Saturday 30 November 2019

PRO/AH/EDR> Plague - China (04): (NM) pneumonic

Plague -- China
A new pneumonic plague case has been confirmed in Ulanqab, northern China's Inner Mongolia Autonomous Region, after a herdsman was diagnosed on Wed 27 Nov 2019. The city is over 500 km [about 311 mi] away from Xilingol League in the region, where the other 3 pneumonic plague cases were previously found.
The patient, who had visited a region where plague sources were identified, was being treated in isolation and was in a stable condition at the Siziwang Banner People's Hospital in Ulanqab,

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PRO/ALL> New in IJID (12): December 2019

Not Yet Classified -- Worldwide/Unknown
Bacterial infections
A translational pharmacokinetic/pharmacodynamic model to characterize bacterial kill in the presence of imipenem-relebactam.
Pratik Bhagunde, Zufei Zhang, Fred Racine, Donna Carr, Jin Wu, Katherine Young, et al.
Int J Infect Dis. 2019; 89(Dec): 55-61.

The accuracy of a diagnosis of pneumonia in the emergency department.
Alaa Atamna, Shachaf Shiber, Muhammad Yassin, Michael J Drescher, Jihad Bishara.
Int J Infect Dis. 2019; 89(Dec): 62-65.

Monitoring the

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PRO/AH> Foot & mouth disease - South Africa (04): (LP) cattle, economics, control

Foot and Mouth -- South Africa
The FMD [foot and mouth disease] outbreaks have caused the country to lose its FMD-free status, meaning South African farmers cannot export animals or animal products. This significantly impacts our economy. To local consumers, the FMD outbreak means meat prices, especially red meat, will likely increase. As consumers prepare for the festive season, expect meat prices to be high as markets struggle to find animals for meat. Provinces that are already banned from selling their animals in

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PRO/EDR> Poliomyelitis update (94): Global (WPV1,cVDPV), Pakistan, Africa (cVDPV) WHO

Polio -- Pakistan
New wild poliovirus isolates reported this week:
AFP cases: 5
Environment: 0
Others: 0
New cVDPV isolates reported this week:
AFP cases: 20
Environment: 8
Others: 0
Headlines
Summary of new viruses this week (AFP cases and ES positives):
Pakistan - 5 WPV1 cases, 2 cVDPV2 cases and 1 cVDPV2 positive environmental sample;
Democratic Republic of the Congo (DR Congo) - 5 cVDPV2 cases;
Benin - 4 cVDPV2 cases;
Ghana - 4 cVDPV2 cases and 2 cVDPV2 positive environmental samples;

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PRO/EDR> Measles update (71)

Measles -- Tonga
Large measles outbreaks are being reported in several countries in the region. Outbreaks are ongoing in Madagascar and Nigeria; although the rate of new cases is decreasing, cases are still being reported weekly. As of 17 Nov 2019, a total of 250 270 suspected cases with 5110 associated deaths have been reported by the Democratic Republic of the Congo, an increase in more than 8000 cases compared to the previous week. All provinces are affected, and a national outbreak response vaccination

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PRO/AH/EDR> Lassa fever - West Africa (41): Netherlands ex Sierra Leone, WHO

Lassa Fever -- Netherlands
Sierra Leone health officials, supported by WHO, the US Centers for Disease Control and Prevention (CDC), and other partners, are responding to an outbreak of Lassa fever. On 20 Nov 2019, WHO was informed by the Netherlands' International Health Regulations (IHR) National Focal Point of one imported case of Lassa fever from Sierra Leone. The patient was a male doctor, a Dutch national who worked in a rural Masanga hospital in Tonkolili district, Northern province in Sierra Leone.
The

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PRO/EDR> Legionellosis - USA (28): (TX) fatal, state fair, hot tub

Legionnaires' -- United States
Authorities say a hot tub display at an East Texas state fair in September [2019] is the likely source of contamination which led to a legionnaires' disease outbreak that killed one person and sickened 7 others. Officials in Tyler have closed the convention center where the state fair took place. The Tyler Morning Telegraph reports officials plan to remediate the convention center's plumbing system.
This is the 2nd outbreak linked to a state fair in the USA this year [2019]. Officials in

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Friday 29 November 2019

PRO/AH> African swine fever - Asia (92): South Korea, wild boar, spread, FAO, OIE

African Swine Fever -- South Korea
[not yet available when posted]

The following information includes data on African swine fever (ASF) in South Korea, selectively extracted from the above, most recent weekly FAO update.
Situation update -- South Korea:
Since the Ministry of Agriculture, Food and Rural Affairs (MAFRA) confirmed the 1st ASF outbreak on [17 Sep 2019], ASF was detected in domestic pigs in 14 farms [Gyeonggi-do (9), Incheon City (5)] and in 30 wild pigs from Gyeonggi-do (17) and Gangwon-do (13) [but see

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PRO/AH> Rabbit hemorrhagic disease - Ireland (03): wild rabbit

Not Yet Classified -- Ireland
A contagious virus has been confirmed in over 20 rabbits found in 10 counties -- including Offaly, a government minister has confirmed. Green Party TD [Teachta Dála; member of the Dáil or lower house of Parliament], Catherine Martin, asked the minister for culture, heritage and the Gaeltacht [Irish-speaking regions] about areas impacted by the RHD2 virus.
Rabbit haemorrhagic disease (RHD) was first reported in domestic (farmed) rabbits in China in 1984, killing 4 million animals within

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PRO/EDR> Syphilis - Canada (05): (BC) RFI

Syphilis -- Canada
The rate of syphilis infection in British Columbia [Canada] is the highest it's been in 30 years, and the provincial health officer is asking the public to get proactive about testing and treatment. Figures from the BC [British Columbia] Centre for Disease Control show there were 919 new cases of syphilis reported in 2018, a 33% jump from the year before [2017], and many of those infections occurred in gay and bisexual men.
Dr Bonnie Henry, the provincial health officer, says after watching

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PRO/AH/EDR> Herpes B virus - Japan: (KS) 1st rep

Herpes -- Japan
An employee of a Japanese pharmaceutical research and development company has been found infected with herpes B virus which is commonly found among monkeys. This is the 1st confirmed B virus infection in Japan. B virus infection in people is usually caused by contact with monkeys. It can lead to brain fever, disturbed consciousness, even death.
Officials in Kagoshima City, western Japan, say the patient was working at a local company involved in the research and development of drugs. The

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PRO/AH> Equine herpesvirus - North America (24): USA (MD,OK) horse

Equine Herpes Virus -- United States
The Maryland Department of Agriculture's Animal Health Program confirmed this week that a horse in Baltimore County had tested positive for equine herpesvirus (EHV-1). Samples from the symptomatic horse were sent to the Frederick Animal Health Laboratory, where the non-neurotropic strain of EHV-1 was confirmed. The horse was euthanized on [Thu 28 Nov 2019] due to complications.
The Baltimore County farm, which has not been identified, has been placed on a hold order by the department,

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PRO/AH/EDR> Avian influenza (52): Nigeria (SO) poultry, H5N6, 1st case, OIE, RFI

Avian Influenza H5N6 -- Nigeria
Information received on [and dated] 27 Nov 2019 from Dr Olaniran Alabi, director, chief veterinary officer, Veterinary and Pest Control Services, Federal Ministry of Agriculture and Rural Development, Abuja, Nigeria
Summary
Report type: immediate notification
Date of start of the event: 25 Jun 2019
Date of confirmation of the event: 27 Nov 2019
Reason for notification: new strain of a listed disease in the country
Causal agent: highly pathogenic avian influenza virus
Serotype:

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Thursday 28 November 2019

PRO/AH/EDR> E. coli EHEC - UK (03): (England) dairy, pasteurization problem susp, recall

E. coli -- United Kingdom
A dairy in an English town has been linked to an outbreak of _Escherichia coli_, with 18 people sick. Darwin's Dairy has been advised to recall all whole, skimmed and semi-skimmed milk and cream products currently in circulation. Barnsley Council and Public Health England (PHE) informed residents across South Yorkshire of the recall. They did not mention the strain of _E. coli_ involved.
PHE Yorkshire and the Humber noted an increase in _E. coli_ cases in South Yorkshire but the dairy has

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PRO/AH> Infectious pancreatic necrosis, fish - Iceland: (AL) farmed salmon, 1st rep

Other Animal Disease -- Iceland
A virus associated with infectious pancreatic necrosis (IPN) has been detected in salmon in an open-net fish farm in Reydarfjordur, East Iceland, reports the Iceland Review. Though the virus has been detected, its associated disease, infectious pancreatic necrosis, has not yet appeared in the salmon, according to the news site. The virus was detected at Icelandic salmon farm Laxar, according to the Food and Veterinary Authority.
In a press release, the Iceland Food and Veterinary Authority

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PRO/AH/EDR> Plague - China (03): (NM) bubonic

Plague -- China
A 4th case of the plague has been recorded in China as the disease slowly begins to spread. The latest case of the plague has again been recorded in Inner Mongolia, where the 3 previous cases have stemmed from. The local was a rural herder in the Siziwang county, who was diagnosed and subsequently treated in hospital. He is now said to be in a stable condition, although 4 others who came into contact with him have been quarantined.
Health authorities in China confirmed it is a case of the

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PRO/AH/EDR> Ebola update (111): Congo DR (NK,IT) WHO, security, treatment

Ebola -- DR Congo
- Despite the tense situation of the city of Beni, a vaccination ring was opened around the confirmed case of 24 Oct 2019 in the Kanzulinzuli Health Area of the General Reference Hospital;
- 724 people were vaccinated with the 2nd Ad26.ZEBOV/MVA-BN-Filo vaccine (Johnson & Johnson) in the 2 health zones of Karisimbi in Goma;
- since the start of vaccination on 8 Aug 2018 with the rVSV-ZEBOV vaccine, 255 215 people have been vaccinated;
- approved on 22 Oct 2019 by the Ethics Committee of the

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PRO/AH/EDR> Eastern equine encephalitis - North America (42): USA (SC) horse

Eastern Equine Encephalitis -- United States
County animal control officials received a call about an ill horse on St Helena Island on 7 Nov 2019. The horse was treated and given fluids and able to stand back up, Trice said. But another call came the next day: the horse was found dead. The infected animal was near Little Horse Island, where a population of 7 wild ponies lives.
Trice said she is working with veterinarian Dessie Carter and the ponies' caretaker to develop a plan to vaccinate the ponies and other horses nearby against

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PRO/AH/EDR> Leptospirosis - Australia (04): (VI) dog, alert

Leptospirosis -- Australia
Melbourne dog owners have been warned of an outbreak of a rare ratborne disease having killed 3 dogs and which is transferable to humans. Agriculture Victoria and vets who treated the dogs having died advised owners to consider vaccination for leptospirosis and to seek treatment at the earliest signs of the disease, which can quickly escalate from vague signs to death.
Early signs include lethargy, fever, vomiting, and diarrhoea. Dogs typically catch it via direct contact with rats and mice

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PRO/AH/EDR> Scrub typhus - India (07): (WB)

Scrub Typhus -- India
Taking a serious note of reports of scrub typhus from some parts of the state [West Bengal], the state health department has directed chief medical officers of health (CMOH) of all districts to be alert and vigilant and send details of all cases to the department. "Scrub typhus is a disease that can be treated with antibiotics if it is detected early. So, early detection is of the utmost importance. We have directed all hospitals to conduct blood tests if fever continues for a period of 5 days

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PRO/AH/EDR> Tick-borne encephalitis - Denmark: (HS)

Tick-borne Encephalitis -- Denmark
Abstract
--------
Tickborne encephalitis virus (TBEV), a member of the family Flaviviridae, genus _Flavivirus_, causes tickborne encephalitis (TBE). In Denmark, TBE is endemic only on the island of Bornholm, with an incidence of 4 per 100 000 inhabitants per year [1,2]. Here we report 3 clinical cases of TBE in patients hospitalised within a month [June/July 2019] and all residing at the boundary of the same forest, Tisvilde Hegn [Capital Region], in Northern

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Wednesday 27 November 2019

PRO/EDR> Influenza (30): WHO global update, Americas, Caribbean, drugs

Influenza -- Worldwide/Unknown
Information in this report is categorized by influenza transmission zones, which are geographical groups of countries, areas, or territories with similar influenza transmission patterns.
Summary
-------
- In the temperate zone of the northern hemisphere, influenza activity remained at interseasonal levels in most countries. However, influenza activity continued to increase across the countries in western Asia.
- In the Caribbean and tropical South American countries, influenza activity

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PRO/AH/EDR> West Nile virus (52): Europe, ECDC update

West Nile Virus -- Greece
Between [15 and 21 Nov 2019], no human cases of West Nile virus infection have been reported by EU/EEA countries and EU neighbouring countries. In the same time period, no outbreaks among equids were reported to the Animal Disease Notification System (ADNS).
As no new human cases with recent disease onset have been reported in the last week, the final 2019 weekly update will be published next week [Fri 29 Nov 2019].
Since the beginning of the 2019 transmission season and as of [21 Nov

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PRO/AH/EDR> Crimean-Congo hem. fever - Africa (12): Senegal

Crimean-Congo Hemorrhagic Fever -- Senegal
A case of Crimean-Congo haemorrhagic fever has been reported in Kaolack commune. According to the health services of the region quoted by the daily "L'As", the infected carrier comes from the department of Koungheul and is a vehicle driver in his state. The victim is currently hospitalized at the Ibrahima Niasse regional hospital in Kaolack. According to the newspaper health authorities say they have taken all steps to prevent the spread of the disease.
According to a specialized site

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PRO/AH/EDR> Avian influenza (51): India (KL) geese, st pending, susp, RFI

Avian Influenza -- India
Poultry farmers in Tamil Nadu, particularly these within the Namakkal district, have taken precautions after the outbreak of chook [chicken or fowl] flu in Kerala. The livestock division of Kerala reported on Mon [25 Nov 2019] that thousands of geese within the districts of Alappuzha, Kottayam, and Pathanamthitta died of chook flu.
Though there is no such thing as an outbreak of chook flu in Tamil Nadu, poultry farmers all through the state have taken precautions.
[byline: Preet

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PRO/AH/EDR> Lassa fever - West Africa (40): Nigeria, corr

Lassa Fever -- Nigeria
The subject and title of the original post incorrectly mentioned Sierra Leone. The report is from Nigeria.
--
communicated by:
ProMED-mail

[ProMED-mail thanks an astute subscriber for alerting us to this mistake and apologises for any confusion it may have caused. - Mod.SH
HealthMap/ProMED-mail map of Nigeria: .
]
[See Also:
Lassa fever - West Africa (40): Sierra Leone

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PRO/EDR> Syphilis - Japan: more cases, heterosexual women, congenital

Syphilis -- Japan
In recent years, the number of syphilis cases has surged in Japan. In 2015, we reported on a big increase in syphilis cases in Japan where well over 2000 cases were recorded, a 4-fold increase from just 5 years earlier. In the past 2 years, more than 5500 cases were reported in 2017 and more than 6000 last year [2018]. Through [13 Nov 2019], the National Institute of Infectious Diseases (NIID) reported 5703 syphilis cases, including 1464 cases in Tokyo and 921 cases in Osaka.
Another issue

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PRO/AH> Foot & mouth disease - Myanmar: st O, bovine, OIE

Foot and Mouth -- Myanmar
Information received on 26 Nov 2019 from Dr Ye Tun Win, chief veterinary officer, director general, Livestock Breeding and Veterinary Department, Ministry of Livestock and Fisheries, Nay Pyi Taw, Myanmar
Summary
Report type: immediate notification
Date of start of the event: 1 Oct 2019
Date of confirmation of the event: 10 Oct 2019
Report date: 25 Nov 2019
Reason for notification: recurrence of a listed disease
Date of previous occurrence: 2 Jul 2018
Manifestation of disease:

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PRO/AH/EDR> E. coli EHEC - USA (29): (WA)

E. coli -- United States
Health officials are investigating a local _Escherichia coli_ outbreak potentially tied to 4 Seattle-area restaurants that is separate from a national outbreak linked to romaine lettuce from Salinas, California. At least 7 people have been infected in the local outbreak, and 6 of them reported eating raw vegetables or leafy greens at 4 different Evergreens restaurants in King County.
All 7 of the victims were affected by the same strain of _E. coli_, which is different from the strain in

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PRO/AH/EDR> E. coli EHEC - USA (28): O157, romaine lettuce

E. coli -- United States
Arizona / 3
California / 4
Colorado / 1
Idaho / 3
Illinois / 1
Maryland / 4
Michigan / 1
Minnesota / 3
Montana / 1
Nebraska / 1
New Jersey / 1
New Mexico / 2
Ohio / 12
Oregon / 1
Pennsylvania / 3
Texas / 2
Virginia / 2
Washington / 1
Wisconsin / 21
--------------
Total / 67
Illnesses started on dates ranging from 24 Sep 2019 to 14 Nov 2019. Ill people range in age from 3 to 89 years, with a median age of 25. 67 per cent of ill people are female. Of 50

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Tuesday 26 November 2019

PRO/AH> Tuberculosis - USA (03): (WA) zoo elephant, comment

Tuberculosis -- United States


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PRO/AH/EDR> Tonate virus - French Guiana

Other Human Disease -- Région d'outre-mer de French Guiana, France
Mutricy R, Djossou F, Matheus S, et al. Discriminating tonate virus from dengue virus infection: a matched case-control study in French Guiana, 2003-2016. Am J Trop Med Hyg. 2019; DOI: http://bit.ly/2DlXgY0.
Abstract
--------
Tonate virus (TONV) is an arbovirus discovered in 1973 in French Guiana (FG) belonging to the Venezuelan equine encephalitis virus complex, Alphavirus genus. Only few publications and cases have been reported in FG. The objectives of the present study

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PRO/AH/EDR> Lumpy skin disease - Bangladesh: (CG,DH) cattle, 1st rep

Lumpy Skin Disease -- Bangladesh
Livestock officials have asked dairy farmers not to panic after lumpy skin disease [LSD], which is characterised by nodules on the skin, has spread in cattle farms in Chattogram [Chittagong]. The disease was detected for the 1st time in Bangladesh at a farm in Karnaphuli Upazila's Shikalbaha in July [2019], according to Mohammad Reazul Haque, Chattogram district livestock officer. Experts believe the disease spread in Bangladesh from India, he told bdnews24.com [see comment].
There are 1655

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PRO/AH> African swine fever - Europe (53): Belgium (LX) wild boar, economics

African Swine Fever -- Belgium
The damage caused by African swine fever [ASF] in [Belgium] amounts to 22.5 million euros [about USD 24.8 million] per month, reports 'Nieuwe Oogst'. The Federation of Belgian Meat (FEBEV) calculated the total losses to be at least 700 million euros [nearly USD 771.6 million]. "Past crises teach us that it can take up to 10 years for the image to return to the old level," says Michael Gore from FEBEV. "We will still have problems with this in the coming years."
In 2018, wild boar were found

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Monday 25 November 2019

PRO/AH/EDR> Rabies (53): Americas (USA) fox, human exp

Rabies -- United States
A red fox that attacked 5 people last week [11-17 Nov 2019] in Glen Ridge [New Jersey] has tested positive for rabies, authorities said. Borough police said they responded to a report of an animal bite on Woodland Avenue. 2 additional bites were reported in the borough while police and the Bloomfield Animal Control were searching for the animal. The fox was later found on the NJ Transit tracks near Toney's Brook.
Anyone who has had direct contact with a red fox around [14 and 15 Nov 2019]

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PRO/EDR> Poliomyelitis update (93): Philippines (BS)

Polio -- Philippines
A 9 year old girl from Basilan has been added to the list of confirmed poliovirus cases in the country, according to Sam Nielsen's report on Super Radyo dzBB on [Mon 25 Nov 2019], citing the Department of Health (DoH). The new case brought the total number of new cases recorded nationwide this year [2019] to 8, the latest being the 3 recorded last week [week of 18 Nov 2019] in Cotabato. The report said the 9 year old from Basilan did not receive any vaccine against the virus.
The 1st [of

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PRO/AH/EDR> Salmonellosis - Chile: (Santiago) sushi

Salmonella -- Chile
A salmonellosis outbreak in Maipu commune in Santiago Province has now affected 80 people, according to the Chile news source, T13 (computer translated). This is up from 45 cases reported ill at the El Carmen Hospital with symptoms of salmonella infection on [Tue 19 Nov 2019].
Health officials have linked to outbreak to the consumption of sushi at a Bokado sushi store. "This is an important call for the preparation of these products, they must be cooked. They must not use salmon or raw

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Sunday 24 November 2019

PRO/AH/EDR> Equine herpesvirus - North America (23): USA (OK, VA) horse

Equine Herpes Virus -- United States
On Thursday [21 Nov 2019], the New Mexico Racing Commission (NMRC), with the full support of the State Veterinarian of the New Mexico Livestock Board, ordered Zia Park and the Downs at Albuquerque to close their barn areas to horses originating from Remington Park in Oklahoma. A horse stabled at Remington Park was confirmed positive for equine herpesvirus (EHV-1) last week and subsequently euthanized.
The commission's decision comes the week before one of New Mexico's biggest days of

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PRO/AH/EDR> Strangles - North America (08): USA (RI) horse

Strangles -- United States
Historically, strangles got its name as affected horses were sometimes suffocated from large, infected lymph nodes that obstructed their upper airway or trachea. The hallmark clinical signs of infection are fever (temperature higher than 101.5 F / 38.6 C), nasal discharge, and enlarged submandibular lymph nodes (in the space between the lower jawbones), which ultimately abscess. Purulent nasal discharge is typically present, although it may initially be clear. The retropharyngeal lymph nodes

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PRO/AH/EDR> Trypanosomiasis (Chagas disease) - USA: (CA) Los Angeles, imported

Chagas -- United States
American Society of Tropical Medicine & Hygiene. Hernandez S, et al "Prevalence of Chronic Comorbidities Among People with Chagas Disease in Los Angeles, California" ASTMH 2019; Abstract 1311. (Cardiac Comorbidities Plague Chagas Disease Patients under-diagnosed, undertreated L.A. population burdened with cardiometabolic conditions)
Many patients with _Trypanosoma cruzi_ infection, or Chagas disease, in Los Angeles had multiple other comorbidities, a researcher said here.
In a

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PRO/AH/EDR> Lassa fever - West Africa (39): Sierra Leone, Netherlands ex Sierra Leone

Lassa Fever -- Sierra Leone
In Sierra Leone, 7 Dutch and 3 British doctors have been evacuated for Lassa fever; 2 of them -- both Dutch -- and a local anesthetist are confirmed cases. The others are said to be at high risk, having been exposed to the disease in Masanga in the northern Tonkolili District.
--
Communicated by:
ProMED-mail

******
[2]
Date: 24 Nov 2019
Source: BBC [edited]

A Dutch doctor who was evacuated from Sierra Leone after contracting Lassa fever has died in hospital. The medic was

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PRO/AH/EDR> E. coli EHEC - USA (27): O157, romaine lettuce

E. coli -- United States
Arizona / 2
California / 4
Colorado / 1
Idaho / 3
Illinois / 1
Maryland / 3
Michigan / 1
Minnesota / 1
Montana / 1
New Jersey/ 1
New Mexico / 2
Ohio / 5
Pennsylvania / 3
Virginia / 1
Washington / 1
Wisconsin / 10
-----------------
Total / 40
Illnesses started on dates ranging from 24 Sep 2019, to 10 Nov 2019. Ill people range in age from 3 to 89 years, with a median age of 22. Six* percent of ill people are female. Of 39 ill people with information available, 28

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PRO/AH/EDR> Usutu virus - Europe: (Italy) 2018

Other Human Disease -- Italy
Abstract
Background
Usutu virus (USUV) is a mosquito-borne flavivirus, which shares its transmission cycle with the phylogenetically related West Nile virus (WNV). USUV circulates in several European countries, and its activity has increased over the last 5 years.
Aim
To describe human cases of USUV infection identified by surveillance for WNV and USUV infection in the Veneto Region of northern Italy in 2018.
Methods
From 1 Jun to 30 Nov 2018, all cases of suspected autochthonous

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PRO/AH/EDR> Caprine arthritis/encephalitis - UK: (N. Ireland) 1st indigenous case

Encephalitis -- United Kingdom
A disease which affects goats has been found in Northern Ireland for the 1st time. It was picked up in an animal on a holding in Country Londonderry during routine surveillance. The premises where the condition was detected was placed under restriction and other animals slaughtered.
There are around 3800 goats in Northern Ireland, and farmers have been urged to be vigilant by chief vet Robert Huey. Most goats are found in small numbers on farms, but there are some commercial meat and dairy

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PRO/AH/EDR> Lassa fever - West Africa (40): Sierra Leone

Lassa Fever -- Nigeria
Figure 1 [map]. Randomised distribution of confirmed Lassa fever cases in Nigeria as at 10 Nov 2019.
Figure 2 [map]. LGAs with confirmed Lassa fever cases in Nigeria as at 10 Nov 2019.
Figure 3 [graph]. Epicurve of Lassa fever confirmed cases (754) in Nigeria - week 01-45, 2019.
Figure 4 [graph]. Weekly trends of Lassa fever confirmed cases in Nigeria, 2016/week 01-2019/week 45.
Figure 5 [graph]. Confirmed Lassa fever cases in Nigeria with state-specific case-fatality rates (CFR) as at 10

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Saturday 23 November 2019

PRO/EDR> Vaping-related illness - North America (05): Canada, flavoring, lung disease

Pneumonia -- Canada
A Canadian teenager developed a life-threatening condition known as "popcorn lung" after several months of intense vaping, in the 1st medical case linking this chronic lung disease to e-cigarette use.
Popcorn lung, or popcorn worker's lung, is so-called because the condition was 1st documented in 2000 among microwave-popcorn factory workers who were exposed to the flavouring chemical diacetyl. The disease, more formally known as bronchiolitis obliterans, has also been documented among

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PRO/EDR> Poliomyelitis update (92): Pakistan (KP, SD), Philippines (Mindanao)

Polio -- Pakistan
The total number of polio cases across the country has touched 102, including 9 vaccine-derived cases, after 2 cases were reported in Upper and Lower Kohistan, Khyber Pakhtunkhwa [KP].
In spite of tall claims by the government and several anti-polio drives, there has been no let-up in the polio cases across the country, as only yesterday [Fri 22 Nov 2019] 5 cases were reported in Sindh and KP. These 2 provinces are among the worst-affected regions, witnessing a spike over the recent

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PRO/AH/EDR> Undiagnosed deaths, goat - Kenya: capripox vaccine strain susp.

Lumpy Skin Disease -- Kenya
Farmers in Nyeri County are counting losses after an ongoing livestock vaccination drive led to the deaths of at least 10 animals. The farmers, the majority of whom are from Konyu Ward in Mathira Constituency, raised the alarm after their goats fell ill days after being vaccinated.
The agriculture department has been carrying out an annual month-long livestock vaccination programme, which started on [5 Nov 2019] and runs until [20 Dec 2019]. Farmers have been paying KES 30 [USD 0.30] to

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PRO/AH/EDR> Chronic wasting disease - USA (18): (TN) deer

Chronic Wasting Disease -- United States
The Tennessee Wildlife Resources Agency (TWRA) said chronic wasting disease (CWD) is continuing its spread in Tennessee after it was detected in Shelby County.
A 2-year-old buck that had been hunted in the Wolf River Wildlife Management Area tested positive for the disease. The TWRA said the find isn't necessarily surprising given the disease has been prevalent in neighboring Fayette County and had already been detected in Tipton County to the north. [However, this appears to be the 1st

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PRO/EDR> Vaping-related illness - Philippines: 1st case

Poisoning -- Philippines
The Department of Health (DOH) confirmed the 1st case of e-cigarette or vape-associated lung injury (Evali) in the Philippines Friday [15 Nov 2019].
The case was confirmed in a 16-year-old girl from the Visayas who had been using e-cigarettes for 6 months while also smoking regular cigarettes, the DOH said in a statement Friday [15 Nov 2019].
The dual-user patient was admitted to the hospital on [21 Oct 2019] after reporting severe shortness of breath. According to the DOH, the girl

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PRO/AH/EDR> Severe fever w/ thrombocytopenia synd. - Japan (03)

Fever -- Japan
Cases of a lethal tick-borne virus in Japan are reportedly set to start passing the 100-people-per-year mark for the 1st time since record keeping on the condition began in 2013.
The National Institute of Infectious Diseases announced on [19 Nov 2019] that the 2019 total of 96 people affected with Huaiyangshan banyangvirus [severe fever with thrombocytopenia syndrome], also known as the SFTS virus, had surpassed the previous high of 90 in 2017. Additionally, the mortality rate is high, and

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PRO/AH/EDR> Yellow fever - Americas (12): Venezuela, WHO details

Yellow Fever -- Venezuela
A joint investigation team (WHO Country Office and the Venezuela Ministry of Health) was deployed on 12 Nov [2019] to characterize the risk and develop the response plan. PAHO Immunizations (IM) Unit along with the Revolving Fund have secured a donation of 571 000 doses of yellow fever vaccine from UNICEF that arrived in the country at the end of October [2019].
The local public health authorities have strengthened the active and passive epidemiological surveillance activities in humans and

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Friday 22 November 2019

PRO/AH/EDR> Undiagnosed die-off, peacock - India: pesticide susp.

Animal Die-off -- India
Days after 8 peacocks were found dead in a sugarcane field in Uttar Pradesh's Bijnor, 9 peacocks have been found dead in Rajasthan's Alwar district on Thursday [21 Nov 2019]. According to officials, 5 more were found unconscious and the birds were being treated at a local veterinary hospital. Investigations to find the cause of the death of the peacocks are currently underway.
Authorities are trying to investigate if the peacocks had eaten anything poisonous or if they died due to some

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PRO/EDR> Gastroenteritis - USA (02): (CO) school closure, norovirus susp.

Norovirus -- United States
All 46 schools in Mesa County [Colorado] are closing Thursday [21 Nov 2019] out of an abundance of caution as a gastrointestinal illness continues to spread through its student body. Six schools had closed as of Wednesday [20 Nov 2019] afternoon before the district-wide shutdown was announced. Schools will remain closed on Friday [22 Nov 2019] through the district's Thanksgiving break, which lasts the entire week of the holiday from [25-29 Nov 2019].
Mesa County health officials think

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PRO/AH/EDR> Foot & mouth disease - South Africa (03): (LP) cattle, st SAT 2, spread

Foot and Mouth -- South Africa
Traces of foot-and-mouth disease (FMD) have so far linked infected animals to an auction facility in Limpopo, with at least 5 commercial facilities affected as a result.
In a joint statement, the Departments of Agriculture, Land Reform and Rural Development and the National Animal Health Forum (NHF) on FMD said there are more concerns that purchased animals at the same auction could be affected.
"All known infected properties have been placed under quarantine, suspect properties under

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PRO/EDR> Hepatitis A - USA (38): (NE,WI,IN) fresh berries

Hepatitis A -- United States
The [Nebraska] Central District Health Department [CDHD] reported [Wed 20 Nov 2019], a multi-state outbreak of hepatitis A that has been linked to eating blackberries and potentially to strawberries purchased at Fresh Thyme grocery stores. The berries were distributed in 3 states [I believe they mean cases have occurred in these states - Mod.LL], including Nebraska as well as Indiana and Wisconsin. The department noted that these same berries were also distributed in Iowa, Illinois, Kentucky,

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PRO/EDR> Melioidosis - Viet Nam (02): (Hanoi) fatal, brothers

Melioidosis -- Vietnam
http://bit.ly/2Da0vl2

Two brothers in Hanoi's Soc Son District died of melioidosis, or Whitmore's disease, 2 weeks apart. On [28 Oct 2019], a 5-year-old boy, was admitted to the National Children's Hospital in the capital city [Hanoi] with high fever and stomachache. 3 days later he died of septic shock from a bloodstream infection. Doctors found out later that his death was caused by melioidosis, an

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PRO/AH/EDR> Avian influenza (50): Taiwan (CH) chicken, HPAI H5, OIE

Avian Influenza -- China
Information received on [and dated] 20 Nov 2019 from Dr Wen-Jane Tu, Chief Veterinary Officer, Deputy Director General, Bureau of Animal and Plant Health Inspection and Quarantine, Council of Agriculture, Executive Yuan, Taipei, Chinese Taipei [Taiwan]
Summary
Report type: immediate notification
Date of start of the event: 27 Oct 2019
Date of confirmation of the event: 30 Oct 2019
Report date: 20 Nov 2019
Date submitted to OIE: 20 Nov 2019
Reason for notification: recurrence of a

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PRO/AH/EDR> Eastern equine encephalitis - North America (41): USA, human

Eastern Equine Encephalitis -- United States
Humans have always lived in intimate association with arthropods that transmit pathogens between humans or from animals to humans. About 700 000 deaths due to vector-borne diseases occur globally each year, according to World Health Organization estimates. In the summer and fall of 2019, 9 US states have reported 36 human cases (14 of them fatal) of one of the deadliest of these diseases: eastern equine encephalitis (EEE), an arthropod-borne viral (arboviral) disease transmitted by mosquitoes.

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PRO/AH/EDR> Equine influenza - USA (05): (CA,WA) horse

Equine Influenza -- United States
On 11 Oct 2019, an attending veterinarian confirmed 2 Ventura County horses tested positive for equine influenza. The 1st, a 2-year-old Warmblood gelding, experienced onset of clinical signs, including coughing, fever, and nasal discharge, on 8 Oct 2019.
The 2nd, a yearling filly, first showed clinical signs of coughing, enlarged submandibular (under the jaw) lymph nodes, fever, and nasal discharge on 9 Oct 2019.
The vaccination status of both horses is reported as unknown, and both are

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Thursday 21 November 2019

PRO/EDR> Poliomyelitis update (91): global, WPV and cVDPVs, Philippines

Polio -- Philippines
Poliovirus weekly update, as of 20 Nov 2019, WHO
New wild poliovirus isolates reported this week:
AFP cases: 5
Environment: 4
Others: 0
New cVDPV isolates reported this week:
AFP cases: 11
Environment: 0
Others: 1
Headlines
Summary of new viruses this week (AFP cases and ES positives):
Afghanistan: 1 WPV1 case and 2 positive environmental samples;
Pakistan: 4 WPV1 cases, 2 WPV1-positive environmental samples, and 2 cVDPV2 cases;
Nigeria: 1 cVDPV2 case;
Democratic Republic

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PRO/AH/EDR> Rhinotracheitis, bovine (IBR/IPV) - France: (BT) cattle, recurrence

Respiratory Illness -- France


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PRO/AH/EDR> Ebola update (110): Congo DR (NK, IT) cases, summary, Johnson & Johnson vaccine

Ebola -- DR Congo
About 50 000 people are affected by this vaccination, which will last 4 months. Until [Mon 18 Nov 2019], 245 people are already vaccinated, which include 172 adults, including 50 women, and 23 children aged 5-18 years. The NGO Doctors Without Borders (MSF), responsible for the implementation of the Johnson & Johnson Clinic study, notes with satisfaction the ownership of this study by the Kahembe and Majengo health area population in Goma, North Kivu. The campaign to introduce this new vaccine

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PRO/AH/EDR> Coral reef kills - USA: (PR) warming and pollutants

Other Animal Disease -- United States
Agricultural runoff, especially the metal copper and marine plant leaching from boat hulls pose as an emerging threat to Coral Sea fans in the waters around Puerto Rico.
In a study published in the journal 'Ecological Applications', scientists report evidence of metal pollution creating danger for the soft coral sea fans.
"We know warming oceans pose an existential threat to coral reefs around the world," said ecologist Allison Tracy, who conducted this work with Drew Harvell, professor

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PRO/AH/EDR> Babesia venatorum - UK: (Scotland) 1st rep, asymptomatic, sheep, zoonotic

Babesiosis -- United Kingdom
1. Gray A, Capewell P, Loney C, et al. Sheep as host species for zoonotic _Babesia venatorum_, United Kingdom. Emerg Infect Dis. 2019; 25(12): 2257-60; .
2. Novacco M, Hofmann-Lehmann R, Grimm F, et al. Fatal acute babesiosis associated with _Babesia venatorum_ infection (_Babesia_ sp. EU1) in a captive reindeer calf in Switzerland. Veterinary Parasitology: Regional Studies and Reports. 2019; 18: 100336; .
3. Krause PJ. Human babesiosis (2019). Int J Parasitol. 2019; 49(2): 165-74; .
-

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PRO/AH/EDR> Listeriosis - Europe (18): (Germany) fatal, WGS, meat, healthcare facilities

Listeriosis -- Germany
Priska Hinz, Hessen consumer protection minister, said the food business operator is primarily responsible at all stages of production, processing, and distribution in ensuring food meets requirements of the law.
"These include in particular food safety, traceability, prevention, transparency and emergency measures, as well as cooperation with the authorities. Food inspection ensures that employers comply with their responsibilities and that only safe food comes onto the market," she

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PRO/AH/EDR> Malaria - Americas: PAHO summary

Malaria -- Venezuela
Between 2005 and 2014, there was an overall decreasing trend in the number of cases of malaria in the Region of the Americas; however, since 2015, there has been an increase in the number of malaria cases reported in the Region.
This overall increase is due to the increase in cases over the last 3 years in the Bolivarian Republic of Venezuela along with increased transmission in endemic areas of countries such as Brazil, Colombia, Guyana, Nicaragua, and Panama, as well as outbreaks in

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PRO/AH/EDR> E. coli EHEC - USA (26), possible salad source

E. coli -- United States
CDC, public health and regulatory officials in several states, and the US Food and Drug Administration (FDA) are investigating a multistate outbreak of Shiga toxin-producing _ E. coli_ (STEC) O157:H7, also called enterohemorrhagic _E. coli_ (EHEC) infections. This investigation includes illnesses recently reported by the Maryland Department of Health and Wisconsin Department of Health Services.
Public health investigators are using the PulseNet system to identify illnesses that may be part

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PRO/AH/EDR> Severe fever w/ thrombocytopenia synd - Taiwan: 1st rep

Fever -- China
The Taiwan Department of Disease Control announced the 1st case of severe fever with thrombocytopenia syndrome (SFTS) in the country. According to the news release (computer translated), the patient is a 70-year-old male in the north who has not recently gone abroad but is often active in mountainous areas.
On [2 Nov 2019], due to repeated fever and vomiting symptoms, he went to the clinic for medical treatment. Later, due to rash and consciousness change, he was sent to hospital on [3 Nov

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Wednesday 20 November 2019

PRO/EDR> Gonococcal disease: Australia (QL) incr. incid., drug resist. ceftriax/azithro

Gonorrhea -- Australia
Queensland health experts are concerned after 2 cases of drug-resistant gonorrhea were identified amid a surge in overall cases.
The overall cases of the sexually transmitted infection [STI] have more than doubled since 2014, when 2276 cases were recorded. This year, 4920 cases were identified.
Dr Amy Jennison, acting chief scientist of Public Health Microbiology, Forensic and Scientific Services (FSS) Queensland Health, said the strain of extensively drug-resistant gonorrhoea (XDR) was

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PRO/EDR> Acute respiratory disease - Ukraine: (OD) Coxsackievirus

Respiratory Illness -- Ukraine
Eight school classes in Odesa [Odessa] have been closed for quarantine. More than 30% of school students in these classes are sick with Coxsackievirus, a highly contagious respiratory disease, said Olena Buynevych, the director of the city hall's department for science and education, as quoted by UNN news agency.
"More than 30% of students in these classes are sick with acute respiratory diseases, which include cases of cases and Coxsackievirus," the official said. She urged the parents to

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PRO/EDR> Mumps update (14): UK (NT), USA (SC)

Mumps -- United Kingdom
With more than 40 cases of mumps now confirmed at the College of Charleston, the school has taken a few new approaches over the past week to contain the outbreak on campus.
Beginning with 3 cases confirmed by officials on 23 Sep [2019], the school's weekly update reported 43 confirmed cases on 14 Nov [2019], a 65% jump from the 26 cases noted a week earlier on 7 Nov [2019].
College of Charleston does require students to have the 3-part MMR [measles, mumps, and rubella] vaccine that

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PRO/AH/EDR> Trichomoniasis, avian - Isle of Man: pigeon

Other Animal Disease -- United Kingdom
There's been an outbreak of a highly contagious disease among wood pigeons on [Isle of Man].
That's according to Manx Wild Bird Aid (MWBA) which says its already taken in a number of the animals from Douglas, Groudle, and Crosby which are suffering with 'canker'.
The infection isn't harmful to humans or mammals but the organisation says it can cause growths in the birds' mouths which can lead them to starve to death.
MWBA is offering advice to people about how to help stop it

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PRO/AH/EDR> African swine fever - Europe (52): Poland (LB) wild boar, spread

African Swine Fever -- Poland
According to a communiqué released by Poland's Chief Veterinary Officer, the number of ASF-confirmed wild boar in the Lubuskie Voivodeship, western Poland, has risen to 20. This is based on the results of research carried out at the National Veterinary Institute-National Research Institute in Pulawy. The samples were collected in 9 locations in Wschowa and Nowa Sol counties, during the searches undertaken in the contaminated area and a buffer zone around it, established on the basis of risk

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PRO/AH/EDR> Yellow fever - Americas (11): Venezuela (BO) alert

Yellow Fever -- Venezuela
The Venezuelan Public Health Society and the Let's Defend The National Epidemiology Network issued an alert after a case of yellow fever was confirmed in the state of Bolivar, after 14 years without the disease. The Health Ministry hasn't published information about the case or issued an alert, but Venezuela must formally report it to international institutions, due to the risk to a population that isn't vaccinated, having the vector (mosquitoes) in all of the territory (increasing the odds of

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PRO/AH/EDR> Rift Valley fever - Sudan (07): (RS,RN) human, livestock, WHO

Rift Valley Fever -- Sudan
Red Sea State
-------------
- Activation of RVF task force committee;
- printing and distribution of RVF guidelines;
- deployment of surveillance teams for daily reporting and active case finding in the affected areas;
- establishment of 2 health centers and one dispensary with a capacity of 11 beds, laboratory items, drugs, and supplies to provide health services in the affected villages;
- conducting household inspections and fogging: In Arb'aat area, a total of 452 households were

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PRO/AH/EDR> Eastern equine encephalitis - North America (40): USA (MI) human, fatal

Eastern Equine Encephalitis -- United States
A Michigan farmer has died after contracting the mosquito-borne virus eastern equine encephalitis (EEE). The Michigan Department of Health and Human Services confirmed the farmer died following complications with the virus on [Sat 16 Nov 2019], local outlet WOOD-TV reported.
The farmer has since been identified as an Eau Claire [Berrien County] resident, according to 16 News Now. He died at Memorial Hospital.
EEE, also known as sleeping sickness, is a rare virus that causes inflammation

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PRO/AH/EDR> E. coli EHEC - USA (25): (OR) ground beef, recall

E. coli -- United States
We investigated 2 outbreaks of an unusual gastrointestinal illness that affected at least 47 people in Oregon and Michigan in February through March and May through June 1982. The illness was characterized by severe crampy abdominal pain, initially watery diarrhea followed by grossly bloody diarrhea, and little or no fever. It was associated with eating at restaurants belonging to the same fast-food restaurant chain in Oregon (P less than 0.005) and Michigan (P = 0.0005) and with eating any of

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PRO/AH/EDR> Tick-borne encephalitis - Switzerland (04)

Tick-borne Encephalitis -- Switzerland
Over 250 cases of the tick-borne early summer meningoencephalitis (ESME) disease have been recorded in Switzerland so far in 2019, the 2nd-highest number since the year 2000.
In its weekly bulletin published [Mon 11 Nov 2019], the Federal Office for Public Health (FOPH) wrote that 251 cases of the disease had been reported up to the end of October [2019]. The government urged a nationwide vaccination against the disease at the start of the year.
The figure is 2nd-only to the record 353

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Tuesday 19 November 2019

PRO/PL> Virus diseases, multiple crops: global impact

Other Plant Disease -- Worldwide/Unknown
Viruses constitute a major cause of plant disease and have an estimated economic impact of over USD 30 billion annually. They constitute almost 50% of pathogens responsible for emerging and reemerging plant diseases worldwide. Virus disease outbreaks threaten cultivated plants not only by impairing their growth and vigor, thereby diminishing gross yields, but also by spoiling produce quality and thus decreasing marketable yields. Such crop losses occur globally. Virus diseases also threaten

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PRO/AH/EDR> Lumpy skin disease - India (05): (OR) cattle, 1st rep, OIE

Lumpy Skin Disease -- India
Information received on [and dated] 18 Nov 2019 from Dr Atul Chaturvedi, Secretary, Department of Animal Husbandry and Dairying, Ministry of Fisheries, Animal Husbandry and Dairying, New Delhi, India
Summary:
Report type: immediate notification
Date of start of the event: 12 Aug 2019
Date of confirmation of the event: 16 Nov 2019
Report date: 18 Nov 2019
Date submitted to OIE: 18 Nov 2019
Reason for notification: 1st occurrence of a listed disease in the country
Causal agent: Lumpy

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PRO/AH/EDR> Vesicular stomatitis - USA (20): horses

Vesicular Stomatitis -- United States
In its [31 Oct 2019], Situation Report, the United States Department of Agriculture (USDA) Animal and Plant Health Inspection Service (APHIS) confirmed 7 new vesicular stomatitis viruses (VSV)-affected premises: 5 confirmed positive and 2 suspected. Affected states include:
Colorado: 3 new confirmed positive (1 in Eagle County and 2 in Garfield County) and 1 new suspect (Fremont County);
Nebraska: 1 new confirmed positive in Garden County, which is a newly infected county; and
Utah: 1 new

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PRO/AH/EDR> Mycoplasma bovis - New Zealand (03): (Wairarapa) livestock

Other Animal Disease -- New Zealand
A mixed sheep and beef farm in South Wairarapa was identified with cases of _M. bovis_ in August [2019], the 4th and most recent property in the region to be identified with the disease.
A total of $479 159 has been paid out to 14 claimants around the region impacted by biosecurity measures to stamp out the _Mycoplasma bovis_ cattle disease since the disease was 1st found in the region in June last year [2018].
The latest property was still being treated as an active confirmed property,

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PRO/AH/EDR> Facial eczema - New Zealand: cattle

Chronic/Non-Infectious Disease -- New Zealand
Dairy facial eczema (FE) is caused by a fungus growing on dead and dying matter in the pasture which releases a spore with toxins in it. It is most likely to grow and produce spores in warm and humid conditions. Zinc is currently the main way of preventing the disease.
Trial work done in 2014 examining zinc concentrations in the blood of 1200 cattle from over 100 farms in the North Island showed approximately 70 per cent of cattle did not have enough zinc to protect against facial

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PRO/AH/EDR> African swine fever - Europe (51): Poland (LB) wild boar, OIE

African Swine Fever -- Poland
Information received on [and dated] 15 Nov 2019 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: 4 Nov 2019
Date of confirmation of the event: 14 Nov 2019
Report date: 15 Nov 2019
Date submitted to OIE: 15 Nov 2019
Reason for notification: 1st occurrence of a listed disease
Manifestation of disease:

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PRO/AH/EDR> Dengue/DHF update (22): Americas

Dengue -- Worldwide/Unknown
In the Region of the Americas, between epidemiological week (EW) 1 and EW 42 of 2019 [1 Jan-18 Oct 2019], a total of 2 733 635 cases of dengue (280 cases per 100 000 population) have been reported, including 1206 deaths. Of the total cases, 1 217 196 (44.5%) were laboratory-confirmed and 22 127 (0.8%) were classified as severe dengue. The reported case-fatality rate was 0.044%.
The number of cases reported in 2019 as of EW 42 (2 733 635) is the largest recorded in the history of dengue in

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PRO/AH/EDR> Cryptosporidiosis - Sweden (02): (multi-region) background

Cryptosporidium -- Sweden
The incidence of cryptosporidiosis in Scandinavia has increased dramatically in recent years. As shown in the graph [at the URL below], rates in Sweden per 100 000 population are approximately twice those reported in the United States -- and almost 4-fold those reported in the European Region as a whole [1-3].
See graph at:

References
----------
1. Gideon e-Gideon multi-graph tool:
[tutorial]
2. Berger S. Infectious Diseases of Sweden,
2019. 416 pages , 143 graphs , 1,146

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PRO/PL> Pospiviroids, tomato - Ghana, Mali: rasta disease

Other Plant Disease -- Ghana
In Ghana, 'rasta' is a virus-like disease of unknown etiology affecting tomato (_Solanum lycopersicum_) plants. Symptoms include stunting; epinasty, crumpling, and chlorosis of leaves; and necrosis of leaf veins, petioles and stems.
Leaf samples with rasta symptoms were collected from 17 commercial tomato fields in Ghana in October 2012 and were shown to be infected with _Potato spindle tuber viroid_ (_Pospiviroid_, PSTVd -- EPPO A2 List) and _Tomato apical stunt viroid_ (_Pospiviroid_,

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Monday 18 November 2019

PRO/AH/EDR> E. coli EHEC - USA (24): (MD) O157, prepackaged salad

E. coli -- United States
The Maryland Department of Health says 7 confirmed cases of _E. coli_ infections have been linked to pre-packaged Caesar salads. According to the department of health, the infections were identified in people who'd eaten Ready Pac Bistro Bowl Chicken Caesar Salad purchased at Sam's Club stores in Maryland. One person was hospitalized as a result of the _E. coli_ O157 infection. No deaths have been linked to it.
The department noted that these salads are sold at a number of retail outlets.

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PRO/PL> Dead flower bud disease, pear - Netherlands: cause

Other Plant Disease -- Netherlands
The occurrence of dead dormant flower buds is a common phenomenon of economic importance in the major pear production areas of Europe. Thus far, the cause of dead flower buds disease remained unknown. Several causes have been proposed, including insufficient tree chilling, unmet dormancy requirements, incompatibility between scion and cultivar, but also various biotic stress agents such as pathogens and pests.
In this study, we tested the relationship between reduction of tree growth and

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PRO/AH/EDR> Ebola update (109): Congo DR (NK, IT) cases, WHO, summaries, response, vaccine

Ebola -- DR Congo
- The General Coordinator for the Ebola Response to the Ebola Virus Disease, Prof Steve Ahuka Mundeke, accompanied by a joint team of some members of the response and the consortium (National Institute of Biomedical Research-INRB, MSF / France and the London School), met this Wed 13 Nov 2019 the Vice President of the North Kivu Provincial Assembly, the Honorable Jean-Paul Lumbulumbu, with whom they discussed the 2nd Ebola vaccine called Johnson & Johnson.
- The teacher Steve Ahuka Mundeke,

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PRO/AH/EDR> Powassan virus encephalitis - USA (07): (NY) with 2 other pathogens

Encephalitis -- United States
Abstract
_Ixodes scapularis_ is responsible for transmission of _Borrelia burgdorferi_, _B. miyamotoi_, _Babesia microti_, _Anaplasma phagocytophilum_ and Powassan virus to humans. We present a case of an 87-year-old man who presented with fever and altered mental status. Initial workup revealed haemolytic anaemia, thrombocytopenia, mild hepatitis and acute kidney injury. Patient tested positive for _B. burgdorferi_ and _Babesia microti_, and was started on doxycycline, atovaquone and

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PRO/AH/EDR> Plague - China (02): (NM) bubonic

Plague -- China
China's Inner Mongolia reported a fresh, confirmed case of bubonic plague on Sun 17 Nov 2019, despite an earlier declaration by the country's health officials that the risk of an outbreak was minimal.
The health commission of the autonomous region said a 55-year-old man was diagnosed with the disease after he ate wild rabbit meat on 5 Nov 2019. Bubonic plague is the most common form of plague globally and can advance and spread to the lungs, which is a more severe type called pneumonic

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PRO/AH/EDR> Anthrax - Zimbabwe (08): (MI) cattle

Anthrax -- Zimbabwe
At least 5 cattle have died in Gokwe North in the past week due to an outbreak of anthrax, the Veterinary Services Department has said. This comes barely a month after the same area was hit by the same disease which was later contained by the department.
In an interview, Midlands Provincial Veterinary Officer Dr. Martin Sibanda said the department will be moving vaccines to the area to deal with the outbreak. "We have another focal outbreak this week in Gokwe North in areas close to Binga.

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PRO/EDR> Hepatitis A - USA (37): CDC

Hepatitis A -- United States
State / Case total / Hospitalizations n (%) / Deaths / Outbreak start date / Current through date / Av. weekly cases since last post
Total / 28 111 / 16 986 (60%) / 284 / -- / 8 Nov 2019 / 313
States with an ongoing outbreak
-------------------------------
Alabama / 163 / 90 (55%) / NR / 1 Sep 2018 / 2 Oct 2019 / --
Arizona / 595 / 470 (79%) / 8 / 1 Nov 2018 / 7 Nov 2019 / 3
Arkansas / 437 / 227 (52%) / 3 / 7 Feb 2018 / 8 Nov 2019 / 2
Colorado / 238 / 173 (73%) / 2 / 1 Oct 2018 / 6

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PRO/AH/EDR> African swine fever - Europe (50): Poland (LB) wild boar, spread

African Swine Fever -- Poland
The State Veterinary Institute in Pulawy confirmed the occurrence of the 2nd case of African swine fever (ASF) in wild boars in the Lubuskie province [voivodship], in the Nowa Sol county, informed the Chief Veterinary Officer.
"The positive result concerns the corpse of a fallen wild boar found within the contaminated zone designated by the Regulation of the Lubuskie Voivode on combating African swine fever (ASF) in pigs and wild boars in the Nowa Sol and Wschowa counties", reads the

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PRO/EDR> Measles update (70)

Measles -- Worldwide/Unknown
Samoa has closed all schools and cracked down on public gatherings as it enters a state of emergency over the deadly measles outbreak spreading across the Pacific islands.
The island state of just 200 000, halfway between Hawaii and New Zealand, announced the state of emergency on [Sat 16 Nov 2019] after declaring a measles epidemic late in October 2019, when the 1st deaths were reported.
Since then, at least 6 deaths, mostly infants under the age of 2, have been linked to the outbreak,

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PRO/EDR> Dengue/DHF update (21): Asia, Pacific, Africa, Europe, vaccine

Dengue -- Sri Lanka
Nearly 50 percent of the world's population is considered at risk of infection with dengue virus (DENV), a mosquito-borne RNA virus that can potentially cause lethal disease. The efficacy of currently approved vaccines is poor in people who have not previously encountered DENV. Afroz et al. found that pretreatment of mice with the amino acid starvation mimetic halofuginone (HF) increased the adaptive immune response to a DENV vaccine. Known to activate the nutrient-sensing kinase GCN2, HF

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PRO/AH/EDR> Cryptosporidiosis - Sweden: (multi-region)

Cryptosporidium -- Sweden
The Public Health Agency of Sweden is investigating an increase in notified cases of infection with _Cryptosporidium_.
During the autumn and in particular during weeks 44 and 45 [28 Oct-8 Nov 2019], an increase in the number of reported cases of cryptosporidiosis, infected in Sweden, was noted. Half of the regions in Sweden have reported cases in all age groups but mostly in adults. Most cases have been seen in the Stockholm region.
The Agency has initiated an outbreak investigation in

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Sunday 17 November 2019

PRO/EDR> Botulism, cosmetic use - Taiwan

Botulism -- China
Yang Chen-chang, director of clinical toxicology and occupational medicine at Taipei Veterans General Hospital, spoke at a forum in Taipei yesterday, 16 Nov 2019, about intoxication caused by Botox injections. The nation's 1st case of poisoning caused by a botulinum toxin injection was reported by toxicologist Yang Chen-chang at a conference at Taipei Veterans General Hospital (TVGH).
Yang, TVGH clinical toxicology and occupational medicine department director, disclosed the case during a

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PRO/EDR> Gastroenteritis - USA: (CO) schools, norovirus susp.

Norovirus -- United States
A 2nd school in Palisade is getting cleaned over the weekend after several students were sick at home on Fri 15 Nov 2019, the Daily Sentinel reports.
Eight percent of Mount Garfield Middle School students were home with flu-like symptoms, District 51 spokeswoman Emily Shockley said. Some had acute-onset vomiting, which lasted between 12 and 24 hours. The health department does not know what the illness is but said it is behaving like a virus.
Palisade High School closed early Thursday

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PRO/AH/EDR> E. coli EHEC - USA (23): (WI)

E. coli -- United States
Between 13 and 15 Nov 2019, the Wisconsin Division of Public Health (DPH) Communicable Diseases Epidemiology Section has observed a significant increase in the number of reported cases of _Escherichia coli_ (_E. coli_) O157 infection. We are treating this as an outbreak. Cases have been reported from numerous jurisdictions within Wisconsin and have not been isolated to a single region. One associated case of hemolytic uremic syndrome (HUS) has also been reported. The investigation into the

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PRO/AH/EDR> Psittacosis - USA: (VA, GA) chicken slaughter plants, 2018

Psittacosis -- United States
Psittacosis results from inhalation of aerosolized droppings or respiratory secretions of birds infected with _Chlamydia psittaci_. During 2008-2017, a total of 60 cases of psittacosis, a nationally notifiable disease in the United States, were reported to the National Notifiable Diseases Surveillance System ().
The most common source of psittacosis in the USA is believed to be pet psittacine birds (e.g., parrots, cockatoos). The most recent large poultry-associated outbreaks in the USA

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PRO/AH/EDR> African swine fever - Asia (91): domestic, wild, spread, control, FAO

African Swine Fever -- Worldwide/Unknown
The following information includes data on African swine fever (ASF) in Asia, selectively extracted from the above, recent weekly FAO update.
1. Affected Provinces:
- China: Anhui, Heilongjiang, Henan, Jilin, Liaoning, Jiangsu, Zhejiang, Shanxi, Yunnan, Hunan and Guizhou, Hubei, Jiangxi, Fujian, Sichuan, Shaanxi, Qinghai, Guangdong, Gansu, Shandong and Hainan Provinces, Tianjin, Chongqing, Shanghai and Beijing Municipalities, Inner Mongolia, Ningxia Hui, Guangxi Zhuang, Xinjiang Uygur and

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Saturday 16 November 2019

PRO/EDR> Botulism - USA (08): (NM) wound, injection drug related

Botulism -- United States
New Mexico health officials are investigating the 3rd suspected case of botulism in 2019. The department said Friday [15 Nov 2019] that a patient hospitalized in Albuquerque is believed to have wound botulism, a rare illness that can lead to muscle paralysis and death if left untreated. Botulism was confirmed in people hospitalized in May and October [2019]. The health department says all 3 cases are linked to the use of injection drugs.
Botulism is caused by a nerve toxin produced by a

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PRO/EDR> Scombroid fish poisoning - USA (04): Imported Vietnamese tuna

Food-related toxin -- United States
"Histamine poisoning results from the consumption of foods, typically certain types of fish and cheeses that contain unusually high levels of histamine. Spoiled fish of the families Scombridae and Scomberesocidae (such as, 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/AH/EDR> Lassa fever - West Africa (38): Nigeria

Lassa Fever -- Nigeria
Figure 1 [map]. Randomised distribution of confirmed Lassa fever cases in Nigeria as at 3 Nov 2019.
Figure 2 [map]. LGAs with confirmed Lassa fever cases in Nigeria as at 3 Nov 2019.
Figure 3 [graph]. Epicurve of Lassa fever confirmed cases (754) in Nigeria - week 01-44, 2019.
Figure 4 [graph]. November 2019. Weekly trends of Lassa fever confirmed cases in Nigeria, 2016/week 01-2019/week 44.
Figure 5 [graph]. Confirmed Lassa fever cases in Nigeria with state-specific case-fatality rates

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PRO/ALL> Announcements (09): ProMED seeks infectious disease moderators - Africa

Other Animal Disease -- Cote d'Ivoire


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PRO/AH> Bluetongue - India: (KA) sheep, untyped

Bluetongue -- India
According to the Chitradurga district Department of Animal Husbandry and Veterinary Services, nearly 5% of the total sheep in the district are suffering from the deadly bluetongue disease. Chitradurga is one of the largest sheep-rearing districts in the state with more than 14 lakh [1.4 million] sheep.
The disease is caused by the biting of _Culicoides_ midges, and it damages the immune system, resulting in slow death.
Deputy director, Department of Animal Husbandry and Veterinary

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PRO/AH/EDR> African swine fever - Europe (49): Poland (LB) wild boar

African Swine Fever -- Poland
The Polish authorities have confirmed that African swine fever (ASF) has been found in a dead wild boar at 85 km (about 53 mi) from the border with Germany. The case positive for ASF concerned a wild boar that was found on [4 Nov 2019] after having been killed in a road accident in Lubuskie voivodship. This province borders to Germany in the west.
The Polish Chief Veterinary Inspection broke the news on Thursday [14 Nov 2019]. The animal had been tested at the Polish State Veterinary

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PRO/AH/EDR> African swine fever - Europe (48): Moldova (HI) domestic, spread, OIE

African Swine Fever -- Moldova
Information received on [and dated] 14 Nov 2019 from Dr. Vitalie Caraus, Head of the Animal Health and Welfare Department, Animal Health and Welfare Department, National Food Safety Agency of the Republic of Moldova, Chisinau, Moldova
Summary
Report type: Immediate notification
Date of start of the event: 11 Nov 2019
Date of confirmation of the event: 12 Nov 2019
Reason for notification: Recurrence of a listed disease
Date of previous occurrence: November 2019
Manifestation of

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PRO/AH/EDR> Tuberculosis - USA (02): (WA) zoo elephant, latent TB in elephant handlers

Tuberculosis -- United States
Two elephants at Point Defiance Zoo & Aquarium have tested positive for tuberculosis, zoo officials announced Wednesday [13 Nov 2019].
Tuberculosis is an infectious disease affecting the lungs, and there is evidence it can be passed from some animals, including elephants, to humans.
That's what officials believed happened when staff members tested positive with a latent, or inactive, tuberculosis infection in September [2019]. [See ProMED-mail post Tuberculosis - USA: (WA) latent, zoo

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PRO/EDR> Poliomyelitis update (90): global, Pakistan, summary status WPV, cVDPV

Polio -- Pakistan
New wild poliovirus isolates reported this week:
AFP cases: 2
Environment: 3
Others: 0
New cVDPV isolates reported this week:
AFP cases: 19
Environment: 10
Others: 5
Headlines
- Besides acute flaccid paralysis [AFP] surveillance and environmental surveillance, how else do disease surveillance officers track the poliovirus in populated cities, hard-to-reach geographical areas, and conflict zones? [See for details.]
Summary of new viruses this week (AFP cases and ES

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Friday 15 November 2019

PRO/EDR> Vaping related illness - Europe: (Belgium) fatal

Respiratory Illness -- Belgium
This debate has extra resonance in the UK, where the government has embraced e-cigarettes as a way to wean people off tobacco.
There, officials say the worst thing people could do is go back to regular cigarettes out of fear vapes could land them in the hospital with a major lung malfunction.
"You're terrifying people who are benefiting from vaping by not smoking," said Clive Bates, a former chief of the UK charity Action on Smoking and Health (ASH) and a strong defender of

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PRO/AH/EDR> West Nile virus (51): Europe (France) horse, OIE

West Nile Virus -- France
West Nile fever, France
Information received on [and dated] 13 Nov 2019 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: follow-up report no. 6
Date of start of the event: 31 Aug 2019
Date of confirmation of the event: 10 Sep 2019
Report date: 13 Nov 2019
Date submitted to OIE: 13 Nov 2019
Reason for notification: recurrence of a listed disease
Date of

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Thursday 14 November 2019

PRO/AH/EDR> E coli EHEC - USA (22): (WI) O157, possible salad source, RFI

E. coli -- United States


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

Amoeba -- Pakistan
[_Naegleria fowleri_] has claimed another life in Karachi on [Mon 11 Nov 2019]. This was the 16th death reported in the ongoing year [2019] because of the disease. According to details, a 28-year-old resident of New Karachi area was brought to a private clinic 4 days ago where he died of the disease during treatment.
According to the researchers, _Naegleria_ has a fatality rate of more than 98%. Infections can happen when contaminated water enters the body through the nose. It cannot be

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PRO/EDR> Creutzfeldt-Jakob disease - Canada: (NB) RFI

CJD -- Canada
1. S-Juan P, Ward HJT De Silva R, et al. Ophthalmic surgery and Creutzfeldt-Jakob disease. Br J Ophthalmol. 2004; 88(4): 446-9;
2. Collins S, Law MG, Fletcher A, et al. Surgical treatment and risk of sporadic Creutzfeldt-Jakob disease: a case-control study. Lancet. 1999; 353(9154): 693-7;
3. UK National Health Service. Creutzfeldt-Jakob disease. 2018;
4. US National Institute of Neurological Disorders and Stroke. Creutzfeldt-Jakob Disease Fact Sheet. 2019;
HealthMap/ProMED-mail map of

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PRO/AH/EDR> Rabies (51): Americas (Mexico) dog transmitted rabies eradicated

Rabies -- Mexico
In order to achieve elimination, the country has implemented a national strategy for the control and elimination of rabies. This includes free, mass vaccination campaigns for dogs, that have taken place since the 1990's with more than 80 percent coverage; continuous and effective surveillance; public awareness-raising campaigns; timely diagnosis; and the availability of post-exposure prophylaxis in the country's public health services.
As a result, the country went from registering 60 cases

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Wednesday 13 November 2019

PRO/PL> Wart disease, potato - Georgia: pathotype

Other Plant Disease -- United States
Potato wart disease caused by _Synchytrium endobioticum_ (EPPO A2 List) was 1st detected on potato in home gardens in 2009-2013 in Khulo district. In 2016-2018, more outbreaks were detected in different home gardens in northern Georgia.
Isolates of _S. endobioticum_ were tested to identify the pathotype. The pathotype found in Georgia is not known in Europe. This pathotype resembles pathotype 38, which was detected in the non‐European part of Turkey.
[Original

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PRO/AH/EDR> Anthrax - India (10): (OR) cattle, human

Anthrax -- India
Anthrax outbreak has been reported in Dasmantpur block after 2 tribal [members] of S Dandabad were found to be affected by the disease. Five days back, some tribal [members] consumed beef in a function, following which abscesses were found among 2 of them.
On Monday [11 Nov 2019], they were taken to Damantpur CHC, where the doctors suspected that the 2 have contracted the disease [anthrax]. When the duo [were] sent to Koraput Medical College and Hospital, the doctors there confirmed the

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PRO/AH/EDR> MERS-CoV (69): Saudi Arabia (RI, AS, MK)

MERS -- Saudi Arabia
Since the last update [6 Nov 2019, MERS-CoV (68): Saudi Arabia (RI, QS) http://bit.ly/2XjF9Lu] there have been a total of 4 newly confirmed cases of MERS-CoV infection reported by Saudi Arabia including 1 fatality and 1 recovery outcome reports.
Information on newly confirmed cases (4)

[1]
Date of confirmation report: 10 Nov 2019
Case no.: 19-1971
A 33-year-old male in Bisha city, Bisha [Asir] region
Contact with camels: Unknown
Case classification:

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PRO/AH/EDR> Ebola update (108): Congo DR (NK, IT) cases, vaccine

Ebola -- DR Congo


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PRO/AH/EDR> Plague - China: (NM) pneumonic

Plague -- China
Two people in China have been diagnosed with plague, the latest cases of a disease more commonly associated with historical catastrophe.
Plague is caused by the bacterium _Yersinia pestis_ and can arise in 3 forms -- a lung infection, known as pneumonic plague; a blood infection, known as septicemic plague; and a form that affects the lymph nodes, called bubonic plague. This infection was behind several pandemics including the Black Death of the late middle ages, which is estimated to have

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PRO/AH/EDR> West Nile virus (50): Europe, ECDC

West Nile Virus -- Italy
Between 31 Oct and 7 Nov 2019, EU Member States reported a total of 4 human cases: 2 in Italy and one each in Germany and Greece. No cases were reported from EU neighbouring countries. A human case was reported for the 1st time from an area in Germany. This week, 2 deaths were reported by Greece.
In the same time period, one outbreak among equids was reported by Austria to the Animal Disease Notification System (ADNS).
Since the beginning of the 2019 transmission season and as of October

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PRO/EDR> Botulism - USA (07): (NJ) fermented, salt cured fish

Botulism -- United States
On 25 Oct 2018, at 2:15 a.m., a woman aged 30 years and her mother, aged 55 years, both of Egyptian descent, arrived at an emergency department in New Jersey in hypotensive shock after 16 hours of abdominal pain, vomiting, and diarrhea. The daughter also reported blurry vision and double vision (diplopia), shortness of breath, chest pain, and difficulty speaking. She appeared lethargic and had ophthalmoplegia and bilateral ptosis. Both women were admitted to the hospital. The mother improved

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PRO/AH/EDR> Rift Valley fever - Eastern Africa (05): Kenya (LK) alert, comment

Rift Valley Fever -- Kenya
FAO's Early Warning Bulletin, "Forecasting threats to the food chain affecting food security in countries and regions" no. 33, October-December 2019, includes the following forecast for Central and Eastern Africa, in relation to Rift Valley fever (, pages 7-8):
"During the past 3 months, above-average and heavy rainfall and flash floods occurred in the region particularly during the end of August and early September as well as in early October 2019. The precipitation forecasts predict

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PRO/AH/EDR> Crimean-Congo hem. fever - Asia (24): Pakistan (SD)

Crimean-Congo Hemorrhagic Fever -- Pakistan
The deadly Congo [Crimean-Congo hemorrhagic] virus has 'attacked' Karachi, the largest city of Pakistan, killing at least 20 people so far this year [2019].
Health authorities in Karachi say the latest to die because of the Congo virus on [Mon 11 Nov 2019] was a man who had been admitted to a hospital. "It is not an outbreak, but the situation is very alarming," said a health official.
On [25 Jul 2019], a Congo virus alert was issued for the metropolis, stipulating precautionary

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Tuesday 12 November 2019

PRO/AH/EDR> Rift Valley fever - Eastern Africa (04): Kenya (LK) alert

Rift Valley Fever -- Kenya
While addressing a County Steering Group (CSG) meeting on Friday [8 Nov 2019], the [Laikipia] County Livestock Production Officer (CLPO), Pius Butich, said that "the current meteorological reports have created alerts for Rift Valley fever [RVF], which is the most dangerous zoonotic disease."
He proposed the need to put in place an early warning system on high alert as part of measures to protect both livestock and humans against the disease.
Butich said all field staff, public health

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PRO/AH/EDR> Botulism, avian - USA): (CA) gulls, type A

Botulism -- United States
Several Western gulls which were found dead on Huntington Beach last month [Oct 2019] have unexpectedly tested positive for a type of botulism which is more commonly detected in humans.
The nonprofit Wetland and Wildlife Care Center (WWCC) initially reported that 8 Western gulls were discovered dead, and 4 more in critical condition, on [10 Oct 2019] at high tide on Huntington Beach. The 4 gulls found alive were unable to move or close their eyes. One of them died and the other 3 survived

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PRO/AH/EDR> Chikungunya (08): Americas, Africa, Asia, Europe, comment

Chikungunya -- Honduras
[Editorial]
-----------
"Doctor, I will never normally work and live again; joint pain prevents me that." This was expressed by a patient in La Virginia, Colombia 3 years after having been infected with chikungunya virus (CHIKV).
After more than 5 decades of obscurity, probably due to lack of studies, many clinical consequences of CHIKV began to be reported, particularly rheumatic ones, after the outbreaks in Réunion Island and India (Javelle et al, 2015) during the epidemic wave that

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PRO/AH/EDR> Scrub typhus - India (06): (MH) fatal, corr

Scrub Typhus -- India
The ProMED-mail post erroneously identified this report as being dated Fri 8 Nov 2019. However, this news report actually was dated Sat 8 Sep 2018. We apologize for this error.
--
Communicated by:
ProMED-mail

[See Also:
Scrub typhus - India (06): (MH) fatal

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PRO/EDR> Legionellosis - USA (27): (TX) state fair

Legionnaires' -- United States
The Tyler Morning Telegraph has learned [a man] died [Fri 8 Nov 2019] around 9:45 p.m. His family told reporter Cory McCoy he was fighting for his life after complications from legionnaires' disease and had been in and out of the hospital. They confirmed late Friday he passed away.
The family said they believe he contracted the disease at East Texas State Fair more than a month and a half ago.
[The man], a well-known volunteer, community leader and the precinct chair for the Smith County

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Monday 11 November 2019

PRO> Rabies (51): Asia (Pakistan) human, dog

Rabies -- Pakistan
Another young man is awaiting death in an isolation ward of the Jinnah Postgraduate Medical Centre (JPMC) after developing full-blown rabies, as he was bitten by a rabid dog some 3 months ago but was not administered the rabies vaccine, officials said on Saturday [9 Nov 2019].
"18-year-old Z.K., a resident of Jeva Khan Goth in the Nooriabad area of District Jamshoro, has been brought to the casualty ward of the JPMC with full-blown rabies," Dr Seemin Jamali, the hospital's executive

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PRO/AH/EDR> Ebola update (107): Congo DR (NK, IT) cases, WHO, summ, Uganda, resp, research

Ebola -- DR Congo


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PRO/AH/EDR> African swine fever - Asia (90): Indonesia (SU) comment

African Swine Fever -- Indonesia


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Sunday 10 November 2019

PRO/PL> Blast & bacterial leaf blight, rice - India: (TN)

Other Plant Disease -- India
Bacterial leaf blight (BLB) of rice is caused by _Xanthomonas oryzae_ pv. _oryzae_ (Xoo). In Asia, millions of hectares of rice paddies are severely affected every year, with reported yield losses of up to 60 percent. The pathogen causes yellowing and drying of leaves and wilting of seedlings. Blight lesions caused by severe strains elongate over the entire length of the flag leaf, giving a striped appearance. Severe strains may also affect panicles. Mild strains cause only small leaf lesions

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PRO/AH/EDR> Rabies (50): Americas (USA) cat, dog, human exposure

Rabies -- United States
A rabies alert was sent out to residents Tuesday [29 Oct 2019] night in the Orr Road area of Mecklenburg County.
A cat in the area tested positive for rabies, Charlotte-Mecklenburg police said, and a dog was exposed to the cat.
The dog was current on its rabies vaccine and has been taken for a rabies vaccination booster, officials said. There were also 2 human exposures.
This is the 13th animal in Mecklenburg County this year [2019] to test positive for rabies. Last year, there were

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PRO/EDR> Dengue/DHF update (20): Americas, research, observations

Dengue -- Worldwide/Unknown
Cases by Country / Week updated / Serotype / Total / Conf. / Severe / Deaths
North America
USA / 43 [week ending 25 Oct 2019] / D? / 795 / 795 / 12 / 0
Central America and Mexico
Belize / 44 [week ending 2 Nov 2019] / D1,2 / 5424 / 2340 / 93 / 0
Cost Rica / 43 [week ending 25 Oct 2019] / D1,2 / 7547 / 299 / 10 / 0
El Salvador / 42 [week ending 18 Oct 2019] / D2 / 24 045 / 710 / 105 / 14
Guatemala / 43 / [week ending 25 Oct 2019] / D1,2,3,4 / 41 858 / 988 / 82 / 54
Honduras / 43

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PRO/EDR> Silicosis - India: (GJ) fatalities, injured workers

Poisoning -- India
The National Human Rights Commission (NHRC) has asked the Gujarat chief secretary and the district magistrate, Rajkot, to respond to a complaint filed by health rights activist Jagdish Patel of the People's Training and Research Centre (PTRC), Vadodara, regarding the alleged death of RPP and 2 others reportedly because of silicosis, a fatal occupation disease, in Rajkot, one of Gujarat's top cities.
A notice issued to the chief secretary and the district magistrate, NHRC pointing out that

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PRO/AH/EDR> Eastern equine encephalitis - North America (39): USA, deer, human, horses

Eastern Equine Encephalitis -- United States
A deer had to be euthanized after being infected with the eastern equine encephalitis [EEE] virus, state officials said on Thursday [31 Oct 2019].
The deer, discovered in Winslow, was the 1st in New Jersey with a confirmed case of EEE, a dangerous mosquito-borne virus that's affected 4 people in the state this year [2019], officials said.
The disease, which is similar to West Nile virus, can infect humans, mammals and birds through the bites of mosquitoes that have fed on infected

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PRO/AH/EDR> Bagaza virus, birds - South Africa: (GT) 2016-2017, pheasant

Other Animal Disease -- South Africa
Citation:
Steyn J, Botha EM, Lourens C, Coetzer JAW, Venter M: Detection of Bagaza virus in Himalayan monal pheasants, South Africa, 2016-2017. Emerg Infect Dis. 2019 Dec (ahead of print article) [accessed 9 Nov 2019]; 25(12). DOI: 10.3201/eid2512.190756. .
Abstract
Bagaza virus (BAGV) has not been reported in birds in South Africa since 1978. We used phylogenetic analysis and electron microscopy to identify BAGV as the likely etiology in neurologic disease and death in Himalayan monal

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PRO/EDR> Vaping-related illness - North America (04): USA, vitamin E & THC

Other Human Disease -- United States
The federal government has zeroed in on vitamin E acetate as one of the main causes of a mysterious lung illness affecting more than 2000 people.
Officials from the Centers for Disease Control and Prevention (CDC) say they have found the chemical in the lungs of 29 patients across 10 states.
"These findings provide direct evidence of vitamin E acetate at the primary site of injury within the lungs," said Dr. Anne Schuchat, principal deputy director of the CDC.
The findings represent a

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