Outbreak and Current Disease Status Information

PRO/EDR> Hepatitis A - USA (43): (KY, WV)

ProMED Mail Reports - Mon, 09/24/2018 - 16:07
Hepatitis A -- United States
Number of Cases 1318
- Age Range 12-82
- Median Age 37
- Male 786 (59.6%)
- Hospitalizations 687 (52.1%)
- Deaths 2
Risk Factors
- Co-infection with Hepatitis C (Information available for 1069 cases): 629 (58.9%)
- Co-infection with Hepatitis B (Information available for 1069 cases): 121 (11.3%)
- Reports Illicit Drug Use (Information available for 1132 cases): 874 (77.2%)
- Homeless 149 (11.3%)
Communicated by:

[Date / Cases / New

PRO/AH/EDR> Plague - Madagascar (05)

ProMED Mail Reports - Mon, 09/24/2018 - 15:33
Plague -- Madagascar
In an update on the plague situation in Madagascar, the Ministry of Health is now reporting plague has affected 8 districts in the country-Central Highlands, Ambalavao, Ambatofinandrahana, Ambositra, Ankazobe, Fandriana, Miarinarivo and Antisirabe. In these 8 districts, 16 suspect cases have been reported in a month, including 4 fatalities. A total of 5 of the cases have been laboratory confirmed. Of the 5 confirmed cases, 2 were classified as bubonic plague and 3 as pulmonary

PRO/EDR> Malaria - Sudan: (ND) refugee camps

ProMED Mail Reports - Mon, 09/24/2018 - 14:45
Malaria -- Sudan
People in the camps for the displaced in North Darfur complain of the spread of malaria.
"There is no home free of malaria in Zamzam camp," a community leader reported to Radio Dabanga. "The same is true for the camps of Abu Shouk, Tawila, Kassab, Fata Borno, and Kabkabiya."
The sheikh said that the disease, spread by mosquitoes, "appears to be more widespread than during the last rainy seasons". He added that most displaced people cannot afford to buy medicines anymore. "With these

PRO/AH/EDR> West Nile virus (42): Europe (Germany) captive bird, OIE

ProMED Mail Reports - Mon, 09/24/2018 - 12:38
West Nile Virus -- Germany
Information received on [and dated] 24 Sep 2018 from Dr Karin Schwabenbauer, Ministerial Director and Chief Veterinary Officer, Directorate of Animal Health, Animal Welfare, [Federal Ministry of Food and Agriculture] (BMEL), Bonn, Germany
Report type: immediate notification
Date of start of the event: 10 Sep 2018
Date of confirmation of the event: 19 Sep 2018
Report date: 24 Sep 2018
Date submitted to OIE: 24 Sep 2018
Reason for notification: 1st occurrence of a listed

PRO/AH/EDR> Rabies - Americas (49): Colombia (MA) vampire bat, cattle, alert

ProMED Mail Reports - Mon, 09/24/2018 - 12:35
Rabies -- Colombia
An alert on the risk posed by new outbreaks of wild rabies was launched by the Colombian Agricultural Institute (ICA), mainly in the department of Magdalena, where suspected cases have been detected in the municipalities of Santa Ana, Zona Bananera, Santa Marta, Guamal, and San Sebastian de Buenavista.
Caracol Radio Station spoke with Juan Pablo Velasquez, director of ICA's national wild rabies program, who said that rabies is transmitted by the bite of vampire bats and explained what

PRO/AH/EDR> Ebola update (96): Congo DR (NK,IT) case update, unrest

ProMED Mail Reports - Mon, 09/24/2018 - 12:32
Ebola -- DR Congo
- Field activities were suspended in Beni this Sun 23 Sep 2018, following clashes between rebels and the Congolese armed forces. Many residents of the city of Beni took to the streets on Sunday to protest the growing insecurity in the area. The field activities of the riposte will resume as soon as calm returns to the city.
- Since vaccination began on 8 Aug 2018, 11 417 people have been vaccinated , including 4056 in Mabalako [North Kivu], 3652 in Beni [North

PRO/EDR> Undiagnosed febrile illness - Sudan: (KA,ND) RFI

ProMED Mail Reports - Mon, 09/24/2018 - 10:34
Fever -- Sudan
Under the Twitter hashtag [] a discussion of local and international humanitarian aid workers started to report a non-verified case number of about 100 000 patients and 119 deaths. While some reports speak of "hemorrhagic fever" no specific symptoms are given. Previous media reported a chikungunya outbreak (), while others such as point to severe forms of dengue fever. However, nobody reported symptoms, laboratory tests conducted and confirmed, differential diagnoses, etc. However, this

PRO/AH/EDR> Leptospirosis - Israel (07): (HZ) human, animal, environment, epidemiology

ProMED Mail Reports - Sun, 09/23/2018 - 21:25
Leptospirosis -- Israel
We report preliminary findings of a large outbreak of human leptospirosis with 36 confirmed/probable and 583 suspected cases from June-August 2018, linked to contaminated water bodies in Northern Israel. There was a travel-associated case in Germany; additional cases are being investigated in other countries. The presumed chain of transmission, implicating wild boar and cattle, raises multiple challenges for risk assessment, risk management and risk communication currently being

PRO/AH/EDR> Rabbit hemorrhagic disease - UK: (England) RHDV2 strain susp.

ProMED Mail Reports - Sun, 09/23/2018 - 11:02
Other Animal Disease -- United Kingdom
A veterinary practice has warned animal lovers of a deadly virus suspected of killing a number of rabbits.
Elwood, Briggs and Turner Vets in Kirton, near Boston, has issued warnings on its Facebook page after a number of pet rabbit deaths.
The Facebook post states: We have, unfortunately, seen a few cases lately that we suspect were the newest strain of viral haemorrhagic disease, VHD2/RHDV2. This viral infection usually leads to the death of pet rabbits. We now have a vaccine available

PRO/AH/EDR> Leishmaniasis - Brazil (02): disease burden, children

ProMED Mail Reports - Sun, 09/23/2018 - 10:58
Leishmaniasis -- Brazil
The study presents estimates for the burden of visceral leishmaniasis (VL) and cutaneous and mucocutaneous leishmaniasis (CML) in Brazil and its 27 federated units using data from the Global Burden of Disease Study (GBD) 2016.
We report the incidence, years of life lost (YLL), years lived with disability (YLD), and disability-adjusted life years (DALY) for leishmaniasis in Brazil from 1990 to 2016. The metrics are presented as age-standardized rates per

PRO/AH/EDR> Ebola update (95): Congo DR (NK, IT) case update, Uganda

ProMED Mail Reports - Sun, 09/23/2018 - 10:57
Ebola -- DR Congo
The World Health Organization (WHO) said Fri [21 Sep 2018] that the latest Ebola outbreak in the Democratic Republic of the Congo (DRC) remains active, with the cities of Beni and Butembo becoming the new hotspots.
Substantial progress has been made to limit the spread of the disease to new areas, and the situation at Mabalako Health Zone in Mangina, North Kivu province, is stabilizing, WHO said in a statement.
In the meantime, response teams continue to enhance activities to mitigate

PRO/EDR> Measles update (59): PAHO

ProMED Mail Reports - Sun, 09/23/2018 - 10:27
Measles -- Worldwide/Unknown
Situation Summary
In 2018, as of 21 Sep 2018, a total of 6629 confirmed cases of measles, including 72 deaths, have been reported in 11 countries of the Region of the Americas: Antigua and Barbuda (1 case), Argentina (11 cases), Brazil (1735 cases, including 10 deaths), Canada (22 cases), Colombia (85 cases), Ecuador (19 cases), Guatemala (1 case), Mexico (5 cases), Peru (21 cases), the United States of America (124 cases), and the Bolivarian Republic of Venezuela (4605 cases, including 62

PRO/AH/EDR> Sheep pox & goat pox - Russia (04): (TL) ovine

ProMED Mail Reports - Sat, 09/22/2018 - 22:20
Sheep/Goat Pox -- Russia
An outbreak of smallpox was recorded in a private subsidiary farm located in the village of Kuznetsy, Aleksinsky district, Tula region.
According to the press service of the Rosselkhoznadzor Administration in Moscow, the Moscow and Tula oblasts, the owner of a backyard holding contacted the Yasnogorsk Inter-District Veterinary Association on [Thu 13 Sep 2018] to report the disease in sheep. At the time of the outbreak, the farm housed 20 goats and sheep. Based on the results of laboratory

PRO/AH/EDR> Alcohol poisoning - Malaysia: methanol

ProMED Mail Reports - Sat, 09/22/2018 - 22:16
Poisoning -- Malaysia
Police in Malaysia are investigating a case of alcohol poisoning that killed at least 21 people, with dozens more hospitalized, most of them citizens of Asian nations, officials said on Wednesday [19 Sep 2018].
Cheap, homemade liquor is popular among poor, migrant workers in Muslim-majority Malaysia, which has high taxes on alcohol.
A total of 57 cases of methanol poisoning had been reported in Kuala Lumpur, the capital, and its surrounding state of Selangor, Health Minister Dzulkefly

PRO/AH/EDR> West Nile virus (41): Americas (USA) equine

ProMED Mail Reports - Sat, 09/22/2018 - 22:13
West Nile Virus -- United States
The Wyoming State Veterinary Laboratory, Wyoming Department of Health, and Wyoming Livestock Board have received reports of "significant" West Nile virus (WNV) activity in the state over the past 2 weeks, they announced on [Mon 10 Sep 2018].
In addition to one human case being confirmed in Fremont County, official reported 7 cases of WNV in Wyoming horses residing in Campbell, Fremont, Goshen, Park, and Sheridan counties. They've also found WNV in a golden eagle, a crow, and a hawk, as well

PRO/AH/EDR> Heartland virus - USA: (IL)

ProMED Mail Reports - Sat, 09/22/2018 - 14:44
Tick-borne disease -- United States
The 1st case of Heartland virus, a tickborne illness, has been reported in Illinois, according to a press release from the Illinois Department of Public Health (IDPH). A Kankakee resident recently tested positive for Heartland virus. Reported cases of Heartland virus disease are relatively rare. Likely spread by the Lone Star tick, more than 30 cases of Heartland virus disease have been reported in the midwestern and southern USA.
Heartland virus was first identified in 2009 when 2 Missouri

PRO/AH/EDR> Crimean-Congo hem. fever - Pakistan (17): (SD)

ProMED Mail Reports - Sat, 09/22/2018 - 13:22
Crimean-Congo Hemorrhagic Fever -- Pakistan
Authorities at Jinnah Postgraduate Medical Centre (JPMC) have confirmed another patient with Congo-Crimean hemorrhagic fever (CCHF) has been admitted to their hospital. "[MA], a factory worker, was brought to JPMC emergency with symptoms similar to CCHF infection and today [Thu 20 Sep 2018] he was confirmed having the viral disease after lab results," Executive Director JPMC Dr. Seemin Jamali told The News on [Thu 20 Sep 2018]. She said the patient had been moved to an isolation ward in the
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