Disease

Dengue fever – Sri Lanka

Sri Lanka’s dengue epidemic has gone over the 100,000 cases mark with the health ministry putting the tally at 101,698 as of today. This is more than 4-times higher than the average number of cases for the same period between 2010 and 2016.

Dengue Fever – Vietnam

Vietnam has seen in excess of 50,000 dengue fever cases in 2017 to date, including 15 deaths and the capital city of Hanoi has been struck hard in recent weeks by the mosquito borne viral disease, according the Strait Times. The report notes that in just the past week, 1,100 cases have been reported.

Kenya cholera update

In a follow-up on the cholera situation in Kenya, the World Health Organization (WHO) reports a total of 1216 suspected cases including 14 deaths (case fatality rate: 1.2%) have been reported since 1 January 2017.

The cholera outbreak has appeared in Kenya in two waves. The first cholera outbreak reported in 2017 was in Tana River County. The outbreak started on 10 October 2016 and was controlled by April 2017.

A second wave of cholera outbreaks started in Garissa County on 2 April 2017 and was reported later in nine other counties including Nairobi, Murang’a, Vihiga, Mombasa, Turkana, Kericho, Nakuru, Kiambu, and Narok. The outbreak is being reported in the general population and in refugee camps.

Nigeria Cholera Update

Seventeen persons have been confirmed dead in 1,617 reported suspected cases as a cholera outbreak continues to ravage Kwara State in North-central Nigeria.

Disease

Dengue fever – Sri Lanka

From 1 January to 7 July 2017, the Epidemiology Unit of the Ministry of Health (MoH) Sri Lanka reported 80 732 dengue fever cases, including 215 deaths.

Human infection with avian influenza A(H7N9) virus – China

On 19 June 2017, the National Health and Family Planning Commission of China (NHFPC) notified WHO of five additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in China. On 24 June 2017, the NHFPC notified WHO of 10 additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in China. On 30 June 2017, the NHFPC notified WHO of six additional laboratory-confirmed cases of human infection with avian influenza A(H7N9) virus in China.

Disease

Foot and Mouth Disease in Colombia

Mexico’s agriculture sanitation authority SENASICA said on Friday it has suspended all dairy imports from Colombia after new outbreaks of foot and mouth disease were detected in the Andean country.

Colombian authorities said two new outbreaks of the disease were discovered in the central Cundinamarca department, where there are six dairy processing plants authorized to export to Mexico. Earlier this month, Russia and Curacao, two of Colombia’s biggest beef buyers, suspended meat shipments from the Andean nation after an outbreak of the disease.

Germany reports increase in infectious diseases

The Robert Koch Institute (RKI) released the Infectious Disease Epidemiology Annual Report (computer translated) earlier this week and it shows an increase in infectious diseases in the country.

They say in the report that the increases have been influenced by the increase in incoming asylum seekers, as well as partly due to their increased disease screening.

However, the change in the case definitions of certain notifiable diseases in 2015 which was only step-wise implemented at local public health authorities also influences the number of cases e.g. for hepatitis B and hepatitis C.

Rising case numbers of Campylobacter enteritis, hepatitis E and whooping cough were observed in 2016.

For a large number of the vaccine-preventable diseases, e.g. tick-borne encephalitis, hepatitis A, chickenpox, disease mostly occurred in non-vaccinated patients, even though effective vaccination is available.

Other notable outbreaks were: a legionellosis outbreak in Bremen with a total of 24 cases, including 2 deaths; a botulism outbreak affecting 6 and an outbreak of 6 tularemia cases which occurred during grape harvesting and were associated with the consumption of contaminated grape juice.

According to the document, Infectious epidemiological yearbook of notifiable diseases for 2016 (computer translated), also shows increased incidences of adenoviral conjunctivitis, cryptosporidium, dengue fever, enterohemorrhagic E. coli, Haemophilus influenza and leprosy, among others.

Disease

Bangladesh – Chikungunya Outbreak in Dhaka

Bangladesh’s capital Dhaka is reeling from a “major outbreak of chikungunya”, a viral disease spread by the Aedes mosquito, which is also responsible for Zika virus, with the hospitals reporting nearly 3,000 cases of the disease since May.

Disease

San Diego, California Hepatitis – Update

In a follow-up on the hepatitis A outbreak in San Diego, the case tally has grown to 228, including five fatalities, according to the San Diego County Health and Human Services Agency today.

During the local outbreak, 161 people have been hospitalized. People who are either homeless or using illicit drugs account for at least seven in ten of the illnesses, and just over one in five also have hepatitis C.

Cholera – Nigeria

On 7 June 2017, World Health Organization (WHO) was notified of a cholera outbreak in Kwara State, Nigeria, where the event currently remains localized. The first cases of acute watery diarrhoea were reported during the last week of April 2017 and a sharp increase in the number of cases and deaths has been observed since 1 May 2017. However, the number of new cases reported has shown a decline over the last four reporting weeks.

Acute hepatitis E – Nigeria

On 18 June 2017, the Nigerian Ministry of Health notified World Health Organization (WHO) of an outbreak of hepatitis E located in the north-east region of the country. The first case was detected on 3 May 2017 in Damasak, a locality at the border with the Republic of the Niger. Samples were collected from the case and sent to laboratory for confirmation. Cases were later reported in Ngala, one of the local government areas in Borno State that borders Cameroon. As of 2 July 2017, 146 confirmed and suspected cases were reported including 21 confirmed cases.

Disease

Burundi: Malaria outbreak continues

In a follow-up on the malaria outbreak in the east African country of Burundi, 4,376,804 cases including 1,996 deaths (case fatality rate 0.05%) have been reported this year through the end of June. It’s been increasing persistently despite ongoing response interventions. During the most recent weekly data available (ending June 25), 173,355 clinical cases of malaria including 102 deaths were reported.

Yemen – Cholera Epidemic Update

The deadly cholera outbreak that has plagued Yemen since last year reached a grim milestone on Sunday as the number of suspected cases surpassed more than 300,000.

More than 1,700 people in the war-torn country have died of cholera in the past months, the International Committee of the Red Cross announced on Monday, and 300,000 people are suspected to be ill. The epidemic is now growing at the staggering rate of 7,000 new cases per day, said Robert Mardini, the Red Cross regional director for the Middle East. The capital of Sanaa and the regions of Hodeida, Hajjah and Amran are among the hardest hit.

Disease

Measles – Romania and Italy

Europe has reported more than 14,000 measles cases since January 2016, including 35 deaths, according to the European Centre for Disease Prevention and Control (ECDC). While some 16 EU/EEA countries have reported outbreaks, two countries account for the vast majority of cases – Romania and Italy.

In Romania, the total number of confirmed measles cases July 7 is 7,647, including 31 deaths.

In Italy, the Ministero della Salute reports 3,346 cases and 2 deaths since the beginning of the year. Ninety-five percent of those infected were unvaccinated or under vaccinated.

Dengue Fever – Peru

In a follow-up on the dengue fever outbreak in Peru, the National Civil Defense Institute (INDECI) reports the total number of dengue confirmed cases countrywide is 20,930 while 42,297 are reported as probable. Piura is the most affected region with 9,632 confirmed cases and 32,886 un-confirmed (37 deaths confirmed).

Alaska – Trichinosis from Walrus Meat

U.S. Centers for Disease Control and Prevention officials are warning the public of the risk of eating undercooked game meat after two outbreaks of trichinosis over the last year in western Alaska were tied to consuming walrus meat. The outbreaks sickened 10 people.

It was the first time since 1992 that multiple-case outbreaks of trichinosis were associated with walrus, which can only be hunted by Alaska Natives for subsistence or handicraft purposes.

Trichinosis is contracted by eating raw or undercooked meat from animals infected with a microscopic roundworm. High heat kills the parasite.

Disease

Hantavirus Deaths in Washington State, USA

Five people have been stricken with the rare, rodent-borne hantavirus illness in Washington state since February, three of whom have died, in the state’s worst outbreak of the disease in at least 18 years.

The three fatal cases also mark the highest death toll from hantavirus pulmonary syndrome in Washington state during a single year since the respiratory ailment was first identified in the “Four Corners” region of the U.S. Southwest in 1993.

The disease has been found to be transmitted to humans from deer mice, either through contact with urine, droppings, saliva or nesting materials of infected rodents or by inhaling dust contaminated with the virus.

Disease

Ill Winds

New research confirms that airborne dust can affect the health of people and ecosystems by transporting attached bacteria hundreds of miles across the landscape during windstorms.

Yinon Rudich and colleagues at Israel’s Weizmann Institute of Science found that some of those bacteria could even carry genes for antibiotic resistance.

The researchers found that during a dust storm, the concentration of bacteria and number of bacteria species in the air rises sharply, meaning people walking outdoors during these storms are at a higher risk of infection.

Disease

Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia

Between 24 June and 3 July 2017, the national IHR Focal Point of Saudi Arabia reported three additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, and two deaths among previously reported cases.

Disease

Rabies in Sarawak, Borneo

Three children are “gravely ill” with confirmed rabies in Serian District, Sarawak on the Malaysian state on Borneo, according to multiple media reports. The children, all seven years and younger, presented with symptoms of fever, abnormal behavior and aggression at times, and were afraid of water.

Sri Lanka dengue crisis

Sri Lankan military troops have been deployed to destroy mosquito breeding sites in the country as record numbers of dengue fever cases continue to mount. According to a Malay Mail Online report, Troops, backed by police and health officials, have launched an intensive campaign to identify dengue hotspots to be sprayed with insecticides.

Through June 30, the Sri Lanka Epidemiology Unit with the Ministry of Health puts the dengue tally at 71,298, including 215 fatalities.

Ebola – Democratic Republic of Congo

The World Health Organization (WHO) declared the end of the most recent outbreak of Ebola virus disease (EVD) in the Democratic Republic of Congo (DRC). The announcement comes 42 days (two 21-day incubation cycles of the virus) after the last confirmed Ebola patient in the affected Bas-Uélé province tested negative for the disease for the second time. Enhanced surveillance in the country will continue.

Disease

Human infection with avian influenza A(H7N9) virus – China

The National Health and Family Planning Commission of China reported six additional human cases of avian influenza A(H7N9) during the week of June 23 to 29. The three male and three female patients, aged from 4 to 72, had onset from June 11 to 23.

Cholera in South Sudan

Over 11,000 cases of cholera have been reported in South Sudan, which is facing “the longest, most widespread and most deadly cholera outbreak” since 2011, according to the United Nations. The outbreak began one year ago and since has killed 190 people. When left untreated, cholera can result in death through dehydration. Civil war has displaced two million people within South Sudan. The World Health Organization says cases have increased in 2017, as those who are displaced often do not have access to clean drinking water and proper sanitation.