Saturday 31 March 2018

PRO/AH/EDR> Plague - USA: (NM) canine

Plague -- United States
State health officials report a case of plague in a dog from Santa Fe County, making it the 1st diagnosed case of plague in New Mexico this year [2018].
The Department of Health says it's checking the home of the dog's owner for risks to others and sending personnel around the neighborhood to inform residents and provide information on reducing risks.
Plague is a bacterial disease of wildlife and is generally transmitted to humans and pets through the bites of infected fleas. Pet animals

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PRO/AH/EDR> Mycoplasma bovis, bovine - New Zealand (05)

Other Animal Disease -- New Zealand
All cattle on properties infected with the _Mycoplasma bovis_ disease will be culled, the Ministry for Primary Industries (MPI) has confirmed. "The de-population of entire herds on all 28 Infected Properties (IPs) in New Zealand is a critical measure to control the spread of the disease and we will be working closely with those farmers to plan how this will happen," said MPI's response director Geoff Gwyn.
"This will be a big job and won't happen overnight, but we'll be meeting with the

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PRO/AH/EDR> Avian influenza (62): France (PL), poultry, LPAI H5N1, H5N5, OIE

Avian Influenza H5N1 -- France
Information received on [and dated] 30 Mar 2018 from Dr Loic Evain, [Deputy Director General, CVO, General Directorate of Food, Ministry of Agriculture, Agrifood, and Forestry], Paris, France
Summary
Report type: immediate notification
Date of start of the event: 22 Mar 2018
Date of confirmation of the event: 27 Mar 2018
Reason for notification: Recurrence of a listed disease
Date of previous occurrence: 27 Apr 2017
Manifestation of disease: Clinical disease
Causal agent: Low

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PRO/AH/EDR> Avian influenza (61): Finland, Slovakia, wild bird, HPAI H5N6, OIE

Avian Influenza H5N6 -- Finland
Information received on 29 Mar 2018 from Dr Taina Aaltonen, Chief Veterinary Officer and Deputy Director General, Ministry of Agriculture and Forestry, Ministry of Agriculture and Forestry, Helsinki, Finland
Summary
Report type: immediate notification (final report)
Date of start of the event: 20 Mar 2018
Date of confirmation of the event: 29 Mar 2018
Report date: 29 Mar 2018
Date submitted to OIE: 29 Mar 2018
Date event resolved: 29 Mar 2018
Reason for notification: New strain of a

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PRO/EDR> Measles update (20): Europe, Pacific, Americas

Measles -- France
[6] Americas: 9 countries
[7] Argentina (Buenos Aires)
[8] USA (Kansas)
******
Europe
------
[1] France
Date: Sat 24 Mar 2018
Source: Outbreak News Today [edited]

Measles is currently affecting several French regions and the rapid increase in the number of cases since the beginning of the year [2018] may give rise to fears of another major epidemic throughout the country, French health officials report this [week of Sun 18 Mar 2018].
Since our last report one week ago, the

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PRO/AH/EDR> Undiagnosed urticaria reaction - France: (BF) students

Undiagnosed -- France
In Saone-et-Loire, the Romenay school will remain closed until [Wed 28 Mar 2018]. For the moment, the health authorities still do not know what the cause is. Analyzes are in progress and a [suggested cause] has been discarded.
Last week [week of Sun 18 Mar 2018], more than a 100 students complained of itching and redness. Asked by our colleague from France 3 Bourgogne-Franche-Comte, the mayor confided that the children had felt the "same sensation as a sting of nettles". For the time being,

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PRO/EDR> Varicella update (06): Australia (NS), USA (LA), South America (Venezuela)

Chicken Pox -- Australia
Maitland City Council has been made aware of a suspected case of chickenpox at Maitland Pool, New South Wales Australia (Hunter Valley). Council is urging anyone with symptoms of the disease to see a doctor as soon as possible.
Symptoms include an onset of slight fever, runny nose, and feeling generally unwell; and an itchy skin rash which usually appears as small lumps, turns into blisters and then scabs over a 3--4 day period.
An individual with chickenpox is contagious from the

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PRO/AH/EDR> Palytoxin - UK: coral poisoning susp.

Poisoning -- United Kingdom
A total of 10 people were taken to hospital after inhaling chemicals released from a fish tank in an Oxfordshire village.
The "potentially toxic" fumes were emitted from coral being cleared from an aquarium at a house [on] Hanney Road, Steventon, on [Mon 26 Mar 2018] evening.
About 50 emergency services personnel attended, including a hazardous area response team and 3 ambulances.
Scientist Dr Mike Leahy said the people were probably exposed to "palytoxins" released by the

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PRO/AH/EDR> Alcohol poisoning - Canada: (NT) methanol susp.

Poisoning -- Canada
A 67-year old man was charged for the unlawful manufacturing and sale of liquor
RCMP (Royal Canadian Mounted Police) in Fort Resolution, N.W.T., have arrested a man after several people reported to police that they felt sick after drinking homemade alcohol they purchased.
A 67-year-old man has been charged for the unlawful manufacture and sale of liquor, following a police investigation that started last [Wed 21 Mar 2018].
On [Thu 22 Mar 2018], police executed a search warrant at a

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PRO/AH/EDR> Drug abuse - USA: (IL) synthetic cannabinoids, bleeding disorder

-- United States
The Illinois Poison Center has reported 9 cases of severe coagulopathy associated with smoking synthetic cannabinoids to the Illinois Department of Public Health (IDPH) since [Sat 10 Mar 2018]. All 9 cases reported using synthetic cannabinoids, (e.g., K2, spice, synthetic marijuana, fake weed/legal weed, genie, etc.); however, a common product used by the cases has not yet been identified.
The patients all live in the Chicago metro region, but reside in 3 different, distinct areas (southern

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Friday 30 March 2018

PRO/EDR> Gonococcal disease - UK: antibiotic resistance, ceftriaxone/azithromycin

Gonorrhea -- United Kingdom
A multidrug-resistant isolate of _Neisseria gonorrhoeae_ (see definition in ref 1) has been confirmed by the PHE Reference Laboratory as resistant to the current recommended dual 1st-line therapy (2). The isolate has a ceftriaxone MIC [minimum inhibitory concentration] of 0.5 mg/L and an azithromycin MIC greater than 256 mg/L (high-level azithromycin resistant, HLAziR). On wider antimicrobial susceptibility testing, the strain was susceptible only to spectinomycin. This is the 1st global

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PRO/AH/EDR> Hantavirus - Americas (27): Argentina (NQ)

Hantavirus -- Argentina
Health authorities in Neuquen confirmed that the death of a 32-year-old man in San Martin de los Andes city on [15 Mar 2018] was due to [a] hantavirus [infection], according to information provided in recent hours by the Malbran Institute, after having received test results.
The head of Health Zone IV of Neuquen province, Nestor Saez, explained to the Telam agency that "the man had some previous health visits before hospitalization in which the impression was one of influenza or of

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PRO/AH/EDR> Kyasanur Forest disease - India (09): (MH)

Kyasanur Forest Disease -- India
An outbreak of Kyasanur Forest disease (KFD), or monkey fever -- a tick-borne viral haemorrhagic fever -- has been reported in Sindhudurg district in Maharashtra. The cases have been reported from Dodamarg and Sawantwadi tehsils [sub districts] of the district. Since January this year [2018], the state has seen 62 cases, and 2 deaths, due to the disease. This is the 3rd year in a row when Sindhudurg district has reported a KFD outbreak.
A study by the National Institute of Virology, in

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PRO/AH/EDR> Listeriosis - South Africa (10): fatal, ST6, WHO response

Listeriosis -- South Africa
The country has activated a national multisectoral task force to coordinate investigation and response activities:
The Minister of Health, South Africa, held a press conference on 4 Mar 2018 to announce the source of the outbreak. Following the source identification, the national authorities have taken measures to limit further infections and associated mortality, including but not limited to the issuance of safety recall notices, compliance notices, and measures related to exportation of

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Thursday 29 March 2018

PRO/AH/EDR> Yellow fever - Americas (25): Brazil

Yellow Fever -- Brazil
The entire territory of Brazil will be the area recommended for yellow fever vaccination. This measure will be done gradually, beginning this year [2018] and being concluded in April 2019. The expansion and prevention has as its objective anticipation and prevention against the disease for the entire population in case of an increase in the area of virus circulation.
Some states in the north east and part of the south and south east are not part of the areas currently recommended for

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PRO/AH/EDR> Salmonellosis - Sweden: human, avian, feline

Salmonella -- Sweden
A variety of bacteria are known or suspected of being able to cause enteritis in dogs and cats. _Campylobacter_ spp, _Clostridium difficile_, _C. perfringens_, and _Salmonella_ spp. are most commonly implicated, but many other organisms are likely involved. Poor understanding of the intestinal microflora and the fact that many, if not all, of these microorganisms can also be found in healthy individuals complicates testing, thereby affecting the use of specific treatments and assessment of

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PRO/EDR> Influenza (12): USA, seasonal, 2nd wave influenza B

Influenza -- United States
The Centers for Disease Control and Prevention reports that while flu season is winding down, a 2nd strain that is more severe in younger children remains prevalent.
In an update, the CDC says that reports of the influenza A virus are on the decline while reports of the influenza B virus were more prevalent. A spokesperson for the CDC told CNN that influenza B can be "just as severe" as influenza A, and that "we also know that influenza B tends to be more severe for younger children." Flu

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PRO/PL> Core rot, apple - India: (HP)

Other Plant Disease -- India
Dr YS Parmar University of Horticulture and Forestry (UHF) advised to start management of apple core rot disease which, over the past few years, has emerged as one of the major constraints in apple production. It affects almost every orchard of [Himachal Pradesh] resulting in loss of 30 to 40 per cent.
"Every year this disease results in economic loss of Rs 720 million [about USD 11 million] to the state as the affected fruits initially do not produce any symptoms," officials said. The

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Wednesday 28 March 2018

PRO/AH/EDR> Avian influenza (60): South Africa, wild bird research halted

Avian Influenza -- South Africa
Scientists have been banned from handling seabirds in South African coastal colonies, as authorities race to quell an avian-flu outbreak that is threatening endangered species.
On [23 Mar 2018], the South African Department of Environmental Affairs announced that it would be halting research activities for fear of unintentionally spreading the infection to other bird colonies. Researchers say that the move is unprecedented, but they see no other way to protect birds. The moratorium will

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PRO/EDR> Hepatitis A - USA (12): (MI, UT, IN)

Hepatitis A -- United States
Cases / Hospitalizations / Deaths
789 / 635 (80.5 percent) / 25 (3.2 percent)
--
Communicated by:
ProMED-mail

[Cumulatively, 14.6 percent of the total males are MSM, 2.8 percent of the total are healthcare workers, and 4.8 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

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PRO/AH/EDR> Cholera, diarrhea & dysentery update (15): Canada (BC)

Cholera -- Canada
1. Bhattacharya MK, Dutta D, Bhattacharya SK, et al. Association of disease approximating cholera caused by _Vibrio cholerae_ of serogroups other than O1 and O139. Epidemiol Infect. 1998; 120(1): 1-5. Available at:
2. Sharma C, Thungapathra M, Ghosh A, et al. Molecular analysis of non-O1, non-O139 _Vibrio cholerae_ associated with an unusual upsurge in the incidence of cholera-like disease in Calcutta, India. J Clin Microbiol. 1998; 36(3): 756-63. Available at:
3. Bidinost C, Saka HA,

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PRO/AH/EDR> Hantavirus - Americas (26): USA (NM)

Hantavirus -- United States
The 9-year-old boy, originally from Farmington, New Mexico, has [a] hantavirus [infection]. It started with flu-like symptoms, but within days was being airlifted to Children's Hospital in Aurora [Colorado] in critical condition. Hantavirus [infection] is a deadly disease usually carried by deer mice, and spread through contact with rodent feces [urine and saliva - Mod.TY].
"Basically it's a killer disease. If you do contact [a] hantavirus there is no cure or medicine for it," the boy's

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PRO/AH/EDR> Borna virus - Germany: fatal

Encephalitis -- Germany
Borna disease virus 1 (BoDV-1) has been associated with human disease in 4 cases in Germany resulting in the death of 3 people. As 3 of the cases belong to a cluster of solid organ recipients from a single donor, donor-derived BoDV-1 transmission is possible. There is no evidence that the donor had any clinical manifestation of the disease.
BoDV-1 in humans occurs rarely; however considering the severity of this disease, Member States may consider adding BoDV-1 to the list of pathogens

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PRO/AH/EDR> Rabies (17): Americas (USA) bat, human exp

Rabies -- United States
A bat may have exposed 4 people in Latta to rabies, DHEC announced in a press release [Mon 26 Mar 2018].
The bat, found in a bedroom, tested positive for rabies on [21 Mar 2018]. A pet dog may have also been exposed, DHEC said.
"Rabid bats have been known to transmit the rabies virus to humans and pets," said David Vaughan of DHEC's Bureau of Environmental Health Services. "People - especially children - sometimes don't realize they've been bitten and it is very easy to overlook a bat

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Tuesday 27 March 2018

PRO/AH/EDR> Salmonellosis, st. Kentucky - Sweden: possible healthcare related, RFI

Salmonella -- Sweden
During the week, 2 new cases were confirmed, each in Kronoberg and Varmland. So far, 63 outbreaks have been confirmed. The cases have been reported between October 2017 - March 2018 and are located in Vastra Gotaland (37), Uppsala (9), Stockholm (7), Kronoberg (4), Skane (3) and Varmland (3).
Update week 11, 2018
------------------
The outbreak is still ongoing, and, so far, 61 outbreaks have been confirmed. The cases have been reported between October 2017 - March 2018 and are located in

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PRO/AH/EDR> Yellow fever - Americas (24): Germany ex Brazil (RJ)

Yellow Fever -- Germany


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PRO/AH/EDR> Lassa fever - West Africa (20): Nigeria

Lassa Fever -- Nigeria
HIGHLIGHTS
- In reporting week 12, 19-25 Mar 2018, 18 new confirmed cases were recorded from 10 States - Edo (5 cases), Ondo (2), Bauchi (1), Ebonyi (2), Taraba (3), Plateau (1), Kogi (1), Osun (1) FCT (1) and Gombe (1), with 6 new deaths in confirmed cases from Edo (1), Taraba (2), Ebonyi (1), Plateau (1) and Gombe (1).
- From 1 Jan - 25 Mar 2018, a total of 1613 suspected cases. Of these, 394 confirmed positive, 9 are probable, 1198 are negative (not a case) and 12 are awaiting laboratory

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PRO/AH/EDR> Megaesophagus, canine - Australia (02): (VI) undiagnosed cause, comment

Undiagnosed -- Australia
In this report _Trypanosoma cruzi_ (Chagas disease) is missing from the list of possible causes of megaesophagus. This condition is commonly reported as canine Chagas disease in other regions. _T. cruzi_ and other parasitic trypanosomes have been documented in Australia ( Cambridge University Press and ).
Serologic testing for _T. cruzi_ specific antibodies is available and would provide data to determine if this organism is involved in these cases.
--
Robert Glass
Pan American Vet

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PRO/PL> Wart & brown rot, potato - Georgia, Russia: interceptions

Other Plant Disease -- United States
Potato wart disease (PW) is caused by the fungus _Synchytrium endobioticum_, which is considered one of the most important pathogens of the crop. It is endemic in Europe and has also been reported from a number of locations in the Americas, Australasia, and Africa. The pathogen can also affect tomato and some solanaceous weeds.
On infected tubers, "eyes" develop into characteristic warty, cauliflower-like swellings. If infected early, the whole tuber can be replaced by a warty

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Monday 26 March 2018

PRO/AH/EDR> Carbon monoxide poisoning - USA: (MD)

Poisoning -- United States
At 10:58 p.m. on 25 Mar 2018, the emergency communications center in Charles County received a call for multiple Denny's patrons exhibiting symptoms of carbon monoxide poisoning after a gas leak occurred in the restaurant.
The building has been evacuated, and at least 5 people are being checked out by EMS crews for carbon monoxide poisoning. It is reported that the gas leak is coming from the grill area of the restaurant.
Motorists who may be bound for this area should expect delays, as

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PRO/AH/EDR> Megaesophagus, canine - Australia (VC): undiagnosed cause

Other Animal Disease -- Australia


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PRO/EDR> Human pegivirus-2 - China: co-infection with HIV & HCV

Other Human Disease -- China
In 2015, the 2nd human pegivirus (HPgV-2) was independently reported by 2 groups in the USA (1,2). Previous reports have indicated that HPgV-2 (also known as HHpgV-1) is a transfusion-transmitted virus and is associated with hepatitis C virus (HCV) infection (1-5). The distribution and prevalence of HPgV-2 infection worldwide are of great importance but remain to be determined. In this study, we demonstrate the existence of HPgV-2 in the southern province of Guangdong and southwestern province

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PRO/AH/EDR> Equine herpesvirus - North America (11): USA (NJ, VA) equine

Equine Herpes Virus -- United States
A 2nd Union County, New Jersey horse has tested positive for equine herpesvirus-1 (EHV-1), the New Jersey Department of Agriculture announced on 20 Mar 2018.
That horse resides on the same property quarantined last week after a horse developed equine herpesvirus myeloencephalopathy (EHM, the neurologic form EHV-1).
The 2nd horse developed an elevated temperature and exhibited respiratory signs of disease, but the attending veterinarian did not note any neurologic signs. That horse was

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PRO/AH> Hydrogen sulfide - Russia (MS): air contamination, ill children

Other Human Disease -- Russia
Doctors in a Russian town treated dozens of children complaining of dizziness and nausea on [Wed 21 Mar 2018] because of noxious fumes coming from a local dump, authorities said.
Residents of Volokolamsk, some 120 km [approx. 75 mi] west of the Russian capital, have long complained about high levels of hydrogen sulfide and nitric oxide from the Yadrovo landfill.
Riot police were called in this month to disperse a protest calling for the closure of the site.
Doctors treated 50 children

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PRO/AH/EDR> Brucellosis - USA (02): (MT) elk,

Brucellosis -- United States
[Montana] Fish, Wildlife, and Parks released their test results for Brucellosis in Elk and out of the more than 140 animals tested, 7 came back positive.
Of the 100 elk sampled in the Tendoy Mountains [a mountain range in Beaverhead county Montana - Mod.TG], 1 was found to have Brucellosis. This is the first time an elk has tested positive for exposure in the Tendoys. A total of 30 elk in the Tendoys were outfitted with radio collars to learn more about movement patterns and understand how

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PRO/AH/EDR> Mycoplasma bovis, bovine - New Zealand (04)

Mycobacteria, non-TB -- New Zealand
_Mycoplasma bovis_ has spread to the Upper Waitaki. The bacterial cattle disease, 1st confirmed in New Zealand on Glenavy dairy farms in late July [2017], causes ill-health and is mainly spread through nose-to-nose contact. It does not affect humans or food products from the cattle.
The Ministry for Primary Industries, in its 62nd outbreak update on [9 Mar 2018] said an Upper Waitaki dairy grazing farm and a small Southland calf-rearing farm took the number of infected properties to 27.

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Sunday 25 March 2018

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

Cholera -- Yemen
Cholera
- The cumulative total of suspected cholera cases reported since April 2017 to 17 Mar 2018 is 1 080 422, with 2266 associated deaths across the country. At the governorate level, the trend from W9 -W11 decreased or was stable in all governorates expect for Al Mahweet (up by 13 per cent).
- The overall case fatality ratio is 0.21 per cent, and the national attack rate is 386 per 10 000 people. Children (under 5 years of age) represent 28.8 per cent of the total suspected

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PRO> Listeriosis - EU (02): background

Listeriosis -- Worldwide/Unknown
A recent series of outbreaks in Europe reflects an increasing incidence of listeriosis in the region. In the following graph, I've contrasted disease rates per 100 000 in the European Union with those of the United States [1,2] (graph link: ).
References:
1. Berger S. Listeriosis: Global Status, 2018: 128 pages, 108 graphs, 1,203 references. Gideon e-books, .
2. Gideon e-Gideon multi-graph tool, .
--
Steve Berger
Geographic Medicine
Tel Aviv Medical Center
Tel Aviv,

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PRO/AH/EDR> Yellow fever - Americas (23): Brazil

Yellow Fever -- Brazil
Brazil confirmed 1098 [yellow fever] cases and 340 deaths in the period [1 Jul 2017 to 20 Mar 2018]. During the same period last year [2017], there were 632 confirmed cases and 201 deaths.
The Ministry of Health updated the information provided by the state secretariats of health concerning the yellow fever situation in the country on [Wed 21 Mar 2018]. During the monitoring period (1 Jul 2017 to 20 Mar 2018) there were 1098 confirmed cases of yellow fever in the country with 340 deaths. In

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PRO/AH/EDR> Leptospirosis - France: (Reunion)

Leptospirosis -- Région d'outre-mer de Réunion, France
This [Fri 23 Mar 2018], the Regional Health Agency (ARS) reported that 42 cases of leptospirosis have been reported in Reunion since the year began. One person has died. The south of the island has been particularly affected.
Heavy rains can favor the appearance of certain diseases, and in particular leptospirosis. The cleaning of courtyards and gardens or bathing in fresh water after heavy rain is particularly risky. Following recent heavy rainfall events in Reunion, the ARS Indian Ocean

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PRO/AH/EDR> Listeriosis - EU: fatal, ST6, frozen corn, 2015-18, recall

Listeriosis -- Worldwide/Unknown
Conclusion
----------
An outbreak of invasive _Listeria monocytogenes_ (_L. monocytogenes_) infections defined by whole-genome sequencing (WGS) and probably linked to frozen corn has been ongoing in five European Union member states (Austria, Denmark, Finland, Sweden and the United Kingdom) since 2015. As of 8 March 2018, 32 cases have been reported and 6 patients have died due to or with the infection.
WGS analysis of 6 non-human _L. monocytogenes_ isolates detected from 2016 to January

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PRO/AH/EDR> Avian influenza, human (10): human-animal interface, WHO

Avian Influenza -- Worldwide/Unknown
New infections: Since the previous update, new human infections with avian influenza A(H7N4), A(H7N9) and A(H9N2) viruses [have been] reported.
Risk assessment: The overall public health risk from currently known influenza viruses at the human-animal interface has not changed, and the likelihood of sustained human-to-human transmission of these viruses remains low. Further human infections with viruses of animal origin are expected.
Risk management: Selection of new candidate vaccine

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Saturday 24 March 2018

PRO/AH> Aujeszky's disease - France: (Pyrenees) swine, OIE

Other Animal Disease -- France
Information received on [and dated] 22 Mar 2018 from Dr Loic Evain, directeur general adjoint, CVO, Direction generale de l'alimentation, Ministere de l'Agriculture et de l'Alimentation, Paris, France
Summary
Report type: immediate notification
Date of start of the event: 5 Mar 2018
Date of pre-confirmation of the event: 16 Mar 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 29 Nov 2010
Manifestation of disease: clinical disease
Causal agent:

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PRO/AH/EDR> Avian influenza (59): South Africa, HPAI, swan

Avian Influenza -- South Africa
The highly pathogenic avian influenza (HPAI) in swans was confirmed at a plot in De Kroon on [Mon 19 Mar 2018], the Department of Rural, Environment and Agricultural Development said in a statement to private veterinary practices. Quarantine has been imposed on the plot on which the outbreak occurred, with biosecurity instructions and regular monitoring. Other prescribed outbreak controls are currently under way on the outbreak site as well as the surroundings.
The department said

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PRO/AH/EDR> Guinea worm (02): South Sudan, end of transmission

Guinea Worm -- South Sudan
South Sudan has succeeded in interrupting transmission of Guinea worm disease, the country's minister of health announced at The Carter Center on [Wed 21 Mar 2018]. "This is a great achievement for our young nation," Riek Gai Kok, the country's health minister told the global Guinea Worm eradication program's 22nd annual review at the Atlanta-based center. "Our health workers and thousands of volunteers have done exemplary work eliminating this disease across our country, and I have no doubt

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PRO/EDR> Diphtheria - Dominican Republic: (DA) alert

Diphtheria -- Dominican Republic
Given the recent cases in Haiti of the dangerous acute infectious disease known as diphtheria, which has claimed the lives of several people in that nation, the Dominican Ministry of Public Health is carrying out a prevention campaign in the border area of [Dajabón] province. The ministry alerted the population about the existence of the contagious disease in the neighboring country through the Provincial Directorate of Health in Dajabón.
The director of health in Dajabón, Percio

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PRO/EDR> Meningitis, undiagnosed illness - Nigeria: (KT) fatal, schoolchildren, RFI

Undiagnosed -- Nigeria
A parent whose child was among those killed by yet to be identified disease that broke out at Government Science Secondary School [SS] in Kurfi has demanded explanation for the cause of his son's death. [The father], whose son, a 13 year old, was among the 8 that died, said, "We are being kept in the dark as to what was wrong before the death. I have reached out to the authorities and doctors to know the cause to no avail."
[The father] said although the dead could not be returned to life,

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PRO/AH/EDR> Cholera, diarrhea & dysentery update (13): Canada (BC) RFI

Cholera -- Canada
1. Bhattacharya MK, Dutta D, Bhattacharya SK, et al. Association of disease approximating cholera caused by _Vibrio cholerae_ of serogroups other than O1 and O139. Epidemiol Infect. 1998; 120(1): 1-5; .
2. Sharma C, Thungapathra M, Ghosh A, et al. Molecular analysis of non-O1, non-O139 _Vibrio cholerae_ associated with an unusual upsurge in the incidence of cholera-like disease in Calcutta, India. J Clin Microbiol. 1998; 36: 756-63; .
3. Bidinost C, Saka HA, Aliendro O, et al. Virulence

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PRO/EDR> Poliomyelitis update (11): global (Afghanistan, DR Congo)

Polio -- Afghanistan
- Afghanistan: 2 new cases of wild poliovirus type 1 (WPV1) have been confirmed this week, 1 occurring in Kunar province, and 1 in Kandahar province. These cases were advance notification last week.
- Pakistan: 1 new WPV1 positive environmental sample has been reported in Sindh province.
- Democratic Republic of the Congo: 1 new case of circulating vaccine-derived poliovirus type 2 (cVDPV2) reported, from Haut Lomami province.
- Somalia: An advance notification of 1 new cVDPV2 positive

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PRO/AH/EDR> Salmonellosis, st Typhimurium - USA (04): dried coconut

Salmonella -- United States
CDC, public health and regulatory officials in several states, and the United States Food and Drug Administration (FDA) 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 fingerprinting is performed on

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

Anthrax -- Russia
Regional authorities on [12 Mar 2018] kickstarted this year's major immunization effort as the 1st teams of veterinaries moved out the remote tundra area with vaccine doses against anthrax. In the course of the year [2018], at least 658 000 reindeer are to be vaccinated, the 1st 50 000 already in the course of March [2018], regional authorities say.
It is all part of an effort to prevent an outbreak of the deadly infection, similar to the one in 2016 when a young boy died and at least 115

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PRO/EDR> Creutzfeldt-Jakob disease - Japan: dura mater graft, 1975-2017, latency

CJD -- Japan
Creutzfeldt-Jakob disease (CJD) is a fatal neurodegenerative disorder that, according to the most well accepted hypothesis (1), is caused by replicating, transmissible, abnormal forms of a host-encoded prion protein (prions). Most CJD cases occur spontaneously (sporadic CJD) or are inherited (genetic CJD). Iatrogenic CJD can occur after exposure to prion-contaminated instruments or products in medical/surgical settings. Cadaveric dura mater graft-associated CJD (dCJD) accounts for a common

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PRO/EDR> Measles update (19): Pacific, Americas, Europe, Asia

Measles -- Australia
People who took a flight from Bali to Australia 2 weeks ago should watch for symptoms of measles after a fellow passenger was diagnosed with the illness on [Sun 18 Mar 2018], the Department of Health and Human Services has warned. Qantas flight QF44 from Denpasar [Bali] arrived in Sydney [New South Wales] at 6:25 am on [Sat 10 Mar 2018] and the passenger then boarded QF415, arriving at Tullamarine [Victoria] at 10:35 am the same day. The man became unwell after the flight and was hospitalised

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Friday 23 March 2018

PRO/EDR> Sporotrochosis - Brazil: (BA)

Sporotrichosis -- Brazil
The city of Camaçari, in the metropolitan region of Salvador, recorded a 475 per cent increase in cases of sporotrichosis in humans from [2015 to 2017]. Mycosis caused by fungi of the species _Sporothrix_ can be transmitted to humans as well as to animals, especially cats. The Municipal Health Department has filed a petition for inclusion of the skin-affecting disease in the mandatory public network notification list for all suspected cases to be registered.
In [2017], 23 cases of the

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PRO/EDR> Typhoid fever - Syria: (HA) refugee & IDP camp

Fever, Typhoid -- Syria
A local source inside Al-Hol camp for Iraqi refugees and displaced Syrians, confirmed on [Mon 19 Mar 2018] the spread of typhoid fever among the internally displaced persons (IDPs) and refugees in the camp, which is located east of Al-Hasakah.
The source, who preferred not to be named, said: "269 persons, mostly women and children, are infected with the disease due to water, which is not suitable for drinking and use." The source pointed to the existence of a state of fear and panic among

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PRO/EDR> Botulism - USA (02): (AK)

Botulism -- United States
1. Beller M. Botulism in Alaska: a guide for physicians and health-care providers -- 1998 update. Anchorage, Alaska: Alaska Department of Health and Social Services, 1998.
2. Wainwright RB, Heyward WL, Middaugh JP, Hatheway CL, Harpster AP, Bender TR. Food-borne botulism in Alaska, 1947-1985: epidemiology and clinical findings. J Infect Dis. 1988;157(6):1158-62. Abstract available at:
.
3. Chiou L, Hennessy T, Horn A, et al. A survey of knowledge, attitudes, and practices related to

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PRO/AH/EDR> Avian influenza (58): Ghana (BA) poultry, HPAI H9N2 not, LPAI H9N2, OIE

Avian Influenza -- Ghana
After confirmation by the OIE Reference Laboratory and the delegate from Ghana, please be informed that the molecular and pathogenicity analysis performed confirmed H9N2 low pathogenic avian influenza virus. As this isolate is not OIE notifiable, the report has been removed from WAHIS interface as of 19 Mar 2018.
--
communicated by:
ProMED-mail

[ProMED-mail's posting http://bit.ly/2G6xnuU presented an immediate notification submitted by Ghana's chief veterinary

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PRO/AH> African swine fever - Europe (06): Poland, wild boar, OIE

African Swine Fever -- Poland
Information received on [and dated] 22 Mar 2018 from Dr Pawel Niemczuk, chief veterinary officer, Ministry of Agriculture and Rural Development, POL Ministry of Agriculture and Rural Development, Warsaw, Poland
Summary
Report type: immediate notification
Date of start of the event: 2 Mar 2018
Date of confirmation of the event: 2 Mar 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: March 2018
Manifestation of disease: clinical disease
Causal

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PRO/EDR> Mumps update (02): USA (VA,DE) resurgence

Mumps -- United States
Summary
-------
A resurgence of mumps in the US among vaccinated young adults appears to be due to waning of vaccine-induced immunity, according to a recent analysis. Researchers found vaccine-derived immune protection against mumps lasts about 27 years after the last dose. The findings suggest that, in addition to the currently recommended 2 doses of mumps vaccine in childhood, a 3rd dose at age 18 may help sustain protection among adults. The study [was] published 21 Mar 2018, in Science

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PRO/AH> Schmallenberg virus - Europe (06): Ireland, ovine, bovine, spread

Schmallenberg -- Ireland
Schmallenberg virus [SBV] is believed to have spread to all counties. Figures provided to AgriLand by the Department of Agriculture indicate that SBV positive test results have been recorded in both cattle and sheep this year [2018].

Of the 311 tests (polymerase chain reaction) carried out on cattle, 6 positive results were identified. In addition, 96 tests were carried out on sheep at Regional Veterinary Laboratories, and 38 positive results were obtained [see source URL for a table

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Thursday 22 March 2018

PRO/EDR> Norovirus - South Korea (05): (KW) Winter Olympics

Norovirus -- South Korea
South Korea's public health authorities have confirmed that the "water tanks of portable toilets" were the reason behind an outbreak of norovirus [infection] at the PyeongChang Winter Olympics that affected around 300 security personnel for the event last month [February 2018].
The authorities announced on Sun [18 Mar 2018] that according to the results of the epidemiological investigation of Horeb Youth Camp Center and other related facilities, the water tanks of mobile toilets [were found

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PRO/AH/EDR> Avian influenza (57): Germany (SH) backyard poultry, HPAI H5N6, OIE

Avian Influenza H5N6 -- Germany
Information received on [and dated] 22 Mar 2018 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: 20 Mar 2018
Date of confirmation of the event: 20 Mar 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: Jan

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PRO/AH> Varroosis, apis - New Zealand: (CB)

Other Animal Disease -- New Zealand
South Canterbury beekeepers have faced a challenging summer with drought and the varroa mite impacting hives. The Ministry for Primary Industries (MPI) released its Bee Colony Loss Survey report for 2017 on [16 Mar 2018], which sampled 30 per cent of New Zealand beekeepers to determine the rate of hive loss and the main reasons for it.
MPI aquatic and environment health manager Dr Michael Taylor said a severe drought for the middle of the South Island last year [2017] was the leading

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PRO/AH/EDR> Monkeypox - Africa (03): Central African Republic (HK) comment

Monkeypox -- Central African Republic
The WHO Africa Weekly Bulletin on Outbreaks and Other Emergencies Week 11 is misleading, specifically because there is no mention of Ippy -- where the cases originated from.
On [17 Mar 2018], the World Health Organization in Central Africa Republic [CAR] twitter account posted the following "RCA health minister Dr Somse today declared an outbreak of monkeypox. In total, 8 cases, all from the sub-prefecture of Ippy: of these, 3 cases are quarantined at the hospital in Bria, 5 are suspected

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PRO/AH/EDR> Cutaneous & renal glomerular vasculopathy, canine - UK (04): (England)

Other Animal Disease -- United Kingdom
A new case of a disease deadly to dogs has been confirmed in West Sussex -- the 2nd in the county this year [2018]. Veterinary specialists Anderson Moores said Alabama rot had been found in Findon, one of 29 cases reported in the UK so far in 2018. Cases were previously announced in Petworth and Brighton in January [2018]. A map showing cases can be seen at , along with advice on symptoms and how best to treat them.
A spokesperson for Anderson Moores said: "Unfortunately, we have to confirm

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PRO/EDR> Dengue/DHF update (06): Asia, Pacific, Africa, research

Dengue -- Australia
A new study has found that people with dengue fever have a higher risk of stroke, especially in the 1st 2 months following infection. The study is published in CMAJ (Canadian Medical Association Journal).
"Clinicians in dengue-endemic areas should be aware of this association, especially for patients with dengue who have neurologic deficits or for patients with stroke who have unexplained fever," writes Dr Chia-Hung Kao, Department of Nuclear Medicine and PET Center, China Medical

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PRO/EDR> Influenza (11): Netherlands, seasonal reassortant A(H1N2) identified

Influenza -- Netherlands


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PRO/AH/EDR> MERS-CoV (11): Saudi Arabia

MERS -- Saudi Arabia
According to the spreadsheet data I have been keeping, the most recent information available is current as of [20 Mar 2018]:
There have been a total of:
1814 newly confirmed cases of MERS-CoV infection, including
734 reported fatalities [reported case fatality rate of 40.5 per cent]
1061 recoveries, and
18 currently active cases [those who have not been reflected in reports of fatalities or recoveries]
Since the last update (through 13 Mar 2018) there have been:
3 newly confirmed

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PRO/AH/EDR> Hantavirus - Americas (23): Argentina (BA)

Hantavirus -- Argentina
In recent hours, the Tapalque municipality confirmed the diagnosis of a case of [a] hantavirus [infection] in a rural area of this locality.
According to public information on the Olavarría home page, "On Line News", the reported case occurred in the rural area of San Bernardo, and, after its detection, an alert for the area was issued by Zoonoses. Few details are known about the affected patient and the situation.
Nonetheless, this is a new case in the region, which adds to one

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Wednesday 21 March 2018

PRO/AH/EDR> Rabies (16): Africa (S Africa), Asia (Thailand, Vietnam, Israel) human, animal

Rabies -- South Africa
Thai authorities plan to vaccinate more than 10 million dogs and cats within the next 6 months in reaction to a deadly rabies outbreak that has spread across the country. The country's Department of Livestock Development (DLD) sought to reassure the public at a press conference on [Wed 14 Mar 2018], saying there were enough stocks of vaccine -- more than 12.2 million doses -- to protect animals against the disease, the Bangkok Post reported.
The department's director-general Apai Suttisunk

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PRO/AH> White nose syndrome, bats - North America (01): (SC) surveillance

White nose syndrome -- United States
The fungus that causes the devastating bat disease white nose syndrome [WNS] is now present in 3 new counties in South Carolina: Cherokee, Spartanburg and York.
The South Carolina Department of Natural Resources recently received confirmation from the National Wildlife Health Center that the fungus was present on bats in these 3 counties. No obvious signs of WNS were seen on any of the 83 tri-colored bats observed in mid-Feb [2018], when fungal growth has had the chance to become

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PRO/AH/EDR> Anthrax - Kazakhstan: (ZM) bovine, OIE

Anthrax -- Kazakhstan
Information received on 21 Mar 2018 from Dr Samat Tyulegenov, director general, RSE "National Reference Center for Veterinary" of the Committee of veterinary control and supervision, Ministry of Agriculture of Republic of Kazakhstan, Astana, Kazakhstan
Summary
Report type: immediate notification
Date of start of the event: 19 Mar 2018
Date of confirmation of the event: 19 Mar 2018
Report date: 20 Mar 2018
Reason for notification: recurrence of a listed disease
Date of previous

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PRO/EDR> Meningitis, meningococcal - Fiji: fatal

Meningitis - Neisseria -- Fiji
The Health Ministry has declared an outbreak of meningococcal disease in Fiji. Over recent years Fiji has had an increase in cases of meningococcal disease. Prior to 2016, there were 1 to 10 cases per year reported. In 2016 there were 29 cases, and in 2017 there were 48 cases. In 2018, there have been 18 cases as of [21 Feb 2018].
Even with the recent increase in cases, meningococcal disease remains uncommon in Fiji; however, this disease has a high death rate. According to WHO, without

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PRO/AH/EDR> Monkeypox - Africa (02): Central African Republic (HK)

Monkeypox -- Central African Republic
A crisis committee has been revitalized in response to the monkeypox outbreak, being supported by WHO and partners. An isolation unit has been set up in Bria hospital, where the 3 patients are being treated, supported by the NGO IMC. The contacts of these cases are being monitored. Standard case definition for monkeypox has been disseminated to facilitate identification of cases and awareness about prevention is ongoing in the community and on the local community radio.
The Ministry of

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PRO/AH/EDR> Yellow fever - Americas (22): South America

Yellow Fever -- Brazil
Between January 2016 and 13 Mar 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 16 Feb 2018 Epidemiological Update on Yellow Fever published by the Pan American Health

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PRO/AH/EDR> Hantavirus - Americas (23): Chile (AI,RM)

Hantavirus -- Chile
A 24 year old woman was taken in an emergency from the City of Coyhaique to the Las Condes Clinic in Santiago as a newly diagnosed hantavirus infection case and is in a serious condition. The young woman, who presented with symptoms including dizziness, was taken to a health facility in the area.
Dr Rodrigo Diaz, program chief of the Las Condes Clinic, stated that the patient seems to have [hantavirus] cardiopulmonary syndrome that led to respiratory failure. The attending physician in the

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Tuesday 20 March 2018

PRO/EDR> Varicella update (05): USA (IL) India (OR)

Chicken Pox -- United States
The Rockford Public School District announced today [14 Mar 2018] that there is a confirmed case of varicella, more commonly known as chickenpox, at Rolling Green Elementary. A letter sent home to parents this week says students at the school may have been exposed to the person with chickenpox but that the person is no longer in school and is receiving treatment. The letter encourages parents to watch their children for chickenpox symptoms and to contact their doctor if they start to see any

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PRO/AH/EDR> Camel pox - Israel: (HD) 2016

Other Animal Disease -- Israel
Erster E, Melamed Sh, Paran N, et al. First diagnosed case of camelpox virus in Israel. 2018; doi:10.3390/v10020078.
Abstract
--------
An outbreak of a disease in camels with skin lesions was reported in Israel during 2016. To identify the etiological agent of this illness, we employed a multidisciplinary diagnostic approach. Transmission electron microscopy (TEM) analysis of lesion material revealed the presence of an orthopox-like virus, based on its characteristic brick shape. The

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PRO/AH/EDR> Angiostrongylus cantonensis - Taiwan

Other Human Disease -- China
The Centers for Disease Control (CDC Taipei) said [on Fri 16 Mar 2018] that 5 Thai migrant workers have been found to be suffering from parasites that can cause meningitis or even blindness after eating raw snails. According to a CDC statement, 9 Thai migrant workers ate raw snails on [26 Feb 2018], and 6 of them started experiencing fevers, headaches, and stiffness. They then sought medical treatment on [4 and 5 Mar 2018], and 5 of them were found to have parasites known as _Angiostrongylus

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PRO/AH/EDR> Leishmaniasis - Syria: ((ID,HL,HM)

Leishmaniasis -- Syria
This month [March 2018], a medical organization documented about 35 000 cases of infection with leishmaniasis in the countrysides of Idlib, Aleppo, and Hama governorates, in northern and central Syria. Leishmaniasis is a disease that affects the skin or internal organs. It is caused by the leishmania parasite and is transmitted by the bite of sandflies.
The head of the leishmaniasis department in the Mentor organization, Dr Mohammad al-Omar, told SMART that 2 kinds of leishmaniasis spread

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PRO/PL> Stem & bulb nematode, garlic - Indonesia ex China

Other Plant Disease -- Indonesia
Indonesia has impounded more than 200 tonnes of garlic. The garlic was imported from China in mid-February [2018] and after arriving at Jakarta's port was shipped to the island of Sumatra, the country's Agriculture Ministry said.
Despite being certified as free of pests in China, samples of the shipment contained _Ditylenchus dipsaci_, a microscopic worm that infects onions and garlic. [The] Ministry stated, "This could be very damaging to our garlic farming."
--
communicated

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Monday 19 March 2018

PRO/PL> Leaf curl viruses, tomato & cucurbits - Italy: (SC)

Other Plant Disease -- Italy
Sicily is strategic for the country's agriculture, but currently has to deal with at least 2 major problems.
Salvatore Davino, University of Palermo, says, "First the New Delhi virus [_Tomato leaf curl New Delhi virus_; ToLCNDV], which first appeared in Sicily in 2015 [ProMED-mail post http://bit.ly/2IC6Ve9]. It started with cucurbits, the virus then moved to tomatoes after around 4 years. We are currently monitoring tomato crops.
"Another great problem is the IL23

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PRO/AH/EDR> Avian influenza (56): South Korea, HPAI H5N6, poultry, spread

Avian Influenza H5N6 -- South Korea
The Ministry of Agriculture, Food, and Rural Affairs confirmed the highly pathogenic H5N6 strain of avian influenza in chickens at 3 poultry farms in Pyeongtaek and Yangju, Gyeonggi Province, and Asan, South Chungcheong Province [on] Sunday [18 Mar 2018].
Authorities culled more than a million chickens from these farms over the weekend -- 800 000 chickens in Gyeonggi Province and 450 000 in South Chungcheong Province -- within a 3 km [2 mile] radius of where the H5 strain was detected in an

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PRO/AH/EDR> Avian influenza (55): UK (England) wild bird, HPAI H5N6

Avian Influenza H5N6 -- United Kingdom
The Department for Environment Food and Rural Affairs (DEFRA) and Lincolnshire Trading Standards have issued a warning after cases of bird flu were discovered on farmland near Bourne. DEFRA has confirmed that H5N6 -- a subtype of the species Influenza A virus -- was discovered in 2 greylag geese and 2 wild pheasants, which were found dead on farmland near Bourne on [28 Feb 2018]. A Lincolnshire Trading Standards spokesman said: "DEFRA conducts regular checks on wild birds and in February

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PRO/AH/EDR> Yellow fever - Americas (21): Brazil, Europe

Yellow Fever -- Brazil
Executive summary
Conclusions
-----------
In September 2017, the Ministry of Health in Brazil declared the end of the 2016-2017 yellow fever outbreak in the country. The upsurge of human cases since December 2017 and the continuous non-human primate epizootics since September 2017 indicate a continued or resumed increase in yellow fever virus circulation in Brazil. Since January 2018, most of the yellow fever cases have been reported from São Paulo, Rio de Janeiro and Minas Gerais

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PRO/AH> Canine distemper, wildlife - USA: (NY) raccoon, alert

Canine distemper -- United States
More than 90 reports of sick raccoons in Niagara county [New York] have been made so far this year [2018] and authorities are warning residents since dogs and cats that have not been vaccinated could be infected. The primary area of the outbreak of distemper -- a highly contagious viral disease -- is in Lewiston and Porter, though confirmed sightings have happened across the county, the Niagara County Sheriff's Office said [on Thu 15 Mar 2018].
Pet owners should make sure their pets have

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PRO/AH/EDR> Anthrax - Italy (02): (LZ) bovine, history

Anthrax -- Italy


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

Kyasanur Forest Disease -- India
Kyasanur Forest disease (KFD), also known as monkey fever, has resurfaced in [Shimoga] district [Karnataka], with 2 positive cases reported here in the past 6 days.
This is a fresh outbreak of the disease in the district, as the last positive case was reported on [29 Jan 2018]. A 40 year old woman from Bandya-Kukke village in Thirthahalli taluk [sub district], was treated for fever, ache in joints and head at the local primary health centre (PHC) on [12 Jan 2018]. Her blood samples have

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PRO/AH> Newcastle disease - Cyprus: (LA) backyard poultry, OIE

Newcastle Disease -- Cyprus
Information received on [and dated] 16 Mar 2018 from Dr Christodoulos Pipis, acting director, Veterinary Services, Ministry of Agriculture, Rural Development and Environment, Nicosia, Cyprus
Summary
Report type: immediate notification (final report)
Date of start of the event: 12 Mar 2018
Date of confirmation of the event: 14 Mar 2018
Date event resolved: 15 Mar 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 23 Nov 2013
Manifestation of

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Sunday 18 March 2018

PRO/EDR> Hepatitis A - USA (11): (KY, IN)

Hepatitis A -- United States
An outbreak of hepatitis A in Kentucky, centered in Jefferson County, has spread to more than 100 people, a significant increase in a state that typically sees about 20 cases per year.
Confirmed cases have continued to grow since the outbreak was declared in November 2017, when there were 19 cases in Louisville. At the time, officials said common risk factors included homelessness or drug use. Since then, at least 2 employees in the food service industry have been added to the city's list

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PRO/EDR> Measles update (18): USA, Asia, Europe, South America, WHO, PAHO

Measles -- United States
[6] Ireland (Limerick)
[7] South Wales
[8] Serbia
[9] Spain
[10] Portugal ex France
South America
-------
[11] Peru
[12] Mexico
[13] Brazil
[14] WHO
[15] PAHO
******
[1] Michigan, Detroit Metropolitan airport, ex India
Date: Wed 14 Mar 2018
Source: Click on Detroit [edited]

A case of measles was confirmed in Michigan, and it's the 1st case in the state this year [2018].
According to health officials, a contagious person arrived at Detroit Metro Airport (DTW) on 6

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PRO/EDR> Pentavalent vaccine - India: DTP-Hib-hepatitis B vac., sudden unexplained deaths

Vaccine Complication -- India
"Introduction: Immunization is one of the most effective public health tools available to prevent death and disease. Serious adverse events following immunization (AEFI) are rare. However, coincidental sudden‐infant‐death‐syndrome (SIDS) deaths do occur temporally associated with vaccination. In 2010, the Government of India (GoI) introduced a new standard operating procedure (SOP) to report AEFI. There have been stray newspaper reports of deaths soon after the administration of the

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PRO/EDR> Emergomycosis - North America

Histoplasmosis -- United States
We report 4 patients in North America with disease caused by _Emergomyces canadensis_, a newly proposed species of pathogenic dimorphic fungus. Affected persons were immunocompromised; lived in Saskatchewan, Colorado, and New Mexico; and had systemic disease involving blood, skin, cervix, lung, and lymph node. Two cases were fatal.
Members of the recently described fungal genus _Emergomyces_ cause disseminated and often fatal disease in immunocompromised hosts (1,2). So named because of

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PRO/AH/EDR> Avian influenza (54): Sweden (UP) backyard poultry, HPAI H5N6, OIE

Avian Influenza H5N6 -- Sweden
Information received on [and dated] 16 Mar 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
Date of start of the event: 11 Mar 2018
Date of confirmation of the event: 15 Mar 2018
Report date: 16 Mar 2018
Date submitted to OIE: 16 Mar 2018
Reason for notification: recurrence of a listed disease
Date of

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PRO/AH/EDR> Equine herpesvirus - North America (10): USA

Equine Herpes Virus -- United States
Horses from the farms in Montgomery, Calvery, and St. Mary's counties traveled to a Virginia farm at which horses tested positive for EHV-1.
The Maryland Department of Agriculture has placed 3 facilities in the state under quarantine because horses residing there had traveled in late February 2018 to a Virginia farm at which horses tested positive for equine herpesvirus-1 (EHV-1), the Equine Disease Communication Center (EDCC) reported 9 Mar 2018.
"One farm in Montgomery County reported

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PRO/EDR> Contaminated package - USA: (DC) fentanyl susp.

Poisoning -- United States
Fire and corrections officials in the District of Columbia say over a dozen employees at the city's jail complex fell ill after a package that likely contained the powerful opioid fentanyl was opened.
The Washington Post reported on Thu 15 Mar 2018 that 4 workers in the mail room were immediately taken to MedStar Washington Hospital Center, and 3 decided to go later. Nine others were treated at the jail facility. Officials described the symptoms as relatively minor.
Assistant Fire Chief

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Saturday 17 March 2018

PRO/EDR> Gastroenteritis - India: (AP) waterborne, fatal, RFI

Gastroenteritis -- India
District officials confirmed that at least 10 persons have died and over 900 have been hospitalized over the past week due to a gastroenteritis outbreak in the Guntur district of India's southern state of Andhra Pradesh. The gastroenteritis occurred due to contamination of drinking water supply in the town.
According to the district officials, hospitals in the district have been flooded with patients complaining of vomiting, frequent motions and fever. A door to door survey is underway to

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PRO/EDR> Infections in the homeless - USA: (WA) bartonellosis and others

Bartonella -- United States
"Introduction: In high-income countries, homeless individuals in urban areas often live in crowded conditions with limited sanitation and personal hygiene. The environment of homelessness in high-income countries may result in intensified exposure to ectoparasites and urban wildlife, which can transmit infections. To date, there have been no systematic evaluations of the published literature to assess vector-borne and zoonotic disease risk to these populations.
"Objectives: The primary

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

Anthrax -- Italy
Information received on [and dated] 16 Mar 2018 from Dr Silvio Borrello, Chief Veterinary Officer, Food Safety and Collegial Bodies for Health Protection, Ministry of Health, Department for Veterinary Public Health, Rome, Italy
Summary
Report type: Immediate notification
Date of start of the event: 10 Mar 2018
Date of confirmation of the event: 12 Mar 2018
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 10 Oct 2017
Manifestation of disease:

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PRO/AH/EDR> Hantavirus - Americas (22): Chile (VS) susp.

Hantavirus -- Chile
A 16 year old youth, resident of Quilpue who is hospitalized in the Sótero del Río Hospital in Puerto Alto, is the 1st suspected case of hantavirus [infection] in the Valparaiso region so far this year [2018].
The Institute of Public Health (ISP) will issue the information to confirm or discard if this case involves this disease or not.
The Valparaiso Health SEREMI [Regional Health Ministerial Secretariat], Maria Graciela Astudillo, stated that, "we were informed about the admission

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PRO/AH/EDR> Avian influenza (53): Sweden (UP) poultry, HPAI H5N6

Avian Influenza H5N6 -- Sweden
Just 2 days after Sweden reported their 2nd detection of HPAI H5N6 in wild terrestrial birds, the Swedish Board of Agriculture (Jordbruksverket) today [16 Mar 2018] announced their 1st outbreak in poultry by this recently reassorted virus.
Bird flu has been found in a small backyard holding in Ã-sthammar Uppsala County. The virus was analysed by the National Veterinary Institute (SVA), and found to be HPAI H5N6. It is the 1st discovery of this AI type in poultry in Sweden. This virus,

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PRO/AH/EDR> Salmonellosis, st Enteritidis - Canada: frozen chicken products, alert

Salmonella -- Canada
Why you should take note?
-------------------------
The Public Health Agency of Canada is collaborating with provincial public health partners, the Canadian Food Inspection Agency and Health Canada to investigate an outbreak of _Salmonella [enterica_ serotype] Enteritidis infections in 4 provinces with cases of human illness linked to poultry, including frozen raw breaded chicken products. The investigation is ongoing, and this public health notice will be updated on a regular basis as the

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PRO/AH/EDR> Salmonellosis, st I 4,[5],12:b:- - USA (03): kratom, multiple serotypes

Salmonella -- United States
Since the last update on [2 Mar 2018], 47 more ill people from 25 states were added to this investigation. As of [15 Mar 2018], a total of 87 people infected with outbreak strains of _Salmonella_ I 4,[5],12:b:- (50), _Salmonella_ Javiana (5), _Salmonella_ Okatie (16), or _Salmonella_ Thompson (16) have been reported from 35 states.
States / Case Count
--------------------
Alaska / 1
Alabama / 1
Arizona / 4
California / 6
Colorado / 2
Delaware / 1
Florida / 3
Georgia / 2
Illinois

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PRO/EDR> Diphtheria - Yemen (03): fatal, WHO, vaccination campaign, medical supplies

Diphtheria -- Yemen
The World Health Organization (WHO), UNICEF and national health authorities have completed a large-scale vaccination campaign to control the spread of diphtheria in Yemen.
The campaign targeted nearly 2.7 million children aged 6 weeks to 15 years in 11 governorates. It focused on locations reporting suspected cases of diphtheria and areas at high risk of spread of the infectious respiratory disease. More than 6000 health workers were mobilized during the campaign, including for community

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Friday 16 March 2018

PRO/AH/EDR> Listeriosis - Australia (03): fatal, cantaloupe, more cases

Listeriosis -- Australia
A Victorian man in his 80s has become the 5th person to die in a listeriosis outbreak after eating contaminated rockmelons [also known as cantaloupes]. A total of 3 Victorians and 2 people from New South Wales have died after consuming fruit linked to a farm in southern NSW.
Victoria's deputy chief health officer, Dr Brett Sutton, said the latest death had been linked to the outbreak only after test results came back. "Sadly, the investigation has also confirmed that a miscarriage has also

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PRO/AH/EDR> Listeriosis - South Africa (10): fatal, more cases

Listeriosis -- South Africa
A total of 11 more cases of listeriosis have been reported to the National Institute for Communicable Diseases (NICD), but no more deaths so far. "No additional deaths have been reported since the last situation update [on 8 Mar 2018]," the NICD said on [Thu 15 Mar 2018]. So far, 183 people have died of the food-borne disease outbreak and 978 cases have been reported since January 2017.
The NICD has been able to analyse data relating to some of the patients, in an effort to form a picture

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PRO/AH/EDR> Pneumonia ovine - USA: (AK) wild ungulates, alert

Pneumonia -- United States
A bacterium long feared by sheep hunters and wildlife managers has been found for the 1st time among wild sheep in Alaska.
The Alaska Department of Fish and Game announced that _Mycoplasma ovipneumoniae_ -- often known as _M. ovi_ -- has been found in sheep killed last year [2017] by hunters in the Talkeetna Mountains area. The bacterium was also found in wild goats in the Kenai Peninsula.
The bacterium is not native to Alaska. In the Lower 48 [states], it is blamed for contributing to

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PRO/AH/EDR> Trichinellosis - USA: (CA) domesticated wild boar, 2017

Trichinosis -- United States
Heaton D, Huang S, Shiau R, et al. Trichinellosis outbreak linked to consumption of privately raised raw boar meat -- California, 2017. MMWR Morb Mortal Wkly Rep 2018; 67(8): 247-9. doi: 10.15585/mmwr.mm6708a3; available at ]
[Byline: Linda Larsen]
--
Communicated by:
ProMED-mail

[As discussed in the text pigs or wild boars exposed to the environment can become infected with _Trichinella_ spp and pass the infection to the consumer. In a situation where veterinary control of the

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PRO/AH/EDR> Antibiotic resistance - China: colistin, mcr-4, mcr-5, pigs, poultry

Antimicrobial resistance -- China
1. Chen L, Zhang J, Wang J, et al. Newly identified colistin resistance genes, mcr-4 and mcr-5, from upper and lower alimentary tract of pigs and poultry in China. PLoS One. 2018; 13(3): e0193957. doi: 10.1371/journal.pone.0193957; available at .]
--
Communicated by:
ProMED-mail Rapporteur Mary Marshall
[The following is the abstract from the journal article referenced in the news report above:
"Antimicrobial resistance against colistin has emerged worldwide threatening the efficacy

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PRO/PL> Stewart's wilt, maize - Italy: (FV)

Other Plant Disease -- Italy
In Italy, _Pantoea stewartii_ (EPPO A2 List) was detected during official surveys carried out in maize (_Zea mays_) fields in Friuli-Venezia Giulia region. In June 2017, a total of 8-10 symptomatic leaves were sampled from 1-5 maize plants growing in the same field (sample size varied according to the plant size). In August 2017, the identity of the bacterium was confirmed in symptomatic leaf samples.
Further surveys are being carried out to determine the distribution of the bacterium in

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Thursday 15 March 2018

PRO/EDR> Poliomyelitis update (09): Afghanistan (WPV), Congo DR (cVDPV)

Polio -- Afghanistan
New wild poliovirus cases reported this week: 0
Total number of wild poliovirus cases in 2018: 3
Total number of wild poliovirus cases in 2017: 22
New cVDPV cases reported this week: 2
Total number of cVDPV cases in 2018: 2
Total number of cVDPV cases in 2017: 96
Headlines
- The Strategic Advisory Group of Experts on immunization (SAGE) Polio Working Group recently met in Geneva, Switzerland, to review global progress against polio. The group reviewed and endorsed the main elements

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PRO/AH/EDR> Hantavirus - Americas (21): Panama (LS)

Hantavirus -- Panama
Authorities from the Ministry of Health (MINSA) in Los Santos province maintain a state of alert with the progressive increase in hantavirus [infection] cases.
Recently, 2 new cases from Tonosi and Las Tablas districts have detected said Carlos Muñoz, MINSA epidemiologist in the province.
So far this year [2018] there is a total of 15 cases.
Muñoz indicated that these most recent patients are progressing well and are under observation.
--
Communicated by:
ProMED-mail from

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PRO/EDR> Syphilis - USA (04): (AK) Anchorage, MSM, HIV, smartphone apps

HIV/AIDS -- United States
The purpose of this Public Health Advisory is to raise awareness about an increase in the number of syphilis cases reported during the first quarter of 2018. To date, there have been 20 confirmed cases and 2 probable cases of infectious syphilis reported in 2018. By comparison, annual case counts were 20, 20, and 21 for 2015, 2016, and 2017, respectively.
Most (80 percent) of the cases in 2018 occurred in Anchorage; 90 percent were in males; and ages ranged from 20­63 years, with 80

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PRO/EDR> Acute flaccid myelitis - North America: USA (CO)

Other Human Disease -- United States
"Most patients will have sudden onset of limb weakness and loss of muscle tone and reflexes. Some patients, in addition to the limb weakness, will experience facial droop/weakness, difficulty moving the eyes, drooping eyelids, or difficulty with swallowing or slurred speech. Numbness or tingling is rare in patients with AFM, though some patients have pain in their arms or legs. Some patients with AFM may be unable to urinate. The most severe symptom of AFM is respiratory failure that can

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PRO/AH/EDR> Anthrax - Australia (02): (QL) bovine recurrence

Anthrax -- Australia
Graziers in Southern Queensland are urged to vaccinate their livestock against anthrax following another case near St George, a year since about 80 head died on a local property.
Minister for Agricultural Industry Development Mark Furner said only a small number of cattle had died in the recent case. "Our officers moved quickly to contain the disease on that individual property by immediately restricting all movement of livestock on and off that location," he said. "The owners undertook

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PRO/EDR> Syphilis - USA (03): (WI) HIV, cluster, mostly young men, MSM

HIV/AIDS, Syphilis -- United States
Contrary to the attention grabbing headlines recently, there were not 125 people with syphilis and/or HIV in the social network investigated last year [2017] by staff at the City of Milwaukee Health Department.
Buried in the most recent reports are the accurate numbers showing that of 127 people identified in the social network by disease intervention specialists, 76 had positive tests for syphilis and/or HIV
().
127 people linked in a social network investigation conducted in 2017.
25

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PRO/AH/EDR> Lassa fever - West Africa (19): Nigeria

Lassa Fever -- Nigeria
- In the reporting Week 10 (5-11 Mar 2018) 12 new confirmed cases were recorded from 7 States Edo (3), Ondo (2), Bauchi (2), Ebonyi (1), Plateau (1), Taraba (1) Ekiti (1) and Kaduna (1) with 4 new deaths, 3 in confirmed cases from Plateau (1), Edo (1), and Kaduna (1) and one probable death in Ondo.
- From 1 - 11 Mar 2018, a total of 1386 suspected cases. Of these, 365 are confirmed positive, 9 are probable, 988 are negative (not a case) and 24 are awaiting laboratory results (pending).
-

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PRO/AH/EDR> Yellow fever - Africa (05): Nigeria

Yellow Fever -- Nigeria
The Nigerian Centre for Disease Control (NCDC) has confirmed that since the re-emergence of yellow fever in Nigeria in [September 2017], at least 358 suspected cases have been recorded in 16 states where the disease has already led to 45 deaths.
As part of activities to find solution to the outbreak, a total of 25 million people are scheduled to be vaccinated in a campaign that has already begun in 3 states: Zamfara in the North-East, Kogi in the Center and Kwara in the West; and health

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PRO/AH/EDR> Die-off, seal - Chile: disease and climate change susp.

Animal Die-off -- Chile
Morris Animal Foundation-funded researchers uncovered several key factors contributing to a die-off of South American fur seal pups, including mites, pneumonia and sea surface temperature. The findings, published in the Journal of Wildlife Diseases, help scientists better understand the link between environmental factors and health.
"Disease often is the forgotten piece in the conservation puzzle," said Dr. Kelly Diehl, Senior Scientific Programs and Communications Adviser at Morris Animal

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PRO/EDR> HIV, gonococcal disease - USA: (PA) cluster susp

HIV/AIDS, Gonorrhea -- United States
Pennsylvania officials have reported an alarming increase in sexually transmitted infections [STIs] in a county outside of Pittsburgh as local health experts say young people are more promiscuous than ever.
Beaver county saw a 300 percent increase in HIV and 34 percent increase in gonorrhea among 15- to 24-year-olds in 2017 compared to 2016, and the trend has continued into 2018, according to the alert released early this month.
Rates of STIs in the US have increased significantly in the

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PRO/AH/EDR> Avian influenza (52): Sweden (BL) wild bird, HPAI H5N6, OIE

Avian Influenza H5N6 -- Worldwide/Unknown
Information received on [and dated] 14 Mar 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: 24 Feb 2018
Date of confirmation of the event: 12 Mar 2018
Report date: 14 Mar 2018
Date submitted to OIE: 14 Mar 2018
Date event resolved: 24 Feb 2018
Reason for

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PRO/AH/EDR> Listeriosis - Namibia: (OT) Vienna sausage, susp ex South Africa

Listeriosis -- Namibia
Namibia has registered its 1st case of listeriosis since the beginning of the epidemic in neighboring South Africa which has killed at least 183 people in the country, the Namibian Ministry of Health said today [13 Mar 2018].
"A 41-year-old man was diagnosed with listeriosis at the private Catholic hospital in Windhoek on [12 Mar 2018]," Namibian Health Minister Bernard Haufiku said in a statement. "This is the 1st case of listeriosis in Namibia since the beginning of the epidemic in

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PRO/EDR> Varicella update (04): South Asia (Sri Lanka) university closure

Chicken Pox -- Sri Lanka
All faculties of the Uva-Wellassa University [in Badulla, Sri Lanka] have been closed until further notice due to an outbreak of chickenpox among the student population.
Dozens of students staying at the university's hostels have already become infected with the highly contagious disease.
As such, a university official stated that a decision has been taken by the university administration to close down the university as a precaution in order to prevent the spread of the viral

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Wednesday 14 March 2018

PRO/PL> Elephantiasis, banana - Colombia: phytoplasma

Elephantiasis -- Colombia
[In] Colombia, banana is severely affected by elephantiasis disease (BED), first reported in 1911 in Suriname. BED has significantly lowered both yield and commercial value of the cultivars 'Gros Michel' (AAA) and 'Dominico Harton' (AAB). Yield reductions of 9 to 71.6 per cent have been reported in the Department of Valle del Cauca during 2016 and 2017.
BED causes an overgrowth of the pseudostem-rhizome junction generating longitudinal and transverse ruptures that lead to the collapse of

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PRO/AH/EDR> Hantavirus - Americas (20): Chile (LL)

Hantavirus -- Chile
The Los Lagos Health SEREMI [Regional Health Ministerial Secretariat], Sofia Torres, confirmed a new case of a hantavirus infection in the region, which brings to 6 the number of infected individuals, one of whom died.
This 6th case is a 13-year-old boy who presented with symptoms over the past weekend in the Puerto Montt Hospital, where he was then sent to the Roberto del Rio Hospital in Santiago.
The boy was in stable condition in that hospital in the capital and is being constantly

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PRO/AH/EDR> Panleukopenia, feline - Australia (02): (VI)

Parvovirus -- Australia
Cat owners in the Bendigo area are urged to keep an eye out for signs of a potentially fatal illness having struck at least one cat in the city.
Bendigo Animal Hospital veterinarian Dr Max Tori said a cat from Kennington suffering feline panleukopenia virus, also known as feline parvovirus, was brought into the clinic on Monday [12 Mar 2018].
Fortunately, the owners of the Kennington cat picked up on their pet's illness quickly, and the cat was responding well to treatment, but Dr Tori

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PRO/EDR> Undiagnosed toxic agent - UK (02): (England) nerve agent

Poisoning -- United Kingdom
Former spy Sergei Skripal and his daughter were poisoned by a military-grade nerve agent of a type developed by Russia, Theresa May has told MPs.
The PM (Prime Minister) said it was "highly likely" Russia was responsible for the Salisbury attack.
The Foreign Office summoned Russia's ambassador to provide an explanation.
Mrs. May said that if there is no "credible response" by the end of Tuesday [13 Mar 2018], the UK would conclude there has been an "unlawful use of force" by

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PRO/EDR> Botulism - Kyrgyzstan

Botulism -- Kyrgyzstan
A total of 14 people, including 4 children, were hospitalized after a mass botulism food poisoning outbreak in southern Kyrgyzstan, the Health Ministry said [Tue 13 Mar 2018]. It said 3 of them are in a serious condition. An epidemiological investigation has been conducted and all patients have received the botulinum antitoxin.
The first case of food poisoning in the city of Uzgen in the Osh region was reported on [Sun 11 Mar 2018]. According to preliminary data, the poisoning occurred due

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

Salmonella -- United States
CDC and multiple states investigated a multistate outbreak of human _Salmonella_ infections linked to contact with pet turtles.
A total of 76 people infected with the outbreak strain of _Salmonella [enterica_ serotype] Agbeni were reported from 19 states.
Illnesses started on dates ranging from [1 Mar 2017 to 1 Dec 2017].
States / Case Count
-------------------
California / 3
Connecticut / 5
Delaware / 1
Illinois / 7
Indiana / 1
Kansas / 1
Louisiana / 2
Maryland /

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PRO/PL> Zebra chip liberibacter, potato psyllid - Canada

Other Plant Disease -- Canada
The zebra chip pathogen has been found for the 1st time in Western Canada. University of Lethbridge's Dan Johnson [said that] so far, _Candidatus_ Liberibacter solanacearum (Lso), the zebra chip pathogen, has been detected in small numbers of potato psyllids -- the pathogen's insect vector. But the pathogen has not yet been found in any potato plant tissue. "There's no infection of potatoes, which is good news. But it's likely to turn up," he says. Insects captured in separate sites have

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PRO/AH/EDR> Avian influenza (51): Pakistan (PB) captive bird zoo, HPAI H5N8, OIE

Avian Influenza H5N8 -- Pakistan
Information received on 13 Feb 2018 from Dr Javed Iqbal Khan, Assistant Animal Husbandry Commissioner, Ministry of National Food Security and Research, Ministry of National Food Security and Research, Islamabad, Pakistan
Summary
Report type: immediate notification
Date of start of the event: 26 Jan 2018
Date of confirmation of the event: 2 Feb 2018
Reason for notification: new strain of a listed disease in the country
Causal agent: Highly pathogenic influenza A virus
Serotype:

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PRO/EDR> Botulism - Austria: (Vienna) outdated pork spread

Botulism -- Austria


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PRO/EDR> Measles update (17): Asia, Pacific, Africa, Europe

Measles -- Philippines
A nationwide campaign continues in Somalia to protect millions of children against the potentially deadly effects of measles. WHO, UNICEF, national and local health authorities aim to reach more than 4.7 million children aged from 6 months-10 years during the overall campaign.
This week, the campaign targets 2.7 million children in the southern and central states, along with 1.1 million children in Somaliland. The vaccinations will be available at health centres and temporary vaccination

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PRO/AH/EDR> Rabies (14): Asia (Kazakhstan) feline, OIE

Rabies -- Kazakhstan
Information received on 13 Mar 2018 from Dr Samat Tyulegenov, Director General, RSE "National Reference Center for Veterinary" of the Committee of veterinary control and supervision, Ministry of Agriculture of Republic of Kazakhstan, Astana, Kazakhstan
Summary
Report type: immediate notification (final report)
Start date: 12 Jan 2018
Date of confirmation of the event: 30 Jan 2018
Report date: 12 Mar 2018
Date submitted to OIE: 13 Mar 2018
Date event resolved: 12 Mar 2018
Reason for

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PRO/AH/EDR> Avian influenza (50): Bhutan (SJ) backyard poultry, HPAI H5N1, OIE

Avian Influenza H5N1 -- Bhutan
Information received on [and dated] 13 Mar 2018 from Dr Tashi Samdup, Director General, Department of Livestock, Ministry of Agriculture and Forests, Thimphu, Bhutan
Summary
Report type: immediate notification
Date of start of the event: 6 Mar 2018
Date of confirmation of the event: 11 Mar 2018
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 16 Oct 2016
Manifestation of disease: clinical disease
Causal agent: Highly pathogenic avian influenza

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Tuesday 13 March 2018

PRO/AH/EDR> Rift Valley fever - South Sudan (08): (EL) animal, human, WHO, FAO

Rift Valley Fever -- South Sudan
The Ministry of Health and the Ministry of Livestock and Fisheries have declared a Rift Valley fever (RVF) outbreak today [12 Mar 2018] in Yirol East, Yirol West, and Awerial Counties of Eastern Lakes state.
The declaration was preceded by a joint high-level advocacy mission led by the Minister of Health, Dr Riak Gai Kok. The mission, comprised of representatives from the Ministry of Health, Ministry of Livestock and Fisheries, the World Health Organization (WHO), and the Food and

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PRO/EDR> Legionellosis - USA (05): (FL) spa, pool, hot water heater

Legionnaires' -- United States
According to a report completed by the Florida Department of Health, the growth of _Legionella_ bacteria was found in a hot water heater at the fitness area of IslandWalk.
Testing was also done on the community swimming pool and spa but returned negative results.
Despite the negative finding, the health department says it believes the pool and spa area are where people came in contact with the bacteria.
13 people tested positive for the disease in late February

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PRO/AH/EDR> Eastern equine encephalitis - USA (02): (FL) equine, avian

Eastern Equine Encephalitis -- United States
The Florida Department of Health in Levy County (DOH-Levy) today [8 Mar 2018] issued a mosquito-borne illness alert for Levy County. A case of eastern equine encephalitis [EEE] has been confirmed in a flock of Emus in the Bronson area, and there is a heightened concern residents could become ill.
EEE is spread to horses and humans [and emus] by infected mosquitoes, including several _Culex_ species and _Culiseta melanura_.
Symptoms of EEE disease often appear 4 to 10 days after someone

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PRO/AH/EDR> Chronic wasting disease, cervid - Finland: 1st case, moose

Chronic Wasting Disease -- Finland
Chronic wasting disease (CWD) has been found in a moose, or European elk (_Alces alces_), for the 1st time ever in Finland.
The disease was diagnosed in Kuhmo in a 15-year old moose, having died naturally. The results of the analyses carried out by Finnish Food Safety Authority Evira have been verified by an EU reference laboratory. Species of the deer family, known as "cervids," can suffer from chronic wasting disease, and it is always fatal. The disease is not known to have been

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PRO/EDR> Poliomyelitis update (08): Somalia, cVDPV environmental samples

Environmental, Polio -- Somalia
Circulation of vaccine-derived poliovirus type 2 (cVDPV2) has been confirmed in Somalia; 3 cVDPV2s strains were isolated from environmental samples collected on [4 and 11 Jan 2018], in Banadir province (Mogadishu). These latest isolates are genetically linked to cVDPV2 strains collected from environmental samples in the same province on [22 Oct 2017 and 2 Nov 2017].
No associated cases of acute flaccid paralysis (AFP) have been detected.
Public health response
Since detection of the

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

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
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3. Gore SM, Fontaine O and Pierce NF. Impact of rice based oral rehydration solution on

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