Cholera – Zimbabwe – Update

In a follow-up on the Zimbabwe cholera outbreak, the Ministry of Health and Child Care of Zimbabwe says the cholera outbreak that was officially declared earlier this month remains persistent. As of 21 September 2018, a total of 5891 suspected cases with 38 deaths (case fatality ratio 0.65%) have been reported from six provinces.



Cholera – Nigeria – Update

The Borno State Ministry of Health reported an additional 125 suspected cases of cholera on Friday, including two new fatalities in Jere and Ngala local government areas (LGA). This brings the total number of suspected cholera cases in the state to 2,283, including 40 associated deaths.

Legionnaires’ disease outbreak in Lombardy region, Italy

In recent weeks, an increase in pneumonia cases were reported in the city of Brescia in Lombardy region. Other towns have also reported cases to include Carpenedolo, Montichiari, Asola and Remedello among others. According to officials with Regione Lombardia last week, more than 400 pneumonia cases have been reported, which 42 tested positive for the bacterium, Legionella.

Ukraine mushroom poisoning

The Ukraine Health Ministry reports that through Sep. 21, 174 people have been sickened and 11 have died. This has prompted warnings and advice to the public on the issue of ingesting mushrooms. The most effective advice that will completely save you from mushroom poisoning – refuse to consume wild mushrooms.

West Nile Virus – Romania

The Romania Ministry of Health reported an additional 19 meningitis / meningo-encephalitis with West Nile virus (WNV) have been confirmed in the past week, bringing the total cases for the year to 215.


Cholera – Zimbabwe – Update

In a follow-up on the cholera outbreak in Zimbabwe, health officials are reporting a total of 3349 suspected cases (71 confirmed) including 32 deaths since the beginning of the outbreak on Sept. 1. This outbreak is evolving rapidly and affecting mainly Harare city (98% of all cases).

Dengue Fever – Thailand

Bangkok Metropolitan Administration health officials issued a dengue fever warning because of heavy and consistent rain in the capital city of more than 8 million. Some 6,000 people have been affected this year to date, including five deaths.

On Monday, Governor Aswin Khwanmuang said dengue hemorrhagic fever is spreading in Nong Chok, Huai Khwang, Bang Kapi and Klong Samwa districts. In addition, he ordered strict disease control measures, including fumigation to kill mosquito larvae.

Since the beginning of the year through Sept 10, Thailand has reported a total of 54,808 cases were reported from all 77 provinces, including 69 deaths.


Measles – Brazil – Update

The Brazil Ministry of Health reported last week that as of September 10, there are 1,673 confirmed measles cases nationwide. In Amazonas, there are 1,326, and in Roraima, 301.

Another 7,812 remain under investigation. All are related to importation (the genotype of the virus (D8) that is circulating in the country is the same that circulates in Venezuela).

Cholera – Saudi Arabia

Saudi Arabia confirmed one cholera infection and three other suspected cases in an area bordering Yemen, where an epidemic has killed more than 2,000 people.


Cholera – Algeria

From 7 August to 6 September, 217 cases with cholera-like symptoms have been hospitalized, two of the patients died (CFR: 0.9%). Cases have been reported from seven provinces (Wilayas). Of these, 83 have been confirmed as Vibrio cholerae serogroup O1 Ogawa at the Institut Pasteur Algiers. More than half of the confirmed cases have been registered in Blida Province, followed by Algiers, Tipaza, Bouira, Médéa and Ain Defla.

A total of 21, including three private, water sources in the affected areas were tested for bacterial contamination, and 10 of these were deemed inappropriate for human consumption. One of the water sources tested positive for V. cholerae and was condemned for human consumption.

West Nile virus

European health officials reported an additional 150 human West Nile virus cases during the past week, bringing the total human cases to 948 this year. According to the European Centre for Disease Prevention and Control (ECDC), the number of cases are up three-fold compared to previous years.

Anthrax – Uganda and Turkey

Uganda – More than 1,000 animals have died following the outbreak of anthrax in Arua District. Uganda Virus Research Institute (UVRI) in Entebbe laboratory analysis has confirmed the outbreak of the disease. 28 people were infected including two deaths.

Turkey – 

Turkey’s Diyarbakir Chamber of Medicine said a 10-year-old boy died from the eastern city of Bitlis reported as the first death due to anthrax. Some 130 people have been hospitalized due to suspicions of anthrax infection.

Anthrax outbreaks have hit Turkey due to 4,000 cattle imported from Brazil since greater Eid in August, with infected animals observed in Istanbul, the capital Ankara, as well as in several other cities.


Cholera – Zimbabwe – Update

Reports from Zimbabwe say the death toll from cholera has now risen to 28. Meanwhile, the authorities are reporting three cases of the disease in the second city of Bulawayo. Bulawayo will be the seventh province to be affected by this cholera outbreak, which began in Harare early this month.

China – Foot and Mouth Disease

China’s Ministry of Agriculture reported on Friday an outbreak of foot-and-mouth disease in a herd of cattle that was transported to the Xinjiang region from Gansu province. The local government in Xinjiang then culled 47 cattle following the outbreak.

African swine fever spreads to Belgium

An outbreak of African swine fever terrorising pig farmers in Europe has dramatically escalated with the confirmation that the deadly infectious disease has spread to Belgium.

The discovery of the highly contagious disease in two wild boars found dead near the town of Étalle, in Gaume, has sparked calls for a mass cull of that species to protect western Europe’s pork industry.

The Dutch and French authorities have been put on high alert while Belgium’s farming minister, René Collin, has ordered a ban on hunting until mid-October, along with restrictions on the movement of animals across a territory of 63,000 hectares in the south of the country. Walkers have been asked to stay on footpaths and 67 farms are being tested for signs of an outbreak.

African swine fever was last seen in Belgium in 1985, and led to the culling of 30,000 pigs. It causes haemorrhaging and is incurable in pigs, although it is not dangerous for humans. Discovery of the disease in Europe’s second-largest farm in Romania last month resulted in the culling of 140,000 animals.


Cholera – Zimbabwe – Update

The Zimbabwean Ministry of Health and Child care has declared the ongoing cholera outbreak in the capital Harare a state of national emergency as the death toll rose to 20. Over 2,300 suspected cases have been reported in Harare since the outbreak was confirmed on September 1.

Middle East respiratory syndrome coronavirus (MERS-CoV) infection – Republic of Korea

On 8 September 2018, the International Health Regulations (IHR 2005) National Focal Point (NFP) of the Republic of Korea notified WHO of a laboratory-confirmed case of Middle East respiratory syndrome coronavirus (MERS-CoV).


Yellow Fever – Republic of Congo

Following the confirmation of a case of yellow fever in Bissongo, an investigation was conducted in the affected area. A retrospective search in 16 health centre registers in Pointe-Noire found 69 additional suspected cases during 2018 which meet the clinical case definition for yellow fever. A yellow fever outbreak was declared on 22 August 2018.

Cholera – Ethiopia

A cholera outbreak in Ethiopia’s northern Tigray region has reportedly been blamed on holy water, after at least 10 people died over the past two weeks, while more than 1 200 people have contracted the disease.

The authorities have identified contaminated holy water in some of the region’s monasteries as being behind the outbreak. It is believed that the water is being taken from rivers that carry the disease. Interfering in religious affairs is a very sensitive matter in the region, but the local government is working with religious leaders to temporarily stop the use of holy water, said the report.


Hepatits A – Kentucky, USA

The hepatitis A outbreak in Kentucky, which started 10 months ago and has affected 71 percent of the state’s counties, has grown to 1,562 cases through late August. This includes 63 new cases reported the week ending Aug. 25. Fifty-six percent, or 881 people required hospitalization for their illness and 12 people died.

Resurgent Cholera – Nigeria

The government of Borno State in north-east Nigeria says 14 people have died and 380 others hospitalized following the latest cholera outbreak. Statistics from the Borno State Ministry of Health indicate the cholera outbreak in 8 local government areas (LGAs) of the State, which is also an active theatre of war between government forces and rebels.

Lumpy Skin Disease – Kenya

Livestock farmers in Baringo North sub-county have lost hundreds of animals to an outbreak of lumpy skin disease. The viral disease was first reported in Ayatya, Kinyach, Marigut, Barwessa, Bartabwa, Kabartonjo and Kaboskei two months ago.


Tuberculosis – Nigeria

The World Health Organization (WHO) says at least 432 Nigerians die of tuberculosis daily in a country with second highest disease incidence rate in Africa. 47 Nigerians develop active TB per hour, which is why the country is ranked among the 14 high-burden countries for TB, TB/HIV and Multi-Drug Resistant TB (MDR-TB).

The epidemic in Nigeria is also fuelled by the large number of undetected TB cases (missing cases), which serve as a reservoir for continuous transmission of the disease. Each undetected TB case has potential of infecting between 10 and 15 people per annum.

Plane Quarantined at JFK After Numerous Passengers Become Sick with Unknown Illness

A plane arriving in New York from Dubai, United Arab Emirates, was quarantined after a number of passengers on board became sick, according to news reports. The plane, an Emirates airlines Airbus A380, landed at John F. Kennedy International Airport around 9 a.m. local time today (Sept. 5) and was met by the New York Port Authority police and officials from the Centers for Disease Control and Prevention (CDC).

10 ill passengers have been taken to Jamaica Hospital Medical Center and another eight passengers are being treated at the airport. Health officials were checking the rest of the passengers “one by one” for symptoms. A total of 521 passengers were on board the flight. Phillips also noted that some of the passengers had come from Mecca, Saudi Arabia, which is experiencing a flu outbreak.

Passengers Hospitalised After Suspected Cholera Case On Algeria-France Flight

French authorities evacuated 141 passengers and crew from a flight arriving in the French city of Perpignan from Algeria on Wednesday after a child on board was suspected of being infected with cholera, the fire brigade said.

The eight-year-old child was taken to hospital for checks after suffering bouts of vomiting and diarrhoea during the flight, a fire brigade official said.

A police source said the child’s mother and several passengers sitting near them were also hospitalised. The remaining passengers and crew were being kept on the tarmac before being transported to a decontamination facility for checks, the authorities said.

Ebola – DR Congo

Congo has recorded its first case of Ebola in the eastern trading hub of Butembo, a city of close to a million with strong trade links to neighbouring Uganda, the health ministry said on Wednesday. The current Ebola outbreak is believed to have killed 85 people since July and infected another 39. Most have been in villages but about 20 cases have been in Beni, a city of several hundred thousand people with close links to Uganda


Cholera – Niger

The cholera outbreak in Niger that started in early July has now topped 2,000 cases, according to the World Health Organization. Since the beginning of the outbreak on 5 July 2018, a total of 2,013 suspected cholera cases, including 37 deaths (case fatality ratio 1.8%), have been reported.

Rabies – Myanmar

Officials at Yangon General Hospital in Myanmar reported at least 18 human deaths due to rabies during the first eight months of the year, according to a Myanmar Times report today. This total is only for those treated at the Yangon hospital and does not include numbers from other hospitals across the country.

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

Since March 2013, when the avian influenza A(H7N9) virus infection was first detected in humans, a total of 1567 laboratory-confirmed human cases, including at least 615 deaths1, have been reported to WHO in accordance with the International Health Regulations. In the latest wave (the 6th wave since Oct 2017), only three human cases have been detected; meanwhile there have been generally fewer A(H7N9) virus detections in poultry and environment samples, according to various reports from mainland China and China, Hong Kong SAR.


Ebola – Democratic Republic of the Congo – Update

On 1 August 2018, the Ministry of Health (MoH) of the Democratic Republic of the Congo declared a new outbreak of Ebola virus disease (EVD) in the town of Mangina, Mabalako Health Zone, North Kivu Province. Confirmed cases have since between reported from Beni and Mandima health zones, Ituri Province; however, all confirmed exposures and transmission events to date have been linked back to the outbreak epi-centre, Mangina. North Kivu and Ituri are among the most populated provinces in the country, share borders with Uganda and Rwanda, and experience conflict and insecurity, with over one million internally displaced people and migration of refugees to neighbouring countries.

As of 15 August 2018, 78 EVD cases (51 confirmed and 27 probable), including 44 deaths, have been reported.1 Since 9 August, 34 new confirmed cases have been reported: seven from Ituri Province (Mandima Health Zone) and 27 from North Kivu Province (one in Beni and 26 in Mabalako health zones). The 78 confirmed or probable cases reside in five health zones in North Kivu and one health zone in Ituri. The majority of cases (39 confirmed and 21 probable) have been reported from Mangina in Mabalako Health Zone. As of 15 August, 24 suspected cases are currently pending laboratory testing to confirm or exclude EVD.

Eight new confirmed cases among health care workers have been reported, bringing the total number of infected health care workers to 10 (nine confirmed and one probable deceased case).

Cholera – West Africa’s Lake Chad Basin

More than 20,000 cholera cases have been confirmed in the Lake Chad Basin states of Nigeria, Niger and Cameroon since January.

In its latest epidemiological analysis of the regional cholera outbreak, the United Nations Children’s Fund (UNICEF) said 255 deaths have been reported since January. “This is 8 times more than the average cholera case-load in the past four years. Nigeria is the most affected, with 18,000 cases. The outbreak has spread into neighboring Cameroon and Niger.


Serbia measles: 5,700 cases in 10 months

Since October 2017, the Republic of Serbia has reported a total of 5715 cases of measles through Aug 10, of which, 2875 were laboratory confirmed at the Torlak Institute. In addition, the total number of registered deaths due to complications caused by measles is 15. The majority of patients (94%) are non-vaccinated, incomplete vaccinated or unknown vaccine status.

Cholera – Niger

According to the authorities, as of 28 July, 520 cholera cases, including eight deaths, have been recorded in the Madaroufa health district, in the southern Maradi region. The number of recorded cases has tripled compared to the previous week when 148 cases had been recorded as of 19 July.


Cholera – NIger

The government of Niger says four people have died while 123 cases are being monitored following the outbreak of cholera in the Maradi region on July 13. The outbreak is concentrated in the Madarounfa district, which sits on the border with Nigeria.

Measles – Mauritius

The World Health Organization (WHO) says 3 people have died while 453 cases of measles have been confirmed since the latest outbreak hit Mauritius late in March.

Schistosomiasis – Myanmar

On Saturday, Union Minister announced the number of schistosomiasis cases has risen into the hundreds. The first cases of schistosomiasis in the country were discovered in March 2018, with about 59 cases in Sittwe Town of Rakhine State. Now officials say that more than 500 cases have been seen Inle, Shan State and Rakhine.

Diarrhoea – Philippines

A Philippine News Agency report last week stated 169 people were sickened with diarrhea and vomiting symptoms recently in Sibulan, Negros Oriental due to what is believed to have been fecal contamination of water sources. Majority of the cases are from Barangay Looc, Sibulan, near a quarry site. Water samples were found to have fecal contamination.

Malaysia – Hand, Foot and Mouth Disease

Malaysian health officials reported an additional 3,852 cases of hand, foot and mouth disease (HFMD) during the week of July 15-21, bringing the outbreak total for the year to 35,886 cases.