Outbreak and Current Disease Status Information

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

ProMED Mail Reports - Fri, 02/23/2018 - 21:43
Hepatitis B -- United States
In April 2016, CDC noted an increase in acute hepatitis B virus (HBV) infections in Pasco county, Florida, through the National Notifiable Disease Surveillance System. Hepatitis B is an infection of the liver caused by HBV, which is transmitted through blood, semen, or other body fluids and is usually an acute, self-limiting illness in adults; however, some infected adults develop chronic HBV infection. HBV infection is preventable by vaccination. The Florida Department of Health (DOH-Florida)

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

ProMED Mail Reports - Fri, 02/23/2018 - 20:31
Typhoid -- Pakistan
A major outbreak of typhoid fever in Pakistan may have been caused by a highly drug-resistant microbe, scientists have warned. Research by the Wellcome Sanger Institute has shown that the typhoid strain behind the outbreak, which began in Hyderabad in Pakistan in November 2016 and has since spread, has acquired an extra piece of DNA that renders it resistant to multiple antibiotics.
"It is significant because it marks the 1st time we have seen such high levels of drug resistance in

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

ProMED Mail Reports - Fri, 02/23/2018 - 18:24
Hepatitis A -- Australia
There has been a rare hepatitis A death in Victoria as the state experiences a spreading outbreak of the very infectious disease.
Victorian's deputy health officer Dr Brett Sutton confirmed a man recently died from locally acquired case of hepatitis A, a viral infection of the liver.
There have been 42 confirmed cases of the disease in the past 2 months in Victoria, with another 23 still being confirmed. The health department said all those affected so far are men, many who are gay or

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

ProMED Mail Reports - Fri, 02/23/2018 - 18:05
Salmonella -- United States
CDC, public health and regulatory officials in several states, and the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) are investigating a multistate outbreak of _Salmonella [enterica_ serotype] Typhimurium infections.
Public health investigators are using the PulseNet system to identify illnesses that may be part of this outbreak. PulseNet is the national subtyping network of public health and food regulatory agency laboratories coordinated by CDC. DNA

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

ProMED Mail Reports - Thu, 02/22/2018 - 21:35
Diarrhea -- Mozambique
On [Fri 27 Oct 2017], the Ministry of Health in Mozambique notified WHO of an outbreak of cholera. From [Mon 14 Aug 2017 through Sun 11 Feb 2018], 1799 cases and one death (case fatality rate equal to 0.06 percent) of cholera were reported from the 2 provinces; Nampula (1580 cases) and Cabo Delgado (219 cases). Underreporting of the number of cases and deaths is likely. This outbreak has been confirmed by rapid diagnostic tests and culture. The outbreak started in Memba district in the

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

ProMED Mail Reports - Thu, 02/22/2018 - 21:05
Lassa Fever -- Nigeria
Nigerian health officials reported 68 new confirmed Lassa fever cases during the past week from 7 states: Edo (35 cases), Ondo (19), Bauchi (1), Ebonyi (7), Anambra (4), Imo (1) and FCT (1) [Federal Capital Territory] with 4 new deaths in confirmed cases from 2 states: Ondo (2), and Bauchi (2).
From [Mon 1 Jan - Sun 18 Feb 2018], a total of 913 suspected cases, and 73 deaths have been reported from 17 active States (Edo, Ondo, Bauchi, Nasarawa, Ebonyi, Anambra, Benue, Kogi, Imo, Plateau,

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

ProMED Mail Reports - Thu, 02/22/2018 - 20:41
Other Plant Disease -- China
_Cucurbita maxima_ (pumpkin) is a typical cucurbit that is susceptible to gummy stem blight. In recent years, this major fungal disease has decimated pumpkin yields in Northeast China in increasingly numerous outbreaks with more rapid spread in recent years.
We conducted a systematic study of the growth and morphological characteristics of various purified strains of _Cucurbita_ gummy stem blight (GSB) fungus from across Northeast China. DNA samples of 30 isolates with distinct hyphal

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

ProMED Mail Reports - Thu, 02/22/2018 - 20:06
Whooping Cough -- United States
A case of whooping cough has been reported at Canyon Ridge High School, the school district announced [Fri 2 Feb 2018]. The district was notified [Thu 1 Feb 2018] by South Central Public Health District. "We are working with local health officials to monitor the situation, and at this time, the school will remain open and operating normally," Twin Falls School District spokeswoman Eva Craner wrote in a statement.
Whooping cough - also known as pertussis - is also affecting other Magic

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

ProMED Mail Reports - Thu, 02/22/2018 - 19:02
Hepatitis A -- United States
Cases / Hospitalizations / Deaths
751 / 609 (81.1%) / 25 (3.3%)
Communicated by:

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

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

ProMED Mail Reports - Thu, 02/22/2018 - 18:04
Shingles, Chicken Pox -- India
Song H, Morley KW, Trowbridge RM, et al. Herpes zoster at the vaccination site in immunized healthy children. Pediatr Dermatol. Pediatr Dermatol. 2018 Feb 6. doi: 10.1111/pde.13415 [Epub ahead of print], abstract available at:
In this case series, we report 7 immunized healthy children without underlying immunodeficiency who presented with herpes zoster that correlated with varicella-zoster vaccination site. The morphology of the lesions included erythematous papules,

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

ProMED Mail Reports - Thu, 02/22/2018 - 12:59
Avian Influenza -- Yemen
Already dealing with a raging conflict and the world's worst hunger crisis, many people in Yemen are now dying from what is thought to be bird flu [avian influenza]. As the country faces this new health crisis, hospitals remain critically short of resources after years of conflict have caused the country's health system to crumble.
[Byline: Katia Lopez-Hodoyan]
Communicated by:

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

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

ProMED Mail Reports - Thu, 02/22/2018 - 12:54
Botulism -- New Zealand
Avian botulism is thought to be behind the deaths of up to 400 mainly mallard ducks at Waikanae beach's Pharazyn Reserve, Kapiti Coast District Council parks and recreation manager Alison Law said.
The council was working with animal welfare groups to collect sick and dead birds from the reserve and had posted signs warning pet owners to take care.
A bird carcass had been sent to Massey University's Wildbase Pathology unit for testing for the disease, Law said. "Although it is widely

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

ProMED Mail Reports - Thu, 02/22/2018 - 07:57
Yellow Fever -- Brazil
The Ambassador of Chile in Brazil, Jaime Gazmuri, confirmed to Tele 13 the death of the 2nd Chilean infected with yellow fever. The deceased is a 20-year-old young man, that adds an additional case to another young man whose death was confirmed this past [Fri 16 Feb 2018].

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

PRO/AH/EDR> Rabies (11): Asia (Kazakhstan) livestock, wolf, OIE

ProMED Mail Reports - Wed, 02/21/2018 - 22:25
Rabies -- Kazakhstan
Information received on 20 Feb 2018 from Dr Zhomart Nurkenov, Chairman of Committee of Veterinary Control and supervision, RSE "National Reference Center for Veterinary," Ministry of Agriculture, ASTANA, Kazakhstan
Report type: immediate notification (final report)
Start date: 24 Jan 2018
Date of confirmation of the event: 2 Feb 2018
Report date: 19 Feb 2018
Date submitted to OIE: 20 Feb 2018
Date event resolved: 20 Feb 2018
Reason for notification: 1st occurrence of a listed

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

ProMED Mail Reports - Wed, 02/21/2018 - 22:17
Other Animal Disease -- United Kingdom
A veterinary practice has warned dog owners and walkers after 2 dogs were found to have the flesh-eating disease Alabama Rot.
Bellevue Veterinary Clinic says it has been treating 2 dogs for the condition, symptoms of which include lesions and sores across the dog's body.
It's thought the dogs picked up the disease after walking in woods near Gare Hill on the outskirts of Longleat Forest.
The vet, from Frome, told Somerset Live: "We have recently been treating 2 suspected cases of

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

ProMED Mail Reports - Wed, 02/21/2018 - 22:08
Bovine TB -- United States
A trace investigation from a bovine tuberculosis (TB) infected herd in Ottawa County has led to the identification of a bovine TB positive roping cattle herd in Kalamazoo County, Michigan. The Ottawa County cattle, which originated from a bovine TB infected herd in Indiana, had spent time at a Kalamazoo County farm. All the cattle on the Kalamazoo County farm were removed and 2 were found infected with bovine TB.
"The thorough investigation done by the Michigan Department of Agriculture and

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

ProMED Mail Reports - Wed, 02/21/2018 - 22:03
Other Plant Disease -- Argentina
In the Mar del Plata area [Buenos Aires province] of Argentina, many kiwifruit orchards composed of only male plants (_Actinidia deliciosa_ cv. Chieftain) have been established for pollen production, since the country was considered unaffected by _Pseudomonas syringae_ pv. _actinidiae_ (EPPO A2 List). Routine controls have been conducted to verify the absence of the bacterium in the pollen that is produced and commercialized.
In February 2015, some bacterial colonies with morphological

Human infection with avian influenza A(H7N4) virus – China

WHO Disease Outbreaks news - Wed, 02/21/2018 - 22:00
On 14 February 2018, the National Health and Family Planning Commission (NHFPC) of China notified the World Health Organization (WHO) of one case of human infection with avian influenza A(H7N4) virus. This is the first human case of avian influenza A(H7N4) infection to be reported worldwide.

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

ProMED Mail Reports - Wed, 02/21/2018 - 21:56
Poisoning -- United Kingdom
A young girl is thought to have been poisoned by arsenic after playing with a putty toy that was removed from online retailer Amazon last month [January 2018].
Victim NK was found to have 10 times the safe level of the deadly poison in her urine after playing with Magnetic Putty, according to her mother FK.
FK claimed the toy was bought as a Christmas present for her 2 daughters before she was warned by her sister over its possible toxic contents. She and her partner MK then took their

Lassa fever – Liberia

WHO Disease Outbreaks news - Wed, 02/21/2018 - 20:37
On 9 January 2018, a patient from Guinea with fever, neck pain, body pain and vomiting was admitted to a hospital in Ganta in Nimba County, Liberia. The patient was treated with Ribavirin until her death on 11 January 2018. The patient first experienced symptoms on 29 December 2017. Prior to hospitalization in Liberia, she sought medical care at a health facility in Diécké in N'Zérékore Region, Guinea where she was treated for typhoid and malaria.
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