E Coli – Sweden

Swedish health officials (Folkhalsomyndigheten) report investigating an E. coli O157:H7 outbreak that has sickened more than 50 people to date. The cases have been reported from several counties, but mostly from Uppsala and Västra Götaland. Both children and adults have fallen ill.


Ebola – Democratic Republic of the Congo – Update

On 1 August 2018, the Ministry of Health (MoH) of the Democratic Republic of the Congo declared a new outbreak of Ebola virus disease (EVD) in the town of Mangina, Mabalako Health Zone, North Kivu Province. Confirmed cases have since between reported from Beni and Mandima health zones, Ituri Province; however, all confirmed exposures and transmission events to date have been linked back to the outbreak epi-centre, Mangina. North Kivu and Ituri are among the most populated provinces in the country, share borders with Uganda and Rwanda, and experience conflict and insecurity, with over one million internally displaced people and migration of refugees to neighbouring countries.

As of 15 August 2018, 78 EVD cases (51 confirmed and 27 probable), including 44 deaths, have been reported.1 Since 9 August, 34 new confirmed cases have been reported: seven from Ituri Province (Mandima Health Zone) and 27 from North Kivu Province (one in Beni and 26 in Mabalako health zones). The 78 confirmed or probable cases reside in five health zones in North Kivu and one health zone in Ituri. The majority of cases (39 confirmed and 21 probable) have been reported from Mangina in Mabalako Health Zone. As of 15 August, 24 suspected cases are currently pending laboratory testing to confirm or exclude EVD.

Eight new confirmed cases among health care workers have been reported, bringing the total number of infected health care workers to 10 (nine confirmed and one probable deceased case).

Cholera – West Africa’s Lake Chad Basin

More than 20,000 cholera cases have been confirmed in the Lake Chad Basin states of Nigeria, Niger and Cameroon since January.

In its latest epidemiological analysis of the regional cholera outbreak, the United Nations Children’s Fund (UNICEF) said 255 deaths have been reported since January. “This is 8 times more than the average cholera case-load in the past four years. Nigeria is the most affected, with 18,000 cases. The outbreak has spread into neighboring Cameroon and Niger.


Leptospirosis – Israel

Israeli health officials are reporting 27 leptospirosis cases up to now, about half of them had been hospitalized. Hundreds more who visited the streams are expected to be examined, the ministry said. The bacterial infection has been linked to swimming in streams in the southern Golan Heights.

Foot and Mouth Disease – China

China’s Ministry of Agriculture reported on Tuesday an outbreak of foot and mouth disease in its central province of Henan. The O-type strain of the disease was found in five pigs at a slaughter plant, leading to the culling of 173 pigs, the ministry said, adding that the outbreak was under control. This is the seventh case of the O-type strain of the disease found in livestock this year.


Serbia measles: 5,700 cases in 10 months

Since October 2017, the Republic of Serbia has reported a total of 5715 cases of measles through Aug 10, of which, 2875 were laboratory confirmed at the Torlak Institute. In addition, the total number of registered deaths due to complications caused by measles is 15. The majority of patients (94%) are non-vaccinated, incomplete vaccinated or unknown vaccine status.

Cholera – Niger

According to the authorities, as of 28 July, 520 cholera cases, including eight deaths, have been recorded in the Madaroufa health district, in the southern Maradi region. The number of recorded cases has tripled compared to the previous week when 148 cases had been recorded as of 19 July.


West Nile Virus – Romania – Update

In a follow-up on the West Nile virus (WNV) situation in Romania, since the start of surveillance on May 2, 2018, 23 meningitis / meningo-encephalitis cases have been reported due to West Nile virus infection and one death.


Spain: Crimean-Congo hemorrhagic fever

On 8 August 2018, a case of Crimea-Congo virus infection, acquired locally, was reported in Spain, in the Autonomous Community of Castile and León. The affected man claimed to have been bitten by a tick on July 24, while participating in a hunt in a rural area.

Anthrax – China

Local government officials in northeast China’s Heilongjiang Province are reporting an outbreak of cutaneous anthrax. As of Friday, one patient has been discharged and 13 others are undergoing hospital treatment in three cities. Local authorities are examining the pathogens. A total of 818 sheep in the affected and high-risk areas in Huanan and Yilan counties have been investigated.

Ebola – DR Congo – Update

The Democratic Republic of the Congo Ministry of Health (MOH) has provided updated information on the Ebola Virus Disease (EVD) outbreak in North Kivu province that shows there is now a total of 49 cases of hemorrhagic fever have been reported in the region, 22 confirmed and 27 probable. 53 suspected cases are under investigation. One new confirmed EVD death has been reported in Beni, bringing the death total to 38.


Typhoid – Zimbabwe

Five people have died while 350 others have tested positive for typhoid in Gweru, the third largest city in Zimbabwe. The disease was initially thought to be confined to four villages of the city oldest, largest and most-run down high density suburb of Mkoba. However, Dr Parirenyatwa said it has spread to all parts of the city since detection on July 23.

Preliminary investigations suggest the outbreak was caused by the widespread consumption of contaminated water from council taps and boreholes.


Mad Cow Disease reported in Mongolia

The Mongolia Ministry of Food, Agriculture and Light Industry is reporting two cases of mad cow disease, or bovine spongiform encephalopathy (BSE) in the northern Darkhan-Uul Province. Officials have been instructed to take all necessary measures to prevent the disease from spreading to other places.

Syphilis – Victoria, Australia

Notifications for primary and secondary syphilis reached a record high Victoria in 2017, according to health officials. A total of 1,337 cases of infectious syphilis were notified in Victoria.


Measles – Ukraine – Update

In a follow-up on the measles outbreak in Ukraine, the Center for Public Health of the Ministry of Health of Ukraine reported an additional 755 cases in the past week, bringing the total to 28,185 this year. The death tally remains at 13.


Nipah virus – India

As of 17 July 2018, a total of 19 Nipah virus (NiV) cases, including 17 deaths, were reported from Kerala State: 18 of the cases were laboratory-confirmed and the deceased index case was suspected to have NiV but could not be tested. The outbreak was localized to two districts in Kerala State: Kozhikode and Malappuram. No new cases or deaths have been reported since 1 June 2018 and, as of 30 July, human-to-human transmission of NiV has been contained in Kerala State.

Circulating vaccine-derived poliovirus type 2 – Nigeria

On 5 June 2018, a circulating vaccine-derived poliovirus type 2 (cVDPV2) outbreak was confirmed in Sokoto State, Nigeria. From 30 January through 23 May 2018, ten environmental samples collected from two collection sites all tested positive for genetically-related VDPV2 viruses. No associated cases of acute flaccid paralysis (AFP) have been detected with this cVDPV2.

Hepatitis A – Arkansas, USA

In a follow-up on the hepatitis A outbreak in northeastern Arkansas, state health officials are now reported 77 cases since February, more than double the number of cases reported in mid-June.

African swine fever, Anthrax: Romania

Romania’s veterinary authority (ANSVSA) is reporting (computer translated) some 500 outbreaks of African swine fever (ASF) over the past year.

Officials say in the SE area of Romania, the evolution of the disease is aggressive. The disease was confirmed in 84 localities in the counties of Tulcea, Constanţa, Braila, Ialomita and Galati. 11,772 domestic pigs were killed in households and 49,647 pigs were slaughtered in 3 commercial farms through Thursday.

The National Sanitary Veterinary and Food Safety Authority in Bucharest, Romania has reported a confirmed anthrax case in a pig on a farm in the town of Saveni near the Moldova border. The infection killed the one pig and 13 others are considered at risk.


Scrub Typhus – Nepal

The Nepal Epidemiology and Disease Control Division reported that as of Aug. 1, there has been 105 scrub typhus cases reported in the country in just the past two months.

Scrub typhus, caused by the bacterium Orientia tsutsugamushi, which is transmitted by chiggers encountered in high grass and brush, is endemic in northern Japan, Southeast Asia, the western Pacific Islands, eastern Australia, China, maritime areas and several parts of south-central Russia, India, and Sri Lanka. More than 1 million cases occur annually. Scrub typhus kills at least 140,000 people a year in the Asia-Pacific.

Swine Flu – Michigan, USA

Michigan Michigan state and local health officials have identified two confirmed cases of influenza A in individuals with exposure to swine at the Fowlerville Family Fair in Livingston County. The fair took place July 23-28, and several pigs from the fair tested positive for swine flu on July 27.


Ebola – DR Congo

The Democratic Republic of the Congo (DRC) Ministry of Health reported today (computer translated) that some 33 deaths are suspected linked to the latest Ebola Virus Disease (EVD) outbreak in the country.

Greece – West Nile Virus

Greek health officials have reported 21 additional confirmed human West Nile virus (WNV) cases during the past week, bringing the country total to 43 in 2018. Of the total, 35 presented with neuro-invasive disease (WNND, encephalitis and/or meningitis and/or acute flaccid paralysis) and eight (8) cases with mild symptoms (febrile syndrome).


Chikungunya – Philippines

The Municipality of Maripipi, in the province of Biliran, Philippines was declared under state of calamity this week due to a chikungunya outbreak. As of Aug. 2, there were 101 cases of chikungunya reported in the city.


African Swine Fever – China

China reported its first outbreak of the deadly African swine fever (ASF) on Friday, as authorities in Liaoning province in the country’s northeast culled almost 1,000 hogs and rushed to control the highly contagious disease.

News of the infection will stoke concern about its spread in the world’s largest pig herd, and possibly to Japan, the Korean Peninsula and other parts of Asia. Cases have been recorded across Europe, Russia and sub-Saharan Africa, but it has never occurred in East Asia until now, according to the United Nations’ Food and Agriculture Organisation (FAO).

Some 913 hogs were slaughtered near Shenyang, capital of Liaoning, and the outbreak has been effectively contained, the Chinese provincial animal health bureau said.

West Nile Virus – Italy

Authorities in the northern Italian region of Veneto have diagnosed 19 with the mosquito-borne illness which can lead to meningitis or encephalitis in severe cases.


Reunion dengue outbreak update

Health officials in Reunion are reporting an additional 59 dengue fever cases from the week of July 16, bringing the outbreak total to 6,345 cases confirmed since the beginning of 2018 (including 5 imported from Polynesia, Brazil and Thailand). To date, 134 patients required hospitalization and one death has been assessed as indirectly related to dengue fever.

Measles – Ukraine – Update

In a follow-up on the measles outbreak in Ukraine, the Center for Public Health of the Ministry of Health of Ukraine reports 822 cases in week 30 of 2018, bringing the case total to 27,502 this year. The good news is Ukraine officials are reporting a 7 percent decrease in cases compared to the previous week.