Disease

Measles – Ukraine – Update

Ukraine health officials report an additional 2,611 measles cases the week ending Dec. 8, including 847 adults and 1,764 children. Since the beginning of 2018, 44,937 people (17,418 adults and 29,519 children) have contracted measles in Ukraine, including 15 deaths.

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Disease

Chagas Disease – Brazil

The Tocantins State Department of Health in Central Brazil is reporting 14 confirmed Chagas disease cases after a family consumes contaminated juice in Aparecida do Rio Negro. All the infected are from the same family and drank the juice of the bacaba, a type of palm tree from the Amazon.

Hepatitis A – Florida, USA

In a follow-up on the hepatitis A outbreak in Florida, state health officials reported 100 cases in the month of November. This brings the total this year to 413 in 30 counties. The central Florida region has the highest hepatitis A activity levels so far this year.

Measles – Madagascar

In a follow-up on the measles epidemic in Madagascar, the Ministry of Health reports that the number of measles cases in the current outbreak has topped 10,000. 10,294 cases have been reported from 44 districts in Madagascar in the past three months.

Anthrax – Kenya

Health officials in Igembe, Meru County have issued a warning to the public concerning consuming uninspected meat after four people died from anthrax in Nyambene.

Disease

Middle East respiratory syndrome (MERS) – Saudi Arabia

In a follow-up on the Middle East respiratory syndrome (MERS) situation in the Kingdom of Saudi Arabia, the Ministry of Health (MOH) reports a second case of Middle East Respiratory Syndrome coronavirus (MERS-CoV) for the month of December.

Zika Virus – Rajastan

An outbreak of Zika virus infection in Rajasthan, India and surrounding states has prompted the Centers for Disease Control and Prevention (CDC) to issue a travel notice for the region.

Zika is endemic (regularly found) in India. However, there is an unusual increase in the number of Zika cases in Rajasthan and surrounding states. Over 280 cases of Zika virus infection, including two deaths, were reported from three states from September to November.

Disease

Lassa Fever – Benin

Benin health officials announced this week of three Lassa fever cases (2 confirmed, 1 probable) reported in the municipality of Parakou in Borgou Department in the northern part of the country.

Chikungunya – Thailand – Update

Since our last report on the chikungunya outbreak, primarily in the southern provinces of Thailand one month ago, the number of cases has quadrupled from 538 to 2,143 cases through Dec. 10. No deaths have been reported.

Disease

Plague count grows in Madagascar

In an update on the human plague situation in Madagascar this season, since early August, 124 cases of plague have been recorded with 91 bubonic form (73.4 %), 31 pulmonary form (25%), 1 septicemia case and one unspecified.

Ebola Update – DR Congo

In a update on the Ebola Virus Disease (EVD) outbreak in North Kivu and Ituri provinces, the Democratic Republic of the Congo Health Ministry is now reporting 498 cumulative cases (450 confirmed) and 285 deaths (237 confirmed).

Disease

Leisgmaniasis – Uruguay

Uruguay health officials reported the first human leishmaniasis case in a minor from Salta, according to a news release Wednesday. The sandfly vector was first found in the country in 2010 and canine infections had been reported prior to this human case.

Epidemic and emerging disease alerts in the Pacific

An increasing number of dengue positive cases (serotype unknown) has been reported in Nauru. From 25 October to 5 December 2018, 114 samples were tested in the laboratory using NS1Ag Combo and 42 were positives..

Diarrhoea outbreak in Yap State, Federated States of Micronesia: A total of 270 diarrhoea cases were reported from September 4th to November 30th, 2018. The Majority of cases are children under 4 years of age.

Three (3) imported cases of DENV-1 with travel history to Nauru were reported by Queensland Health (notifiable conditions data).

Eighteen (18) imported cases of dengue (4 cases of DENV-1, 1 case of DENV-2, 7 cases of DENV-4 and 6 cases of dengue serotype unknown) with travel history to Papua New Guinea were reported by Queensland Health (notifiable conditions data).

Disease

Typhoid – Fiji

The Fiji Health Ministry is reporting a typhoid outbreak in Naitasiri subdivision. To date, 31 confirmed typhoid cases have been reported and an additional 14 cases are classified as suspected at this time. The source of the outbreak is still under investigation.

Hepatitis A – West Virginia, USA

In a follow-up on the hepatitis A outbreak in West Virginia, through Dec. 7, 2,018 Hepatitis A outbreak cases have been reported, including 5 fatalities. Slightly more than half the cases required hospitalization (1035).

Foot and Mouth Disease – Vietnam

A new outbreak of foot-and-mouth disease has been reported among pigs in Hanoi’s Ba Vi District. Local reports say 261 pigs belonging to 19 households in six communes of the rural district have been affected by the disease. The Ministry of Agriculture and Rural Development’s Department of Animal Health has asked provincial authorities to kill the affected pigs. Local veterinary units have initiated vaccinations of cattle in the area and disinfected the infected farms with chemicals and lime powder in an effort to control the spread of the disease.

Disease

Ebola – DR Congo

The second-largest Ebola outbreak in history has spread to a major city in eastern Democratic Republic of Congo, as health experts worry whether the stock of an experimental vaccine will stand up to the demands of an epidemic with no end in sight.

Butembo, with more than 1 million residents, is now reporting cases of the deadly hemorrhagic fever. That complicates Ebola containment work already challenged by rebel attacks elsewhere that have made tracking the virus almost impossible in some isolated villages.

Sweden – Ancient Strain of Plague Discovered

In a nearly 5,000-year-old tomb in Sweden, researchers have discovered the oldest-known strain of the notorious bacterium Yersinia pestis — the microbe responsible for humanity’s perhaps most-feared contagion: the plague.

The finding suggests that the germ may have devastated settlements across Europe at the end of the Stone Age in what may have been the first major pandemic of human history. It could also rewrite some of what we know of ancient European history.

The researchers discovered the previously unknown strain of plague in the remains of a woman at the Frälsegården excavation site. The limestone tomb was dated to the Neolithic, or New Stone Age, the period when farming began.

Disease

Ebola – DR Congo

During the reporting period (28 November – 4 December 2018), 35 new cases were reported from nine health zones in North Kivu and Ituri provinces: Beni (8), Komanda (eight), Katwa (eight), Vuhovi (three), Kalunguta (two), Butembo (two), Mabalako (two), Masereka (one), and Mutwanga (one).

Anthrax – Zimbabwe

A suspected anthrax outbreak in one of Zimbabwe’s famous parks has resulted in the death of some 100 impala, according to a news report. Zimbabwe state wildlife authority confirmed the outbreak at Mana Pools National Park.

Disease

Dengue Fever – Cambodia

Cambodian health officials are reporting an increase in the number of dengue fever cases in 2018. According to the National Centre for Parasitology, Entomology and Malaria Control (CNM), there have been 15,233 cases of dengue fever to date, which is about 50 percent higher compared to last year (11,000). In addition, 16 dengue related fatalities have been reported.

Disease

Hepatitis E – Central African Republic

In a follow-up on the hepatitis E outbreak in Bocaranga-Koui Health District, Central African Republic, since late October, 67 new cases of acute jaundice syndrome were reported, of which 51 were confirmed with hepatitis E virus infection. As of 23 November 2018, a total of 119 cases of acute jaundice syndrome were recorded, including two deaths.

Disease

Measles – Madagascar

The Centers for Disease Control and Prevention (CDC) has issued a travel advisory for Madagascar due to a large measles outbreak on the island country. Since the first measles cases were reported in the urban health district of Antananarivo Renivohitra (in the heart of the capital city, Antanarivo), health officials have seen 3,239 laboratory confirmed or epidemiologically linked cases.

Disease

African Swine Fever – China

China has confirmed a new outbreak of African swine fever in the municipality of Tianjin, the Ministry of Agriculture and Rural Affairs said Friday. The outbreak was found on a farm with a total of 361 pigs in the Ninghe district of Tianjin, among which 67 were confirmed to have died from the disease, the ministry said, citing a China Animal Disease Control Center report. Local authorities have initiated an emergency response to block, cull and disinfect the affected pigs.

Poliovirus – Afghanistan

UN health officials are reporting the 20th wild poliovirus case in Afghanistan, making it the most cases seen in the country since 2015. The latest case reported is from Shaheed-e-Hassas district of Urozgan province– a 3-year-old boy who is now permanently paralyzed by the poliovirus.

Fourteen cases have been reported in the south of the country and six cases in the east. From the south, nine cases have been reported in Kandahar, three cases in Helmand and two cases in Urozgan and from the east, three cases in Kunar, two cases in Nangarhar and one case in Nuristan.