Measles et al – Liberia

Sixty-one cases of measles have been confirmed in 13 counties of Liberia amid fresh outbreaks of Lassa fever, Acute Flaccid Paralysis (AFP), neo-natal tetanus, meningitis and yellow fever.

Four cases of Acute Flaccid Paralysis (AFP) have been confirmed in four counties. To date, 31 cases have been reported. Of these, 26 cases have tested negative while test results for 5 are still pending.

Two cases of yellow fever have been confirmed in the Grand Cape Mount and River Gee counties. Forty-four of 48 suspected cases have tested negative while results from two are still pending.

9 suspected Lassa fever cases were reported from the Bong, Margibi, Montserrado and Nimba counties. To date, 116 suspected cases have been reported with 33 deaths.

Typhoid – El Salvador

El Salvador Minister of Public Health said that there is an epidemic outbreak of typhoid fever that has affected some 26 municipalities in the country. Deputy Minister Julio Tobles Ticas with the El Salvador Ministry of Health and Social Assistance (Minsal) was more specific saying they have registered 644 suspected cases of typhoid fever, to date.



Measles – Sierra Leone

The Sierra Leone Ministry of Health and Sanitation has confirmed a new outbreak of measles with 19 confirmed cases registered in the Koinadugu north of the country. There is a high risk of the disease spreading beyond Sierra Leone because the affected district lies on the border with Guinea.

Cyclospora – USA

In a follow-up on the Cyclospora outbreak in the upper-Midwest, health officials from both Wisconsin and Minnesota are reporting increases in cases of the parasitic infection.

In Wisconsin, the bulk of the 98 Cyclospora cases reported this year have been in the past couple weeks. Health officials say dozens of cases are being reported daily and interviews with recently reported patients may not yet be completed.

In Minnesota, state health officials have identified two outbreaks together involving at least three dozen Minnesotans.


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.


Dengue Fever – Reunion – Update

French health officials are reporting 368 additional dengue fever cases during the most recent week, bringing the outbreak total on the island of Reunion to 4292 laboratory confirmed or probable cases since the beginning of the year. Eighty-two people required hospitalization and 10 people were diagnosed with severe dengue.

Dengue Fever – Thailand – Update

In an update on the dengue fever situation in Thailand, the Bureau of Epidemiology, MoPH, Thailand is reporting (computer translated) a total of 14,973 cases from 77 provinces through June 4. This is an increase in about 4,500 cases in the past two weeks. In addition, four more dengue-related deaths have been reported bringing the total to 19.

Measles – Ukraine – Update

According to the operational data of the Center for Public Health of the Ministry of Health of Ukraine, in the 22nd week of 2018, 1132 people (463 adults and 669 children) suffered from measles. This brings the cumulative number of measles cases this year to 19,249 with 40% being adults.

Venezuela – Multiple Outbreaks

The US Center for Disease Control and Prevention (CDC) issued a warning on May 15, 2018 that nonessential travel to Venezuela should be avoided. Venezuela’s health care system has been crumbling as a result of a nationwide socioeconomic and political crisis that began in 2012. As a result, several large outbreaks of infectious disease have been occurring in the South American country, including measles, diphtheria and malaria. At the same time, overall infrastructure has collapsed, with shortages of food, water, electricity, medicine and medical supplies.

As of 2016, Latin America was declared free of measles. Despite this, in the past year, there have been over 1,000 cases of measles reported, and over 50 deaths in Venezuela.

Venezuela had not seen a case of diphtheria for a period of 24 years. However, since 2016, there have been more than 1,602 suspected cases of diphtheria, with 142 deaths and a 14.5% case fatality rate.

Malaria has also been on the rise in Venezuela, making it the country with the highest percentage of malaria cases in the world. There are currently 10 times as many cases of malaria in Venezuela as there were in 2010, with approximately 406,000 cases reported in the past year.

Virus on Wings

The virus responsible for outbreaks of Alkhurma hemorrhagic fever on the Arabian Peninsula and in Egypt may now be airborne in ticks hitching rides northward on migratory birds, researchers warn.

With symptoms similar to those from Ebola, the Alkhurma virus seems to be spread to humans through contact with cattle and camels, or from tick bites. It was first identified in Saudi Arabia during the mid-1990s.

Examination of thousands of ticks removed from migrating birds at several Mediterranean sites found some with Alkhurma virus RNA.

Researchers at Sweden’s Uppsala University warn this means the virus could now fly on to infect people and animals in other areas.


Ebola – DR Congo – Update

In an update on the Ebola Virus Disease (EVD) outbreak in Equateur Province, Democratic Republic of the Congo (DRC), the case counts as of June 1 are as follows: 37 confirmed cases, 13 probable and seven suspected for a total of 57 cases, including 25 deaths since early April 2018.

Chad – Measles – Update

In a follow-up on a previous report on measles in the Central African country of Chad, a measles outbreak has been declared on 30 May in five districts of Chad (Bokoro, Gama, Ati, Am dam and Goz Beida), where 474 cases and 18 deaths have been reported.


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.


Measles in Europe: Significant outbreaks continue

The European Centre for Disease Prevention and Control (ECDC) reported Friday that Romania and France lead EU/EEA countries this year in measles.

The highest number of cases to date in 2018 were in Romania (2,712), France (2,173), Greece (1,948) and Italy (805) respectively. Twenty two deaths have also been reported by these countries in 2018. Additionally, there is an ongoing outbreak in England, UK with 440 confirmed measles cases reported this year.

Cameroon reports human monkeypox infections

On Thursday, Cameroon’s Public Health Minister issued a press statement saying human monkeypox cases have been reported in Njikwa, Momo Division, in the North West Region and Akwaya, Manyu, in the South West Region. The number of cases was not disclosed.


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.


Measles – Ukraine

The Ukraine Center for Public Health of the Ministry of Health reported an additional 1078 people affected by measles: 479 adults and 599 children in the most recent week. Since the beginning of the year, 13,883 people were affected by measles – 5,603 adults and 8,280 children. During this time, eight people died of the complications of the disease.


Measles – Ukraine

In a follow-up on the measles outbreak in Ukraine, the Center for Public Health of the Ministry of Health of Ukraine (computer translated) has reported 9091 measles cases – 3270 adults and 5821 children since the beginning of 2018. In addition, seven fatalities due to complications of measles have been reported this year–five children and two adults.

Massive Egg Recall – Salmonella

On Friday (April 13), egg producer Rose Acre Farms announced that it was recalling about 207 million eggs that came from its North Carolina farm. The eggs were distributed to nine states, and were sold under multiple brand names, according to the Food and Drug Administration (FDA). So far, the outbreak has sickened 22 people.


Measles – France

In a follow-up on the measles outbreak in France, French health officials report an additional 181 measles cases in the past week, bringing the total to 1,605 cases reported since November 6, 2017 (1,547 cases (95%) reported since January 1, 2018). 72 departments reported cases, up from 69 during the last report.

Syphilis – New Zealand

A significant increase in syphilis cases in New Zealand has prompted health officials to urge the public to practice safe sex, including the use of condoms.

The incidence of syphilis has been on the rise in New Zealand since 2012. Provisional data from the Institute of Environmental Science and Research (ESR) Ltd, indicates that the number of syphilis cases reported in 2017 has more than doubled since 2015, with 470 cases reported.


 Meningococcal C outbreak – Fiji

In a follow-up on the meningococcal C outbreak in Fiji, the Ministry of Health and Medical Services (MoHMS) is now reporting 22 confirmed and 16 suspected or probable cases as of Apr. 5. In addition, six fatalities have been reported including 4 confirmed. There has been an average of 2.5 cases per week in the last 4 weeks.

Measles – Romania – Update

Officials with the Romania National Center for Communicable Disease Control and Control reports investigating a 47th measles fatality in Braila County (computer translated). From Jan. 1, 2016 through April 6, 2018, 11,988 measles cases have been confirmed, including 46 deaths. In the past week, officials reported 204 measles cases from 23 counties and Bucharest.


Measles – France

Measles is currently affecting several French regions and the rapid increase in the number of cases since the beginning of the year may give rise to fears of another major epidemic throughout the country. Since the last report, the number of measles cases in France has increased by more than 150 cases, bringing the total since early Nov. 2017 to 1,077 cases.


Lassa Fever – Nigeria

From 1 January through 18 March 2018, 1495 suspected cases and 119 deaths have been reported from 19 states (Anambra, Bauchi, Benue, Delta, Ebonyi, Edo, Ekiti, Federal Capital Territory, Gombe, Imo, Kaduna, Kogi, Lagos, Nasarawa, Ondo, Osun, Plateau, Rivers, and Taraba). 95 deaths were reported.

Measles – Protugal

In a follow-up on the measles outbreak in northern Portugal, the country’s Directorate-General of Health (DGS) reported Thursday (computer translated) that the outbreak total has risen to 66 confirmed cases and another 32 cases under investigation.