Chikungunya – Italy

As of 14 September, fourteen autochthonous confirmed cases of chikungunya have been diagnosed in Italy, six in Rome and eight in the coastal area of Anzio (Lazio Region). There are additional cases being investigated.

Pneumonic plague outbreak reported in Madagascar

Twenty-two pneumonic plague cases, including five deaths have been reported in Madagascar since August. There was widespread panic in the eastern region of Tamatave which has not seen the plague for 100 years.

During the last decade, the island country reported more than 7,000 human plague cases, second most on the planet. There have been outbreaks every year in Madagascar since 1980, especially fueled by rats fleeing forest fires.

Cholera – Nigeria

The death toll as a result of cholera outbreak in Borno State has risen to 44, the State Commissioner of Health, Dr. Haruna Mshelia revealed on Friday.

The outbreak which has become a yearly occurrence in the troubled state, hit hard at internally displaced persons (IDPs) camps, where many of the death and affected victims were recorded.



Dengue Fever – Sri Lanka

As the Sri Lanka Health Ministry outlines plans to launch National Mosquito Control Week later this month, the total case count in the country has topped 150,000 cases, more than three times the numbers reported in 2016 at this time.

Cholera – Democratic Republic Congo

The World Health Organization on Saturday sounded the alarm over a cholera outbreak in the Democratic Republic of Congo which has already claimed 528 lives and reached “worrying proportions”.

The UN says cholera is a major public health problem in the country with millions of cases registered every year. Last year, the disease claimed 817 lives there, according to the WHO.

As of September 2, Congolese authorities had recorded 24,217 suspected cases. The outbreak has affected several cities and towns in the east, west and north, as well parts of the capital Kinshasa.


Brazil announces end of yellow fever outbreak

The Brazilian Ministry of Health announced Wednesday the end of the yellow fever outbreak. The last case was registered in June. The outbreak that started in Dec 2016 accounted for 777 confirmed cases and 261 deaths. The southeastern region was the hardest hit seeing the vast majority of cases. Nearly 37 million yellow fever vaccine doses were dispensed.

Cholera Outbreak in the Philippines

More than 100 people have been sickened by cholera in a barangay, or village near the beaches in the municipality of Oas in Albay province, according to an Abante report. One individual has died. The outbreak began Saturday when residents of the area started reported symptoms of vomiting and diarrhea.

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

Between 13 and 30 August 2017, the National IHR Focal Point of Saudi Arabia reported 12 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV), including one death and, and one death from a previously reported case.

Foot and Mouth Disease – Zimbabwe

The government of Botswana announced on Thursday that it has donated a vaccine for Foot and Mouth Disease (FMD) to neighbouring Zimbabwe in order to assist the country to tackle the current disease outbreak. Botswana, once an avid exporter of beef to the European Union (EU) faced serious challenges with several outbreaks of FMD over the last couple of years, greatly jeopardizing the growth of the country’s beef sector. Most of the previous FMD outbreaks in Botswana started in the northern and northwestern regions of the country, where it shares a border with Zimbabwe.


Nigeria – Cholera

Cholera has broken out in northeast Nigeria at a camp for people displaced by the eight year conflict with Boko Haram, aid group Médecins Sans Frontières said on Thursday, bringing disease to communities already underfed and living in squalor.

About 1.8 million have abandoned their homes because of violence or food shortages, U.N. agencies say, and many of them live in camps for the displaced throughout northeast Nigeria, particularly in Maiduguri and the surrounding state of Borno.


Yemen – Cholera Epidemic Rages on

The total number of suspected cholera cases in Yemen this year hit the half a million mark on Sunday, and nearly 2000 people have died since the outbreak began to spread rapidly at the end of April. From Apr. 27 through Aug. 13, 503,484 suspected cases have been reported, including 1,975 deaths.

The overall caseload nationwide has declined since early July, particularly in the worst affected areas. But suspected cases of the deadly waterborne disease continue to rage across the country, infecting an estimated 5000 people per day.

Fleas in Arizona test positive for plague

Health officials in Arizona have issued a public warning after fleas in the state tested positive for the plague, the highly infectious disease which tore through Europe and killed millions in the Middle Ages.

Navajo County and Coconino County district officials in the northern part of the state have confirmed that fleas in the area tested positive for the disease.

The disease can be transmitted to humans and other animals by the bite of an infected flea or by direct contact with an infected animal.

Plague tends to occur in rural and semi-rural areas in the west of the US, in particular New Mexico, Arizona and Colorado.


Botulism in Portugal

Portugal health officials have confirmed a small botulism outbreak in the northeastern region of the country. Four cases of food-borne botulism related to the consumption of homemade smoked ham in mid- July were confirmed in Bragança district.

Nigeria: Lassa fever

In the past three weeks, active transmission of Lassa fever has been reported in five states (Bauchi, Edo, Ogun, Ondo, and Plateau) of Nigeria. 13 new suspected cases were reported from four states during the last week of July, namely: Plateau (5), Ondo (5) Bauchi (2), and Ogun (1), including two deaths.

Cholera Outbreak in Somaliland

The people of Somaliland – a state which declared independence from the rest of Somalia – are suffering from malnutrition caused by three years of drought. The children in the region, already weakened by hunger and illness, are now at risk of contracting the deadly disease cholera. The deadly disease is one of the fastest spreading in Somaliland and is claiming the lives of many, from the old to the very young. In some areas 500 new cases are reported each day.


Portugal hepatitis A

In a follow-up to the hepatitis A outbreak in Portugal this year, 402 cases have been confirmed since the beginning of the year, according to local media (computer translated). The majority of cases occurred in the Lisbon and Tagus Valley regions. This is up from 322 cases one month ago.

Cholera cluster reported in Misamis Oriental, Philippines

T In a follow-up to a report on a diarrhea outbreak in Misamis Oriental, Philippines, the Department of Health (DOH) noted the clustering of Cholera cases in the Municipality of Medina. 557 suspect cases were identified in 17 of 19 barangays of the municipality from June 1 to July 17, with cases noted to peak in June 29 to July 1. Two deaths due to severe dehydration were reported.

Diphtheria cases continue spread in Venezuela

The vaccine-preventable disease was reportedly eradicated in Venezuela decades ago; however, it saw a reemergence in 2016 with 324 cases.

According to a Reuters report this weekend, Venezuela notified the World Health Organization (WHO) of around 123 cases of suspected diphtheria between January and mid-June, bringing the total number of suspected cases in the past year to 447, according to a Cuban health ministry web page which reported the figures.

Getting official figures from the Venezuelan Health Ministry has been difficult as the Epi Bulletin is rarely published.

The crisis in Venezuela is immense with skyrocketing inflation rates, food and medicine shortages and incredible violence and civil unrest. The health care crisis has showed us hospitals with no supplies, a lack of running water and electricity, a malaria epidemic and the resurgence of diphtheria after 24 years.


Canada cyclospora outbreak – Update

The number of cases in the Cyclospora outbreak in British Columbia and Ontario has nearly doubled since the last report two weeks ago. Since July 14, 47 additional cases were reported. A total of 104 cases have been reported in two provinces: British Columbia (6) and Ontario (98). The source of the outbreak has not been identified.

Texas: Cyclospora

Less than two weeks after issuing a health advisory, the Texas Department of State Health Services (DSHS) is reporting 145 cases of infection with the parasite, Cyclospora.

Long-lasting illnesses caused by the parasite, with symptoms like watery diarrhea, loss of appetite and fatigue, have been seen in various parts of the state and have prompted public health experts to advise health care providers and the public to be aware of the symptoms and pursue testing when needed.

Somalia: Cholera

The Ministry of Health of Somalia has reported 1068 acute watery diarrhea (AWD)/cholera cases and 3 deaths for week 28 (10 – 16 July 2017) with a case-fatality rate of 0.3%.

The cumulative number of cases stands at 58,524, including 812 deaths, in 15 regions across the country. The overall case-fatality rate of 1.4% remains above the emergency threshold of 1%. However, the cholera outbreak which started in January 2017 is slowing down, thanks to timely interventions by WHO, national health authorities and health partners.


Yemen: Cholera outbreak Update

Through July 25, 2017, the number of suspected cholera cases reported in the Yemen epidemic has surpassed 400,000 since April, 27, 2017. In three months, 402,484 suspected cholera cases and 1,880 deaths (CFR: 0.5%) have been reported in 91.3% (21/23) of Yemen governorates, and 88.9% (296/333) of the districts.


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.


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.


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.


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.


Polio: Syria Update

In a follow-up on the polio outbreak in Syria, five new cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) were reported in the past week, bringing the total of cVDPV2 cases to 22.

Yemen – Cholera Epidemic Update

The Ministry of Public Health and Population of Yemen has recorded a total of 39,688 suspected cholera cases and 183 associated deaths during the past week 22 to 27 June 2017. According to a World Health Organization Daily Epidemiology update today, 231,364 suspected cholera cases and 1,439 deaths have been recorded since April 27.