Outbreak and Current Disease Status Information

PRO/EDR> Botulism - Romania: (BZ) canned food

ProMED Mail Reports - 1 hour 6 min ago
Botulism -- Romania
The Departments of Public Health and Sanitary, Veterinary, and Food Safety of Buzau county have started an investigation after a man was diagnosed with botulism.
The patient, who became ill shortly after eating a can of beans with sausage bought from a grocery store, was transferred to Victor Babes National Institute.
According to epidemiologist Carmen Sparks from the Public Health Department (DSP), a Buzau man, aged 44 years, began to feel sick shortly after eating a can of beans with

PRO/AH/EDR> Yellow fever - Americas (34): Brazil

ProMED Mail Reports - 6 hours 42 min ago
Yellow Fever -- Brazil
Campinas (in Sao Paulo) on this [Fri 24 March 2017] confirmed the deaths of 3 monkeys from yellow fever. According to the municipal Secretariat of Health, tests were done by the Instituto Adolfo Lutz indicating that the 3 animals that died on the Santa Lídia farm in the rural area of the Sousas district were victims of the disease.
According to the agency, with the confirmation, nearly 1000 [human] residents of the Sousas rural area will be vaccinated against yellow fever this weekend

PRO/EDR> Mumps update (13): Portugal, Canada, USA, analysis

ProMED Mail Reports - 7 hours 36 min ago
Mumps -- United States
At least four cases of mumps have been confirmed during the last week, and another is being investigated, in a small outbreak among university students aged 19-22, in Porto, Portugal. All patients had two doses of MMR vaccine.
Ongoing investigation seems to point to the index case being a toddler (age not specified) who is brother to one of the cases.
It is possible that more cases are still to appear, since the incubation period may go up to three weeks.
--
Communicated by:
Andre

PRO/EDR> Meningitis, meningococcal - Nigeria (02): fatal, emergence sg C, WHO

ProMED Mail Reports - Sat, 03/25/2017 - 19:27
Meningitis - Neisseria -- Nigeria
As of [Sun 19 Mar 2017] (epidemiological week 11), a total of 1407 suspected cases of meningitis and 211 deaths (case fatality rate: 15 percent) have been reported from 40 local government areas (LGAs) in 5 states of Nigeria since December 2016. Zamfara, Katsina and Sokoto account for 89 percent of these cases.
A total of 26 LGAs from all 5 states reported 361 cases in epidemiological week 11 alone. Up to 22 wards in 15 LGAs have crossed the epidemic threshold. Only 3 of these LGAs share

PRO/AH/EDR> Undiagnosed rash - Cameroon (03): (EN) fatalities, commentary

ProMED Mail Reports - Sat, 03/25/2017 - 16:27
Rash -- Cameroon
Concerning this outbreak, the analysis' results are still waiting. We think that this outbreak can be due to migration observed in the Far North of Cameroon. In central Africa (Central African Republic), we have also observed these same cases due to Monkey pox. Only the analysis' results of "Centre Pasteur du Cameroun" will help us know more about this outbreak.
--
Communicated by:
EpiCore Surveillance Project member
Romaric Ateugieu
University of Douala,
Douala, Cameroon
[Douala,

PRO/EDR> Tetanus - Australia: (NSW) unimmunized child

ProMED Mail Reports - Sat, 03/25/2017 - 16:26
Tetanus -- Australia
A northern New South Wales doctor says a 7-year-old child who is in a critical condition after being diagnosed with tetanus was not immunized. The girl was initially treated at Lismore, before being transferred to Brisbane's Lady Cilento Children's Hospital on [Wed 15 Mar 2017]. Tetanus is a potentially fatal disease which is transmitted by bacteria [l spores] in soil, and can enter the bloodstream through minor wounds.
Lismore pediatrician Chris Ingall, who treated the girl on [Tue 14 Mar

PRO/EDR> Measles update (14)

ProMED Mail Reports - Sat, 03/25/2017 - 14:34
Measles -- Romania
The ongoing measles outbreak in Romania has infected 3446 people by 10 March this year [2017], killing 17 children, according to data from the National Institute of Public Health, cited by local Agerpres.
Up to 5 of the 17 children killed by this disease were from Arad county, 4 were from Timis county, 6 were from Dolj and Caras Severin counties, 1 from Satu Mare county, and 1 from Bucharest. Measles cases were registered in 37 of Romania's 41 counties.
In Dolj county, 175 cases of

PRO/EDR> Norovirus - Canada (02): (BC)

ProMED Mail Reports - Sat, 03/25/2017 - 12:07
Norovirus -- Canada
The federal government has closed oyster farming at 7 diverse locations in southern BC [British Columbia] waters, and several other commercial growers have voluntarily stopped selling amidst the worst norovirus outbreak to ever hit the industry.
To date, a total of 304 illnesses have been reported in BC, Alberta, and Ontario from eating raw or undercooked oysters from the West Coast, said Darlene Winterburn, executive director of the Comox-based BC Shellfish Growers' Association.
While

PRO/AH/EDR> Avian influenza (83): Belgium (LI) wildfowl, HPAI H5N8, OIE

ProMED Mail Reports - Sat, 03/25/2017 - 12:06
Avian Influenza H5N8 -- Belgium
Information received on [and dated] 24 Mar 2017 from Dr Jean-François Heymans, Director, Animal Health and Safety of Products of Animal Origin, Federal Agency for the Safety of the Food Chain (FASFC), Bruxelles, Belgium
Summary
Report type: immediate notification
Date of start of the event: 17 Mar 2017
Date of confirmation of the event: 23 Mar 2017
Reason for notification: reoccurrence of a listed disease
Date of previous occurrence: 1 Mar 2017
Manifestation of disease: clinical

PRO/AH/EDR> Avian influenza (82): China (Hunan) HPAI H7N9, poultry, OIE

ProMED Mail Reports - Fri, 03/24/2017 - 22:39
Avian Influenza H7N9 -- China
Information received on [and dated] 24 Mar 2017 from Dr Zhang Zhongqui, Director General, China Animal Disease Control Centre, Veterinary Bureau, Ministry of Agriculture, Beijing, China (People's Rep. of)
Summary
Report type: immediate notification
Date of start of the event: 19 Mar 2017
Date of confirmation of the event: 24 Mar 2017
Reason for notification: new strain of a listed disease
Manifestation of disease: clinical disease
Causal agent: highly pathogenic avian influenza

PRO/EDR> Foodborne illness - Egypt (04): schoolchildren

ProMED Mail Reports - Fri, 03/24/2017 - 16:39
Foodborne Illness -- Egypt
An outbreak of food poisoning has sickened thousands of Egyptian schoolchildren in March 2017, figures showed [Thu 23 Mar 2017], sending parents rushing to hospitals and leading the Education Ministry to temporarily suspend its school lunch program.
Egypt saw 4650 suspected food poisoning cases in schools nationwide in March 2017 alone, the Cabinet said in a statement carried by state-run news agency MENA, compared to some 300 cases previously reported since the beginning of the academic

PRO/EDR> Hepatitis A - USA: (MI) increased incidence

ProMED Mail Reports - Fri, 03/24/2017 - 15:42
Hepatitis A -- United States
State health officials are alerting the public about a rise in cases of hepatitis A, a vaccine-preventable disease. The Michigan Department of Health and Human Services says there's been an 8-fold increase in the cases of hepatitis A over the past year in southeast Michigan. From [1 Aug 2016] to [21 Mar 2017], officials say 107 cases of laboratory-confirmed hepatitis A have been reported in Macomb, Oakland, and Wayne counties, and the city of Detroit.
Ages of the cases range from 22 to 86

PRO/AH/EDR> Avian influenza, human (37): China, H7N9, WHO update, control, genetics

ProMED Mail Reports - Fri, 03/24/2017 - 15:39
Avian Influenza H7N9 -- China
Onset dates ranged from 28 Feb to 13 Mar 2017. Of these 22 cases, only 2 were female. The median age is 52.5 years (age range among the cases is 33 to 77 years old). The cases were reported from Chongqing (1), Fujian (1) Guangdong (3), Guangxi (6), Guizhou (3), Henan (2), Hunan (5), and Jiangxi (1). Of the 6 cases reported from Guangxi province, 5 were from the same city (Hechi).
At the time of notification, there were 3 deaths, and 17 cases were diagnosed as either pneumonia (6) or severe

PRO/AH/EDR> Crimean-Congo hem. fever - Namibia (03): (OH)

ProMED Mail Reports - Fri, 03/24/2017 - 14:11
Crimean-Congo Hemorrhagic Fever -- Namibia
In a follow-up to the case of Crimean-Congo hemorrhagic fever (CCHF) reported in Namibia last month [February 2017], a 2nd CCHF case was confirmed last week [week 13 to 19 Mar 2017] in the southwest African country.
The 2nd case is a 19 year old male residing in a communal farm in Okongoua village, 250 km [approx. 155 mi] away from Gobabis, where the 1st case originated. The 2 cases have no established epidemiological linkage. The case is still in admission and is expected to be discharged

PRO/AH/EDR> New World screwworm - USA (02): (FL) successfully eradicated

ProMED Mail Reports - Fri, 03/24/2017 - 14:01
Myiasis -- United States
The Florida Department of Agriculture and Consumer Services says it will wind down its response against flesh-eating maggots that threaten small, endangered deer in a national wildlife refuge in the Florida Keys.
The department said in a news release that the check point for New World screwworms in Key Largo will close at 7 p.m. [Sat 18 Mar 2017]. This comes after more than 5 months of aggressive response efforts and no new screwworm infestations found since [10 Jan 2017].
New World

PRO/AH/EDR> Sporotrichosis - Brazil: (RJ) feline-human zoonosis

ProMED Mail Reports - Fri, 03/24/2017 - 14:00
Sporotrichosis -- Brazil
Most of the 51 species embedded in the genus _Sporothrix_ are nonpathogenic environmental fungi that are closely related to decaying wood, plants, and soil. However, members of the _Sporothrix schenckii_ complex are highly successful mammal pathogens, including _S. brasiliensis_, _S. schenckii_ sensu stricto (s. str.), _S. globosa_, and _S. luriei_, the causative agents of human and animal sporotrichosis. Their key to success during mammal infection lies at least in part with their ability to

Meningococcal disease – Nigeria

WHO Disease Outbreaks news - Fri, 03/24/2017 - 11:18
As of 19 March 2017 (epidemiological week 11), a total of 1407 suspected cases of meningitis and 211 deaths (case fatality rate: 15%) have been reported from 40 local government areas (LGAs) in five states of Nigeria since December 2016. Zamfara, Katsina and Sokoto account for 89% of these cases. Twenty-six LGAs from all five states reported 361 cases in epidemiological week 11 alone. Twenty-two wards in 15 LGAs have crossed the epidemic threshold. Three of these LGAs share borders with Niger. NmC is the predominant serotype in this outbreak.

PRO/EDR> Mumps update (12): Canada (ON) USA (IL,AR)

ProMED Mail Reports - Fri, 03/24/2017 - 10:05
Mumps -- Canada
Majumder MS, Nguyen CM, Cohn EL et al: Vaccine compliance and the 2016 Arkansas mumps outbreak. Lancet Infect Dis. 2017; 17(4): 361-362; .
This study reinforces the public health importance of vaccination. Mumps not only has the problem of lack of or incomplete vaccination series, but also waning immunity with age.
A HealthMap/ProMED-mail map can be accessed at . - Mod.LK]
[See Also:
Mumps update (11): USA http://promedmail.org/post/20170319.4911532
Mumps update (10)

PRO/PL> Lethal necrosis, maize - Malawi: alert

ProMED Mail Reports - Fri, 03/24/2017 - 09:23
Other Plant Disease -- Malawi
Malawians have been warned to look out for maize lethal necrosis [MLN] disease that has been attacking maize in other neighboring countries.
Johnny Masangwa, Department of Agricultural Research, said, "We are conducting MLN survey in every district and found that the disease was not yet in. We are carrying awareness messages as a preventative measure to contain its spread this year [2017]." In case of an incursion of MLN, there will be a quarantine of that area and lessons to farmers on how
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