Dengue Fever – Brazil

Brazil health officials are warning the public of a big increase in dengue fever in the country during the first month of 2019. Through Feb. 2, there were 54,777 probable cases of the disease. The cases are at 26.3 per 100,000 inhabitants.

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

On 6 February 2019, the National IHR Focal Point of The Kingdom of Saudi Arabia notified WHO of an ongoing outbreak of MERS-CoV infection in Wadi Aldwasir city and one of its hospitals. Between 29 January and 13 February 2019, 39 cases of MERS-CoV infection, including four deaths, were reported. At the time of writing, this outbreak remains ongoing.


Chronic Wasting Disease in Deer – Kansas

Officials with the Kansas wildlife department released new numbers of the monitoring of the prevalence of chronic wasting disease (CWD) in Kansas deer in an update and what they report is of the 360 deer tested this year to date, 37 were confirmed positive for the transmissible spongiform encephalopathie (TSE).


Wild Poliovirus – Asia

Officials with the Global Polio Eradication Initiative (GPEI) reported three additional wild poliovirus type 1 (WPV1) cases in the past week–one in Afghanistan and two in Pakistan.

Measles – Philippines

The Department of Health in the region of CALABARZON (Cavite, Laguna, Batangas, Rizal and Quezon provinces) has been one of the hardest hit regions in the Philippines this year when it comes to the measles epidemic. According to health department data, a total of 3,384 measles cases with 83 deaths in the region from January 1 to February 23. Meanwhile the number of measles deaths in the Philippines has risen to 203.

African Swine Fever – China

China on Sunday (Feb 24) confirmed two new outbreaks of African swine fever, one in the northern province of Hebei and the other in the northern region of Inner Mongolia, as the highly contagious disease spreads through the world’s largest hog herd.

The Ministry of Agriculture and Rural Affairs said the first outbreak is on a farm in the Xushui district of Baoding city which has 5,600 hogs, some of which died because of the swine fever, though it did not give a death toll. The farm has been quarantined and the herd slaughtered, it added.

The second outbreak is in the remote Greater Khingan Mountains in Inner Mongolia, where 210 of the 222 wild boar raised on the farm died, the ministry said in a separate statement. The rest have been slaughtered, it said.

China has reported more than 100 cases of the disease in 27 provinces and regions since last August. The disease is deadly for pigs but does not harm humans.


Disease Outbreaks in Sudan

The Sudan Liberation Movement has reported an increase in the cases of pneumonia, diarrhoea, measles and anaemia, and incidences of miscarriage in several areas of Jebel Marra. The rebel movement holds several areas in Jebel Marra under its control, which is the main reason why the Sudanese government does not allow access there for humanitarian aid assistance. The diseases have led to numerous deaths among children.

“These diseases, of which no causes have yet been identified, are increasing,” the movement claimed, expressing its concern for a larger outbreak of diseases in the rebel-hold areas.

The Sudanese government, after its decision to expel international aid organisations from Jebel Marra and Darfur, has prevented the African Union-United Nations Mission in Darfur (Unamid) and humanitarian organisations from reaching the areas under the rebels’ control.


Measles – Japan

According to the Japan National Institute of Infectious Diseases in Tokyo, 167 measles cases have been reported through Feb. 10, making it the worst measles outbreak in the country in 10 years.

Chagas Disease – Mexico

Chagas is a potentially deadly parasitic disease caused by the microorganism, Trypanosoma cruzi. It is transmitted to humans by insects known as kissing bugs, as well as via blood transfusions, organ transplants, during pregnancy and childbirth, and by consuming contaminated foods.

In Yucatan state, Mexico, health officials are reporting an increase in the parasitic disease. Between the Feb. 3rd and 9th, 24 new cases of Chagas disease have been confirmed in Yucatan state. In the month of February, 27 cases have been reported in total to date.

Ebola – DR Congo

The Ebola virus disease (EVD) outbreak is continuing with moderate intensity. Katwa and Butembo remain the major health zones of concern, while simultaneously, small clusters continue to occur in various geographically dispersed locations. During the last 21 days (30 January – 19 February 2019), 79 new cases have been reported from 40 health areas within 12 health zones, including: Katwa (46), Butembo (15), Kyondo (4), Vuhovi (4), Kalunguta (2), Oicha (2), Biena (1), Mabalako (1), Manguredjipa (1), Masereka (1), Mutwanga (1), and Rwampara (1).


Monkeypox – Nigeria – Update

In January this year, the Nigeria Centre for Disease Control (NCDC) six new suspected Monkeypox cases were reported in 4 states (Bayelsa – 2; Rivers- 1; Bauchi – 1; Lagos- 1; Borno – 1; Delta – 1). No deaths were reported.

Malaria – Venezuela

In the deteriorating health care crisis in Venezuela, in a follow-up on the malaria epidemic, the number being floated around unofficially by the Venezuelan Ministry of Health and the Pan American Health Organization (PAHO) is ~430,000 cases for 2018. Local reports estimate there have been more than 1.3 million malaria cases in the country since the epidemic was declared in 2015.


Hepatitis A – Ohio, USA

The number of hepatitis A outbreak cases reported in the Columbus, Ohio/ Franklin County has reached a level which hasn’t been seen in a quarter century, according to Columbus Public Health. Health officials report 247 cases, with 77 percent of cases reported in Columbus. Statewide, the outbreak total in Ohio has risen to 1,746 cases, including more than 1,000 hospitalizations. Six deaths have been reported.

African Swine Fever – Asia

Vietnamese media report that the Vietnam Department of Animal Health announced Tuesday that eight African swine fever (ASF), or swine cholera outbreaks in the two northern provinces of Thai Binh and Hung Yen. ASF virus was discovered in Hung Yens Hung Yen city and Yen My district, and Thai Binhs Hung Ha district. Scores of pigs have been destroyed.

The Chinese Ministry of Agriculture and Rural Affairs reported the first African swine fever outbreak in Yinhai District, Beihai City, Guangxi Zhuang Autonomous Region. The outbreak resulted in the deaths of 924 pigs in two communities with 23,555 live pigs.


Cholera – Uganda

In a follow-up on the cholera outbreak in Kampala, Uganda, health officials reported an update on the cholera outbreak that was declared in the Kampala area in early January. As of Feb. 10, 53 cholera cases, including three fatalities ave been reported across Kampala City and two other districts, Wakiso and Luwero.

Africa: Measles in Madagascar, Chikungunya in the Republic of Congo

In some important infectious disease news out of Africa, the World Health Organization (WHO) updated the world on the measles outbreak in Madagascar. To date, officials have reported 66,000 cases since the outbreak began last September. In addition, at least 922 measles-related fatalities have been reported among children and young adults.

In the Republic of Congo, a Chikungunya epidemic declaration has been issued in the Kouilou and Pool regions, with at least 1043 validated cases. Chikungunya is a mosquito-borne viral disease that is transmitted from human to human by the bites of infected female mosquitoes.


Measles – Philippines

In a follow-up on the measles outbreak in the Philippines, the country’s National Disaster Risk Reduction and Management Council (NDRRMC) reported a dramatic increase in measles cases and deaths. According to the most recent data from the beginning of the year through Feb. 13, a total of 6,921 cases of measles was reported in 17 regions of the archipelago. In addition, officials report the death toll has increased to 115 nationwide.


Dengue Fever – Reunion

Since the beginning of the year, the island of Reunion has seen a 10-fold increase in dengue fever cases as compared to the period in 2018, according to French health officials. From Jan. 1 to Feb. 3, 476 locally transmitted cases have been reported, including 145 in the past week.


Lassa Fever – Nigeria – Update

From 1 January through 10 February 2019, 327 cases of Lassa fever (324 confirmed cases and three probable cases) with 72 deaths (case fatality ratio = 22%) have been reported across 20 states and the Federal Capital Territory, with the majority of cases being reported from Edo (108) and Ondo (103) States.

Ebola – DR Congo – Update

Despite slightly fewer cases reported during the past week, current epidemiological indicators highlight that the Ebola virus disease (EVD) outbreak is continuing with moderate intensity. Katwa and Butembo remain the major health zones of concern, while simultaneously, small clusters continue to occur in various geographically dispersed regions. During the last 21 days (23 January – 12 February 2019), 97 new cases have been reported from 13 health zones.


Measles – Philippines

The Philippines Department of Health in the Eastern Visayas are reporting an increase in dengue fever cases during the first five weeks of 2019. According to the data, the number of cases in the region from Jan. 1 to Feb. 9 totals 1,169 cases.

Dengue Fever – Jamaica

In a follow-up on the dengue fever outbreak in Jamaica, local media report that the number of dengue cases now stands at 1,166 suspected, presumed, or confirmed cases with dates of onset in 2019. 6 deaths have been confirmed.


Measles – Madagascar

The scale of the measles outbreak in Madagascar is of grave concern, as is its geographical spread-World Health Organization In a follow-up on our coverage of the measles outbreak in Madagascar, the World Health Organization (WHO) reports from Sep. 3, 2018 to Feb. 5, 2019, a total of 53,459 measles cases were recorded (lab confirmed).

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

The spike in Middle East respiratory syndrome coronavirus (MERS-CoV) infections in Saudi Arabia continues with the kingdom’s health ministry reporting seven additional cases yesterday, bringing the total cases for the year to 50. The town of Wadi Aldwasir has been hit particularly hard reporting 30 cases in just the past two weeks. From 27 January and 31 January 2019, the International Health Regulations (IHR) National Focal Point of Oman reported five cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection.

Yellow Fever – Brazil

Brazil is currently in the seasonal period for yellow fever, which occurs from December through May. From December 2018 through January 2019, 361 confirmed human cases, including eight deaths, have been reported in 11 municipalities of two states of Brazil.


Leptospirosis – Fiji

On Jan. 28, the Fiji Ministry of Health and Medical Services declared a leptospirosis outbreak for the Central Division. In an update on the outbreak, Fiji media now reports 98 cases since the beginning of the year, including four deaths.

Echinococcus outbreak – Russia

An increase in infection with the tapeworm, Echinococcus, has been reported among cadets at the Suvorov Guards Military Academy in Ulyanovsk in western Russia. The head of the Main Military Medical Directorate of the Ministry of Defense said worms in the lungs were detected in 31 pupils.

Measles – Philippines – Update

Just days after measles outbreaks were declared in several regions of the archipelago including the National Capital Region (NCR) of Metro Manila, health officials reported some updated data. Philippines health officials reported today that the measles outbreak this year, linked in large part to vaccine hesitancy, has taken 70 lives since January 1. The Epidemiology Bureau of the Department of Health (DoH) reports a total of 4,302 measles cases have been reported from 1 January to 9 February.


Hepatitis B – Florida, USA

In a follow-up on the hepatitis A outbreak in Florida that started last year, state health officials reported 189 hepatitis A cases in 26 counties in January 2019.