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

Middle East respiratory syndrome (MERS) update for November

During the month of November, a total of 8 laboratory-confirmed cases of Middle East respiratory syndrome (MERS) were reported globally (all from Saudi Arabia), including 2 associated deaths.

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

Anthrax – Malawi

Malawi officials are reporting an anthrax outbreak in hippopotami in Liwonde township in the southern part of the country. 25 hippos died in the outbreak. The hippos live and feed along the Shire river.

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.

Disease

Yellow Fever – South Sudan

The South Sudan Ministry of Health on Thursday declared a Yellow Fever (YF) outbreak in Sakure, Nzara County, Gbudue state. Addressing a press conference in Juba, the Acting Minister of Health, urged the general public to be vaccinated against yellow fever to protect themselves from the risk of the yellow fever virus.

Disease

Measles – Ukraine – Update

Ukrainian health officials reported an additional 2,138 measles cases in the past week, up 15 percent from the week prior. During the week ending Nov. 24, 729 adults and 1,409 children were positive for measles. Since the beginning of 2018, the Center for Public Health of the Ministry of Health of Ukraine has reported 42,040 measles cases.

Foot and Mouth Disease – China

China’s agriculture ministry on Tuesday reported an outbreak of O-type foot-and-mouth disease on a pig farm in the country’s northwestern Xinjiang region

The outbreak in Yining county, in Ili prefecture, infected 108 of 331 pigs on the farm, killing 46, the Ministry of Agriculture and Rural Affairs said in a statement. The other 285 pigs have been culled.

Ebola – DR Congo – Update

Last weekend, the Democratic Republic of the Congo (DRC) reported a further 33 cases of the highly contagious disease, bringing the total number to 419. The World Health Organisation (WHO) identified three major ebola “red zones” as Kalunguta, Katwa and Beni – all of which located in the north east of the Congo.

Disease

Anthrax – Namibia

The Ministry of Health and Social Services in Namibia has reported a suspected anthrax outbreak in Opuwo District, Kunene Region, located in the far north-west part of the country.

As of 21 November 2018, a total of 52 suspected cases of anthrax were reported, manifesting either as the cutaneous or the gastrointestinal form of the disease.

About 138 community members reportedly consumed meat from dead goats and/or handled the carcasses, and were administered antibiotic prophylaxis. The veterinary division of the Ministry of Agriculture, Water and Forestry earlier reported that a total of 98 goats, donkeys and cattle died of an unknown cause in the Sesfontein settlement since August 2018.

Madagascar plague update

Madagascar health officials have reported 46 human plague cases since Aug. 1. Of this total, 14 have died. Bubonic plague accounts for 36 of the total cases, including five fatalities. The remaining 10 cases were pneumonic plague. Nine pneumonic plague cases died from their illness.