is causing a devastating epidemic of bloodstream infections across sub-Saharan Africa. Analysis of hundreds of salmonella genomes has revealed that ST313 is closely related to the ST19 group of _S._ Typhimurium that cause gastroenteritis across the world. The core genomes of ST313 and ST19 vary by only ∼1000 SNPs. We hypothesized that the phenotypic differences that distinguish African salmonella

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PRO/AH/EDR> Hepatitis E - Namibia (05): (KH) fatal

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

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PRO/AH/EDR> Rabies (12): Africa (S Africa) Asia (Thailand) animal, human

Rabies -- South Africa
A local woman was on the receiving end of a rabies scare last week [week of 19 Feb 2018] when she was bitten by a horse. LM, who lives on a farm near Doringkop, inland from Stanger [KwaZulu-Natal], told the Courier she approached the horse on [Mon 19 Feb 2018] thinking it was sick. "It was lying down, which made me think maybe it had colic and then the best thing to do is try get them back up on their feet," she said.
While trying to help the horse, she got too close and was bitten.

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PRO/EDR> Measles update (14): Europe, Asia and Pacific, USA

Measles -- Switzerland
The canton of Neuchâtel is experiencing a measles outbreak. In one month, the Cantonal Public Health Service became aware of 7 cases of this contagious viral disease. Measures to keep children [that are not vaccinated] away have been declared.
On 18 Jan 2018, Vaud [canton] health authorities informed the Neuchâtel cantonal doctor of a case of measles in a 6 year old child who was residing in the canton of Vaud, but attending a Neuchâtel school. Despite control measures, 6 new cases were

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PRO/AH/EDR> Lassa fever - West Africa (14): Nigeria

Lassa Fever -- Nigeria
Lassa fever has continued to spread in Nigeria, with 1081 suspected cases and 90 deaths in 18 states, according to a press statement released by the Nigeria Centre for Disease Control (NCDC) on Tuesday [27 Feb 2018]. According to the agency, following the increasing number of Lassa fever cases, within a week, 54 new confirmed cases were recorded from 8 states, with 10 new deaths in confirmed cases from 5 states.
"From 1 Jan-25 Feb 2018, a total of 1081 suspected cases and 90 deaths have

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PRO/AH/EDR> Yellow fever - Americas (17): Europe, Argentina ex Brazil

Yellow Fever -- Argentina
Since July 2017, Brazilian health authorities have reported 545 confirmed yellow fever cases and 164 deaths.
In January [2018], the Netherlands reported an imported yellow fever case in the country in a traveler to Brazil. The patient, who has since recovered, was a 46 year old unvaccinated man who traveled to and stayed in Maripora, São Paulo state, Brazil since mid-December [2017] and was confirmed positive for yellow fever upon return to the Netherlands on 8 Jan [2018] (see PRO/AH/EDR>

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PRO/AH/EDR> Hantavirus - Americas (13): Argentina (BA)

Hantavirus -- Argentina
A woman died in the General La Madrid partido [2nd-level administrative subdivision] of Buenos Aires province, as confirmed by the municipality. With this case, the total is 17 [cases], as stated by the Ministry of Health, despite the assurances of this health agency that there is no outbreak.
The patient who died was hospitalized for several weeks, during which investigations were carried out in order to determine whether this was a case of [a] hantavirus [infection]. In fact, the province

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Tuesday 27 February 2018

PRO/AH/EDR> Avian influenza (38): Saudi Arabia (RI) poultry, HPAI H5N8, spread

Avian Influenza H5N8 -- Saudi Arabia
The Ministry of Environment, Water and Agriculture on Sunday [25 Feb 2018] confirmed the detection of one case of H5N8 avian flu in Al Kharj [governorate, Riyadh region]. The ministry has been actively taking measures to control the spread of the disease.
The ministry affirmed that since the outbreak of H5N8 avian flu the number of samples collected reached 9234 in the Kingdom. Only 140 of those samples tested positive, it added.
--
communicated by:
ProMED-MBDS

[The HPAI H5N8 event

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PRO/AH/EDR> Hepatitis E - Japan: transfusion, fatal

Hepatitis E -- Japan
A woman in her 80s died in November 2017 after being infected with the hepatitis E virus [HEV] through a blood transfusion at a Japanese facility in what is believed to be the world's 1st fatal case of this type, according to a report by the Japanese Red Cross Society. The organization reported to a government panel on Wed 31 Jan 2018 that the person who donated the blood may have been infected with the virus after eating raw deer meat. The same type of virus was found in the donor's blood and

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PRO/AH> African swine fever - Europe (04): Ukraine, wild boar, domestic, OIE

African Swine Fever -- Ukraine
Information received on [and dated] 23 Feb 2018 from Dr Andrii Zhuk, 1st 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: 21 Feb 2018
Date of confirmation of the event: 22 Feb 2018
Reason for notification: recurrence of a listed

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Monday 26 February 2018

PRO/AH/EDR> Avian influenza (37): Netherlands (GR) poultry, HPAI H5N6

Avian Influenza H5N6 -- Netherlands
Bird flu has been identified on a farm in Oldekerk in Groningen and all 36 000 birds have been destroyed. The flu, a variant of H5 [see comment], was confirmed on [Sun 25 Feb 2018].
Two other farms within a 3 km [approx. 1.86 mi] radius of the affected company are now being tested for the deadly virus and farm minister Carola Schouten has imposed a ban on moving birds, eggs and manure within a 1 km [approx. 0.6 mi] radius.
Poultry farmers currently have to keep their birds indoors

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PRO/AH/EDR> Avian influenza (36): Viet Nam (HP) HPAI H5N6, poultry, OIE

Avian Influenza H5N6 -- Vietnam
Information received on [and dated] 24 Feb 2018 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: 19 Feb 2018
Date of confirmation of the event: 22 Feb 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 23 Oct 2017
Manifestation of disease: clinical disease
Causal

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PRO/AH/EDR> Angiostrongylus cantonensis - USA (02): (HI)

Other Human Disease -- United States
The 1st confirmed case of rat lungworm disease [angiostrongyliasis] in the state in 2018 has been found in an adult resident of West Hawaii, the Hawaii Department of Health reported on Fri 23 Feb 2018. The individual became seriously ill earlier this month and is being treated at a hospital, the state says. A laboratory detected the rat lungworm parasite in the individual's spinal fluid. State health officials conducted a detailed investigation of the case and are "unable to determine the

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PRO/AH> Botulism, avian - New Zealand (03): (CA) waterfowl, update

Botulism -- New Zealand
Nearly 1000 birds have died at wastewater treatment plants in Canterbury after an outbreak of botulism. Hundreds of waterfowl including ducks, teal, and geese have been found dead at a [wastewater] treatment plant in Kaiapoi, with more discovered at other sites in Waimakariri and Christchurch.
The Kaiapoi plant's shallow ponds and wetlands are home to between 5000 and 6000 birds, including mallards, paradise shelducks, black swans, teal, and the New Zealand shoveler. Officials estimate

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PRO/AH/EDR> Avian influenza (35): update, OIE

Avian Influenza -- Worldwide/Unknown
In its latest epidemiologic update on avian influenza [published 25 Jan 2018; see comments below] the World Organization for Animal Health (OIE) said that the highly pathogenic avian flu situation in the 2nd panzootic wave, under way since 2013, is notable. Factors include a substantial number of countries and territories affected by outbreaks in domestic birds, a substantial number of outbreaks, and circulation of diverse subtypes, which has added complexity to control and eradication.
In

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PRO/AH> Foot & mouth disease - India: (PB) ungulates, zoo animals

Foot and Mouth -- India
Following the death of 8 animals from foot and mouth disease [FMD] in the last 2 months at the Mahendra Chaudhary Zoological Park in Punjab's Chhatbir, the central zoo authority has alerted states and union territories to take preventive measures. Since January [2018], FMD -- a highly contagious viral disease -- spread among cattle in Chhatbir and Gagar villages and the adjoining area of the park. Captive animals at the park have been affected, said a top park official.
In the last couple

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PRO/EDR> Rubella - Syria: (RA) IDP camp

Rubella -- Syria
An IDP [international displaced persons] camp north of Raqqa [Ar Raqqah], Syria, has reported 60 cases of German measles (rubella) in the past few days, according to a Shaam Network report (computer translated). The cases were reported in children and some adults. One death of a child was reported.
The Ain Issa camp, about 50 km [31 mi] north of Raqqa, includes about 3000 tents and is inhabited by more than 20 000 displaced people from Raqqa and Deir Al-Zour.
Rubella, or German measles,

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Sunday 25 February 2018

PRO/PL> Citrus tristeza virus - Portugal: northern & central

Other Plant Disease -- Portugal
In Portugal, two outbreaks of _Citrus tristeza virus_ (_Closterovirus_, CTV - EPPO A2 List) were reported in 2017. During official surveys, CTV was detected in June 2017 in 7 citrus trees (_Citrus sinensis_ [sweet orange] and _C. reticulata_ [mandarin]) growing in a private garden in the municipality of Sao Pedro de Merelim (Norte region). In October 2017, CTV was also detected in an urban area in the municipality of Sepins (Centro region) on asymptomatic citrus trees planted as ornamentals

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PRO/EDR> Dengue/DHF update (05): Asia, Pacific, Australia, vaccination, research

Dengue -- Worldwide/Unknown
The Philippines Department of Health announced that a "causal association" has been found between 3 pediatric deaths and the dengue vaccine, Dengvaxia. Two of these deaths may have been caused by vaccine failure, according to a Department of Health (DOH) press release. The deaths were investigated by members of a Dengue Investigative Task Force (DITF) that was created by the Philippine General Hospital (PHG) in response to concerns over the safety of Dengvaxia (Sanofi Pasteur), the only

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PRO/EDR> Tuberculosis - USA: (AL) 2-year community outbreak, nightclubs, RFI

Tuberculosis -- United States
The Alabama Department of Public Health [ADPH] has detected multiple cases of tuberculosis in Dothan over the past 2 years and expressed frustration Friday [23 Feb 2018] over what the department says is a lack of cooperation from downtown nightclubs that have been identified as a common denominator in the cases.
The department, in a written release, identified The Blue Bar, Chill Lounge, Club Escape, The G-Spot, and Imani Loungebar, specifically. "Numerous attempts have been made to reach

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PRO/EDR> Cholera, diarrhea & dysentery update (09): Asia (Yemen) WHO

Cholera -- Yemen
Highlights:
Cumulative figures
------------------
- The cumulative total from 27 Apr 2017 to 18 Feb 2018 is 1 063 786 suspected cholera cases and 2258 associated deaths, (CFR 0.21 percent); 1104 have been confirmed by culture.
- 59.3 percent of deaths were severe cases at admission.
- The total proportion of severe cases among the suspected cases is 16 percent.
- The national attack rate is 383.5 per 10 000. The 5 governorates with the highest cumulative attack rates per 10 000

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PRO/EDR> Influenza (09): WHO global update, vaccine recommendations

Influenza -- Worldwide/Unknown
Influenza activity remained high in the temperate zone of the northern hemisphere, while in the temperate zone of the southern hemisphere, activity was at inter-seasonal levels. Worldwide, influenza A accounted still for the majority of influenza detections, but influenza B (mostly B-Yamagata lineage) increased in recent weeks.
Up to now, the majority of countries in influenza season reported influenza-like illness reaching moderate levels in comparison with previous years, with few

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Saturday 24 February 2018

PRO/AH/EDR> Undiagnosed deaths, ovine - India: (KA), nematodes suspected, RFI

Undiagnosed -- India
Over 400 sheep affected with the round worm disease died in Mulabagilu taluk in one week.
Veterinarians say that the infection is being caused by the sheep drinking impure water from ponds and lakes which filled up during ample rains in November 2017. The larvae that have entered the sheep's stomachs in this manner have hatched inside their intestines, finally choking them to death.
The sheep rearers are shocked by the magnitude of their losses.
There are 22 veterinary centres in the

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PRO/AH/EDR> Schmallenberg virus - Europe (04): UK (N. Ireland), ovine

Schmallenberg -- United Kingdom
Schmallenberg virus is progressing west across Northern Ireland, according to the province's Agri-Food and Biosciences Institute [AFBI].
The Schmallenberg virus (SBV) was 1st identified in Germany in late 2011 as a cause of malformations in newborn calves and lambs.
It was 1st detected in Northern Ireland in a cattle herd in County Down in October 2012. Three further cases were confirmed the following spring in County Down in 2 cattle herds and one sheep flock. In 2017, the virus

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PRO/EDR> Measles update (13): Europe (France), USA (TX)

Measles -- France
A 5th case of measles was confirmed at the end of last week [week of Sun 4 Feb 2018] in a school of the Cite scientifique on the campus of Villeneuve-d'Ascq. The 1st patient was diagnosed in mid-January [2018] and the campus now has 4 students with measles and a teacher-researcher. "A student from Bordeaux infected the others, says a report to the management of the University of Lille.
Screening kits and vaccines have been sent to the Scientifique City health center, among other items. For

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PRO/AH/EDR> Yellow fever - Americas (16): Brazil

Yellow Fever -- Brazil
Brazil confirmed 545 cases and 164 deaths in the period [Sat 1 Jul 2017 - Tue 20 Feb 2018]. During the same period of last year [2016 - 2017] there were 557 confirmed cases and 178 deaths.
This [Wed 21 Feb 2018] they updated the information sent in by the state secretariats of health concerning the yellow fever situation in the country. In the monitoring period (Sat 1 Jul 2017 - Tue 20 Feb 2018) there were 545 confirmed cases of yellow fever in the country, of which 164 were deaths. In

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PRO/AH/EDR> Avian influenza, human (09): China (JS), H7N4

Avian Influenza -- China
On [Wed 14 Feb 2018], the National Health and Family Planning Commission (NHFPC) of China notified the World Health Organization (WHO) of one case of human infection with avian influenza A(H7N4) virus. This is the 1st human case of avian influenza A(H7N4) infection to be reported worldwide [see ProMED-mail post Avian influenza, human (07): China (JS) H7N4, 1st report http://bit.ly/2ETSRL6].
The case-patient was a 68-year-old woman from Jiangsu Province with

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PRO/AH/EDR> Listeriosis - South Africa (07): fatal, more cases

Listeriosis -- South Africa
A listeriosis outbreak, believed to be the world's largest, has claimed 172 lives in South Africa, the Department of Health said on [Thu 22 Feb 2018].
As of [Tue 20 Feb 2018], the National Institute of Communicable Diseases (NICD) has reported 915 laboratory-confirmed cases of listeriosis, the department said in its latest update on the pandemic that has gripped the country since January 2017. According to media reports, 57 people lost their lives last week [week of Sun 11 Feb 2018]

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Friday 23 February 2018

PRO/EDR> Hepatitis B - USA: (FL) 2011-2016

Hepatitis B -- United States
In April 2016, CDC noted an increase in acute hepatitis B virus (HBV) infections in Pasco county, Florida, through the National Notifiable Disease Surveillance System. Hepatitis B is an infection of the liver caused by HBV, which is transmitted through blood, semen, or other body fluids and is usually an acute, self-limiting illness in adults; however, some infected adults develop chronic HBV infection. HBV infection is preventable by vaccination. The Florida Department of Health (DOH-Florida)

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PRO/EDR> Typhoid fever - Pakistan (03): multidrug resistance, fatal

Typhoid -- Pakistan
A major outbreak of typhoid fever in Pakistan may have been caused by a highly drug-resistant microbe, scientists have warned. Research by the Wellcome Sanger Institute has shown that the typhoid strain behind the outbreak, which began in Hyderabad in Pakistan in November 2016 and has since spread, has acquired an extra piece of DNA that renders it resistant to multiple antibiotics.
"It is significant because it marks the 1st time we have seen such high levels of drug resistance in

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PRO/EDR> Hepatitis A - Australia: (VI) MSM

Hepatitis A -- Australia
There has been a rare hepatitis A death in Victoria as the state experiences a spreading outbreak of the very infectious disease.
Victorian's deputy health officer Dr Brett Sutton confirmed a man recently died from locally acquired case of hepatitis A, a viral infection of the liver.
There have been 42 confirmed cases of the disease in the past 2 months in Victoria, with another 23 still being confirmed. The health department said all those affected so far are men, many who are gay or

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PRO/AH/EDR> Salmonellosis, st Typhimurium - USA (02): chicken salad, CDC report

Salmonella -- United States
CDC, public health and regulatory officials in several states, and the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are investigating a multistate outbreak of _Salmonella [enterica_ serotype] Typhimurium infections.
Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA

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Thursday 22 February 2018

PRO/EDR> Cholera, diarrhea & dysentery update (08): Africa, Asia

Diarrhea -- Mozambique
On [Fri 27 Oct 2017], the Ministry of Health in Mozambique notified WHO of an outbreak of cholera. From [Mon 14 Aug 2017 through Sun 11 Feb 2018], 1799 cases and one death (case fatality rate equal to 0.06 percent) of cholera were reported from the 2 provinces; Nampula (1580 cases) and Cabo Delgado (219 cases). Underreporting of the number of cases and deaths is likely. This outbreak has been confirmed by rapid diagnostic tests and culture. The outbreak started in Memba district in the

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PRO/AH/EDR> Lassa fever - West Africa (13): Nigeria

Lassa Fever -- Nigeria
Nigerian health officials reported 68 new confirmed Lassa fever cases during the past week from 7 states: Edo (35 cases), Ondo (19), Bauchi (1), Ebonyi (7), Anambra (4), Imo (1) and FCT (1) [Federal Capital Territory] with 4 new deaths in confirmed cases from 2 states: Ondo (2), and Bauchi (2).
From [Mon 1 Jan - Sun 18 Feb 2018], a total of 913 suspected cases, and 73 deaths have been reported from 17 active States (Edo, Ondo, Bauchi, Nasarawa, Ebonyi, Anambra, Benue, Kogi, Imo, Plateau,

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PRO/PL> Gummy stem blight, cucurbits - China: (Northeast)

Other Plant Disease -- China
_Cucurbita maxima_ (pumpkin) is a typical cucurbit that is susceptible to gummy stem blight. In recent years, this major fungal disease has decimated pumpkin yields in Northeast China in increasingly numerous outbreaks with more rapid spread in recent years.
We conducted a systematic study of the growth and morphological characteristics of various purified strains of _Cucurbita_ gummy stem blight (GSB) fungus from across Northeast China. DNA samples of 30 isolates with distinct hyphal

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PRO/EDR> Pertussis (03): USA, Nigeria, Australia, Indonesia

Whooping Cough -- United States
A case of whooping cough has been reported at Canyon Ridge High School, the school district announced [Fri 2 Feb 2018]. The district was notified [Thu 1 Feb 2018] by South Central Public Health District. "We are working with local health officials to monitor the situation, and at this time, the school will remain open and operating normally," Twin Falls School District spokeswoman Eva Craner wrote in a statement.
Whooping cough - also known as pertussis - is also affecting other Magic

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PRO/EDR> Hepatitis A - USA (09): (KY, UT, MI)

Hepatitis A -- United States
Cases / Hospitalizations / Deaths
751 / 609 (81.1%) / 25 (3.3%)
--
Communicated by:
ProMED-mail

[Cumulatively, 14.6 percent of the total males are MSM, 2.9 percent of the total are healthcare workers, and 4.4 percent of the total are food handlers. More cases continue to occur, spreading north and west of the main southeastern Michigan focus of the outbreak. The total cases continue to increase and have altogether in numbers and in fatalities surpassed the numbers of the now

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PRO/EDR> Varicella update (03): shingles research, India alert

Shingles, Chicken Pox -- India
Song H, Morley KW, Trowbridge RM, et al. Herpes zoster at the vaccination site in immunized healthy children. Pediatr Dermatol. Pediatr Dermatol. 2018 Feb 6. doi: 10.1111/pde.13415 [Epub ahead of print], abstract available at:
.
Abstract
--------
In this case series, we report 7 immunized healthy children without underlying immunodeficiency who presented with herpes zoster that correlated with varicella-zoster vaccination site. The morphology of the lesions included erythematous papules,

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PRO/AH/EDR> Avian influenza, human (08): Yemen, RFI

Avian Influenza -- Yemen
Already dealing with a raging conflict and the world's worst hunger crisis, many people in Yemen are now dying from what is thought to be bird flu [avian influenza]. As the country faces this new health crisis, hospitals remain critically short of resources after years of conflict have caused the country's health system to crumble.
[Byline: Katia Lopez-Hodoyan]
--
Communicated by:
ProMED-mail

[This is a brief report, which does not specify many details on the epidemiological

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PRO/AH/EDR> Botulism, avian - New Zealand (02): (WL) waterfowl, susp

Botulism -- New Zealand
Avian botulism is thought to be behind the deaths of up to 400 mainly mallard ducks at Waikanae beach's Pharazyn Reserve, Kapiti Coast District Council parks and recreation manager Alison Law said.
The council was working with animal welfare groups to collect sick and dead birds from the reserve and had posted signs warning pet owners to take care.
A bird carcass had been sent to Massey University's Wildbase Pathology unit for testing for the disease, Law said. "Although it is widely

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PRO/AH/EDR> Yellow fever - Americas (15): Brazil (RJ)

Yellow Fever -- Brazil
The Ambassador of Chile in Brazil, Jaime Gazmuri, confirmed to Tele 13 the death of the 2nd Chilean infected with yellow fever. The deceased is a 20-year-old young man, that adds an additional case to another young man whose death was confirmed this past [Fri 16 Feb 2018].

The 2 young men met on Ilha Grande [island in the state of Rio de Janeiro], along with a 3rd [infected] Chilean, who is currently under observation.
Gazmuri stated that the 20-year-old "was admitted [to hospital] on

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Wednesday 21 February 2018

PRO/AH/EDR> Cutaneous & renal glomerular vasculopathy, canine - UK (02): (England) spread

Other Animal Disease -- United Kingdom
A veterinary practice has warned dog owners and walkers after 2 dogs were found to have the flesh-eating disease Alabama Rot.
Bellevue Veterinary Clinic says it has been treating 2 dogs for the condition, symptoms of which include lesions and sores across the dog's body.
It's thought the dogs picked up the disease after walking in woods near Gare Hill on the outskirts of Longleat Forest.
The vet, from Frome, told Somerset Live: "We have recently been treating 2 suspected cases of

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PRO/AH/EDR> Bovine tuberculosis - USA (02): (MI) bovine

Bovine TB -- United States
A trace investigation from a bovine tuberculosis (TB) infected herd in Ottawa County has led to the identification of a bovine TB positive roping cattle herd in Kalamazoo County, Michigan. The Ottawa County cattle, which originated from a bovine TB infected herd in Indiana, had spent time at a Kalamazoo County farm. All the cattle on the Kalamazoo County farm were removed and 2 were found infected with bovine TB.
"The thorough investigation done by the Michigan Department of Agriculture and

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PRO/PL> Bacterial canker, kiwifruit - Argentina: 1st rep, pollen (BA)

Other Plant Disease -- Argentina
In the Mar del Plata area [Buenos Aires province] of Argentina, many kiwifruit orchards composed of only male plants (_Actinidia deliciosa_ cv. Chieftain) have been established for pollen production, since the country was considered unaffected by _Pseudomonas syringae_ pv. _actinidiae_ (EPPO A2 List). Routine controls have been conducted to verify the absence of the bacterium in the pollen that is produced and commercialized.
In February 2015, some bacterial colonies with morphological

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PRO/AH/EDR> Arsenic poisoning - UK: magnetic toy, human exposure

Poisoning -- United Kingdom
A young girl is thought to have been poisoned by arsenic after playing with a putty toy that was removed from online retailer Amazon last month [January 2018].
Victim NK was found to have 10 times the safe level of the deadly poison in her urine after playing with Magnetic Putty, according to her mother FK.
FK claimed the toy was bought as a Christmas present for her 2 daughters before she was warned by her sister over its possible toxic contents. She and her partner MK then took their

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PRO/AH/EDR> Lassa fever - West Africa (12): Nigeria

Lassa Fever -- Nigeria
The Benue State Government Ministry of Health has quarantined an entire family in Adoka, Otukpo local government area [LGA], Benue state, over the outbreak of Lassa fever and the death of a family member.
The State Commissioner for Health, Mrs Cecilia Ojabo, who confirmed that 2 pregnant women and a man died in Makurdi of Lassa fever, said the ministry is putting the family under close monitoring so as to ensure that the fever does not spread to others.
She said one of the pregnant women

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PRO/AH/EDR> Mycoplasma bovis, bovine - New Zealand (03)

Other Animal Disease -- New Zealand
Another farm in Southland has tested positive for the cattle disease _Mycoplasma bovis_, bringing to 8 the number of infected properties in the province.
The Ministry for Primary Industries says the farm was connected with other infested farms in the area through movement of calves.
It was placed under movement restrictions several weeks ago.
_Mycoplasma bovis_, a bacterial disease, is commonly found in cattle globally. It does not infect humans and is not a food safety risk, but can

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PRO/AH/EDR> Canine influenza - USA (03): (NV) H3N2

Influenza H3N2 -- United States
Your pup may need an extra shot to stay healthy this winter, Las Vegas veterinarians say.
A new-to-the-U.S. strain of the canine influenza, H3N2, has been detected in Northern Nevada for the 1st time, with 52 cases confirmed this month, according to DogFlu.com, an informational site created by pharmaceutical company Merck Animal Health. It joins an older strain, H3N8, that has been present in the state since 2015, also mainly confined to Northern Nevada.
Local veterinarians say they

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PRO/AH/EDR> Newcastle disease - Botswana: (CT) dove

Newcastle Disease -- Botswana
Veterinary authorities in Botswana on [Mon 19 Feb 2018] reported a fresh outbreak of Newcastle disease in the central part of the country. The disease was first suspected after the Ministry of Environment, Natural Resources Conservation and Tourism discovered that wild doves and other unnamed birds showed [clinical signs] corresponding to the disease before dying within a day or 2.
The outbreak was confirmed by the director of the Veterinary Department in the ministry, Letlhogile Modisa.

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PRO/EDR> Hand, foot & mouth disease update (02): Caribbean (Cayman Islands)

Hand, Foot and Mouth Disease -- Cayman Islands [UK]
An outbreak of hand-foot-mouth disease that surfaced a few weeks ago is still affecting some schools on Grand Cayman.
The disease is not uncommon on the island and typically affects children under 10 and especially those aged 5 and younger. Children with the virus typically have a fever, sore throat, a red rash on the palms of the hands and soles of the feet, mouth sores, and loss of appetite. There is no specific treatment other than to let the illness run its course. The best prevention

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Tuesday 20 February 2018

PRO/AH/EDR> Salmonellosis, st I 4,[5],12:b:- - USA: kratom

Salmonella -- United States
CDC, public health and regulatory officials in several states, and the FDA are investigating a multistate outbreak of _Salmonella [enterica_ serotype] I 4,[5],12:b:- infections.
Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting is performed on _Salmonella_ bacteria isolated from ill people

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PRO/AH/EDR> Avian influenza (34): Sweden (BL) HPAI H5N6, new strain, OIE

Avian Influenza H5N6 -- Sweden
Information received on [and dated] 20 Feb 2018 from Dr 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 (final report)
Date of start of the event: 28 Jan 2018
Date of confirmation of the event: 19 Feb 2018
Reason for notification: new strain of a listed disease in the country
Causal agent: Highly pathogenic avian

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PRO/AH/EDR> Influenza (08): Nepal (Kathmandu) post influenza cough, type B association susp.

Influenza -- Nepal


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PRO/EDR> Norovirus - South Korea (04): (KW) Winter Olympics

Norovirus -- South Korea
The Korea Centers for Disease Control and Prevention (KCDC) said that a total of 283 cases have been confirmed as of Sun [18 Feb 2018], as 8 additional people were found to have been affected by the virus, which causes vomiting and diarrhea.
Five of the 8 cases were reported in Pyeongchang, while 3 other patients were reported in Gangneung.
The KCDC said that, currently, 49 patients are quarantined for treatment, while 234 others have recovered.
--
Communicated by:
ProMED-mail from

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PRO/AH/EDR> Avian influenza (33): South Africa, HPAI H5N8, penguin; Iraq, HPAI H5N8, poultry

Avian Influenza H5N8 -- South Africa
South Africa's agriculture ministry today [19 Feb 2018] reported highly pathogenic H5N8 avian flu outbreaks involving Western Cape province sea birds, including African penguins that will be treated for their illnesses because of their endangered status.
In a statement, officials said 7 birds from 6 sites on the province's coastline have tested positive for the virus. One of the birds has survived, and the treatment protocol involves nutrition, hydration, vitamins, and anti-inflammatory

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

Poisoning -- United States
A drug used to euthanize animals has been found in canned dog food, prompting a recall.
Low levels of the drug pentobarbital were detected in cans of Gravy Train dog food produced by the J.M. Smucker Company, the FDA said in a statement Friday [16 Feb 2018].
Pentobarbital is most commonly used as a sedative, anesthetic or to euthanize animals, it said.
"Pets that eat pet food containing pentobarbital can experience drowsiness, dizziness, excitement, loss of balance, nausea, nystagmus

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PRO/AH/EDR> Piscine reovirus - North America: USA, Canada, salmon

Other Animal Disease -- Worldwide/Unknown
A sample of Atlantic salmon that escaped after a fish farm's net pen collapsed last summer [2017] tested positive for a contagious and harmful virus, according to findings released by the Wild Fish Conservancy on Thursday [15 Feb 2018].
An independent lab at the University of Prince Edward Island found all 19 salmon donated from different sources were infected with Piscine orthoreovirus (PRV), a virus it says can cause heart and skeletal muscle inflammation and affects a salmon's ability to

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PRO/AH/EDR> Cannabinoid hyperemesis syndrome

Other Human Disease -- Worldwide/Unknown
1. Allen JH, de Moore GM, Heddle R, Twartz JC. Cannabinoid hyperemesis: cyclical hyperemesis in association with chronic cannabis abuse. Gut. 2004; 53(11): 1566-70; available at
2. Habboushe J, Rubin A, Liu H, Hoffman RS. The prevalence of cannabinoid hyperemesis syndrome among regular marijuana smokers in an urban public hospital. Basic Clin Pharmacol Toxicol. 2018; doi: 10.1111/bcpt.12962]
******
[2] Background [excerpts]
Date: Tue 20 Feb 2013
Source: Current Drug Abuse Reviews

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PRO/AH/EDR> E. coli EHEC - Canada: cheese, 2013, 60 day rule

E. coli -- Canada
Currie A, Galanis E, Chacon PA, et al: Outbreak of _Escherichia coli_ O157:H7 infections linked to aged raw milk gouda cheese, Canada, 2013. J Food Protect 2018; 81(2): 325-31
Abstract
--------
Between 12 Jul and 29 Sep 2013, 29 individuals in 5 Canadian provinces became ill following infection with the same strain of _Escherichia coli_ O157:H7 as defined by molecular typing results. 5 case patients were hospitalized, and 1 died. 26 case patients (90 percent) reported eating Gouda cheese

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PRO/EDR> Mumps update: USA

Mumps -- United States
According to the Department of Health and Human Services, there are 215 confirmed cases and 33 probable cases [of mumps in Anchorage].
An epidemiologist for the state of Alaska says since 2012, it's seen a 98.7 percent increase in cases. "We are definitely concerned." Dr Amanda Tiffany said [Wed 14 Feb 2018]. "In the 5 years prior to 2017 when our outbreak began, Alaska saw 3 mumps cases, so the fact that we are now reporting 248 cases is concerning."
Most of those cases during those

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Monday 19 February 2018

PRO/PL> Stem rust, wheat - UK: Digalu strain, 1st rep

Other Plant Disease -- United Kingdom
Farmers and scientists must prepare for the potential re-emergence of a crop pathogen, following the discovery of a single wheat plant infected with stem rust - the first confirmed case in the UK in over 60 years. Dr Diane Saunders and Dr Brande Wulff, John Innes Centre, led a global team [that] showed that the UK strain belongs to the Digalu race, which was responsible for a devastating outbreak of stem rust in Ethiopia in 2013, and smaller outbreaks in Sweden, Denmark and Germany [see

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PRO/AH/EDR> Lumpy skin disease - Europe: Balkans 2017, vaccination, control

Lumpy Skin Disease -- Greece
Outbreaks of lumpy skin disease (LSD) in the Balkan region fell dramatically by 95 percent from 7483 in 2016 to 385 in 2017. The figures confirm that vaccination of cattle -- recommended by EFSA in 2016 -- is the most effective way to contain the disease.
A report published today [19 Feb 2018] by EFSA gives an update on the occurrence of LSD and the effectiveness of vaccination. It also analyses the risk factors for its spread in southeastern Europe. The report is based on data collected by

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PRO/EDR> Hepatitis - India: (JK)

Hepatitis -- India
Residents of Haripora, Kangan in Ganderbal district [Jammu and Kashmir] today [18 Feb 2018] complained of an "outbreak of jaundice" in the area, claiming "several people including children have contracted the water borne disease." As per locals scores of people including children of the area have fallen sick showing symptoms [of jaundice].
"We are living in a constant fear of an epidemic outbreak as many people in our area are suffering of jaundice due to the consumption of contaminated

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Sunday 18 February 2018

PRO/AH/EDR> Influenza D, equine - USA

Equine Influenza -- United States
Researchers at South Dakota State University (SDSU) found antibodies against influenza D in blood samples from horses in the Midwest collected in 2015 and 2016. Cattle are the primary reservoir for influenza D, which was 1st isolated from a diseased pig in 2011.
Horses can become infected with influenza D. South Dakota State University researchers found antibodies against 2 strains of influenza D in blood samples from horses in the Midwest.
"It's nothing we need to worry about at this

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PRO/AH/EDR> Hantavirus - Americas (12): Chile (AR, AI) Argentina (BA) Panama (LS)

Hantavirus -- Chile
A 44-year-old man died of a hantavirus infection, despite a negative rapid test done in the Hernán Henríquez Aravena Hospital.
The deceased person had his residence in Tumaco but worked in the Aysen region. According to the confirmation by the Regional Health Ministerial Secretariat [SEREMI], he presented the 1st symptoms on 9 Feb [2018] but went to a health assistance center 2 days later. Later, he was admitted to the regional hospital in Tumaco where the hantavirus rapid detection test

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PRO/AH/EDR> Undiagnosed deaths, bovine - India: (OR) RFI

Undiagnosed -- India
After crows and ducks, the deaths of cows have sparked panic among residents of Paradip town.
As per reports, while 4 cows died mysteriously in different slums of Paradip town, nearly 10 to 12 have been affected by an unidentified disease in the last one week. Consumption of milk has also gone down in the slum areas due to the outbreak of the mysterious disease, sources said.
Locals alleged that release of toxic effluent in water bodies and feeding on chemical waste are the main causes

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PRO/AH/EDR> Listeriosis - South Africa (06): fatal, more cases

Listeriosis -- South Africa
The country's listeriosis outbreak shows no sign of slowing down. In the last week alone, 57 people died from the food-borne disease, bringing the death toll to over 160. The source of the outbreak remains unknown.
The manner in which food is prepared in businesses and in homes has been under the spotlight since the outbreak of the disease in December 2017. Fruit and vegetables must be washed well and meat cooked thoroughly.
But awareness of the outbreak remains low. "Somebody preparing

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PRO/EDR> Cholera, diarrhea & dysentery update (07): Asia (Yemen) WHO

Cholera -- Yemen
Highlights
-----------
Cumulative figures
- The cumulative total from 27 Apr 2017 to 28 Jan 2018 is 1 051 789 suspected cholera cases and 2252 associated deaths, (CFR 0.21%); 1102 have been confirmed by culture.
- 59.3% of deaths were severe cases at admission.
- The total proportion of severe cases among the suspected cases is 16.2%. The national attack rate is 379.75 per 10 000. The 5 governorates with the highest cumulative attack rates per 10 000 remain Amran (889), Al Mahwit (848),

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PRO/AH/EDR> Salmonellosis, st Typhimurium - USA: (IA, MN) chicken salad, alert, recall

Salmonella -- United States
Health officials have identified almost 100 sick people in Iowa and at least one in Minnesota in a multi-state _Salmonella_ outbreak investigation linked to chicken salad sold at Fareway stores.
The company that supplied the deli chicken salad to Fareway Stores Inc. has not been revealed by the regional grocery chain, state officials or federal officials. As of tonight, 16 Feb 2018, the grocer, which has about 120 retail stores, did not have any information about the situation on its

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PRO/EDR> Measles update (12): Africa, Europe, North America, Pacific

Measles -- Niger
[4] Brampton, Canada
Pacific
------
[5] Philippines
******
[1] Niger
Date: Tue 13 Feb 2018
Source: The Nation [edited]

The Niger state Commissioner of Health, Dr. Mustapha Jibril, has disclosed that the state has recorded 33 cases of measles and one case of yellow fever in the state this year [2018].
According to him, the case of yellow fever was reported in Borgu local government area, adding that reactive vaccination campaigns have started in the local government and

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PRO/AH/EDR> Equine Herpesvirus - North America (09): USA (AZ, ID, KY, NY)

Equine Herpes Virus -- United States
The Equine Disease Communication Center (EDCC) reported [Tue 12 Feb 2018] that the Arizona Department of Agriculture has confirmed equine herpesvirus myeloencephalopathy (EHM; caused in this case by wild-type equine herpesvirus-1, or EHV-1) in a horse at Turf Paradise, a Thoroughbred and Quarter Horse racetrack in Maricopa County.
"The horse presented with neurologic signs on [Thu 8 Feb 2018], and was moved to a referral hospital," the EDCC stated. "One barn at the racetrack has been

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Saturday 17 February 2018

PRO/AH/EDR> Yellow fever - Americas (14): PAHO/WHO

Yellow Fever -- Brazil
Between January 2016 and January 2018, 7 countries and territories of the Region of the Americas reported confirmed cases of yellow fever: the Plurinational State of Bolivia, Brazil, Colombia, Ecuador, French Guiana, Peru, and Suriname. The number of human cases and epizootics collectively reported in this period in the Region of the Americas is the highest observed in decades.
Since the 12 Jan 2018 Epidemiological Update on Yellow Fever published by the Pan American Health Organization /

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PRO/AH/EDR> Salmonellosis, st I 4,[5],12:b:- and Newport - USA (02): frozen coconut, recall

Salmonella -- United States
CDC, public health and regulatory officials in several states, and the FDA investigated a multistate outbreak of Salmonella infections.
Public health investigators used the PulseNet system to identify illnesses that were part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA fingerprinting was performed on _Salmonella_bacteria isolated from ill people by using techniques called pulsed-field gel

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PRO/AH/EDR> Yellow fever - Americas (13): Brazil

Yellow Fever -- Brazil
From 1 July [2017], 118 people have been killed to the present date in Brazil by the yellow fever, out of a total of 407 cases infected by the disease throughout the country, said the Ministry of Health.
The states with the highest death toll are Sao Paulo (46 fatalities and 183 confirmed cases), Minas Gerais (44 fatalities and 157 cases) and Rio de Janeiro (27 fatalities and 68 cases), said the ministry while reiterating that in the same period of 2017, the disease claimed 166 lives and

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PRO/AH/EDR> Brucellosis - Oman: (JA) caprine, ovine, bovine

Brucellosis -- Oman
A study conducted by Sultan Qaboos University (SQU) shows that goats and other [livestock] in Jebel Akhdar, Saham and some areas in Dhofar are infected by brucellosis - a disease caused by [the] bacteria Brucella.
The study titled, 'A Novel Molecular Approach to Study Brucellosis in Cattle, Sheep, Goats and Camels in the Sultanate of Oman' shows that cattle in the area have been infected by brucellosis. In Jebel Akhdar, 11.4 per cent goats were found infected and in Saham one per cent

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PRO/EDR> Norovirus - South Korea (03): (KW) Winter Olympics

Norovirus -- South Korea
Two Swiss athletes are the first at the Winter Olympics confirmed to have contracted norovirus, which has affected hundreds of people in Pyeongchang.
The Swiss Olympic delegation said in a statement on [Fri 16 Feb 2018] that the 2 athletes had shown signs of the highly contagious virus "in the past several days," and that they no longer had symptoms after receiving care. It said they were sequestered in private rooms and were not staying at the Olympic Village. The statement did not

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Friday 16 February 2018

PRO/EDR> Cholera, diarrhea & dysentery update (06): Africa, Asia, Oceania

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

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PRO/AH/EDR> Toxic coffee - Malaysia: (PP) methamphetamine

-- Malaysia
The urine and blood samples of 2 more victims who experienced fatigue and dizziness after drinking premixed coffee were found positive for syabu. [Syabu is an amphetamine derivative used in the form of a crystalline hydrochloride. - Mod.TG]
Penang police chief Datuk A. Thaiveegan said the results were obtained last week [week of Sun 4 Feb 2018] but the police were still waiting for the chemistry department to produce results of the coffee samples.
He said so far, test results of blood

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PRO/EDR> Sporotrichosis - Australia: (WA)

Sporotrichosis -- Australia
A warning has been issued after an increase in cases of the fungal infection sporotrichosis, also known as rose gardener's disease or mouldy hay disease, in the South West during recent months. There have been 11 cases diagnosed in the region, mostly in the Margaret River area, according to WA Country Health Service South West Population Health Unit.
The fungus lives throughout the world in soil, plants, and decaying vegetation, and outbreaks have been documented in the United States and

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PRO/AH/EDR> Avian influenza (32): Cambodia (PY) poultry, HPAI H5N1, spread

Avian Influenza H5N1 -- Cambodia
A moratorium on the movement of chickens, dead or alive, has been put into effect in a commune of Prey Veng's Ba Phnom district after a chicken sample tested positive for avian influenza H5N1, the provincial Department of Agriculture, Forests and Fisheries said today [Thu 15 Feb 2017].
The infected bird originated from Prey Phdao village and was one among 100 tested from Sdao Korng commune, according to department director Ouk Samnang, who said that the Ministry of Agriculture had ordered

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PRO/EDR> Hepatitis A - USA (08): (WY)

Hepatitis A -- United States
The Wyoming Department of Health (WDH) and the Casper-Natrona County Health Department continue to investigate a growing Natrona County hepatitis A outbreak that began in October 2017. Since then, 14 cases have been confirmed among Natrona County residents, which is a significant increase over the usual total for Wyoming. Previously, the long-term average statewide was 2 cases annually with the last reported local hepatitis A infection in 2012.
"While some of the Natrona County cases did

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PRO/AH/EDR> Psittacosis - China: (HK)

Psittacosis -- China
The Centre for Health Protection (CHP) of the Department of Health is investigating 2 linked cases of psittacosis, a bird-borne disease.
The 1st case involves a previously healthy 51-year-old woman who developed fever, cough, shortness of breath and malaise beginning in late January 2018. She was admitted to Ruttonjee Hospital on 11 Feb 2018 and was transferred to the intensive care unit for further management on the next day. Her condition subsequently improved and she was transferred back

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PRO/AH/EDR> Equine infectious anemia - Slovakia: (BC) OIE

Equine Infectious Anemia -- Slovakia
Information received on [and dated] 13 Feb 2018 from Dr Jozef Bires, Director and Chief Veterinary Officer, State Veterinary and Food Administration , Ministry of Agriculture, Bratislava, Slovakia
Summary
Report type: immediate notification
Date of start of the event: 12 Feb 2018
Date of confirmation of the event: 12 Feb 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 6 Mar 2017
Manifestation of disease: sub-clinical infection
Causal agent:

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Thursday 15 February 2018

PRO/EDR> Lymphatic filariasis - Côte d'Ivoire

Filariasis -- Cote d'Ivoire
http://bit.ly/2EsWVS4 [Edited]

In a recent PNLMTN-CP [Programme National de Lutte contre les Maladies Tropicales Négligées à Chimiothérapie Préventive/national programme for the control of neglected tropical diseases through preventive chemotherapy] Secretariat report on tropical disease training in Côte d'Ivoire, 74 out of 83 health districts are affected by lymphatic filariasis or

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PRO/AH/EDR> Salmonella, pet food - USA: recall

Salmonella -- United States
A total of 4 pet food companies issued recalls after reports surfaced about contamination by salmonella after reports of pets dying or becoming ill.
The recalls involve a variety of products, all surfacing in the last week [week of Sun 4 Feb 2018] after 6 pets died or were sickened. One was a kitten, but the types of the other pets were not disclosed. Also, 2 children became ill, according to the U.S. Food and Drug Administration (US, FDA).
The 6 animal cases were connected to

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PRO/AH/EDR> Rabies (08): Americas (USA) fox, susp., human exposure

Rabies -- United States
A fox attacked 3 people on [Tue 13 Feb 2018] at Saguaro National Park. One of those people is missing and officials want that person to immediately seek medical care for rabies. The incident was originally reported as a fox attacking a bicyclist along the Cactus Forest Loop in the Rincon Mountain District.
Park spokesman Chief Ranger Ray O'Neil says that since it's rare for foxes to attack people, they are concerned that it might have been rabid. "It appears the fox may have approached

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PRO/AH/EDR> Anthrax - Papua New Guinea: (MD) porcine, susp

Anthrax -- Papua New Guinea
"Following earlier reports of anthrax in New Guinea (Gee 1938; Australian Mobile Veterinary Survey Unit 1946), it was described in 1964 as widespread in the highlands, with a further enzootic area of about 100 sq mi [approx. 260 sq km] in the Lumi area of West Sepik Province, and unconfirmed reports from the Ramu River mouth in Madang Province (Egerton and Rothwell 1964; Egerton 1965a). Egerton described anthrax as probably the most important bacterial disease of animals in New Guinea. He

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

Strangles -- United States
The Michigan Department of Agriculture and Rural Development has confirmed a case of strangles in an 8-year-old Quarter Horse mare from Wayne County. The horse is recovering and no quarantines were enacted.
As of 26 Jan 2018, strangles was added to Michigan's reportable disease list, which can be found on . This is the first reported case of strangles in Michigan in 2018.
The Equine Disease Communication Center (EDCC) works to protect horses and the horse industry from the threat of

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PRO/AH/EDR> Equine herpesviurs, equine (02): EHV-8, poss. association with abortion in mares

Equine Herpes Virus -- Worldwide/Unknown


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PRO/EDR> Coccidioidomycosis - Worldwide: outbreaks, epidemiology, 1940-2015

Valley Fever -- Worldwide/Unknown
"Coccidioidomycosis causes substantial illness and death in the United States each year. Although most cases are sporadic, outbreaks provide insight into the clinical and environmental features of coccidioidomycosis, high-risk activities, and the geographic range of _Coccidioides_ fungi. We identified reports published in English of 47 coccidioidomycosis outbreaks worldwide that resulted in 1464 cases during 1940-2015. Most (85 percent) outbreaks were associated with environmental exposures;

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PRO/EDR> Hepatitis A - USA (07): (CA, UT, MI)

Hepatitis A -- United States
Cases / Deaths / Hospitalizations
580 / 20 (3.4 percent) / 398 (68.6 percent)
--
Communicated by:
ProMED-mail Rapporteur Mary Marshall

[The southern California outbreak appears to be over related to the change in control paradigm taken by the public health officials.
Cumulative case data
Report date / Cases / Hospitalized (percentage) / Deaths (percentage) / New cases per week
5 Apr 2017 / 39 / 33 (85) / 1 (3)
4 May 2017 / 80 / 66 (83) / 3 (4) / 10
31 May 2017 / 133 / 103

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PRO/AH/EDR> Tularemia - USA: (CA) infected ticks

Tularemia -- United States
San Diego health officials on [Tue 13 Feb 2018] announced that ticks found in the region tested positive for [_Francisella tularensis_ the etiologic bacterium causing] tularemia, a potentially dangerous bacterial disease also known as "rabbit fever." The discovery prompted officials to urge the public to protect themselves and their pets from ticks when hiking or walking in grassy, backcountry areas, on trails and in the wild.
Ticks are tiny, 8-legged parasites related to spiders. They

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PRO/AH/EDR> Ixodes ricinus tick - UK: expanding distribution

Pests -- United Kingdom
"Public Health England's passive Tick Surveillance Scheme (TSS) records the distribution, seasonality and host associations of ticks submitted from across the United Kingdom (UK), and helps to inform the UK government on emerging tick-borne disease risks. Here we summaries data collected through surveillance during 2010-2016, and compare with previous TSS data from 2005 to 2009, particularly in relation to the primary Lyme borreliosis vector _Ixodes ricinus_. A total of 4173 records were

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PRO/EDR> Influenza (07): seasonal, H1N1, research

Influenza -- China
A total of 6941 flu cases were confirmed among inbound passengers in December and January [2018], according to the General Administration of Quality Supervision, Inspection and Quarantine. It marked a yearly increase of 81.9 percent, the administration said.
Chinese inspection and quarantine authorities require inbound tourists to notify symptoms such as fever and cough. Unlike cases of serious infectious diseases such as cholera, inbound passengers with flu do not require mandatory

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PRO/AH/EDR> Lassa fever - West Africa (11): Nigeria, WHO

Lassa Fever -- Nigeria
The World Health Organization is scaling up its response to an outbreak of Lassa fever in Nigeria, which has spread to 17 states and may have infected up to 450 people in less than 5 weeks.
From the onset of the outbreak, WHO Nigeria deployed staff from the national and state levels to support the Government of Nigeria's national Lassa fever Emergency Operations Centre and state surveillance activities. WHO is helping to coordinate health actors and is joining rapid risk assessment teams

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PRO/AH/EDR> Avian influenza (31): Ghana (BA) poultry, HPAI H9N2, new strain, OIE

Avian Influenza -- Ghana
Information received on 14 Feb 2018 from Dr Kenneth M. K. Gbeddy, Chief Veterinary Officer, Veterinary Services Directorate, Ministry of Food and Agriculture, Accra, Ghana
Summary
Report type: Immediate notification
Date of start of the event: 3 Jan 2018
Date of confirmation of the event: 10 Jan 2018
Report date: 14 Feb 2018
Date submitted to OIE: 14 Feb 2018
Reason for notification: new strain of a listed disease in the country
Causal agent: Highly pathogenic avian influenza

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Wednesday 14 February 2018

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

Chronic Wasting Disease -- United States
The state [Pennsylvania] Department of Agriculture Monday [12 Feb 2018] announced that 2 captive deer have tested positive for chronic wasting disease (CWD), bringing the total to 46 positive samples since the disease was discovered in the state in 2012.
The disease was confirmed in one white-tailed deer on a hunting preserve in Bedford County and one at a Lancaster County breeding operation.
The department said both deer were born and raised on their respective premises, and these are

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PRO/PL> Phytoplasma/liberibacter coinfection, citrus - Iran: (KE)

Other Plant Disease -- Iran
Since 2010, a new emerging citrus decline disease has been observed in Iran. This disease is currently widespread in the Southern part of Kerman province where it is causing the death of approximately 10 per cent of cultivated citrus trees. The disease has been observed on sweet orange (_Citrus sinensis_), grapefruit (_C. paradisi_), and mandarin (_C. reticulata_) plants grafted on Bakraee, a local citrus variety frequently used as a rootstock. Early symptoms include pale green leaves, no

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PRO/AH/EDR> Salmonellosis - USA (03): (IA) chicken salad, alert, recall

Salmonella -- United States
Iowa regulators Tuesday afternoon, 13 Feb 2018, issued a consumer advisory for chicken salad bought from Fareway stores. The food has been implicated in multiple cases of salmonellosis across the state, according to the Iowa Department of Public Health. A press release states that Fareway voluntarily stopped the sale of the chicken salad and pulled it from store shelves after being contacted by regulators. None of the chicken salad has been sold to the public since Fri 9 Feb 2018.
The

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PRO/EDR> Botulism - USA: (CA) wound, injection drug-related

Botulism -- United States
Butte County Public Health Department (BCPHD) is investigating a case of wound botulism in a Butte County resident who injected black tar heroin. Laboratory testing to confirm the diagnosis is pending. The patient remains hospitalized and on a ventilator. The source of the heroin is unknown at this time. Black tar heroin has been linked to other wound botulism outbreaks in injection drug users, so there is concern that locally available black tar heroin may be contaminated.
An average of 10

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PRO/EDR> Scombroid fish poisoning - Australia: (QL) tuna, alert

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

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PRO/EDR> Hepatitis - Syria: (RD) students

Hepatitis -- Syria
The residents of Al-Dimas town in Rif Dimashq governorate [25 km or 15.5 miles northwest of Damascus] have complained of the occurrence more than 70 cases of hepatitis among the residents, mostly among students, over the past 2 weeks. Many family members of the patients have suggested that the spread of the disease in the town is due to contamination of the drinking water network, because the network is older than 40 years. They demanded sterilization of the toilets and the drinking water

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PRO/AH/EDR> Campylobacteriosis - USA (03): (CO) raw milk, herdshare, 2016

Campylobacter -- United States
In August 2016, a local public health agency (LPHA) notified the Colorado Department of Public Health and Environment (CDPHE) of two culture-confirmed cases of Campylobacter infection among persons who consumed raw (unpasteurized) milk from the same herdshare dairy. In Colorado, the sale of raw milk is illegal; however, herdshare programs, in which a member can purchase a share of a herd of cows or goats, are legal and are not regulated by state or local authorities. In coordination with

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PRO/EDR> Legionellosis - USA (3): (IL) vet home, updated water treatment, new cases, RFI

Legionnaires' -- United States
The Illinois Department of Public Health reports 2 new, laboratory-confirmed cases of legionnaires' disease at an Illinois Veterans Home in Quincy. After learning of the 2 cases, staff removed faucets from the residents' rooms right away and collected water samples. Both residents are back at the Illinois Veterans Home in Quincy and are doing well.
The veterans home just completed an extensive renovation of its plumbing systems last year [2017] after a 2015 legionnaires' disease outbreak.

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PRO/AH/EDR> Avian influenza, human (07): China (JS) H7N4, 1st report

Avian Influenza -- China
The Centre for Health Protection (CHP) of the Department of Health (DH) received today [Wed 14 Feb 2018] a notification from the National Health and Family Planning Commission (NHFPC) that a human case of avian influenza A (H7N4) was confirmed from [10 to 14 Feb 2017], and reminded the public to maintain strict personal, food and environmental hygiene both locally and during travel.
According to the NHFPC, this is the 1st case of human infection with avian influenza A (H7N4) in the world.

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PRO/EDR> Legionellosis - Australia: (NS)

Legionnaires' -- Australia
NSW [New South Wales] Health is investigating the possible contamination source after 3 people have now been confirmed with Legionnaires' disease after spending time in Castle Hill. All 3 cases developed the type of Legionnaires' disease caused by _Legionella pneumophila_ bacteria, a bacterial infection of the lungs, which can develop after a person breathes in contaminated water droplets. Legionnaires' disease cannot be spread person to person.
In a statement, NSW Health said The Hills

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PRO/AH/EDR> Human Cattle Eye Helminth - _Thelazia gulosa_, United States

Helminths, miscellaneous -- United States
An Oregon woman has become the 1st person worldwide known to have had an eye infestation by a tiny worm species previously seen only in cattle that is spread by flies that feed on eyeball lubrication, U.S. government researchers said on [Mon 12 Feb 2018].
U.S. Centers for Disease Control and Prevention scientists said 14 translucent parasitic worms of the species _Thelazia gulosa_, all less than half an inch (1.27 cm) long, were extracted from the 26-year-old woman's eye over a 20-day

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PRO/AH/EDR> MERS-CoV (08): Saudi Arabia, RFI

MERS -- Saudi Arabia
[Due to personal internet difficulties, the above posting was incomplete, pending more information and translation assistance]. In the 36 hours since its initial preparation, the below additional information became available:
On 9 Feb 2018, there was a report of a newly confirmed case in a 68-year-old Saudi male, non-healthcare worker from Riyadh who was noted to be in stable condition and was classified as a primary case with high risk exposure history still under investigation.
In

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PRO/EDR> Measles update (11): Pacific, Europe, USA

Measles -- New Zealand
Canterbury Public Health officials are urging the community to get vaccinated after a 3rd case of measles is confirmed in Canterbury.
An 18-year-old woman is the 3rd case in a fortnight to be diagnosed with the highly contagious virus.
The woman visited Christchurch hospital's emergency department on Sat [10 Feb] and Sun [11 Feb] so anyone who was in the waiting room at the weekend is urged to contact their GP's for vaccination.
--
Communicated by:
ProMED-mail from HealthMap

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PRO/AH/EDR> Brucellosis - Nigeria: (BA) butchers, serosurvey

Brucellosis -- Nigeria
The Bauchi State Government has said that 95 butchers in the state have been infected with an animal-related disease known as brucellosis. The Deputy Director, Veterinary Services, Bauchi State Ministry of Agriculture and Natural Resources, Dr Istifanus Irimiya, who disclosed this in Bauchi [Fri 9 Feb 2018] in an interview with journalists, added that the figure was out of the 224 butchers from Bauchi, Misau, and Katagum Local Government Areas where they tested positive in a laboratory

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Tuesday 13 February 2018

PRO/EDR> Hepatitis E - Namibia (04): (KH) fatal

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

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PRO/AH/EDR> Avian influenza (30): China (Hong Kong) wild bird, HPAI H5N6, OIE

Avian Influenza H5N6 -- China
Information received on [and dated] 10 Feb 2018 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
Date of start of the event: 7 Feb 2018
Date of confirmation of the event: 9 Feb 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 21

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PRO/AH/EDR> Avian influenza (29): Ireland (TY) HPAI H5N6, new strain, OIE

Avian Influenza H5N6 -- Ireland
Information received on [and dated] 9 Feb 2018 from Dr Martin Blake, Chief Veterinary Officer, Department of Agriculture, Food and the Marine, Agriculture House, Dublin, Ireland
Summary
Report type: immediate notification
Date of start of the event: 31 Jan 2018
Date of confirmation of the event: 8 Feb 2018
Reason for notification: new strain of a listed disease in the country
Causal agent: Highly pathogenic avian influenza [AI] virus
Serotype: H5N6
Nature of diagnosis: laboratory

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PRO/AH/EDR> Hantavirus - Americas (11): USA, Canada

Hantavirus -- United States
In December 2016, the Wisconsin Department of Health Services (WDHS) notified CDC of a patient hospitalized with fever, leukopenia, elevated transaminases, and proteinuria. The patient owned and operated an in-home rattery, or rat-breeding facility, with approximately 100 Norway rats [_Rattus norvegicus_], primarily bred as pets. A family member developed similar symptoms 4 weeks later, but was not hospitalized. Because both patients were known to have rodent contact, they were tested for

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PRO/AH/EDR> Avian influenza, human (06): China (GD) H7N9

Avian Influenza H7N9 -- China
The Centre for Health Protection (CHP) of the Department of Health (DH) today [12 Feb 2018] received notification of an additional human case of avian influenza A(H7N9) from the Health and Family Planning Commission of Guangdong Province, and reminded the public to maintain strict personal, food and environmental hygiene both locally and during travel especially in the upcoming Lunar New Year [Fri 16 Feb 2018] holidays.
The case occurred in Zhongshan and this is the 1st case in Guangdong

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PRO/AH/EDR> Foot & mouth disease - Russia: (ZB) bovine, st O, OIE

Foot and Mouth -- Russia
Information received on [and dated] 12 Feb 2018 from Dr Evgeny Nepoklonov, Vice-minister, Ministry of Agriculture, Ministry of Agriculture, Moscow, Russia
Summary
Report type: immediate notification
Date of start of the event: 1 Feb 2018
Date of confirmation of the event: 9 Feb 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 7 Nov 2017
Manifestation of disease: clinical disease
Causal agent: foot and mouth disease virus
Serotype: O
Nature

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Monday 12 February 2018

PRO/AH/EDR> Foot & mouth disease - Nepal: (GA) livestock, st. Asia 1, OIE

Foot and Mouth -- Nepal
Information received on 9 Feb 2018 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: 9 Dec 2017
Date of confirmation of the event: 8 Feb 2018
Report date: 9 Feb 2018
Date event resolved: 23 Jan 2018
Reason for notification: Recurrence of listed disease
Date of previous occurrence: 2013
Causal agent: foot and mouth disease virus
Serotype: Asia

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PRO/PL> Sudden decline, date palm - Pakistan: (SD)

Other Plant Disease -- Pakistan
[A] mysterious blight [is] mowing down date plantations. [It] has caused killing of date trees in Khairpur district, triggering a wave of panic among date producers. Information from farmers and researchers revealed that nobody is capable enough, despite collecting soil samples from plant roots, to identify the exact problems which are making trunk and trees dying one after another.
Agriculture scientists agreed that soil nutrient deficiency is increasing. [A] growing trend of

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PRO/AH/EDR> Bovine tuberculosis - Ireland (04): (KY) probable badger source

Bovine TB -- Ireland
The Department of Agriculture has ruled out any link between the increasing numbers of wild deer in south Kerry and the biggest outbreak of bovine TB in living memory in the area. Dozens of farms are in lockdown and 360 cattle have been removed from slaughter, in an area between Kells and Caherdaniel, on the Iveragh peninsula.
Deer and badgers are suspected. At a recent Kerry County Council meeting in Killorglin, questions about the role of deer in the outbreak were raised and emergency

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PRO/AH/EDR> Anthrax - Turkey: (Trabzon) bovine, human

Anthrax -- Turkey
One person was killed and 73 people were taken to hospital over suspicions they were infected with anthrax in the Black Sea province of Trabzon on [10 Feb 2018]. The incident occurred in Trabzon's Akçabat district.
A cow had been diagnosed with anthrax in Akçabat last week [week of 11 Feb 2018] during a [veterinary] check-up and samples were sent to Ankara for a detailed examination. But the cow's owner reportedly butchered the infected cow and distributed its meat to his

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PRO/AH/EDR> Lassa fever - West Africa (10): Nigeria

Lassa Fever -- Nigeria
To support the government's response, an emergency team from ALIMA, including an epidemiologist, medical doctors, logisticians, and a coordinator, are on the ground at the Owo Federal Medical Center in Ondo State and the Irrua Specialist Teaching Hospital in Edo State. Our teams are supporting case management, active case detection, patient triage, public awareness campaigns, and reinforcing Infection Prevention and Control (IPC) measures.
ALIMA is supporting the rehabilitation of a 38-bed

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PRO/AH/EDR> Salmonellosis - USA (02): (CO) restaurant, fatal

Salmonella -- United States
One person died and more than 30 were infected in November 2017 in a salmonellosis outbreak among customers of a Colorado restaurant, but the public wasn't notified at the time and the restaurant remains open for business. A 27 Nov 2017 inspection report for the implicated restaurant, La California on Peoria Street in Aurora, Colorado, shows the Tri-County [Adams, Arapahoe, and Douglas counties] Health Department did not find any violations at that time. However, reports for inspections on 6,

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PRO/AH> Microbiological laboratory mishaps - UK: 2015-2017

Hospital-Related Infection -- United Kingdom
People who work in microbiology laboratories and related disciplines are at risk from exposure to biological agents. Some will work with biological agents themselves, for example, by culturing them. Others will work with material, which is likely to contain microorganisms although the microorganisms are not actually being grown, for example, blood typing in a haematology laboratory.
In addition to the general duties of COSHH [Control of Substances Hazardous to Health Regulations 2002],

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PRO/AH/EDR> Equine herpesvirus, equine: EHV-8, poss association with abortion in mares

Equine Herpes Virus -- Australia
The little-studied equine herpesvirus 8 (EHV-8) -- until now only associated with respiratory disease in donkeys in Australia and horses in China -- may well cause abortion in horses, according to researchers.
A total of 9 herpesviruses have been identified that affect the Equidae family, which includes horses, ponies, donkeys, and zebras.
It is understood that the horse is the natural host of 5 of these viruses (EHV-1, EHV-2, EHV-3, EHV-4, and EHV-5), and the donkey the natural host of

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Sunday 11 February 2018

PRO/PL> Undiagnosed diseases, maize & cassava - Uganda: (SX)

Undiagnosed -- Uganda
Over 500 acres of maize and 14 of cassava in Serere district [Eastern Region] have been affected by a strange disease. Affected farmers said the disease eats the crops' tubers making them rot and unsuitable for human consumption. The disease has affected their only source of income.
The area parish councillor asked authorities to dispatch a team of agricultural experts to ascertain the disease which has caused havoc on their crops. "We are going to engage the agriculture officers to curb

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PRO/AH/EDR> Yellow fever - Americas (12): Brazil monkeys

Yellow Fever -- Brazil
Fears of spreading yellow fever are behind the illegal killing of scores of monkeys in Rio de Janeiro, complicating efforts to fight the virus, authorities say.
Locals, mistakenly believing that the animals can spread yellow fever to humans, are blamed for the surge in killings. Just this year [2018], 238 monkeys have been found dead in Rio state, compared to 602 in all of 2017, said the city sanitation service, launching a campaign against the killings. Of those, 69 percent showed signs of

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PRO/AH/EDR> Equine herpesvirus - North America (08): USA (OH): equine

Equine Herpes Virus -- United States
About 450 horses stabled at the Warren County Fairgrounds are under a quarantine declared on Thursday [8 Feb 2018] by the Ohio Department of Agriculture.
The quarantine is one of a handful around the state declared because horses have tested positive for equine herpesvirus (EHV).
Still, Miami Valley Gaming in Warren County is expected to hold racing, beginning tonight [9 Feb 2018], using horses from other locations in the region not under quarantine.
"You're not going to get it under

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PRO/EDR> Norovirus - Canada (Montreal) raspberries ex China

Norovirus -- Canada
Frozen raspberries imported from China made hundreds of people sick in Quebec [Canada] last summer [2017] and probably resulted in multiple deaths, according to a recent public health report.
The infected fruits led to a wave of recalls in August 2017 by the Canadian Food Inspection Agency because they had been used by a variety of food processors such as brewers, pastry chefs and ice cream makers and had been cooked in hospital cafeterias and residences for seniors.
The raspberries were

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PRO/EDR> Norovirus - South Korea (02): (KW) Winter Olympics

Norovirus -- South Korea
Korean officials announced Sun [11 Feb 2018] that 20 additional cases of norovirus have been confirmed, bringing the total to 159 confirmed cases at the Olympics.
The 20 new cases come a day after Olympic organizers expressed confidence the outbreak appeared to be under control. Between Wed 7-Fri 9 Feb 2018, 11 additional norovirus cases were confirmed.
Still, Sung Baik You, spokesman for the Pyeongchang organizing committee (POCOG), expressed confidence that the worst is behind them.

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PRO/AH/EDR> Salmonellosis, st. Reading - USA: (MN) children, raw pet food, alert, recall

Salmonella -- United States
Minnesota health officials say 2 children in the Twin Cities area got sick from salmonellosis after coming in contact with tainted pet food. The Minnesota Department of Health said Fri 9 Feb 2018 that testing found the same salmonella DNA patterns in the siblings. One of the children was hospitalized in January 2018 with a painful bone condition.
An investigation found the children's home contained Raws for Paws Ground Turkey Food and that the pet food was contaminated. The contaminated raw

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PRO/AH/EDR> Chronic wasting disease, cervid - USA (04): (MS)

Chronic Wasting Disease -- United States
Chronic wasting disease, or CWD, has been found in a Mississippi animal for the 1st time, officials said. A 4.5-year-old white-tailed deer in Issaquena county was found [25 Jan 2018] has tested positive for the disease, officials said.
The buck died of natural causes and was reported to the Mississippi Department of Wildlife, Fisheries and Parks (MDWFP).
MDWFP immediately implemented the CWD Response Plan under the auspices of the Commission on Wildlife, Fisheries and

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PRO/AH/EDR> Meningitis - Spain (03): listeriosis, raw soft ewe cheese, Portugal, recall, RFI

Listeriosis -- Spain
On [5 Feb 2018] the Spanish Agency for Consumer Affairs, Food Safety and Nutrition, through the Coordinated System of Rapid Information Exchange (SCIRI), learned of the existence of [a 39-year-old man; see http://bit.ly/2H7pC90] in the Community of Madrid affected by meningitis as a result of food intoxication by _Listeria monocytogenes_, presumably associated with the consumption of soft milk sheep cheese made by the company Ohian Txiki Koop located in the Basque

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Saturday 10 February 2018

PRO/AH/EDR> Epizootic ulcerative syndrome, fish - UK: (England), 1st rep, OIE

Other Animal Disease -- United Kingdom
Information received on [and dated] 7 Feb 2018 from Dr Nigel Gibbens, Chief Veterinary Officer, Department for Environment, Food and Rural Affairs, Department for Environment, Food and Rural Affairs, LONDON, United Kingdom
Summary
Report type: immediate notification (final report)
Date of start of the event: 30 Jan 2018
Date of confirmation of the event: 6 Feb 2018
Report date: 7 Feb 2018
Date submitted to OIE: 7 Feb 2018
Date event resolved: 30 Jan 2018
Reason for notification: 1st

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PRO/EDR> Measles update (10): Europe, Pacific, South America, US

Measles -- Latvia
Summary of the situation
------------------------
Between November 2016 and December 2017, countries of the WHO European Region reported 17 584 measles cases; 91 percent (n=15 978) of these cases were reported in 2017. In this period, the highest cumulative incidence rate was reported in Romania (291.5 cases per one million population), followed by Italy (83.2 cases per one million population), and Tajikistan (77.2 cases per one million population). The WHO European Region monthly summary of

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PRO> Meningitis - Spain (02): (MD) foodborne, raw cheese, recall, comment

Foodborne Illness -- Spain
Rates of listeriosis in Spain have been increasing since 2000, and are currently more than 15-fold those reported in the United States. [1] Regarding the recent case posted on ProMED, Listeria is identified in 12.1 percent to 16.5 percent of community-acquired bacterial meningitis cases among Spanish adults. [2] The following chart was produced using a multi-graph tool in Gideon. [3] (See graphs at .)
References:
1. Berger S. Listeriosis: Global Status, 2018. 122 pages, 107 graphs, 1,039

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PRO/AH/EDR> Lassa fever - West Africa (09): Liberia ex Guinea

Lassa Fever -- Liberia
Lassa Fever Situation
The Health Authorities of the Ministry of Health have been informed by the Office of the WHO of the report of a case of Lassa fever in the Préfecture of Ganta (Liberia).
They had been informed that a woman from Guinea had been received by the Methodist Clinic in Ganta on [Tue 9 Jan 2018], had died on [Thu 11 Jan 2018] and had been buried in a dignified and secure mannerin the same Préfecture of Ganta (Liberia).
The results of the blood tests which were received

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PRO/EDR> Melioidosis - Australia (02): (NT)

Melioidosis -- Australia
Katherine residents are right to fear the potentially lethal mud bug melioidosis, says Centre for Disease Control director Vicki Krause.
"Absolutely, it is in our environment and we cannot escape it, we have to know who is at risk and how to protect ourselves," Dr Krause said. "This is a serious disease and every year there are deaths."
In 2018, 2 residents of the Katherine region have so far contracted melioidosis, a mud borne disease which thrives in wet season conditions.
Up to 26

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PRO/AH/EDR> Schmallenberg virus - Europe (03): UK (N. Ireland), ovine

Schmallenberg -- United Kingdom


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PRO/EDR> Hepatitis A - Denmark: dates, alert, recall

Hepatitis A -- Denmark
Since the end of January 2018, the State Serum Institute has investigated a disease outbreak of hepatitis caused by hepatitis A virus infections, according to Fødevarestyrelsen (computer translated).
The outbreak thus far includes 14 patients, 7 women and 7 men aged 17-79 years. Patients have become ill from December 2017 onwards. Patients are residents throughout the country and 13 have been hospitalized.
Virus from 7 of the patients has been typed as type 3A, and for the time being,

Read more about it at HealthMap Global Disease Alerts via http://healthmap.org/ln.php?5620267&promed&0