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  • Ebola virus disease – Democratic Republic of the Congo
    on September 19, 2019 at 12:00 am

    The intensity of the Ebola virus disease (EVD) transmission in the Democratic Republic of the Congo increased slightly from last week, with 57 new confirmed cases reported in North Kivu and Ituri provinces from 11-17 September 2019, versus 40 in the previous week.

  • Listeriosis– Spain
    on September 16, 2019 at 12:00 am

    On 16 August 2019, Regional Health Authorities in Andalusia, Spain, reported an outbreak of listeriosis, caused by the bacteria Listeria monocytogenes (L. monocytogenes), associated with the consumption of a chilled roasted pork meat product manufactured in Spain by Magrudis Company Limited and sold under the brand name “La Mechá”.

  • Ebola virus disease – Democratic Republic of the Congo
    on September 12, 2019 at 12:00 am

    Ebola virus disease (EVD) transmission in the Democratic Republic of the Congo continued to ease this past week, with 40 new confirmed cases reported in North Kivu and Ituri provinces; this is the lowest weekly incidence since March 2019. While these signs are promising, it remains too soon to tell if this trend will persist. Emerging hotspots continue to pose challenges in terms of accessibility, insecurity, and violence. Surveillance indicators highlight that public health risks of further spread remain very high. During the past 21 days (from 21 August through 10 September 2019), a total of 157 confirmed cases were reported form 15 health zones (Table 1, Figure 2), with the majority coming from the health zones of Kalunguta (19%, n=30), Beni (18%, n=28), Mambasa (16%, n=25), and Mandima (13%, n=20). Alimbongo, Oicha, and Pinga health zones recently passed 21 days without a new confirmed case of EVD.

  • Ebola virus disease – Democratic Republic of the Congo
    on September 6, 2019 at 12:00 am

    The intensity of Ebola virus disease (EVD) transmission in the North Kivu, South Kivu, and Ituri provinces remains substantial, with 57 new cases reported since the last EVD in the Democratic Republic of the Congo Disease Outbreak News Update on 29 August.

  • Circulating vaccine-derived poliovirus type 2 – Republic of Ghana
    on September 6, 2019 at 12:00 am

    In Nigeria and West Africa, a cVDPV2 outbreak originating from Jigawa state, Nigeria, continues to spread. In Ghana, cVDPV2 was isolated from an acute flaccid paralysis (AFP) case in Ando-Nyamanu, Chereponi district, Northern Region, bordering Togo. The case was a two-year old girl who had experienced onset of paralysis on 27 July 2019. Stool samples were taken on 27 and 28 July 2019, and sent to the National Polio Laboratory at the Noguchi Memorial Institute for Medical Research for further laboratory investigations. The sample tested positive for cVDPV2 on 17 August 2019. Sequencing of the sample from the AFP case revealed 25 nucleotide differences compared to the reference Sabin 2 and 6 nucleotides, with the closest sequencing match made with an AFP case originating from Jigsaw state, Nigeria from 2018. Earlier, a related cVDPV2 strain had been isolated from an environmental sample, collected on 11 June 2019, from Northern Region in Ghana. Both isolated viruses were linked to an outbreak originating in Jigawa, Nigeria, in 2018. In the past, this same strain had spread within Nigeria, and internationally to the Republic of Niger, Benin, and Cameroon. The last indigenous wild poliovirus was reported in 2000. This is the first ever reported cVDPV2 outbreak reported in the country.

  • Ebola virus disease – Democratic Republic of the Congo
    on August 29, 2019 at 12:00 am

    The Ebola virus disease (EVD) outbreak in North Kivu, South Kivu, and Ituri provinces in the Democratic Republic of the Congo continued this week with similar transmission intensity to the previous six weeks, with an average of 77 cases per week (Figure 1).

  • Middle East respiratory syndrome coronavirus (MERS-CoV) – The Kingdom of Saudi Arabia
    on August 26, 2019 at 12:00 am

    From 1 through 31 July 2019, the National IHR Focal Point of Saudi Arabia reported 9 additional laboratory-confirmed cases of Middle East respiratory syndrome (MERS-CoV) infection and 4 associated deaths. The cases were reported from Riyadh (5 cases), Najran (3 cases), Al-Qassim (1 case) regions. There were no clusters of cases reported during this time period. The link below provides details of the 9 reported cases :

  • Ebola virus disease – Democratic Republic of the Congo
    on August 22, 2019 at 12:00 am

    The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in the Democratic Republic of the Congo continued this week with similar transmission intensity (Figure 1).

  • Circulating vaccine-derived poliovirus type 1 – Myanmar
    on August 22, 2019 at 12:00 am

    On 23 June 2019, a vaccine-derived poliovirus type 1 (VDPV1) was isolated from a two -year- old child with acute flaccid paralysis (AFP), with onset of paralysis on 22 May 2019 from Kayin state, Myanmar. Subsequently, on 11 July 2019, a genetically linked VDPV1 was isolated from the same state from a 5-year 6-month-old child with AFP, with date of onset of paralysis on 14 June, and it was classified as circulating VDPV1 (cVDPV1) on 12 July 2019. On 25 July 2019, cVDPV1 was isolated from a third AFP case from the same state, with date of onset of paralysis on 23 May 2019. Subsequently, on 19 August 2019, a fourth case of VDPV1 has been confirmed in a six-year-old child, with onset of paralysis on 23 July 2019. The child has no history of vaccination with OPV. In addition, the virus has also been isolated from seven healthy community contacts. These linked viruses have 25 to 31 nucleotide changes from Sabin 1. All cases and contacts are from Hpapun township of Kayin state, Myanmar. Myanmar’s routine immunization coverage is estimated at 91% for three doses of bivalent oral polio vaccine (bOPV) in 2018. Neighbouring countries including Thailand and other countries in South East Asia have been informed of the confirmed cVDPV1, and subnational surveillance is being strengthened across the region. In 2018, Myanmar and Kayin state met certification standards for AFP surveillance with non-polio AFP rate of 3.45, and stool adequacy rate of 100% for Kayin state.

  • Ebola virus disease – Democratic Republic of the Congo
    on August 15, 2019 at 12:00 am

    The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in the Democratic Republic of the Congo continued this week with similar transmission intensity to recent weeks, with an average of 81 cases per week (range 68 to 91 cases per week) in the past six weeks (Figure 1).

  • Ebola virus disease – Democratic Republic of the Congo
    on August 8, 2019 at 12:00 am

    The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in the Democratic Republic of the Congo continued this week with similar transmission intensity to recent weeks with an average of 86 cases per week (range 80 to 91 cases per week) in the past six weeks (Figure 1).

  • Ebola virus disease – Democratic Republic of the Congo
    on August 1, 2019 at 8:30 pm

    The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in the Democratic Republic of the Congo continued this week with similar transmission intensity to recent weeks, with an average of 85 cases per week (range 79 to 91 cases per week) in the past six weeks (Figure 1).

  • Circulating vaccine-derived poliovirus type 2 – African Region
    on July 31, 2019 at 12:00 am

    The summaries below provide a situational update on circulating vaccine-derived poliovirus type 2 (cVDPV2) outbreaks in the WHO African and Eastern Mediterranean regions. No wild poliovirus has been detected on the African continent since September 2016. In the Lake Chad Basin (LCB) sub-region, multiple cVDPV2 outbreaks continue to spread. All the countries that comprise the sub-region (Niger, Cameroon, and Nigeria) have reported outbreaks in either human or environmental samples.

  • Ebola virus disease – Democratic Republic of the Congo
    on July 25, 2019 at 12:00 am

    The Ebola virus disease (EVD) outbreak in North Kivu and Ituri provinces in Democratic Republic of the Congo is ongoing amidst a complex crisis, and we continue to observe sustained local transmission and a high number of cases.

  • Middle East respiratory syndrome coronavirus (MERS-CoV) – The Kingdom of Saudi Arabia
    on July 24, 2019 at 12:00 am

    From 1 through 30 June 2019, the National International Health Regulations (IHR) Focal Point of Saudi Arabia reported 7 additional cases of Middle East respiratory syndrome (MERS-CoV) infection. These cases were from Al-Qassim (3 cases), Riyadh (2 cases), Madinah (1 death) and Eastern (1 case) regions. One of the newly reported cases is a health care worker, contact of a case included in the Disease outbreak news published on 16 July 2019 (Case no. 14). Two deaths were reported, one (Case no. 5) from the current reporting month, and a second death (Case no. 13) previously described as a case in the Disease outbreak news on 16 July 2019 . The link below provides details of the 7 reported cases :

  • Ebola virus disease – Democratic Republic of the Congo
    on July 18, 2019 at 1:05 am

    On 17 July 2019, the Director-General convened the Emergency Committee under the International Health Regulations (IHR) to review the situation on the Ebola outbreak in the Democratic Republic of the Congo (DRC).

  • Middle East respiratory syndrome coronavirus (MERS-CoV) – The Kingdom of Saudi Arabia
    on July 16, 2019 at 12:00 am

    From 1 through 31 May 2019, the National International Health Regulations (IHR) Focal Point of Saudi Arabia reported 14 additional cases of Middle East respiratory syndrome (MERS-CoV) infection, including five deaths. Of the 14 cases reported, four cases were associated with two separate clusters. Cluster 1 involved two cases (case no. 6 and case no. 7) living in the same household in Alkharj, Riyadh, and cluster 2 involved one patient (case no. 9) and one healthcare worker (case no. 11) in Riyadh. The link below provides details of the 14 reported cases:

  • Ebola virus disease – Democratic Republic of the Congo
    on July 11, 2019 at 1:05 am

    The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces, Democratic Republic of the Congo continues this past week with a similar transmission intensity to the previous week.

  • Ebola virus disease – Democratic Republic of the Congo
    on July 4, 2019 at 12:00 am

    The outbreak of Ebola virus disease (EVD) in North Kivu and Ituri provinces, Democratic Republic of the Congo continued with a steady transmission intensity this week. Indicators demonstrated the early signs of transmission easing in intensity in some major hotspots, such as Butembo and Katwa. The current hotspots are the health zones of Beni, Mabalako, and Mandima, with some cases being exported from these hotspot areas into unaffected health zones. There is a slight but notable increase in the number of new cases occurring in areas that previously had lower rates of transmission, such as the Komanda, Lubero, and Rwampara/ Bunia health zones. On 30 June, a case who had travelled overland from Beni was confirmed in Ariwara, more than 460 kilometres north of Beni, towards the borders with Uganda and South Sudan. This is the first confirmed case in this health zone, and a response team was deployed from Bunia to investigate and implement public health actions in Ariwara. Uganda and South Sudan have mobilized quickly, building on the preparedness efforts during the last months. Arua district in Uganda shares a border with Ariwara health zone, with high volume of trade and population movement. The Arua District Task Force in Arua mobilized on 2 July to agree on a plan of action, the Ministry of Health (MoH) immediately dispatched the National Rapid Response Team for needs assessment, and the vaccination team from Kasese was also dispatched to Arua district on 3 July to start vaccinating the front-line health workers. In South Sudan, WHO and the United Nations Office for the Coordination of Humanitarian Affairs (OCHA) convened a joint meeting with implementing partners on 2 July to plan and coordinate field missions. Joint teams were dispatched to Yei State on 3 July to support operational readiness activities. In the 21 days from 12 June through 02 July 2019, 73 health areas within 20 health zones reported new cases, representing 11% of the 664 health areas within North Kivu and Ituri provinces (Figure 2). During this period, a total of 285 confirmed cases were reported, the majority of which were from the health zones of Mabalako (30%, n=85), Beni (27%, n=76), Mandima (8%, n=23), Lubero (6%, n=16) and Kalunguta (5%, n=14). As of 02 July 2019, a total of 2369 EVD cases, including 2275 confirmed and 94 probable cases, were reported (Table 1). A total of 1598 deaths were reported (overall case fatality ratio 68%), including 1504 deaths among confirmed cases. Of the 2369 confirmed and probable cases with known age and sex, 56% (1334) were female, and 29% (691) were children aged less than 18 years. Cases continue to rise among health workers, with the cumulative number infected rising to 130 (6% of total cases).

  • HIV cases–Pakistan
    on July 3, 2019 at 12:00 am

    On 25 April 2019, the local administration in Larkana district was alerted by media reports of a surge in human immunodeficiency virus (HIV) cases among children in Ratodero Taluka, Larkana district, Sindh province, Pakistan. A screening camp was initially established at Taluka’s main hospital. Later, screening was expanded to other health facilities including selected Rural Health Centers (RHCs) and Basic Health Units (BHUs). HIV rapid test kits that were initially used were replaced with pre-qualified WHO test kits. From 25 April through 28 June 2019, a total of 30,192 people have been screened for HIV, of which 876 were found positive. Eighty-two per cent (719/876) of these were below the age of 15 years. During the screening, several risk factors were identified, including: unsafe intravenous injections during medical procedures; unsafe child delivery practices; unsafe practices at blood banks; poorly implemented infection control programs; and improper collection, storage, segregation and disposal of hospital waste.

 

 

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