Measles and Mumps – Ireland – Update

In an update from the Ireland Health Protection Surveillance Centre (HPSC) on May 20, they report 59 measles and 1224 mumps cases since the beginning of the year. The Health Service Executive (HSE) has confirmed an outbreak of measles in north Dublin and is advising people who think they have measles to stay at home. This is a community outbreak of measles affecting adults and children. There has already been an outbreak of measles reported in Donegal in 2019.



Anthrax – Zimbabwe

Anthrax is suspected in the deaths of several wildlife animals in Zambezi Valley. Several animals have died including at least eight elephants, several buffaloes, impala, hyenas. This follows an outbreak last year that killed more than a dozen hippos in the Binga District of Zimbabwe.

Crimean-Congo hemorrhagic fever (CCHF) – Namibia

The Ministry of Health and Social Services of Namibia officially declared an outbreak of Crimean-Congo hemorrhagic fever (CCHF) on May 6 after reporting a number of cases from different regions of the country.As of 15 May 2019, seven suspected cases of CCHF were reported from five regions, including one laboratory confirmed case, and one death (case fatality ratio 14%).

Measles – Ukraine – Update

Ukrainian health authorities report that the number of measles cases recorded in 2019 to date is very close to 50,000. During the week ending May 18, the Center for Public Health of the Ministry of Health of Ukraine reported an additional 1,935 cases, putting the total at 49,288. In addition, the number of measles-related fatalities has risen to 17 this year.


Measles – New Zealand

Officials with the Auckland Regional Public Health Service (ARPHS) report the number of measles confirmed has now reached 60 to date in 2019. There have now been measles cases in every part of the city.

Typhoid – Pakistan

Pakistan health officials are reporting 2,982 typhoid cases in Karachi through May 14, according to a Pakistan Today report. Of this total, 1765 are typhoid/paratyphoid fever and 1217 are Ceftriaxone-Resistant Salmonella typhi.


Botulism – Argentina

Two people from Villa Urquiza have contracted botulism and health officials have linked it to consumption of hummus. The packaged hummus was from a a firm that marketed -without any type of authorization- vegan products in its Buenos Aires neighborhood of Palermo.

Chikungunya – Thailand – Update

The Bureau of Epidemiology with the Thailand Health Ministry are reporting (computer translated) 3379 chikungunya cases in 23 provinces through May 13. Phuket, Songkla and Ranong have been the most affected by the mosquito borne viral disease. Health officials report the numbers are declining.

Naegleria fowleri – Pakistan

Pakistani news media are reporting an additional case of Naegleria fowleri infection in Karachi. A 34-year old man was infected with the lethal parasite and is struggling for life at a private hospital in the city. Health officials say this is the 3rd case in Karachi this year and the other two cases were fatal.


Measles – Japan

In a follow-up on the measles outbreak in Japan, the National Institute of Infectious Diseases (NIID) in Tokyo reports 467 cases through May 9. This is the highest number of measles cases recorded during the same time period in a decade.

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

From 9 through 30 April 2019, the National International Health Regulations (IHR) Focal Point of Saudi Arabia reported nine additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including three deaths.


Measles – Ukraine – Update

2,285 measles cases – 1,121 adults and 1,164 children, were reported the week ending May 11, according to the Center for Public Health of the Ministry of Health of Ukraine. This brings the number of cases to 47,383 since the beginning of the year, including 16 deaths.

Ebola – DR Congo

Although the security situation has subsided mildly into an unpredictable calm, the transmission of Ebola virus disease (EVD) continues to intensify in North Kivu and Ituri provinces with more than 100 confirmed cases reported this week.


Singapore – Monkeypox

On 9 May 2019, the Ministry of Health (MOH) in Singapore notified WHO of one laboratory-confirmed case of monkeypox. The case patient is a 38 year old Nigerian man who arrived in Singapore on 28 April 2019.

Hepatitis A – New Mexico, USA

In a follow-up on the hepatitis A outbreak in New Mexico, state health officials report 103 confirmed acute hepatitis A virus (HAV) infections with 2 associated deaths in adults ranging in age from 19-64 years in Bernalillo County since the end of October 2018.

HIV – Pakistan

Parents flock to screening rooms set up at a makeshift clinic to test their children for HIV in a village in southern Pakistan, where hundreds of people have been allegedly infected by a doctor using a contaminated syringe.

Health officials say more than 400 people, many of them children, have tested HIV-positive in recent weeks as experts warn of a surge in infection rates across Pakistan, due to the use of unsanitary equipment and rampant malpractice – often at the hands of quack doctors.


Malaria – Madagascar

The Ministry of Public Health in Betroka district, Madagascar are reporting thousands of malaria cases in recent weeks, according to an L’Express report. More than 600 cases of malaria are being reported weekly in the district and more than 2000 cases have been reported in less than a month.


African Swine Fever – South Africa

An new outbreak of African Swine Fever (ASF) has been reported in the Heilbron area of the Free State Province in May 2019, according to the Agriculture, Forestry and Fisheries Ministry Monday. This follows outbreaks in April 2019 in the North West, Mpumalanga and Gauteng provinces.

African Swine Fever – Vietnam

According to the Ministry of Agriculture and Rural Development (MARD), ASF has spread to 2,296 communes, 204 districts of 29 provinces and cities, with a total of over 1.2 million pigs infected and destroyed, which accounts for for over 4 percent of the total pig herd in the country.

MARD noted that although the number of infected pigs accounts for only 4 percent, the speed of spread is very fast, along with favorable weather for disease spread.

Legionnaires Disease – Belgium

At least 16 people in the Evergem municipality of East Flanders province in northern Belgium has been sickened with Legionanaires’ disease, according to the Flemish Agency for Health and Safety. In addition, one patient has died while being treated at Ghent University Hospital


Dengue Fever – Philippines

Philippines health officials reported an additional nearly 800 dengue fever cases during the week ending April 20, bringing the cumulative total to 67,106 cases with 277 deaths.

Elsewhere in Asia, Vietnam has reported a total of 57,880 cases with three deaths.

Dengue infects nearly 400 million people across more than 120 countries each year. Most survive with few or no symptoms, but more than two million annually develop what can be a dangerous dengue hemorrhagic fever, which kills more than 25,000 people each year.


Dengue Fever – Maldives

The Health Protection Agency, Ministry of Health, Maldives is reporting a 200 percent increase in dengue fever cases thus far in 2019 compared to the same period last year. Official data shows 1,912 cases of dengue were reported by the end of last month. This compares with 539 cases reported during the same period in 2018.

Rift Valley Fever – Mayotte – Update

Health officials with the prefecture of Mayotte, ARS Indian Ocean and the Directorate of Food, Agriculture and Forestry of Mayotte (DAAF) reminds the public of the importance of prevention measures to protect against Rift Valley fever (RVF) as it continues to circulate on the island. During the past 2 weeks, 10 new animal foci and 4 new human cases have been reported, a total of 119 animal foci and 130 human cases, since the first cases occurred at the end of November 2018.


Measles – Tunisia

From 1 January through 30 April 2019, the Ministry of Health in Tunisia responded to a large measles outbreak in the country. A total of 3 141 suspected cases, of which 909 (28.9%) were laboratory confirmed and 1 236 (39.4 %) epidemiologically linked cases including 30 deaths (case fatality ratio=1.0 %), have been reported in all of the 24 governorates (range 1 – 1 274). The majority of cases were reported from Kasserine (1 274 cases) and Sfax (212 cases) governorates. In April 2019, four additional governorates were particularly affected with 155, 116, 93 and 69 cases reported from Kairouan, Tunis, Sousse and Nabeul respectively.

Thousands of Working Equids Die in Influenza Outbreak

Tens of thousands of working equids in Western Africa have died in a sweeping equine influenza (EI) outbreak. Official disease notification from Senegal and Nigeria to the World Organization for Animal Health (OIE) indicate more than 40,000 cases have resulted in more than 3,000 equid deaths since mid-December. However, other reports indicate case numbers in other countries, which haven’t submitted official notifications, could be skyrocketing even higher.

“We have received unofficial statistics of 62,000 deaths in Niger alone in donkeys and some horses presenting with symptoms like those we’ve seen in our country, which were confirmed cases of equine influenza,” said Mactar Seck, DVM, program manager at Brooke West Africa, in Dakkar, Senegal. Brooke West Africa is part of Brooke, a U.K.-based international animal welfare charity focusing on improving health and welfare for working horses, donkeys and mules.

As of May 2, Senegal, which has a working equid population of about 1 million, had reported 37,000 cases and 2,700 deaths to the OIE, but it has since recognized thousands more cases and the death toll has risen to more than 6,000, Seck said. The first equine influenza case in that country was reported only six weeks ago, on March 26.


Dengue Fever – Reunion – Update

Health officials in Reunion reported an additional 1322 confirmed dengue fever cases during the week ending April 28. This brings the total cases for the first four months of 2019 to more than 9200. Areas in the south of the island continue to be very active for dengue.

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

From 1 March through 8 April 2019, the National International Health Regulations (IHR) Focal Point of Saudi Arabia reported 45 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including 13 deaths.


Measles – Europe Travel Advisory

More than 34,000 Europeans were infected with the measles during the first two months of 2019, most of whom are in Ukraine but who inhabit 42 countries in all. Measles diagnoses have reached more than 25,000 in Ukraine alone and the disease has killed 13 total among there, Romania and Albania. Outbreaks have also been identified in Thailand, the Philippines and the US. The World Health Organization warns vulnerable people to get vaccinated — especially if they plan on traveling.

Measles can cause blindness, deafness or brain damage, and has no known cure, but can be prevented with two doses of the vaccine.


African Swine Fever – South Africa

Two more outbreaks of African swine fever were detected in South Africa last month, the ministry of agriculture has said, following a spate of the disease in the country’s North West province earlier that month.

The two further outbreaks were detected in the central province of Gauteng, home to the city of Johannesburg, and Mpumalanga, a coal and gold mining province in the east.