Toxoplasmosis – Brazil

The number of confirmed cases of toxoplasmosis in Santa Maria, in the Central Region of Rio Grande do Sul, rose to 569, according to a report released Monday (June / 2018) by the municipal and state health departments. According to the document, of the confirmed cases, 50 are pregnant women.

Cholera – Nigeria

At least 10 people have died of cholera in a new outbreak that has affected 60 more people in the Niger State of central Nigeria. In a short statement, the Niger State government health department said the outbreak is confined to the Bida local government area.

Foot and Mouth Disease – Botswana

Botswana notified its trading partners on Tuesday of a suspected outbreak of foot and mouth disease in cattle in its Ngamiland district and said it had banned meat exports from the area, adding there was no impact on exports to the European Union.

African Swine Fever – Latvia

A second outbreak of African swine fever (ASF) among domestic pigs this year has been registered Strautini farm in Kursisi county, Saldus region in western Latvia, the Latvian Food and Veterinary Service said. A quarantine zone has been established, and biosafety measures in nearby farms will be scrutinized.



Kentucky hepatitis A outbreak, USA – Update

In an update on the Kentucky hepatitis A outbreak, the Kentucky Department for Public Health (DPH) has now reported 761 outbreak cases, including 467 hospitalizations as of June 2. In addition, 6 hepatitis A related deaths have been reported.

Rabies – Malawi – Cholera

The Malawian government says 22 people have died of rabies since the confirmation an outbreak in the Mount Mulanje province since July last year. 1 600 cases of infectious dog bites have been reported in the same period. The disease has killed 74 dogs across the province. The government does not have the 17 million Kwacha required for the acquisition of sufficient vaccines to run mass treatment and immunization programmes for people, dogs and cats.

Meanwhile, a new cholera outbreak has killed 1 person and infected 100 people in the Salima area of central Malawi. The resurgence of the disease came exactly one month after the World Health Organisation (WHO) declared the area cholera-free following a prolonged epidemic that began late in 2017.


Foot and Mouth Disease – Botswana

The Botswana Ministry of Agricultural Development and Food Security has confirmed a new outbreak of foot-and-mouth disease in the Ngamiland District, about 1,500 km north-west of the capital Gaborone. In a statement issued on June 13, the Department of Veterinary Services (DVS) said five cattle have since been quarantined after exhibiting suspicious symptoms consistent with FMD.

Kenya – Multiple Outbreaks

The Kenya Ministry of Health reported this week on the outbreak situation in several counties throughout the country in 2018 to date to include cholera, measles, chikungunya and Rift Valley fever (RVF).

Cholera – A total of 4,954 cholera cases had been reported since the beginning of the year, including 75 deaths. Nineteen counties have been affected–Mombasa, Garissa, Siaya, Tharaka-Nithi, Meru, Kirinyaga, Busia, Tana River, Turkana, Murang’a, Trans Nzoia, West Pokot, Nairobi, Nakuru, Isiolo, Machakos, Elgeyo-Marakwet, Kiambu and Kilifi.

Measles – Outbreaks were reported in Wajir and Mandera counties in February with 39 and 103 cases recorded, respectively. The outbreaks have since been contained.

Chikungunya – Outbreaks of this mosquito borne viral disease have been reported from three counties: Mombasa (1302), Lamu (199) and Kilifi (7). These outbreaks have also since been contained.

Rift Valley fever (RVF) – The RVF fever outbreak in Kenya was confirmed on June 7 in humans. A total of 15 cases, including five deaths have been reported from Wajir, Eldas and Wajir sub-counties.


Cholera – Nigeria

With the onset of the rains, there has been an increase in the number of Cholera cases reported in Nigeria in the last three weeks prompting the Nigeria Centre for Disease Control (NCDC) to issue a public health advisory.

While endemic in Nigeria, there have been confirmed outbreaks of Cholera in Adamawa, Bauchi, Borno, Kano, Plateau, Yobe, Nasarawa, Anambra and Zamfara States. An ongoing strike action by some health workers in the country is affecting the provision of care in health facilities in many States.

Ebola – DR Congo

The French news agency AFP is reporting five new suspected cases of the deadly Ebola virus in the Democratic Republic of the Congo. AFP reported Saturday that DRC health authorities had recorded two new cases of illness in the Wangata area and three new cases in Bikoro. Both areas are in the northwest Equateur province.


Uganda – Cholera

With the current rainy season and the worsening slum conditions in and around Kampala district, the city didn’t wait long to face another cholera outbreak. Since February this year, most parts of the country have been struggling with cholera as a result of heavy rains. On Friday 4th May 2018, the Ministry of Health in Uganda declared another cholera outbreak in Kampala.

Chad – Measles, Meningitis

Since the start of the year, 400 measles cases, including 14 deaths, were reported as of 20 May compared to 205 cases and one death over the same period in 2017. Three districts have reached the epidemic threshold.

In addition, 218 meningitis cases and 34 deaths were recorded as of 20 May. Over the same period in 2017, 181 cases including 16 deaths were reported. Infections in Zour district in the northern Tibesti region reached epidemic levels in early May, while Goundi district in the south remains in alert phase.


Nipah Virus – India – Update

In a follow-up on the Nipah virus outbreak in Kerala state, India, the Ministry of Health provided the following numbers as of May 24:

Total number of confirmed cases: 13

Total number of suspected cases: 16

Total number of deaths: 11

Measles – Japan – Update

A measles outbreak that began in March in Okinawa has grown to near 150 cases across the country, according to the Japanese National Institute of Infectious Diseases (NIID). As of May 16, 149 cases have been confirmed including the 99 in Okinawa. In addition to Okinawa, health officials have reported 23 cases in Aichi, 17 in Fukuoka and at least two in Tokyo.

Cholera – Nigeria

A cholera outbreak has killed 12 people and may have infected at least 134 others in the northeast Nigerian state of Adamawa, a medical official said on Wednesday.


Uganda: Cholera, Measles

The Uganda Ministry of Health is reporting is an active Cholera outbreak in parts of Kampala City. A total of 7 cases have been confirmed. Uganda is currently experiencing heavy rains which are likely to result in floods and contamination of water sources because of poor hygiene and sanitation, and high-water table in certain districts.

The Ministry of Health has announced an outbreak of measles in 26 districts across the country. The most affected districts as Amuru in northern Uganda, and Kamuli, Mbale, and Butebo in the east of the country.

England: Measles

In a follow-up on the measles outbreak in England, health officials have reported 440 laboratory confirmed measles cases in England since the beginning of the year. The increase in measles circulation is mainly associated with travel to and from Europe where there are large ongoing measles outbreaks, health officials note.

London has seen the most lab-confirmed cases with 164, followed by the South East (86), West Midlands (78), South West (42) and West Yorkshire (37). Young people and adults aged 15 and over who missed out on MMR vaccine when they were younger and some under-vaccinated communities have been particularly affected.

USA – Salmonella

A salmonella outbreak that led to a recall of nearly 207 million eggs has now sickened nearly three dozen people in states along the East Coast. Thirty-five people — up by 12 over the past few weeks — have been sickened by Salmonella braenderup, the Centers for Disease Control and Prevention said this week. The outbreak, which has been traced to a single egg producer, has resulted in 11 hospitalizations. No deaths have been reported.


Peru alert: Guillain-Barré syndrome

The Peru Ministry of Health announced an investigation into a cluster of Guillain-Barré syndrome (GBS) in the city of Trujillo in the La Libertad Region in the northwestern part of the country.

Eight cases of an acute neurological syndrome compatible with the Guillain-Barré syndrome has been reported between April 21 and May 1 at the Bethlehem Hospital in the city of Trujillo, three of them are in care intensive with assisted breathing. This has prompted officials to call on the public to go to the health facility if they feel sudden muscle weakness.

South Africa: Diphtheria

Health officials in South Africa have issued a health alert due to recent diphtheria cases reported in KwaZulu-Natal Province. Since Mar 30, three diphtheria cases, aged 20, 11 and 10 years, have been reported.

Two of the cases were confirmed toxin-producing Corynebacterium diphtheriae, while another case was classified as probable. This resulted in two fatalities.

Health service providers have been advised that any person who presents with an upper respiratory tract illness characterized by a sore throat, low-grade fever and an adherent (pseudo)membrane of the nose, pharynx, tonsils or larynx should be considered as a suspected case.

Uganda: Cholera

Government has confirmed an outbreak of infectious cholera in the country including Makindye division in Kampala. At least five people have died of cholera across the country in the past few days according to ministry of Health acting director Dr Henry Mwebesa. Three people died in Tororo over the weekend while another two (all Kenyans) also died last week and more than 40 others are currently infected in Amudat district.


Yemen diphtheria and cholera update

As of 14 April 2018, the local health authorities reported a total of 1,584 suspected diphtheria cases including 85 associated deaths (CFR=5.4%).

In week 15, there are 1,942 suspected cases and 2 associated deaths. The cumulative total of suspected cholera cases reported since April 2017 to 14 April 2018 is 1,089,507 with 2,274 associated deaths across the country.


Cholera – Congo – Update

Since mid-March, the Congo Ministry of Health reported a suspected cholera outbreak in Likouala Department, located in the northern part of the country. In a related event, health authorities in Plateau Department reported increasing cases of acute watery diarrhea in Mpouya District in the central part of Congo. As of 19 April 2018, a total of 46 suspected cholera cases, including two deaths (case fatality rate 4.4%) were reported from two departments: Plateaux (34 cases and one death) and Likouala (12 cases and one death).

Cholera – Zimbabwe – Update

A cholera outbreak has been reported in the suburbs of Harare, the capital city of Zimbabwe. Since the beginning of the outbreak on 23 March 2018, a total of 36 suspected/ confirmed cases with three deaths (case fatality rate 8.3%) have been reported, as of 20 April 2018.


Global warming and the spread of vectors carrying viral infection

Spurred on by climate change, international travel and international trade, disease-bearing insects are spreading to ever-wider parts of the world.

This means that more humans are exposed to viral infections such as Dengue fever, Chikungunya, Zika, West Nile fever, Yellow fever and Tick-borne encephalitis.

For many of these diseases, there are as yet no specific antiviral agents or vaccines.

Global warming has allowed mosquitoes, ticks and other disease-bearing insects to proliferate, adapt to different seasons, migrate and spread to new niche areas that have become warmer.

Cholera – Nigeria

The Government of Nigeria is reported more than 600 cholera cases in Kukawa Local Government Area (LGA) in Borno State over the past month. Since Feb. 13, 608 cases including 3 deaths have been reported. The bulk of the cases have been reported from two wards–Doro and Baga.

Lassa Fever – Liberia

Liberia’s Ministry of Health has revealed it is fighting to control an outbreak of Lassa fever which has killed two people since the beginning of March. An official of the ministry told the BBC the outbreak seems under control, as all of the 109 suspected cases had tested negative. They will be officially declared free of the disease by the 25 March.


Yellow fever – Brazil

During the first four weeks of 2018, a rapid increase in the number of confirmed human cases of yellow fever was observed in the states of Rio de Janeiro, São Paulo, and Minas Gerais. From 1 July 2017 through 16 February 2018, 464 confirmed human cases of yellow fever have been reported in Brazil, including 154 deaths.

Cholera – Uganda

Cholera has killed 29 people in Hoima District, medical officers have confirmed. The cholera outbreak was last week confirmed to have hit Congolese refugees in Kyangwali settlement camp who fled from fighting in the eastern Democratic Republic of Congo (DRC). “We have registered 962 (Cholera) cases out of which 29 people have died,” said Dr Joseph Ruyonga, the Hoima district health officer on Tuesday.