Wednesday 30 June 2021

PRO/AH/EDR> Rabies (20): Americas (USA) imported dog

Rabies -- United States
Rabies was eliminated in dogs in the United States in 2007 [perhaps in people, but not necessarily so in pets - Mod.TG], though unvaccinated canines bitten by rabid wildlife (or that come in contact with their saliva) -- raccoons, skunks, or bats, for example -- can still contract the disease this way. Today, pet dogs in the United States are routinely vaccinated against rabies to protect them.
But rabies remains one of the deadliest diseases that can be transmitted from animals to humans

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PRO/AH/EDR> COVID-19 update (224): pollen and spread, Indonesia, CIDRAP, sport events, WHO

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 537 204 (15 969) / 54 287 (218)
European Region (61): 55 837 403 (59 150) / 1 183 255 (974)
South East Asia Region (10): 34 765 110 (73 478) / 487 570 (1550)
Eastern Mediterranean Region (22): 10 948 678 (32 325) / 216 276 (477)
Region of the

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PRO/AH> Lumpy skin disease - Asia (10): Laos, cattle, 1st rep

Lumpy Skin Disease -- Laos
According to a report by Lao National Radio, lumpy skin disease [LSD] has spread to cattle throughout 128 villages across 7 districts in Vientiane Capital. Head of the Vientiane Capital Department of Agriculture and Forestry, Mr. Lasai Nuanthasing, says the spread of lumpy skin disease in livestock has been recorded in the districts of Hadsayfong, Sangthong, Naxaythong, Sikhottabong, Xaythany, Saysettha, and Pakngeum.
"Some 2330 animals have become infected with the disease, while 22 deaths

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PRO/EDR> Shigellosis - USA: (KS) wildlife park, RFI

Shigellosis -- United States
Kansas state health officials and health officials from Sedgwick County continue to investigate cases of illness of shigellosis associated with Tanganyika Wildlife Park in Goddard, Kansas, just outside of Wichita. Initially, there were 3 cases that were identified as linked to the park. These cases have tested positive for the _Shigella_ bacterium. Additional testing is underway to determine if the bacteria from each person are related.
The Kansas Department of Health and Environment (KDHE)

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PRO/AH> Bluetongue - Europe (03): Spain (PM) cattle, susp, RFI

Bluetongue -- Spain
The Department of Agriculture, Fisheries and Food of the Balearic Government has confirmed a positive case of bluetongue on the island of Mallorca. Following the protocols of the Ministry of Agriculture, Fisheries and Food (MAPA), the Department will collect samples from various farms. The results of these samples are expected on Tue 29 Jun 2021 and will confirm the existence or not of an outbreak.
The samples that tested positive are from a specimen of beef cattle, from a livestock farm in

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Tuesday 29 June 2021

PRO/AH/EDR> COVID-19 update (223): US hosp. cases (2020), long immunity, Japan Olympics, WHO

COVID-19 -- United States
On average, the numbers of COVID-19 hospitalizations and deaths per 100 000 people were 17.69 and 0.395, respectively, on the day restrictions were eased in each state. Afterward, about 1.61 people more per 100 000 were hospitalized, suggesting that another 5319 people were admitted each day after that point, the authors said.
While the death trend after reopening was significant and positive, the change from before to after the easing of restrictions was not significant, at 0.04 people per

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PRO/EDR> Rocky Mountain spotted fever - Mexico (02): (BN) fatal, tick vector comment

Rocky Mountain Spotted Fever -- Mexico
Given that these children who died of RMSF spent a lot of time with their dogs, possibly slept near them, and that dogs in Mexico are often allowed free range to roam their neighborhoods and associate with other neighborhood dogs, it is also likely that a low proportion of the "street" dogs in Mexico are treated for ticks. This is how the brown dog tick (_Rhipicephalus sanguineus_) population spreads around from dog to dog; thus, it seems quite likely that these cases of RMSF were transmitted

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Monday 28 June 2021

PRO/AH/EDR> Eastern equine encephalitis - North America (04): USA, Canada, horses

Eastern Equine Encephalitis -- United States
The Florida Department of Agriculture and Consumer Services reported a case of eastern equine encephalitis (EEE) in a horse in Leon County in the panhandle. This is the 4th confirmed EEE case for Florida in 2021.
EEE is spread to horses and humans by infected mosquitoes, including several _Culex_ species and _Culiseta melanura_.
In horses, the virus causes inflammation or swelling of the brain and spinal cord. General signs include central nervous system signs such as: head pressing,

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PRO/AH/EDR> COVID-19 update (222): Russia, delta variant, US, Afghanistan, WHO

COVID-19 -- Russia
Russia confirmed 20 538 COVID-19 cases over the past day, bringing the total case tally to 5 451 291, the anti-coronavirus crisis center told reporters on Sun. The incidence rate grew by 0.38% in relative terms.
Moscow registered 6723 COVID-19 cases over the past day. Some 2608 COVID-19 cases were recorded in the Moscow Region, an all-time high during the pandemic. Another 1298 COVID-19 cases were confirmed in St. Petersburg, 334 in the Nizhny Novgorod Region, 305 in the Republic of

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PRO/AH/EDR> Salmonellosis, st Weltevreden - USA (03): (NV, AZ) cooked shrimp, alert, recall

Salmonella -- United States
A small outbreak of _Salmonella_ cases linked to frozen cooked shrimp begat a nationwide recall of 8 brands, including name brand Chicken of the Sea and the house brands of Whole Foods Market, Safeway, Meijer, and Hannaford. All the recalled shrimp comes from manufacturer Avanti Frozen Foods of India and were distributed from December [2020] to February [2021]. Of the 6 people sickened with salmonellosis, the CDC safety alert says 4 live in Nevada and 2 live in Arizona.
The FDA said it

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PRO/AH/EDR> Avian influenza (88): Europe (Russia) wild bird, HPAI H5, OIE

Avian Influenza -- Russia
Summary
Report type: immediate notification
Started: 28 May 2021
Confirmed: 10 Jun 2021
Reported: 23 Jun 2021
Reason for notification: recurrence
Last occurrence: 4 Aug 2010
Causal agent: Highly pathogenic avian influenza virus
Serotype: H5
Nature of diagnosis: laboratory
This event pertains to a defined zone within the country.
New outbreaks (2)
Summary of outbreaks
Total outbreaks (2)
Outbreak location 1: Ubsu-Nur, Ovyurskiy rayon, Tuva
Started: 29 May 2021
Epidemiological

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PRO/AH/EDR> Rocky Mountain spotted fever - Mexico: (BN) fatal

Rocky Mountain Spotted Fever -- Mexico
Eight children and adolescents have been the fatal victims of rickettsia during this 2021 in Baja California. It is expected that this disease transmitted by ticks lurks more closely during these summer months. Daniela Miranda Guzman, a veterinarian attached to the Zoonosis program, explained that in the entity, 23 cases of rickettsiosis have been diagnosed, of which 8 died. The young population has been more vulnerable; the expert mentioned that the children and adolescents who were affected

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PRO/AH/EDR> Avian influenza (88): China (NX) wild bird, HPAI H5N8, OIE

Avian Influenza H5N8 -- China
Summary
Report type: immediate notification
Started: 11 Jun 2021
Confirmed: 17 Jun 2021
Reported: 24 Jun 2021
Reason for notification: 1st occurrence in a zone or a compartment
Causal agent: highly pathogenic avian influenza virus
Serotype: H5N8
Nature of diagnosis: clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks (1)
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Nanhu area, Majiatan Town, Lingwu, Yinchuan, Ningxia

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Sunday 27 June 2021

PRO/EDR> Chlamydia trachomatis - Australia: RDB clin. trial, doxy vs azithro, rectal, MSM

Chlamydia -- Australia
The results of a randomized clinical trial conducted in Australia indicate a 7-day course of doxycycline is superior to single-dose azithromycin for treating rectal chlamydia in men who have sex with men, researchers reported yesterday [24 Jun 2021] in the New England Journal of Medicine [].
The double-blind, randomized trial was conducted at 5 sexual health clinics in Australia from August 2016 through August 2019 to determine which of the 2 regimens, which are both recommended for

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PRO/AH/EDR> COVID-19 update (221): Indonesia, face masks, Australia, WHO

COVID-19 -- Indonesia
COVID infections have surged in Indonesia, a nation of 270 million people, in the past week, with more than 2 million cases reported as of Sat 26 Jun 2021, and hospital occupancy rates soared to more than 75 percent in the capital Jakarta and other hard-hit areas.
The country is also grappling with new virus strains, including the highly infectious Delta variant 1st identified in India.
In Jakarta, the surge in cases have forced hospitals to set up emergency tents, according to Detik

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PRO/AH/EDR> COVID-19 update (220): animal, Poland (LU) mink, OIE

COVID-19 -- Poland
Summary
Report type: immediate notification
Start on: 16 Jun 2021
Confirmed on: 21 Jun 2021
Reported on: 23 Jun 2021
Event status: ongoing
Reason for notification: emerging disease
Event morbidity (%): 0.01
Event mortality: -
Zoonotic potential: yes
Zoonotic potential description: The infected animals showed no clinical signs.
Diagnostic details: laboratory test
Causal agent: SARS-CoV-2
This event pertains to a defined zone within the country.
New outbreaks (1)
Outbreak

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Saturday 26 June 2021

PRO/AH/EDR> COVID-19 update (219): USA, life expectancy, Africa 3rd wave, WHO, global

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 465 715 (18 050) / 53 315 (232)
European Region (61): 55 595 648 (57 126) / 1 178 896 (994)
South East Asia Region (10): 34 435 926 (81 803) / 480 681 (1930)
Eastern Mediterranean Region (22): 10 827 780 (34 454) / 214 390 (493)
Region of the

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PRO/AH/EDR> Japanese encephalitis & other - India (04): (JH)

Japanese Encephalitis -- India
Amidst a spike in COVID-19 cases, at least 5 fresh suspected cases of Japanese encephalitis (JE) have brought the health department on its toes. Officials from the State Vector Borne Disease Control Programme (SVBDCP) said that the Central Health team during a virtual conference with the local counterparts alerted the health department and ordered them to take preventive measures.
The suspected cases have been reported from East Singhbhum district, and the Civil Surgeon (SC) concerned has

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PRO/AH/EDR> Ebola update (37): research, STAT3 & immune system, lessons, improving response

Ebola -- Worldwide/Unknown
Monash University, Australia, researchers have discovered a key way that one of the world's deadliest pathogens, Ebola virus, evades the immune system. Understanding this process provides new potential targets for the future development of antiviral therapies for a disease that killed over 11 000 people in an outbreak in West Africa between 2014 and 2016, with mortality rates in past outbreaks of 25% to 90%.
An outbreak of Ebola, for which treatment options are extremely limited, occurred

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PRO/AH/EDR> Eastern equine encephalitis - North America (03): USA (GA) mosquitoes

Eastern Equine Encephalitis -- United States
A Lowndes County mosquito pool has tested positive for EEE, or eastern equine encephalitis [virus], according to the South Health District. The South Health District said this is the 1st positive pool testing notification of 2021. The health district also said that Georgians should take precautions to prevent mosquito-borne illnesses.
"Taking the necessary steps to protect yourself and your family from mosquito bites is the best defense we have against mosquito-borne illnesses," said

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PRO/AH/EDR> Brucellosis - France: (AC) pig, domestic, OIE

Brucellosis -- France
Summary
Report type: Immediate notification
Started: 10 May 2021
Confirmed: 31 May 2021
Reported: 23 Jun 2021
Reason for notification: Recurrence
Last occurrence: 30 Jun 2019
Causal agent: _Brucella suis_
Nature of diagnosis: Laboratory
This event pertains to a defined zone within the country.
New outbreaks
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Suhescun, Bayonne, Pyrenees-Atlantiques, Nouvelle-Aquitaine
Started: 11 May 2021
Epidemiological unit:

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PRO/EDR> Diphtheria - Americas (04): PAHO, Brazil, Dominican Republic, Haiti, vacc. lapse

Diphtheria -- Brazil
In 2021, between epidemiological week (EW) 1 and EW 24 [13-19 Jun 2021], 3 countries have reported confirmed cases of diphtheria: Brazil with one (1) confirmed case, the Dominican Republic with 13 confirmed cases including 10 deaths, and Haiti with 12 confirmed cases including 2 deaths.
In recent years and mainly during the pandemic due to COVID-19, Latin America has experienced a decline in coverage of the 3rd dose of the diphtheria, tetanus, and pertussis vaccine (DTP3) among infants less

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PRO/AH/EDR> Salmonellosis - Finland: (CF) preschool children

Salmonella -- Finland
According to a report by Yle [Finland's national public broadcasting company], at least 100 children have been hospitalized after they contracted diarrhea from food contaminated with _Salmonella_ in Central Finland. The trend, which is especially common in small children, has become increasingly frequent since last week.
A majority of the cases are from the city of Jyvaskyla; however, the children's unit of the Central Finland Healthcare District has been treating patients with symptoms of

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PRO/EDR> Cholera, diarrhea & dysentery update (15): Africa (Nigeria)

Cholera -- Nigeria
Seven people were confirmed killed following an outbreak of cholera in Nigeria's capital Abuja, local health authorities said Thursday [24 Jun 2021]. A total of 91 suspected cases have been recorded in Abuja as of Wednesday [23 Jun 2021].
Mohammed Kawu, acting secretary in charge of Health and Human Services Secretariat (HHSS) of the Federal Capital Territory, told a press conference in Abuja. Kawu said out of the 91 suspected cases, 3 have so far tested positive for cholera through the use

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Friday 25 June 2021

PRO/AH/EDR> Undiagnosed illness - Ethiopia, Somalia (02): human, camel, zoonosis susp, RFI

Undiagnosed -- Ethiopia
Camel sudden death syndrome (CSDS) is a highly fatal, contagious, and infectious systemic disease with unknown etiology that mostly affects camel populations living in East Africa, particularly horn African countries. Usually, the disease causes sporadic outbreaks, but in horn African countries it has been reported several times during pre and post rainy seasons in different years since 1983.
The exact etiology of this disease hasn't been confirmed scientifically. The disease is a

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PRO/AH/EDR> COVID-19 update (218): Russia, vaccine booster, Israel, WHO, global

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 447 690 (15 463) / 53 038 (315)
European Region (61): 55 535 235 (57 960) / 1 177 734 (999)
South East Asia Region (10): 34 351 183 (86 468) / 478 700 (1813)
Eastern Mediterranean Region (22): 10 793 326 (33 469) / 213 897 (490)
Region of the

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PRO/AH/EDR> E. coli EHEC - USA (10): (WA,AZ) O157, children, yogurt, recall, secondary cases

E. coli -- United States
Another person has been confirmed infected in an _E. coli_ O157 outbreak linked to organic yogurt from Pure Eire Dairy in Washington State. Officials with the Washington Department of Health have not released details about the patient, except to say that the person lives in Arizona and is considered a "secondary" case.
Investigations by the Washington health department and the state agricultural department are ongoing. The state health department announced the outbreak on 12 May

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PRO/EDR> Legionellosis - USA (04): (OR) fatal, apt. complex, more cases after remediation

Legionnaires' -- United States
Residents at an apartment building in North Portland are still getting sick with Legionnaires' disease, a severe form of pneumonia or lung infection, despite efforts to fix the building's water system.
The outbreak at Rosemont Court has dragged on for more than 6 months, and health officials don't know why. "It's really hard to pinpoint a source in this case," explained Dr. Jennifer Vines, Multnomah County Health Officer. The most recent case was disclosed just last week.
Since January

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PRO/AH/EDR> Salmonellosis - USA (04): live poultry, multiple serotypes

Salmonella -- United States
Fast facts
Illnesses: 474 (311 new)
Hospitalizations: 103 (69 new)
Deaths: 1 (1 new)
States: 46 (3 new)
Investigation status: Active
Epidemiologic and laboratory data show that contact with backyard poultry is making people sick. Since the last update on 20 May 2021, one additional serotype (_Salmonella_ Mbandaka) and 311 more illnesses have been added to this outbreak investigation.
Epidemiologic data
As of 17 Jun 2021, a total of 474 people infected with one of the outbreak

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PRO/AH/EDR> Lumpy skin disease - Asia (09): Malaysia, cattle, 1st rep, OIE

Lumpy Skin Disease -- Malaysia
Summary
Report type: Immediate notification
Started: 9 May 2021
Confirmed: 7 Jun 2021
Reported: 21 Jun 2021
Reason for notification: 1st occurrence in the country
Causal agent: Lumpy skin disease virus
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks (23)
[Since 10 May 2021, 23 outbreaks of lumpy skin disease (LSD) have occurred in the states of Perak, Kedah, Pahang, Perlis, Melaka and Terengganu. See details of each

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PRO/AH/EDR> African swine fever - Europe (12): Russia (VL) domestic, OIE

African Swine Fever -- Russia
General information
Report type: immediate notification
Started: 12 Jun 2021
Confirmed: 13 Jun 2021
Reported: 22 Jun 2021
Reason for notification: recurrence
Last occurrence: 28 Apr 2021
Manifestation of disease: clinical disease
Causal agent: African swine fever virus
Nature of diagnosis: clinical, laboratory
This event pertains to a defined zone within the country.
Outbreak location: Bol'shoe Ugryumovo, Seliveanovskiy rayon, Vladimir
Date of start of the outbreak: 12 Jun

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PRO/PL> Nut rot, sweet chestnut - Portugal: 1st rep

Other Plant Disease -- Portugal
_Gnomoniopsis smithogilvyi_, the causal agent of chestnut brown rot, is first reported from Portugal. It was detected during surveys in 2018 in chestnut orchards (_Castanea sativa_) in northern Portugal. _G. smithogilvyi_ had been also identified in an industrial processing plant in 2017, 2018, and 2019; the proportions of infected nuts were 8.0, 5.3, and 5.0%, respectively.
[Source publication: Coelho V, Gouveia E. (2021) _Gnomoniopsis smithogilvyi_, the causal agent of chestnut brown rot

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PRO/AH/EDR> Canine influenza - North America: USA (FL) dog

Canine Influenza -- United States
Multiple dogs at Big Dog Ranch Rescue in Loxahatchee Grove [Palm Beach County] have tested positive for canine influenza, a highly contagious respiratory disease.
The details were confirmed Wednesday [23 Jun 2021] by founder Laurie Simmons and the shelter's spokesman Chase Scott.
Scott said Big Dog Ranch Rescue took in a dog after it was surrendered by a Palm Beach County owner.
That dog later tested positive for canine influenza 3 days later, which Simmons said then spread to 50 to

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PRO/AH/EDR> Ehrlichiosis - Australia (02): (VI) dog

Tick-borne disease -- Australia
Victorian dog owners and veterinarians have been advised to be on the lookout for a new disease spread by brown dog ticks after a case was reported at Horsham.
The Horsham detection of ehrlichiosis in a dog from the Northern Territory is the 1st case of the disease found in an Australian-born dog in Victoria.
Ehrlichiosis was found for the 1st time in an Australian dog in the Kimberley region in mid-2020. Since then, it has spread around the country and now found in most states and

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Thursday 24 June 2021

PRO/EDR> Poliomyelitis update (12): global (cVDPV2, WPV1 ES)

Polio -- Pakistan
Poliovirus weekly update, as of 23 Jun 2021, World Health Organization
New wild poliovirus isolates reported this week:
AFP cases: 0
Environment: 1
Others: 0
New cVDPV isolates reported this week:
AFP cases: 15
Environment: 2
Others: 11
Summary of new WPV and cVDPV this week (AFP cases and ES positives):
- Pakistan: 1 WPV1 positive environmental sample
- Cote d'Ivoire: 1 cVDPV2 case
- Nigeria: 3 cVDPV2 cases
- South Sudan: 2 cVDPV2 cases
- Tajikistan: 9 cVDPV2 cases and 2

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PRO/AH/EDR> COVID-19 update (217): cognitive, Delta plus variants, immunity, WHO, global

COVID-19 -- Worldwide/Unknown
A key issue as we move closer to ending the pandemic is determining more precisely how long people exposed to SARS-CoV-2, the COVID-19 virus, will make neutralizing antibodies against this dangerous coronavirus. Finding the answer is also potentially complicated with new SARS-CoV-2 "variants of concern" appearing around the world that could find ways to evade acquired immunity, increasing the chances of new outbreaks.
Now, a new NIH-supported study shows that the answer to this question

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PRO/AH/EDR> Hantavirus - Americas (07): Panama comment

Hantavirus -- Panama


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PRO/AH/EDR> Monkeypox - UK (02): ex Africa (Nigeria)

Monkeypox -- United Kingdom
Public Health Wales and Public Health England have confirmed they are monitoring 3 cases of imported monkeypox identified in North Wales.
The 1st case was acquired overseas, and all 3 cases are members of the same household. All cases were admitted to a hospital in England, where 2 currently remain. The index case has made a full recovery, does not present an infection risk, and has been discharged, it is confirmed.
Monitoring and follow-up of the cases and their close contacts was

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PRO/EDR> Cholera, diarrhea & dysentery update (14): Africa (Somalia) WHO

-- Somalia
The Ministry of Health of Somalia has announced 211 new suspected cases of cholera, with 5 reported deaths, for epidemiological week 22 [31 May-6 Jun 2021]. All cases were reported from Banadir, Bay, and Lower Shabelle regions.
The cumulative total number of suspected cholera cases in 2021 is 2761, including 24 associated deaths with a case fatality ratio (CFR) of 0.9%. Of the total cases reported from Somalia since the first week of 2021, 60.3% (1666) were children under 5 years of age and

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PRO/AH/EDR> Foodborne illness - Ethiopia, Somalia: camel meat

Foodborne Illness -- Ethiopia
Abstract
--------
"Dromedary, or one-humped, camels _Camelus dromedarius_ are an almost exclusively domesticated species that are common in arid areas as both beasts of burden and production animals for meat and milk. Currently, there are approximately 30 million dromedary camels, with the highest numbers in Africa and the Middle East. The hardiness of camels in arid regions has made humans more dependent on them, especially as a stable protein source. Camels also carry and may transmit

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

Encephalitis -- United States
- Wear EPA-registered insect repellant when outdoors and wear protective clothing (long sleeves and pants). Light-colored clothing helps you spot ticks! Cover crib, stroller, and baby carriers with mosquito netting.
- Avoid being outdoors during dawn and dusk when mosquitos are most active.
- Shower as soon as possible after spending time outdoors and wash and dry your clothing. Tumbling clothes in a dryer on high heat for 10 minutes will kill ticks on dry clothing (damp clothes may need

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Wednesday 23 June 2021

PRO/AH/EDR> Rabies (19): Africa (Egypt) dog, human exposure

Rabies -- Egypt
A mad dog reportedly mauled 11 people in Egypt, causing them to be taken to hospital for treatment, local media reported. According to the Qena police, the dog attacked several residents in Al Kalh village, with 11 people sustaining injuries.
A number of ambulances rushed to the scene to transport the injured to the hospital, where they received the rabies vaccine.
Stray dogs and other animals are common throughout Egypt and can usually be seen digging through garbage or trotting along

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PRO/AH/EDR> COVID-19 update (216): Delta, Delta plus variants, Chinese vaccines, WHO, global

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 418 284 (14 836) / 52 505 (275)
European Region (61): 55 418 292 (41 137) / 1 175 318 (914)
South East Asia Region (10): 34 182 792 (69 623) / 474 870 (1656)
Eastern Mediterranean Region (22): 10 726 321 (30 639) / 212 900 (475)
Region of the

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PRO/EDR> Foodborne illness - India (05): (RJ)

Foodborne Illness -- India
Some 200 people fell sick of food poisoning in Udaipur city and Vallabhnagar block on Monday [21 Jun 2021], reportedly after consuming sehgar (food eaten during fasting [not clear when the food is eaten likely after fasting, not during - Mod.LL]) made of Kangani flour [from Foxtail millet seeds - Mod.LL] on the occasion of Nirjala Ekadashi [an absolute fast day without partaking even water - Mod.LL].
Initially a few persons were admitted in the MB hospital on Monday [21 Jun 2021] late

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

Lassa Fever -- Nigeria
Current week (24) [14-20 Jun 2021] / Cumulative 2021 week 1-24 / Cumulative 2020 week 1-24
- Suspected cases: 70 / 2167 / 5079
- Confirmed cases: 6 / 32 / 1031
- Probable cases: 0 / 3 / 14
- Deaths: 2 / 62 / 214
- Case fatality rate (CFR [%): 33.3 / 20.5 / 20.8
- Number of states affected: 2 / 14 / 27
- Local government areas (LGAs) affected: 6 / 58 / 129
Highlights
----------
- In week 24, the number of new confirmed cases decreased from 4 in week 23 2021 to 6 cases. These were

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PRO/EDR> Hepatitis A - USA (03): (HI)

Hepatitis A -- United States
The Hawai'i Department of Health (DOH) is investigating a handful of hepatitis A cases on O'ahu and Maui. Four of the cases are on O'ahu, and one is on Maui. DOH reports that the people were infected sometime between 28 Mar 2021 and 3 Jun 2021. Four people had to be hospitalized.
According to the state, all have a history of drug use, and 3 are homeless. In 2018, the state reported 4 hepatitis A cases. Symptoms can include fever, fatigue, nausea, abdominal pain, jaundice and diarrhea. The

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PRO/AH/EDR> Rabbit hemorrhagic disease - Cuba: (Havana) domestic, RHDV2, OIE

Other Animal Disease -- Cuba
Summary
Report type: Immediate notification
Started: 13 Jun 2021
Confirmed: 16 Jun 2021
Reported: 21 Jun 2021
Reason for notification: New strain in the country
Causal agent: Rabbit hemorrhagic disease virus
Genotype: RHDV2
Nature of diagnosis: Clinical, laboratory, necropsy
This event pertains to a defined zone within the country.
New outbreaks
Summary of outbreaks
Total outbreaks (3)
Outbreak location 1: Boyeros, [Havana]
Started: 14 Jun 2021
Epidemiological unit:

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Tuesday 22 June 2021

PRO/AH/EDR> Lumpy skin disease - Asia (08): Cambodia (OC) cattle, OIE

Lumpy Skin Disease -- Cambodia
Summary
Report type: immediate notification
Started: 26 May 2021
Confirmed: 4 Jun 2021
Reported: 16 Jun 2021
Reason for notification: 1st occurrence
Causal agent: lumpy skin disease virus
Nature of diagnosis: clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Kriel, Samraong, Otdar Mean Chey [Oddar Meanchey]
Started: 26 May 2021
Epidemiological unit: village
Total animals

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PRO/AH/EDR> Chronic wasting disease - North America (06): USA (TX) cervid, restrictions

Chronic Wasting Disease -- United States
The Texas Parks and Wildlife Department (TPWD) has issued an emergency order to impose additional movement and testing restrictions on deer breeding facilities affiliated with 6 facilities where chronic wasting disease (CWD) has been positively detected. Existing rules already restrict the movement of deer from 264 sites in 95 counties directly linked to these CWD-positive facilities, but further measures are necessary given the gravity of this situation.
TPWD and Texas Animal Health

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PRO/AH/EDR> Salmonellosis, st. Dublin - Norway: imported raw milk cheese

Salmonella -- Norway
Six people in Norway have fallen ill in recent months with the source of infection thought to be contaminated raw milk cheese from France. The foodborne outbreak was suspected to be caused by _Salmonella [enterica_ serotype] Dublin in chilled cheese made with unpasteurized milk.
The Norwegian Institute of Public Health (Folkehelseinstituttet) investigated the outbreak with the Norwegian Food Safety Authority (Mattilsynet) and Norwegian Veterinary Institute.
Early in 2021, Norwegian

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PRO/AH/EDR> COVID-19 update (215): G7 Summit Super spreader, Brazil, Updates, WHO

COVID-19 -- Brazil
India said it administered a record 8.5 million vaccine doses on [Mon 21 Jun 2021], the first day vaccines were available free to all adults. Prime Minister Narendra Modi said the numbers were "gladdening" but the nation's inoculation drive has a long way to go -- about 283 million doses have been given in India, enough to cover only about 10% of its population.
COVID Rebounds in U.S. South (3:50 p.m. NY)
-------------------------------------------
COVID-19 transmission is accelerating in

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PRO/EDR> Melioidosis - Brazil: (CE) children, 1989-2019

Melioidosis -- Brazil
Lima, R. and Rolim, D. Melioidosis in Children, Brazil, 1989-2019. Emerging Infectious Diseases, 2021: 27(6), 1705-1708. 2021. .
Melioidosis in Children, Brazil, 1989-2019
------------------------------------------
Melioidosis, an infectious disease caused by the bacterium _Burkholderia pseudomallei_, is associated with severe symptoms and high death rates (1). Although considered an emerging disease, melioidosis has little formal public health recognition (2). Researchers initially

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PRO/AH/EDR> Avian influenza (87): Europe (Netherlands) wild bird, HPAI H5N3, OIE

Avian Influenza -- Netherlands
Summary
Report type: immediate notification
Started: 4 Jan 2021
Confirmed: 4 Feb 2021
Reported: 15 Jun 2021
Reason for notification: new strain in the country
Causal agent: Highly pathogenic avian influenza virus
Serotype: H5N3
Nature of diagnosis: clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks (1)
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Hornhuizen, De Marne, Groningen
Started: 4 Jan 2021
Epidemiological unit:

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PRO/EDR> Cholera, diarrhea & dysentery update (13): Africa (Nigeria)

Cholera -- Nigeria
While Nigeria is upbeat about the sharp decline in the cases of coronavirus infection, the country's center for disease control (NCDC) has said a total of 289 Nigerians have died from cholera disease between January and June 2021. NCDC, which disclosed this in a statement on Monday [21 Jun 2021], a copy of which PREMIUM TIMES obtained, noted that the disease is currently ravaging [7] states of the federation. The disease center listed the affected states as Plateau, Bauchi, Gombe, Kano,

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PRO/AH/EDR> Echinococcus multilocularis - Canada: (AB) alveolar

Echinococcosis -- Canada
A parasitic tapeworm called _Echinococcus multilocularis_ that can cause fatal tumours in humans is now very common in wildlife in Western Canada, scientists say.
_E. multilocularis_ is passed from wild canines to humans, and many cases of the parasitic infection could be going undetected, warns an infectious disease specialist.
"Alberta is clearly the hot spot," said Stan Houston, a University of Alberta professor in the Faculty of Medicine & Dentistry and lead author of a new study

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PRO/AH/EDR> Monkeypox - Africa (02): Nigeria, Congo DR

Monkeypox -- Nigeria
Since September 2017, Nigeria has continued to report sporadic cases of monkeypox.
From September 2017 to May 2021, a total of 446 suspected monkeypox cases have been reported from 30 states. Of the reported cases, 199 (44.6%) have been confirmed in 18 states -- Abia (3), Akwa Ibom (7), Anambra (2), Bayelsa (39), Benue (2), Cross River (13), Delta (22), Ebonyi (1), Edo (7), Ekiti (2), Enugu (4), FCT (5), Imo (8), Lagos (25), Nasarawa (2), Oyo (6), Plateau (3), and Rivers (48).
A total of

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PRO/AH/EDR> Hantavirus - Americas (06): Panama

Hantavirus -- Panama
So far in 2021, 11 cases of hantavirus [infections] have been registered in Panama, of which 6 cases have been classified as hantavirus cardiopulmonary syndrome (HPS) and 5 cases as hantavirus fever (FH), reported the Department of Epidemiology of the Ministry of Health.
The regions that have [reported cases of HPS] have been the district of Tonosi, Los Santos province, which reports 3 cases, 1 case is registered in Parita, Herrera province, and 1 case in Chepo, Panama East region. At the

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PRO/AH/EDR> Chronic wasting disease - North America (05): USA (PA) deer, alert

Chronic Wasting Disease -- United States
This week [week of 14 Jun 2021], the Pennsylvania Department of Agriculture issued an alert cautioning there have been confirmed cases of chronic wasting disease (CWD) in a white-tailed deer in Warren County, just miles from the New York border.
Pennsylvania has taken CWD very seriously, taking aggressive steps to contain the disease, using a scientific, fact-based approach," Pennsylvania State Veterinarian Dr Kevin Brightbill said.
In New York, CWD was first discovered in captive and

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Monday 21 June 2021

PRO/AH/EDR> Adenovirus hemorrhagic disease - Canada: (BC) deer

Adenovirus -- Canada
A deadly disease that initially started to affect deer on Vancouver Island [British Columbia] in 2020 is still spreading in local populaces, the provincial government recently announced.
A CTV News report said, according to a spokesperson for the Ministry of Forests, Land, Natural Resource Operations and Rural Development, out of 36 dead deer examined by the ministry since the beginning of the year [2021], 22 have had adenovirus hemorrhagic disease or AHD.
AHD was originally detected in

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PRO/AH/EDR> Foot & mouth disease - South Africa (02): (LP) cattle, serotype SAT 3, OIE

Foot and Mouth -- South Africa
General information
Report type: Immediate notification
Started: 3 Mar 2021
Confirmed: 12 Mar 2021
Reported: 15 Jun 2021
Reason for notification: Recurrence
Last occurrence: 7 Oct 2020
Causal agent: Foot-and-mouth disease virus
Subtype: SAT 3
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks (9)
[Between 3 Mar to 2 Jun 2021, 9 outbreaks of foot and mouth disease, subtype SAT-3 occurred in the municipalities of Vhembe

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PRO/AH/EDR> Ebola update (36): Guinea

Ebola -- Guinea
The Ebola outbreak that emerged in Guinea in mid-February 2021 was declared over today [19 Jun 2021]. It was the 1st time the disease resurfaced in the country since the deadly outbreak in West Africa that ended in 2016.
Guinean health authorities declared the outbreak on 14 Feb 2021 after 3 cases were detected in Gouecke, a rural community in the southern N'zerekore prefecture, the same region where the 2014-2016 outbreak 1st emerged before spreading into neighbouring Liberia and Sierra

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PRO/AH/EDR> COVID-19 update (214): Brazil, canine CoV, South America, Israel, UK, WHO

COVID-19 -- Brazil
Background
"During the validation of a highly sensitive pan-species coronavirus (CoV) semi-nested RT-PCR assay, we found canine CoV (CCoV) RNA in nasopharyngeal swabs from 8 (2.5%) of 301 patients hospitalized with pneumonia during 2017-18 in Sarawak, Malaysia. Most patients were children living in rural areas with frequent exposure to domesticated animals and wildlife.
Methods
"Specimens were further studied with universal and species-specific CoV and CCoV one-step RT-PCR assays, and

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PRO/AH/EDR> Avian influenza (86): China (SX) wild bird, HPAI H5N8, OIE

Avian Influenza H5N8 -- China
Summary
Report type: Immediate notification
Started: 28 May 2021
Confirmed: 9 Jun 2021
Reported: 15 Jun 2021
Reason for notification: 1st occurrence in a zone or a compartment
Causal agent: Highly pathogenic avian influenza virus
Serotype: H5N8
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks (1)
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Hongjiannao National Nature Reserve, Erlintu Town, Shenmu,

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PRO/AH/EDR> Avian influenza (85): Europe (Albania) poultry, HPAI H5N8, OIE

Avian Influenza H5N8 -- Albania
Summary
Report type: immediate notification
Started: 21 May 2021
Confirmed: 8 Jun 2021
Reported: 14 Jun 2021
Reason for notification: recurrence
Last occurrence: 30 Jun 2006
Causal agent: Highly pathogenic avian influenza virus
Serotype: H5N8
Nature of diagnosis: clinical, laboratory
This event pertains to the whole country.
New outbreaks
Outbreak location 1: Bujan, Tropojes, Kukes
Started: 21 May 2021
Epidemiological unit: backyard
Total animals affected:
Species /

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PRO/AH/EDR> Avian influenza (84): China (GX) H9N2, dog, zoonotic potential susp, RFI

Avian Influenza -- China
Abstract
--------
To analyze the whole genome sequence and pathogenicity of H9N2 subtype influenza virus carried by pet dogs in Guangxi, we amplified and sequenced the whole genome by RT-PCR. The amino acid homology and evolutionary tree were analyzed in DNA-Star and MEGA 6.0 software, and pathogenicity was studied through mouse infection experiments. 8 gene segments of 13 H9N2 strains were derived from 5 different lineages, which belonged to the new genotype. The amino acid sequence

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PRO/AH/EDR> Angiostrongylus vasorum, dog - UK: (England) spread

Other Animal Disease -- United Kingdom
Hundreds of cases of a potentially fatal dog infection have been reported across Surrey.
Lungworm, known as _Angiostrongylus vasorum_, is a parasite which can cause serious health problems in dogs and can be fatal if not diagnosed and treated.
According to Blue Cross, a registered animal welfare charity in the UK, the parasite has been a common problem in southern areas of England for some time.
An interactive map, created by My Pet and I, provides a breakdown of the number of

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Sunday 20 June 2021

PRO/AH/EDR> COVID-19 update (213): Japan, endemic, Afghanistan, cardiac, Lambda variant, WHO

COVID-19 -- Japan
Tokyo Governor Yuriko Koike has cancelled all public viewing sites for the summer Olympics, diverting some venues to be COVID-19 vaccinations centres instead.
Foreign spectators are banned from attending the games, delayed by a year due to the pandemic, but the government and Tokyo 2020 organisers have for months held off on deciding whether to allow Japanese spectators into the stadiums.
The ban on public viewing, announced on Sat [19 Jun 2021], follows the metropolitan government's

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Saturday 19 June 2021

PRO/AH/EDR> Salmonellosis, st Braenderup - Europe (04): imported melon, Canadian case

Salmonella -- Denmark
The number of people sick in the UK in an outbreak linked to melons has almost doubled. The Food Standards Agency (FSA) and Public Health England (PHE) are investigating the incident with 99 people sick since April [2021]. It was previously known that 52 people were ill in the UK. Those more than 70 and less than 9 years old are the age groups mostly affected. Investigations are focusing on the supply chain of Galia, cantaloupe, and honeydew melons from Honduras and Costa Rica.
FSA is

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PRO/AH/EDR> Rabies (18): Asia, Pakistan (SD) dog, human exp

Rabies -- Pakistan
A 60-year-old man who declined to get inoculated for rabies after being bitten by a stray dog in Karachi's Korangi district about 45 days ago died of the disease (rabies encephalitis) at the Indus Hospital early on Thursday [17 Jun 2021] morning, officials said.
"A 60-year-old male patient was brought to the Indus Hospital last night with full-blown rabies, having hydrophobia and aerophobia. Bitten on the leg about 1.5 months back in Korangi, he didn't visit any hospital and just applied

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PRO/AH/EDR> Leishmaniasis - Brazil: cutaneous, national review

Leishmaniasis -- Brazil
Background
Cutaneous leishmaniasis (CL) is a vector-borne disease classified by the World Health Organization as one of the most neglected tropical diseases. Brazil has the highest incidence of CL in America and is one of the 10 countries in the world with the highest number of cases. Understanding the spatiotemporal dynamics of CL is essential to provide guidelines for public health policies in Brazil. In the present study we used a spatial and temporal statistical approach to evaluate the

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PRO/AH/EDR> COVID-19 update (212): Russia, IDSA, reinfection, Guillain-Barre, regional, WHO

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 348 659 (18 485) / 51 423 (311)
European Region (61): 55 228 011 (50 375) / 1 171 603 (981)
South East Asia Region (10): 33 861 437 (84 479) / 466 989 (1997)
Eastern Mediterranean Region (22): 10 616 152 (30 647) / 210 952 (480)
Region of the

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PRO/EDR> Vibrio vulnificus - USA: (FL) fatal

Vibrio vulnificus -- United States
Through 18 Jun 2021, Florida state health officials have reported 10 _Vibrio vulnificus_ infections, including 4 deaths, according to the latest data update. Cases were reported in Escambia (2), Lee (2), Santa Rosa (2), Hernando, Hillsborough, Manatee and Polk counties, and deaths were recorded in Escambia, Lee, Manatee and Polk counties. In 2020, the Florida Department of Health recorded 36 _Vibrio vulnificus_ cases and 7 deaths.
_Vibrio vulnificus_ can cause disease in those who eat

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PRO/AH/EDR> Potentially zoonotic novel viruses - Switzerland: bats

Not Yet Classified -- Switzerland
Citation: Hardmeier I, Aeberhard N, Qi W, et al. Metagenomic analysis of fecal and tissue samples from 18 endemic bat species in Switzerland revealed a diverse virus composition including potentially zoonotic viruses. PLoS One. 2021; 16 (6): e0252534.
Many recent disease outbreaks in humans had a zoonotic virus etiology. Bats in particular have been recognized as reservoirs to a large variety of viruses with the potential to cross-species transmission. In order to assess the risk of bats

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PRO/EDR> Tuberculosis - USA: nosocomial, bone allograft-related

Hospital-Related Infection -- United States
Federal and state health officials are investigating a rare tuberculosis outbreak among more than 100 patients who may have been infected after having spinal surgery or fracture repairs this spring [2021] with a bone product contaminated with the bacteria that causes TB [_Mycobacterium tuberculosis_].
The manufacturer of the bone repair product has recalled 154 containers of the material -- a malleable bone putty that includes human cells and is used in a variety of orthopedic procedures.

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Friday 18 June 2021

PRO/EDR> Poliomyelitis update (11): global (cVDPV2), vaccinator violence

Polio -- Worldwide/Unknown
Health workers in 5 locations in Nangarhar province were attacked today [Tue 15 Jun 2021] during the course of their life-saving work; 5 were killed, and 4 were injured in 5 separate incidents.
I extend my deepest condolences to the families, friends, and colleagues of those who lost their lives and wish those who are injured a full and swift recovery.
I am appalled by the brutality of these killings. This is not the 1st time health workers have come under attack. We witnessed the

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PRO/AH/EDR> COVID-19 update (211): delta variant UK, Indonesia, antiviral pill, WHO, global

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 330 125 (16 754) / 51 106 (348)
European Region (61): 55 174 558 (46 464) / 1 170 510 (1035)
South East Asia Region (10): 33 774 368 (88 985) / 464 940 (2739)
Eastern Mediterranean Region (22): 10 585 505 (32 017) / 210 472 (538)
Region of the

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

Rabies -- United States
The Nevada Department of Agriculture Animal Disease Laboratory has confirmed 3 cases of rabies in bats -- one in Washoe County and 2 in Clark County, according to a release from the NDA.
Bats are common throughout Nevada, with their activity increasing between May and October. While other species of wildlife can carry rabies, bats are the most common source of human and domestic animal transmission, making it important to keep pets vaccinated and ensure no contact is made with

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PRO/AH/EDR> Toxic algae - USA: (FL) dog, fatal

Algae -- United States
Foss, the chemist with Green Water Laboratories, said the 1st sign a dog has ingested toxic algae is typically an upset stomach and vomiting. The microcystin then heads to the liver followed by kidney failure, shock, and internal bleeding.
"It can be a pretty gruesome death," she said.
Because veterinarians so rarely deal with cyanobacteria toxins, it's probably not a top suspect when a sick animal comes in, said El Cid Animal Clinic Medical Director Xavier Garcia. But even if blue-green

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PRO/AH/EDR> Rift Valley fever - Madagascar (03): animal, human

Rift Valley Fever -- Madagascar
From [26 Apr to 20 May 2021] 109 total, confirmed and suspected human Rift Valley fever (RVF) cases were reported in 4 regions of Madagascar (Vatovavy Fitovinany, Haute Matsiatra, Alaotra Mangoro, and Analamanga), according to the World Health Organization (WHO).
A total of 10 cases were laboratory confirmed and 2 deaths were recorded. This followed reports from the Institut Pasteur in Madagascar which confirmed RVF by PCR in animals following alerts of abortion cases in ruminants on [1 Apr

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PRO/PL> Lethal yellowing, coconut palm - Antigua & Barbuda: replanting

Other Plant Disease -- Antigua & Barbuda
To rebound from the impact of lethal yellowing disease [LY], the Antigua and Barbuda government has put plans in motion to import 100 000 coconut seeds from Costa Rica. The Plant Protection Unit [PPU] assures that they have been thoroughly vetted to prevent a recurrence of the devastation over the past years. LY, first discovered on the island in 2012 [ProMED post https://bit.ly/3cTSItV], has decimated the coconut population. During the worst of the outbreak,

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PRO/AH/EDR> Powassan virus encephalitis - USA: (CT)

Encephalitis -- United States
The Department of Public Health [DPH] said 2 Connecticut residents have tested positive for a tick infection known as the Powassan virus.
Officials said these are the 1st 2 cases identified this year [2021]. DPH officials said the 2 individuals are between the ages of 50 and 79 and are from Fairfield and New Haven counties. They became infected during the 3rd week of April [2021]. Lab testing in Colorado [CDC] confirmed the presence of virus antibodies.
From 2016 to 2020, a total of 10

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Thursday 17 June 2021

PRO/AH> Anthrax - Tanzania (02): hippopotamus outbreaks, comment

Anthrax -- Tanzania


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PRO/AH/EDR> Foot & mouth disease - India (02): (KL) cattle, RFI

Foot and Mouth -- India
The Animal Husbandry Department has ramped up measures to tackle the spread of foot-and-mouth disease (FMD) in Alappuzha.
Around 3000 head of cattle have been affected by the outbreak in the district in the last 1.5 months. At least 193 cattle died of the disease during the period. Around 550 head of cattle have contracted the disease, and 100 perished in the worst-affected Ambalapuzha South and Ambalapuzha North grama panchayats [for Kerala's decentralised administrative structure

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PRO/EDR> Foodborne illness - Japan (TY): students, susp. milk vehicle

Foodborne Illness -- Japan
Numerous students and preschoolers in the central Japan city of Toyama have developed symptoms such as stomachache in what appears to be a case of mass food poisoning, the city government said [Thu 17 Jun 2021].
Milk served with school lunches is believed to be responsible for the ailments of those affected, sources at a local public health center said. The city government conducted an on-site inspection of the company that produced the milk in question to determine the cause of the

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PRO/EDR> COVID-19 update (210): mucormycosis, Delta var US, quarantine transmission, WHO

COVID-19 -- Worldwide/Unknown
The Centers for Disease Control and Prevention (CDC) yesterday [Tue 15 Jun 2021] said that Delta, a highly transmissible COVID-19 variant first identified in India and currently sweeping through the United Kingdom, now makes up at least 10% of all US cases. On [22 May 2021], the variant had made up only 2.7% of cases.
The CDC also now designated Delta as a variant of concern, which means the agency officially recognizes that the variant may carry a risk of more severe illness and

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PRO/AH/EDR> E. coli EHEC - USA (09): (WA, AZ) O157, children, yogurt, recall

E. coli -- United States
Another child has been added to the list of patients in an _E. coli_ [O157] outbreak linked to local, organic yogurt. Some production at the implicated dairy, Pure Eire, remains shut down.
The Washington Department of Health reported to Food Safety News that the state has confirmed 16 people are sick. As many as 10 have had such severe symptoms that they had to be admitted to hospitals. A total of 4 of the patients have developed hemolytic uremic syndrome (HUS), a type of kidney failure

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PRO/AH/EDR> Salmonellosis, st Weltevreden - USA (02): (NV, AZ) cooked shrimp

Salmonella -- United States
A week after announcing an outbreak, the FDA has determined that cooked shrimp is the likely source of _Salmonella_ [enterica_ serotype] Weltevreden infections in patients in 2 states. The most recent person became sick in late April 2021, according to a 78-word outbreak notation on a weekly data table posted by the Food and Drug Administration. The FDA reports that "it appears that the product lots linked to outbreak illnesses are past its shelf life and are no longer available for

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PRO/AH/EDR> Ebola update (35): Mali, seroprevalence

Ebola -- Mali
Abstract
--------
Mali had 2 reported introductions of Ebola virus (EBOV) during the 2013-2016 West Africa epidemic. Previously, no evidence for EBOV circulation was reported in Mali. We performed an EBOV serosurvey study in southern Mali. We found low seroprevalence in the population, indicating local exposure to EBOV or closely related ebolaviruses.
Conclusions
Given the limitations of our study and a conservative approach for interpretation, our results indicate that the population in

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PRO/AH/EDR> Die-off, fish - Malaysia: shark, RFI

Animal Die-off -- Malaysia
Marine biologists are investigating a mystery skin disease afflicting whitetip reef sharks in Malaysia, with some early reports suggesting rising sea temperatures could be to blame.
Named for the distinctive white tips on their fins, whitetip reef sharks are typically found resting in schools around reefs in the day and are a popular attraction for divers. They become active at night to hunt for small fish and other animals.
Pictures of one of the sharks with what appeared to be spots

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PRO/AH/EDR> Lumpy skin disease - Asia (07): Cambodia (PH) cattle, 1st rep, OIE

Lumpy Skin Disease -- Cambodia
Summary
Report type: immediate notification
Started: 27 May 2021
Confirmed: 4 Jun 2021
Reported: 16 Jun 2021
Reason for notification: 1st occurrence in the country
Causal agent: lumpy skin disease virus
Nature of diagnosis: clinical, laboratory
This event pertains to a defined zone within the country.
New outbreaks
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Akphivoath Village, Pal Hal, Tbaeng Mean Chey, Preah Vihear
Started: 27 May 2021
Epidemiological unit:

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PRO/AH/EDR> Calendar (01): FAO, OIE webinar: Stop ASF, public/private partnering for success

African Swine Fever -- Worldwide/Unknown


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Wednesday 16 June 2021

PRO/AH/EDR> Salmonellosis, st Enteritidis - USA (02): peaches, possible aerosol spread, 2020

Salmonella -- United States
In a new report, the FDA details how airborne contamination can spread pathogens from farms and animal operations to fruit orchards. Over 100 eaters were sickened last summer in a major _Salmonella [enterica_ serotype] Enteritidis outbreak that food safety experts linked to a rather surprising source: peaches. According to national foodborne illness records dating back 50 years, there had been only 3 other peach-associated outbreaks in the USA, and none of them involved _Salmonella_. The

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PRO/AH/EDR> Salmonellosis, st Enteritidis - New Zealand: possible egg source

Salmonella -- New Zealand
Officials in New Zealand are investigating a _Salmonella_ outbreak that has sickened 35 people so far in 2021. _Salmonella [enterica_ serotype] Enteritidis sequence type 11 (ST 11) was first detected in 2019 in an outbreak traced to a restaurant in the Auckland region. Since May 2019, the number of patients associated with this strain is 101, and from 2019 it has been found in 4 other outbreaks. The majority of people sick from January to April 2021 live in the Auckland region, according to

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PRO/AH/EDR> COVID-19 update (209): blood clots, missed early cases, food packaging, Israel

COVID-19 -- Worldwide/Unknown
Mass vaccination has the potential to curb the current COVID-19 pandemic by protecting individuals who have been vaccinated against the disease and possibly lowering the likelihood of transmission to individuals who have not been vaccinated. The high effectiveness of the widely administered BNT162b vaccine from Pfizer-BioNTech in preventing not only the disease but also infection with SARS-CoV-2 suggests a potential for a population-level effect, which is critical for disease eradication.

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PRO/AH> Anthrax - Tanzania: hippopotamus movements & outbreaks

Anthrax -- Tanzania
Abstract
--------
Globally, anthrax outbreaks pose a serious threat to people, livestock, and wildlife. Furthermore, environmental change can exacerbate these outbreak dynamics by altering the host-pathogen relationship. However, little is known about how the quantitative spatial dynamics of host movement and environmental change may affect the spread of _Bacillus anthracis_, the causative agent of anthrax. Here, we use real-time observations and high-resolution tracking data from a

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PRO/AH/EDR> Campylobacteriosis - USA (02): (ID) unpasteurized milk

Campylobacter -- United States
"In the context of the prevailing trend toward more natural products, there seems to be an increasing preference for raw milk consumption as raw milk is associated with several perceived health benefits that are believed to be destroyed upon heating. However, many human pathogens can be isolated from raw cow milk. The prevalence of foodborne pathogens in raw cow milk varies, but their presence has been demonstrated in many surveys and foodborne infections have been repeatedly reported for

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PRO/AH/EDR> African swine fever - Asia (17): Myanmar (SH) domestic, OIE

African Swine Fever -- Myanmar
General information
Report type: immediate notification
Started on: 1 Jun 2021
Confirmed on: 7 Jun 2021
Reported on: 9 Jun 2021
Reason for notification: recurrence
Last occurrence: 9 Oct 2020
Causal agent: African swine fever virus
Nature of diagnosis: necropsy, clinical, laboratory
This event pertains to a defined zone within the country.
Outbreak location: Keng Tung, Kengtung, Shan
Date of start of the outbreak: 1 Jun 2021
Epidemiological unit: farm
Affected animals
Species /

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Tuesday 15 June 2021

PRO/AH/EDR> COVID-19 update (208): USA, physician mortality, healthcare workers, Novavax, WHO

COVID-19 -- United States
At least 8 states are recording rising 7-day averages for infection rates over the past 2 weeks, including Alabama, Arkansas, Hawaii, Missouri, Nevada, Texas, Utah, and Wyoming. Of those states, only Hawaii has a vaccination rate of 43% or more, which matches the average across the country.
The slight increase in virus activity comes as most states are reopening fully, and many states are now choosing to report new cases less frequently than they did 1 year ago.
At least 24 states have

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

Cholera -- Nigeria
The number of lives lost to the recent cholera outbreak in Bauchi State has risen to 37. The immediate-past Commissioner for Health in the state, Dr. Aliyu Maigoro, had on [Tue 25 May 2021], announced the outbreak in the state, with a 37-year-old housewife who reportedly had the disease at the Burra General Hospital on [Sat 24 Apr 2021]. Maigoro disclosed then that 20 people had died from the disease, while 322 people affected were being managed.
Meanwhile, the Bauchi State Primary

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PRO/AH> African swine fever - Asia (16): India (MZ) domestic, spread

African Swine Fever -- India
It seems that Northeast India's tussle with African swine fever [ASF] is not over yet. After killing thousands of pigs in 2020 in Assam, it has turned towards Mizoram. The National Institute of High Security Animal Diseases (NIHSAD) of the Indian Council of Agricultural Research in Bhopal has confirmed the recent deaths of pigs in Mizoram to be caused by ASF.
ASF was 1st detected in Mizoram on 21 Mar 2021 at Lungsen village, prompting the creation of Rapid Response Teams in all the

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PRO/AH/EDR> Plague - USA (04): (CO) cat

Plague -- United States
A cat living near North Foothills Highway and Plateau Road in Boulder County was examined by a veterinarian on [Wed 2 Jun 2021], tested positive for plague. The cat's owner was concerned when the cat became ill 2-3 weeks after being found with a baby rabbit.
This is the 1st time plague activity has been confirmed in Boulder County this season and public health officials want to remind residents of how to protect themselves against plague. Boulder County Parks and Open Space was notified of

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PRO/AH/EDR> Anthemosoma garnhami - South Africa: rodent piroplasm, HIV-infected patient

Other Human Disease -- South Africa
Abstract
--------
An HIV-positive man from Zimbabwe living in South Africa sought treatment for multiple clinical signs, including fever, weight loss, anemia, and splenomegaly. We identified in his blood an African rodent piroplasm, _Anthemosoma garnhami_, related to _Babesia_ species. This finding extends the known geographic and host range of _A. garnhami_.
A 24-year-old man from Zimbabwe complaining of a 3-month period of generalized body pains, drenching night sweats, and weight loss.

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PRO/PL> Stolbur leaf scorch, pistachio - Turkey: (KI)

Other Plant Disease -- Turkey
Phytoplasma disease in pistachios in Kilis province was high this year [2021] due to low seasonal precipitation and temperature. Samples were taken from orchards and sent to Adana Agricultural Protection and Pistachio Research Institute for analysis. The disease is increasing in pistachio orchards in Kilis, an important area for pistachio production in Turkey, and is devastating producers.
The Provincial Director of Agriculture and Forestry said, "The disease was characterized as

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PRO/AH/EDR> Contagious equine metritis - UK: (England) horse, OIE

Other Animal Disease -- United Kingdom
Report type: immediate notification
Started: 9 Jun 2021
Confirmed: 9 Jun 2021
Reported: 10 Jun 2021
Reason for notification: recurrence of a listed disease
Last occurrence: 6 Apr 2020
Causal agent: _Taylorella equigenitalis_
Nature of diagnosis: clinical, laboratory
This event pertains to the whole country.
New outbreaks (1)
Outbreak location 1: West Devon, Devon, England
Started: 9 Jun 2021
Ended: ongoing
Epidemiological unit: other
Affected animals:
Species / Susceptible /

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PRO/AH/EDR> COVID-19 update (207): animal, Spain (GA) mink, OIE

COVID-19 -- Spain
Summary
Report type: immediate notification
Start on: 26 May 2021
Confirmed on: 8 Jun 2021
Reported on: 10 Jun 2021
Event status: ongoing
Reason for notification: emerging disease
Event morbidity (%): 0.01
Event mortality: -
Zoonotic potential: yes
Diagnostic details: laboratory test
Causal agent: SARS-CoV-2
This event pertains to a defined zone within the country.
New outbreaks (1)
Outbreak location 1: Carral, A Coruña, Galicia
Started on: 26 May 2020
Ended on:

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Monday 14 June 2021

PRO/AH/EDR> Rabbit hemorrhagic disease - Luxembourg: (LU) domestic, RHDV2, OIE

Hemorrhagic Fever -- Luxembourg
Summary
Report type: immediate notification
Started: 3 Jun 2021
Confirmed: 7 Jun 2021
Reported: 10 Jun 2021
Reason for notification: recurrence
Last occurrence: 31 Dec 2008
Causal agent: rabbit hemorrhagic disease virus
Genotype: RHDV2
Nature of diagnosis: clinical, laboratory
This event pertains to the whole country.
New outbreaks:
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Eischen, Hobscheid, Capellen, Luxembourg
Started: 3 Jun 2021
Ended: 7 Jun

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PRO/AH/EDR> Influenza (09): Germany, swine origin, H1N1v

Influenza -- Germany
The World Health Organization (WHO) reports on a a human case of infection with an influenza A(H1N1)v virus in Germany recently. The individual infected is a 17-year-old boy from Mecklenburg-Western Pomerania who developed an influenza-like illness onset on [18 Apr 2021].
The virus was confirmed with genome sequencing conducted at the National Influenza Centre (NIC) at the Robert Koch Institute in a sample collected as part of routine sentinel surveillance. Sequencing indicated the virus

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PRO/AH/EDR> Anthrax - Iran: (IL) livestock, susp, RFI

Anthrax -- Iran
The Director General of Veterinary Medicine of Ilam said: the province is suspected to have anthrax in a village located in the Majin section of Darhshahr city and that all animals of this village were quarantined. In an interview with IRNA on [Sun 13 Jun 2021], Dr. Ramin Poranjef said: "according to the report of unusual losses of a number of cattle in a rural rancher, groups of veterinarians were sent to the site and began to investigate the current situation."
He added: "This rural

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PRO/EDR> Poliomyelitis update (10): Senegal, cVDPV2

Polio -- Senegal
The EPI announced on Wednesday [9 Jun 2021] a polio national vaccination campaign for 17-19 Jun 2021 using the inactivated poliovirus vaccine [IPV] "to capture all children up through 5 years of age who were never vaccinated."

"Since 2016, we have been conducting environmental surveillance. The poliovirus was identified through environmental surveillance in the wastewater treatment station in Khourounar (Pikine) and has been circulating in the sub-region [West Africa] and in neighboring

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PRO/AH/EDR> Equine herpesvirus - North America (10): USA (PA) horses, new variant

Equine Herpes Virus -- United States
An outbreak of equine herpesvirus-1 (EHV-1) at a Pennsylvania horse barn in March [2021] was caused by a new variant of the H752 genotype, researchers report.
The H752 genotype has the potential to cause neurological disease. This new variant has a particular mutation in the ORF 30 gene, similar to that reported in a recent outbreak from France, the study team reported.
The mutation is at a pivotal nucleotide position which has previously been shown to discriminate between

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PRO/EDR> COVID-19 update (206): Long COVID, Russia, China, T cell cytotoxicity, WHO

COVID-19 -- Russia
At Yale School of Medicine, Connecticut, immunologist Prof Akiko Iwasaki has spent much of the past year trying to tease apart the differences between how men and women respond to the Sars-CoV-2 virus. One of her early findings was that T cells - a group of cells important to the immune system which seek out and destroy virus-infected cells - are much more active in women than men in the early stages of infection. One component of this is thought to be due to genetics.
"Women have 2 copies

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PRO/AH/EDR> Avian influenza (83): Iraq (WA) poultry, HPAI H5N8 susp, spread, RFI

Avian Influenza H5N8 -- Iraq
[The following report, based upon the above and 4 additional Iraqi media sources in Arabic, has been translated and submitted by a reliable source who preferred to remain unnamed. ProMED-mail is very grateful to the submitter].
Media news articles [in Arabic, translated, edited] reported in [13-14 Jun 2021] that Wasit (Governorate's) Agriculture Directorate clarified that the avian influenza infection (most likely HPAI H5N8) that has been reported, was in one of the unauthorized poultry

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PRO/AH/EDR> Plague - Congo DR (03): (IT) pneumonic, fatal

Plague -- DR Congo
In a follow-up to a report on a plague outbreak in Ituri province in northeast Democratic Republic of the Congo (DRC), officials say they are investigating a cluster of deaths due to suspected pneumonic plague were recorded in the health zone of Fataki, Ituri province. The cluster, which began on 22 Apr 2021, has resulted in 19 suspected pneumonic plague cases, including 11 deaths were recorded in 2 health areas (Bu-Kachele and Bule) of the Fataki health zone.
The patients presented with

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PRO/AH/EDR> Salmonellosis - USA (03): increase in antimicrobial resistance

Antimicrobial resistance -- United States
The annual incidence of resistant nontyphoidal _Salmonella_ infections was 40% higher in 2015 and 2016 compared with the years 2004 to 2008, according to a study published in Emerging Infectious Diseases [see reference below].
"_Salmonella_ is a major cause of foodborne illness in the USA. Antimicrobial-resistant infections pose a particular threat to public health because they are linked to more severe illness," Felicita Medalla, MD, MS, an epidemiologist in the CDC's Division of

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PRO/AH/EDR> E. coli EHEC - Ireland (03): children, outdoor play

E. coli -- Ireland
1. Hussein HS, Omaye ST. Introduction to the food safety concerns of verotoxin-producing _Escherichia coli_. Exp Biol Med (Maywood). 2003; 228(4): 331-2; abstract available at .
2. Blanco J, Blanco M, Blanco JE, et al. Verotoxin-producing _Escherichia coli_ in Spain: prevalence, serotypes, and virulence genes of O157:H7 and non-O157 VTEC in ruminants, raw beef products, and humans. Exp Biol Med. 2003; 228(4): 345-51; abstract available at .
3. Law D, Kelly J. Use of heme and hemoglobin by

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PRO/AH/EDR> Avian influenza (82): Europe (Germany, Estonia) wild bird, HPAI H5N1, OIE

Avian Influenza H5N1 -- Germany
Summary
Report type: immediate notification
Started: 20 Apr 2021
Confirmed: 26 Apr 2021
Reported: 8 Jun 2021
Reason for notification: new strain in a zone or a compartment
Causal agent: Highly pathogenic avian influenza virus
Serotype: H5N1
Nature of diagnosis: laboratory
This event pertains to a defined zone within the country.
New outbreaks (1)
Summary of outbreaks
Total outbreaks (1)
Outbreak location 1: Hamburg
Started: 20 Apr 2021
Epidemiological unit: not

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Sunday 13 June 2021

PRO/AH/EDR> Bovine congestive heart failure - USA

Other Animal Disease -- United States
Instances of bovine congestive heart failure (BCHF) in feedlot cattle have been increasing. This disease is essentially untreatable -- and usually fatal -- involving right ventricular failure, though it may begin with left-heart dysfunction in many cases. This makes it different from right-heart failure (brisket disease) at high altitudes because BCHF affects both sides of the heart.
Congestive heart failure itself can occur with other conditions such as hardware disease and congenital

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PRO/AH/EDR> Rift Valley fever - Eastern Africa (04): Uganda, human

Rift Valley Fever -- Uganda
Four people in Kiruhura have succumbed to Rift Valley fever, which recently broke out in the district, officials have confirmed. The disease is an acute viral hemorrhagic fever that is most commonly seen in domesticated animals.
Although it primarily affects animals, the virus can be transmitted to humans through the handling of animal tissue during slaughtering, animal births, conducting veterinary procedures, or the disposal of carcasses. Human infections have also resulted from the bites

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PRO/AH/EDR> COVID-19 update (205): Africa, vaccine, Uganda, China, Indonesia, WHO

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
---------------------------------------
Western Pacific Region (19): 3 243 700 (18 913) / 49 608 (394)
European Region (61): 54 938 606 (45 932) / 1 165 516 (999)
Southeast Asia Region (10): 33 317 282 (104 147) / 447 938 (4399)
Eastern Mediterranean Region (22): 10 444 300 (27 353) / 208 026 (392)
Region of the Americas (54): 69 331 998 (196 818) / 1

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PRO/AH/EDR> Monkeypox - UK: ex Africa

Monkeypox -- United Kingdom
In a follow-up on a report yesterday [10 Jun 2021] about monkeypox cases reported in Wales, the World Health Organization (WHO) provided some additional details in a Disease Outbreak News (DON) today [11 Jun 2021]:
On 25 May 2021, the United Kingdom of Great Britain and Northern Ireland notified the WHO of one laboratory-confirmed case of monkeypox. The patient arrived in the United Kingdom on 8 May 2021. Prior to travel, the patient had lived and worked in Delta State, Nigeria.
On

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PRO/AH/EDR> Cowpox - UK: (England) human, orbital, cat source

Other Animal Disease -- United Kingdom
A 28-year-old woman went to the emergency room after she experienced eye irritation, along with redness and discharge in her right eye, which had lasted for 5 days, according to the report, published on 5 Jun 2021 in The New England Journal of Medicine.
She received a slew of antibiotics and antiviral drugs used to treat common eye infections, but nothing seemed to work. Her symptoms were getting worse -- she had developed orbital cellulitis, or an infection of the fat and muscles around

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Saturday 12 June 2021

PRO/AH/EDR> Avian influenza, human (11): China (Sichuan) H5N6

Avian Influenza H5N6 -- China
The Centre for Health Protection (CHP) of the Department of Health (DH) is today (8 Jun 2021) closely monitoring a human case of avian influenza A(H5N6) in Chengdu, Sichuan Province, and again urged the public to maintain strict personal, food, and environmental hygiene both locally and during travel.
The case involved a 49-year-old woman living in Chengdu. She developed symptoms on 13 May [2021] and was admitted for treatment on 16 May [2021]. The patient is now in serious condition.


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PRO/EDR> Malaria - Panama: increase

Malaria -- Panama
The national head of Epidemiology at the Ministry of Health [editor's note: Ministry of Health in Spanish is Ministerio de Salud (often abbreviated as MINSA)], Leonardo Labrador, mentioned that malaria cases showed an increase at the beginning of the year [2021]. However, at present, the situation is limited mainly to endemic areas, such as Guna Yala [Indigenous Region, northeast Atlantic coast], Darien [Province, eastern], and Eastern Panama [part of the province of Panama, which includes the

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PRO/AH/EDR> COVID-19 update (204): antibodies, Delta variant, news scan, India, WHO

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 224 782 (18 292) / 49 214 (312)
European Region (61): 54 828 356 (51 254) / 1 162 992 (1291)
South East Asia Region (10): 33 213 135 (111 618) / 443 539 (3845)
Eastern Mediterranean Region (22): 10 416 947 (32 907) / 207 634 (523)
Region of

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PRO/EDR> Undiagnosed neurological illness - Canada (03): (NB) updates

Undiagnosed -- Canada
Cases under investigation / 48
Deaths / 6*
Illness onset date range in years / 2013-2020**
Gender / 50% female, 50% male
Age range in years / 18-85
*In some cases, additional information is needed to determine if the cause of death was a result of this syndrome.
**Symptoms started in 2018, 2019 or 2020 for most cases. Only one case identified retrospectively in 2020 was found to experience symptoms in 2013.
Timeline
- Between January 2019 and July 2019, New Brunswick physicians

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PRO/AH/EDR> Undiagnosed deaths, sheep - India (02): (TN) RFI

Undiagnosed -- India
Outbreak of a mysterious disease has killed over 200 sheep in the district [Tirunelveli]. The shepherds are facing huge loss due to this rapidly spreading disease with more numbers of sheep battling the illness reportedly caused by suspected viral infection.
Since the dropping of goat and sheep is excellent manure, the shepherds would have the sheep pens in the farms and the fields ahead of every paddy season in the district. When farmers rearing goat and sheep in Marudhakulam,

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PRO/AH/EDR> Avian influenza (81): Europe (Albania) poultry, HPAI H5N8, 1st outbreak

Avian Influenza H5N8 -- Albania


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PRO/AH/EDR> Foot & mouth disease - Iraq: (DI) livestock, spread, RFI

Foot and Mouth -- Iraq
Some buffalo breeders in Diyala governorate complained Friday [11 Jun 2021] about the spread of foot-and-mouth disease [FMD] among the buffalo herds kept in the governorate, while veterinary cadres are working to prevent its spread by vaccinating these flocks.
An owner of a livestock farm in Diyala Governorate, [HT], said that "this wave of FMD is considered the most dangerous to the life of livestock. It has begun to spread and is killing livestock, and we have recorded the death of a

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PRO/AH/EDR> Leishmaniasis - Syria: (HA) cutaneous

Leishmaniasis -- Syria
The joint efforts of Turkish officials and local councils in northern Syria's Ras al-Ain [district in al Hasakah Governorate] have managed to slow the spread of Leishmaniasis in the region's rural areas.
The disease is caused by an infection of _Leishmania_ parasites, which are spread by the bite of phlebotomine sand flies. Spreading easily, especially in rural areas, the disease has become a public health problem since January [2021] in Ras al-Ain.
As part of the fight against the

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PRO/EDR> Respiratory syncytial virus - USA: (southern states, NY) alert

Respiratory Syncytial Virus -- United States
Summary
The Centers for Disease Control and Prevention (CDC) is issuing this health advisory to notify clinicians and caregivers about increased interseasonal respiratory syncytial virus (RSV) activity across parts of the southern United States. Due to this increased activity, CDC encourages broader testing for RSV among patients presenting with acute respiratory illness who test negative for SARS-CoV-2, the virus that causes COVID-19. RSV can be associated with severe disease in young

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PRO/AH/EDR> Bluetongue - Mayotte: (TS) cattle, st 10, OIE

Bluetongue -- Région d'outre-mer de Mayotte, France
General information
Report type: Immediate notification
Started: 6 May 2021
Confirmed: 14 May 2021
Reported: 9 Jun 2021
Reason for notification: New strain in the country
Causal agent: Bluetongue virus
Serotype: 10
Nature of diagnosis: Clinical, laboratory
This event pertains to a defined zone within the country.
Outbreak location: Combani, Tsingoni
Date of start of the outbreak: 7 May 2021
Epidemiological unit: Farm
Affected animals
Species / Susceptible / Cases / Deaths /

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Friday 11 June 2021

PRO/AH/EDR> COVID-19 update (203): rapid risk assessment, Africa, delta variant, South Asia

COVID-19 -- Worldwide/Unknown
WHO region (no. countries/territories):
Total confirmed cases (new cases in last 24 hours) / Total deaths (new deaths in last 24 hours)
--------------------------------------------------------------------------------
Western Pacific Region (19): 3 206 476 (17 321) / 48 902 (343)
European Region (61): 54 828 356 (51 254) / 1 162 992 (1291)
South East Asia Region (10): 33 101 517 (113 472) / 439 694 (6551)
Eastern Mediterranean Region (22): 10 384 040 (30 623) / 207 111 (530)
Region of

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PRO/EDR> Poliomyelitis update (09): global (WPV1 ES, cVDPV2 AFP cases) RFI

Polio -- Afghanistan
New wild poliovirus isolates reported this week:
New AFP cases: 0
Environment: 2
Others: 0
New cVDPV isolates reported this week:
AFP cases: 2
Environment: 1
Others: 0
Headlines
- Today, the Global Polio Eradication Initiative (GPEI) launched the Polio Eradication Strategy 2022-2026: Delivering on a Promise at a virtual event, to overcome the remaining challenges to ending polio, including setbacks caused by COVID-19.
- "We need to continue supporting the Global Polio

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PRO/AH/EDR> Salmonellosis, st Weltevreden - USA: (NV, AZ) undefined source

Salmonella -- United States
Patients in a new _Salmonella [enterica_ serotype] Weltevreden outbreak live in Nevada and Arizona, but health officials say there may be people in other states who have been infected. Virtually no details were released 8 Jun 2021 when the Food and Drug Administration (FDA) revealed the outbreak in a weekly data table.
Today [10 Jun 2021], a spokesperson from the CDC said the most recent patient to become ill had symptom onset in late April 2021. Six people have been confirmed as outbreak

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PRO/AH/EDR> Hantavirus - Americas (05): USA (MI, NV)

Hantavirus -- United States
The Michigan Department of Health and Human Services (MDHHS) and the Washtenaw County Health Department are investigating the 1st confirmed human case of Sin Nombre hantavirus detected in Michigan. An adult female in Washtenaw County was recently hospitalized with a serious pulmonary illness from Sin Nombre hantavirus. The individual was likely exposed when cleaning an unoccupied dwelling that contained signs of an active rodent infestation.
Hantavirus was 1st discovered to be responsible

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PRO/EDR> Hepatitis A - USA (02): CDC

Hepatitis A -- United States
State / Case total / Hospitalizations, n (%) / Deaths / Outbreak start date / Data current through
Total / 39 529 / 24 062 (61%) / 374
States with an ongoing outbreak (n = 26)
Alabama / 1362 / 953 (70%) / NR / 1 Sep 2018 / 6 Apr 2021
Arkansas / 482 / 256 (53%) / 3 / 7 Feb 2018 / 6 Mar 2020
Delaware / 38 / 28 (74%) / 1 / 1 Aug 2019 / 22 Jan 2021
Florida / 5046 / 3434 (68%) / 77 / 1 Jan 2018 / 31 Mar 2021
Georgia / 1702 / 1095 (64%) / 8 / 1 Jun 2018 / 29 May 2021
Illinois / 237 / 158

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PRO/EDR> Hepatitis A - USA (01): (GA)

Hepatitis A -- United States
Gaston County is reporting more than 120 hepatitis A cases in 2021 after there were fewer than 40 cases in the past 3 years. From 2018 to 2020, the county says there were only 33 cases of hepatitis A reported. Gaston County has seen dramatic increases in local cases of hepatitis A related to an ongoing outbreak that has impacted the entire state, most significantly the Piedmont and Western regions. In the first 3 months of 2021, the county had 70 documented cases. That number has now grown to

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PRO/AH/EDR> Foot & mouth disease - Israel (04): (HZ) cattle, spread

Foot and Mouth -- Israel
According to Dr. Yuval Hadani, director of the Western-Galilee Veterinary Bureau, as of today [2 Jun 2021], no active clinical signs of foot-and-mouth disease [FMD] are present in the beef cattle herd of Yodfat. Therefore, a countdown for the duration of 30 days is being started, during which time no animal from the herd is allowed exit beyond the declared zone.
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Communicated by:
ProMED

[The FMD outbreak in Yodfat, Lower Galilee, in Israel's northern district ("Hazafon"; map at ) had

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PRO/AH/EDR> Fowl typhoid - Honduras: (IN) poultry, OIE

Typhoid -- Honduras
General information
Report type: Immediate notification
Date of start of the event: 20 Apr 2021
Date of confirmation of the event: 28 Apr 2021
Reported: 6 Jun 2021
Reason for notification: Recurrence
Last occurrence: 9 Dec 2020
Causal agent: _Salmonella enterica_ Gallinarum
Nature of diagnosis: Clinical, laboratory
This event pertains to a zone.
New outbreaks (1)
Summary of outbreaks
Total outbreaks: 1
Outbreak location 1: Agua Caliente, San Juan, Intibuca
Date of start of the

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