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Updated 2018-12-18 14:18
Yellow Fever – Kingdom of the Netherlands
On 22 November 2018, the World Health Organization (WHO) was informed by Dutch authorities of a laboratory-confirmed case of yellow fever. The case-patient is a 26 year-old male who visited Gambia from 3 through 17 November 2018, with a three day trip to Senegal from 12 through 14 November. He had no history of vaccination for yellow fever prior to the trip. On 18 November 2018, the case-patient developed symptoms including fever, nausea and vomiting. On19 November 2018 he was hospitalized with symptoms of acute liver failure and he is still in hospital as of 10 December.
Ebola virus disease – Democratic Republic of the Congo
The Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo is occurring in an unforgiving context. Non-engagement from communities and conflict continue to hamper response activities in some affected areas. Moreover, poor infection prevention and control (IPC) practices across numerous private and public health centers remain a major source of amplification of the outbreak and risk to health and other frontline workers.
Ebola virus disease – Democratic Republic of the Congo
Responding to the Ebola virus disease (EVD) outbreak in north-eastern parts of the Democratic Republic of the Congo continues to be a multifaceted challenge. By utilising proven public health measures (contact tracing, engaging communities) as well as new tools at hand (vaccine and therapeutics), WHO remains confident the outbreak can be contained and brought to an end.
Ebola virus disease – Democratic Republic of the Congo
As the Ebola virus disease (EVD) outbreak approaches five months since declaration, responding to the outbreak continues to be a challenge; nevertheless, in collaboration with the Ministry of Health (MoH) and partners, WHO remains focused on the ongoing containment efforts to end the outbreak.
Ebola virus disease – Democratic Republic of the Congo
Containing the ongoing Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo is a complex and challenging task but WHO remains confident that the outbreak can be successfully contained in collaboration with the Ministry of Health (MoH) and partners.
Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia
From 16 through 30 October 2018, the International Health Regulations (IHR 2005) National Focal Point of Saudi Arabia reported four additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection, including one death.
Ebola virus disease – Democratic Republic of the Congo
New measures to overcome obstacles in responding to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo are having a positive impact. The Ministry of Health (MoH), WHO and partners continue to be confident that, despite challenges, the outbreak can be contained.
Ebola virus disease – Democratic Republic of the Congo
As the Ebola virus disease (EVD) outbreak enters the fourth month since declaration, and case numbers surpass 300, substantial progress has been achieved in all aspects of the response.
Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia
From 17 September through 15 October 2018, the International Health Regulations (IHR 2005) National Focal Point of Saudi Arabia reported eight additional cases of MERS-CoV infection, including three deaths. Of the eight cases reported, three were hospital contacts from one hospital in Dammam and two were household contacts in Riyadh. Details of these cases can be found in a separate document (see link below).
Ebola virus disease – Democratic Republic of the Congo
The increase over the past four weeks in confirmed case incidence (Figure 1), most notably in the city of Beni and communities around Butembo, is concerning.
Circulating vaccine-derived poliovirus type 2 – Niger
From July through September 2018, six cases of circulating vaccine-derived poliovirus type 2 (cVDPV2) were reported from Niger, genetically linked to a cVDPV2 case in Jigawa and Katsina States, Nigeria. The virus was isolated from children with acute flaccid paralysis (AFP) from Zinder region, located in the south of Niger and on the border with Nigeria, with dates of onset of paralysis ranging from 18 July through 16 September 2018. This outbreak has also affected Jigawa, Katsina, Yobe, Gombe, and Borno states in Nigeria, with 17 cases reported since April 2018.
Ebola virus disease – Democratic Republic of the Congo
Security incidents over the past week, ranging from clashes between rebel and government forces resulting in civilian deaths to response vehicles being pelted with stones, continued to cause community distress and severely impede response activities for the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo.
Ebola virus disease – Democratic Republic of the Congo
The response to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo has seen significant improvements over the past weeks, including strong performances by field teams conducting vaccinations, and improved community engagement and risk communication in priority areas. However, as new cases continue to emerge from Beni and appear closer to security ‘red zones’, it is clear that risks remain and that strong response measures need to be prioritized. The virus’ spread is partly due to security conditions that severely impact frontline and health workers, at times forcing the suspension of response activities and increasing the risk that the virus may spread to neighbouring provinces and countries. The MoH, WHO and partners continue to rapidly adapt to these challenging circumstances, scaling up all pillars of the response: surveillance, contact tracing, community engagement, laboratory testing, infection prevention and control, safe and dignified burials, vaccination, and therapeutics.
Chikungunya – Sudan
On 31 May 2018, the State Ministry of Health (SMOH) of the Red Sea State in Sudan reported four suspected cases of chikungunya fever from Swakin locality, in Red Sea State. Among the signs and symptoms were sudden onset of fever, headache, joint pain and swelling, muscle pain and/or inability to walk.
Ebola virus disease – Democratic Republic of the Congo
The response to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo is becoming increasingly undermined by security challenges in at-risk areas, particularly Beni. These incidents severely impact both civilians and frontline workers, forcing suspension of EVD response activities and increasing the risk that the virus will continue to spread. WHO continues to distinguish between the incidents of conflict between rebel and government forces, and pockets of community push-back on the response. A recent increase in the incidence of new cases (Figure 1) is the result of the multitude of challenges faced by response teams. This also reflects improved active surveillance and reporting from the community.
Cholera – Zimbabwe
Since the last Disease Outbreak News was published on 20 September (with data as of 15 September), an additional 4914 cases have been reported including 92 laboratory-confirmed cases (Figure 1).
Cholera – Niger
On 15 July, the outbreak of cholera was officially declared by the Ministry of Public Health of Niger. The first three cases were residents of Nigeria from Jibiya Local Government Area (LGA) in Katsina State on the border with Niger. The cases were all from the same family and reportedly had an onset of symptoms in Jibiya LGA before seeking treatment on 5 July 2018 at a health facility in a bordering town in Niger. Vibrio cholerae serotype O1 Inaba was confirmed in stool samples from all three cases, one of which died within minutes of admission. In addition to these cases, six cases were reported in the following two days from villages in Niger located approximately 4km away from Jibiya LGA. Since then, the outbreak has continuously expanded geographically and in magnitude with peaks of around 400 cases reported in two weeks in August and in early September.
Monkeypox – Nigeria
On 26 September 2017, WHO was alerted to a suspected outbreak of monkeypox in Yenagoa Local Government Area (LGA) in Bayelsa State, Nigeria. The index cluster was reported in a family. All of whom developed similar symptoms of fever and generalized skin rash over a period of four weeks. Epidemiological investigations into the cluster show that all infected cases had a contact with monkey about a month prior to onset.
Ebola virus disease – Democratic Republic of the Congo
The response to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo is at a critical juncture. WHO faces a precarious situation given recent increases in insecurity, incidents of community mistrust, and increased geographical spread.
Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia
From 1 June through 16 September 2018, the International Health Regulations (IHR 2005) National Focal Point of Saudi Arabia reported 32 additional cases of Middle East Respiratory Syndrome (MERS), including 10 deaths.
Ebola virus disease – Democratic Republic of the Congo
The response to the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo is at a critical juncture. While substantial progress has been made, the situation is precarious given recent increases in insecurity, incidents of community reluctance and geographical spread.
Ebola virus disease – Democratic Republic of the Congo
The Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo remains active. While substantial progress has been made to limit the spread of the disease to new areas and the situation in Mangina (Mabalako Health Zone) is stabilizing, the cities of Beni and Butembo have become the new hotspot. Response teams continue to enhance activities to mitigate potential clusters in these cities and prevent spread to other areas.
Cholera – Zimbabwe
On 6 September 2018, a cholera outbreak in Harare was declared by the Ministry of Health and Child Care (MoHCC) of Zimbabwe and notified to WHO on the same day.
Cholera – Algeria
On 23 August 2018, the Algerian Ministry of Health (MoH) announced an outbreak of cholera in northern parts of the country, in and around the capital province Algiers.
Ebola virus disease – Democratic Republic of the Congo
Six weeks into the Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo, the overall situation has improved since the height of the epidemic; however, significant risks remain surrounding the continued detections of sporadic cases within Mabalako, Beni and Butembo health zones in North Kivu Province.
Middle East respiratory syndrome coronavirus (MERS-CoV) infection – Republic of Korea
On 8 September 2018, the International Health Regulations (IHR 2005) National Focal Point (NFP) of the Republic of Korea notified WHO of a laboratory-confirmed case of Middle East respiratory syndrome coronavirus (MERS-CoV).
Yellow fever – Republic of the Congo
Yellow fever outbreak in Republic of the Congo 7 September 2018
Ebola virus disease – Democratic Republic of the Congo
Situation report on the Ebola outbreak in the Democratic Republic of Congo DRC 7 September 2018
Human infection with avian influenza A(H7N9) virus – China: Update
Since March 2013, when the avian influenza A(H7N9) virus infection was first detected in humans, a total of 1567 laboratory-confirmed human cases, including at least 615 deaths, have been reported to WHO (Figure 1) in accordance with the International Health Regulations (IHR 2005). So far, all but three reported cases have occurred in China. In the latest wave (the sixth wave, which began in October 2017), only three human cases have been detected; meanwhile there have been fewer A(H7N9) virus detections in poultry and environment samples, according to reports from mainland and the Hong Kong Special Administrative Region China.
Human infection with avian influenza A(H7N9) virus in China – update
Since March 2013, when the avian influenza A(H7N9) virus infection was first detected in humans, a total of 1567 laboratory-confirmed human cases, including at least 615 deaths, have been reported to WHO (Figure 1) in accordance with the International Health Regulations (2005). In the latest wave (the 6th wave since Oct 2017), only three human cases have been detected; meanwhile there have been generally fewer A(H7N9) virus detections in poultry and environment samples, according to various reports from mainland China and China, Hong Kong SAR.
Middle East respiratory syndrome coronavirus (MERS-CoV) – United Kingdom of Great Britain and Northern Ireland
On 22 August 2018, the International Health Regulations (IHR 2005) National Focal Point for the United Kingdom of Great Britain and Northern Ireland notified WHO about a laboratory-confirmed Middle East respiratory syndrome coronavirus (MERS-CoV) infection. The patient is a resident of the Kingdom of Saudi Arabia who was visiting the United Kingdom of Great Britain and Northern Ireland.
Ebola virus disease – Democratic Republic of the Congo
The outbreak of Ebola virus disease (EVD) in the Democratic Republic of the Congo is at a key juncture. Recent trends (Figure 1) suggest that control measures are working. Over the past week, contact follow-up rates have substantially improved, most patients recently admitted to Ebola treatment centres (ETC) received therapeutics within hours of being confirmed, and ring vaccination activities have scaled to reach contacts (and their contacts) of most confirmed cases reported in the last three weeks. However, the outbreak trend must be interpreted with caution. Since the last Disease Outbreak News on 24 August 2018, 13 additional confirmed and probable cases have been reported, the majority (n=8) were from the city of Beni. Moreover, substantial risks remain, posed by potential undocumented chains of transmission; four of the 13 new cases were not known contacts. Likewise, sporadic instances of high-risk behaviours in some communities (such as unsafe burials, reluctance towards contact tracing, vaccination an
Yellow fever – France – French Guiana
Disease outbreak news for Yellow fever in French Guiana.
Ebola virus disease – Democratic Republic of the Congo
Disease outbreak news for EVD in DRC.
Ebola virus disease – Democratic Republic of the Congo
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.
Ebola virus disease in the Democratic Republic of the Congo – Operational readiness and preparedness in neighbouring countries
Disease outbreak news on Ebola in the DRC - Operational readiness and preparedness in neighbouring countries.
Ebola virus disease – Democratic Republic of the Congo
On 1 August 2018, the Ministry of Health of the Democratic Republic of the Congo declared a new outbreak of Ebola virus disease in North Kivu Province, in the eastern part of the country. North Kivu is among the most populated provinces in the country, shares borders with Uganda and Rwanda, and experiences conflict and insecurity, with over one million internally displaced people and migration of refugees to neighbouring countries.
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.
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.
Ebola virus disease – Democratic Republic of the Congo
Disease outbreak news for ebola in DRC.
Ebola virus disease – Democratic Republic of the Congo
As 42 days (two incubation periods) have passed since the last possible exposure to a confirmed Ebola virus disease case, on 24 July 2018, the Minister of Health, Dr Oly Ilunga announced the end of the outbreak in the Democratic Republic of the Congo. WHO Director-General, Dr Tedros Adhanom Ghebreyesus, and Regional Director for Africa, Dr Matshidiso Moeti, commends the country and partners in the response against the outbreak while urging them to extend this success to combatting other diseases in the Democratic Republic of the Congo.
Circulating vaccine-derived poliovirus type 2 – Democratic Republic of the Congo
In the Democratic Republic of the Congo, three different circulating vaccine-derived poliovirus type 2 (cVDPV2) outbreaks have been detected in acute flaccid paralysis (AFP) cases.
Ebola virus disease – Democratic Republic of the Congo
The Ministry of Health and WHO continue to closely monitor the outbreak of Ebola virus disease in the Democratic Republic of the Congo.
Circulating vaccine derived poliovirus – Papua New Guinea
On 21 May 2018, the regional polio reference laboratory reported to WHO the isolation of vaccine derived poliovirus type 1 (VDPV1) from a child with acute flaccid paralysis (AFP) in Lae, Morobe Province, Papua New Guinea. The onset of the child’s paralysis occurred on 24 April 2018.
Measles – Japan
On 16 May 2018, Japan’s National International Health Regulations Focal Point (NFP) notified WHO of an ongoing outbreak of measles in Japan. On 20 March 2018, a traveller from overseas was diagnosed with measles in Okinawa prefecture, and thereafter additional cases of measles were reported from across the prefecture and later from other prefectures. In light of the situation, on 11 and 26 April 2018, the Ministry of Health, Labour and Welfare (MHLW) circulated two alert notices. The national trend in notifications and reports of new measles cases from Okinawa Prefecture have both declined in recent weeks (onset date of the most recent case in Okinawa was 10 May). Okinawa Prefecture officially declared the outbreak over on 11 June, after four weeks had passed since this last case. This report provides the latest information on the epidemiologic situation of measles in Japan, including outbreak cases in Okinawa Prefecture and the other cases, and indicates the need for continued vigilance.
Ebola virus disease – Democratic Republic of the Congo
Disease outbreak news for ebola in DRC.
Rift Valley fever – Kenya
On 8 June 2018, the Ministry of Health (MoH) for Kenya confirmed an outbreak of Rift Valley fever. The first patient was admitted to a hospital in Wajir County in north-eastern Kenya on 2 June with fever, body weakness, and bleeding from the gums and mouth. The patient reported having consumed meat from a sick animal; the patient died the same day. On 4 June, two relatives of the index patient were admitted. Blood samples were collected and sent to the Kenya Medical Research Institute, one of which was confirmed positive for Rift Valley fever on 6 June. As of 16 June, a total of 26 human cases have been reported from Wajir (24 cases) and Marsabit (2 cases) counties, including seven confirmed cases and six deaths (case fatality ratio (CFR) = 23%); six patients have been discharged while one is still hospitalized. A high number of deaths and abortions among livestock, including camels and goats, has been reported in Garissa, Kadjiado, Kitui, Marsabit, Tana River, and Wajir counties. People living in these count
Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia
Disease news outbreak for Middle East respiratory syndrome coronavirus in Saudi Arabia.
Cholera – Cameroon
Disease outbreak news for cholera in Cameroon.
Ebola virus disease – Democratic Republic of the Congo
Since the publication of the first Disease Outbreak News on the Ebola outbreak in Equateur province, Democratic Republic of the Congo on 10 May 2018, an additional seven suspected cases have been notified by the country’s Ministry of Health. Importantly, since the last update, cases have been reviewed and reclassified, and some discarded.
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