BOA1

Featured post

#GBS & #Microcephaly: #Zika #causality #statement, 7 September 2016 (@WHO)

  Title : #GBS & #Microcephaly: #Zika #causality #statement, 7 September 2016. Subject : Zika Virus and related complications, consens...

29 Sep 2016

#Zika #situation #report, 29 September 2016 (@WHO, summary)

 

Title: #Zika #situation #report, 29 September 2016.

Subject: Zika Virus Infection and related complications, weekly global update.

Source: World Health Organization (WHO), fu ll page: (LINK).

Code: [     ]

______

Zika situation report, 29 September 2016

___

Zika virus, Microcephaly and Guillain-Barré syndrome: |-- Read the full situation report –|

__

__

 

Key updates

  • Countries and territories reporting mosquito-borne Zika virus infections for the first time in the past week:
    • None
    • Mosquito-borne Zika infections acquired by travelers returning from the Maldives were reported by Germany and Spain in the past week. Prior Zika cases were reported in January 2016.
    • Countries in the Western Pacific Region continue to report new cases as seen in Singapore, Philippines, Malaysia and Viet Nam.
    • Thailand, in the South-East Asia Region, has also recently reported Zika cases.
    • Key areas of the response as identified by members of the Association of Southeast Asian Nations (ASEAN) are disease surveillance and risk assessment, relevant and timely sharing of data, regional surveillance and response, vector control, diagnostic testing, laboratory networks and risk communication, and sharing knowledge and best practices.
    • The Ministry of Public Health of Thailand is investigating cases of microcephaly to determine if they may be linked to Zika infection.
  • Countries and territories reporting microcephaly and other central nervous system (CNS) malformations potentially associated with Zika virus infection for the first time in the past week:
    • None
  • Countries and territories reporting Guillain-Barré syndrome (GBS) cases associated with Zika virus infection for the first time in the past week:
    • None

 

Analysis

  • Overall, the global risk assessment has not changed.
  • The investigation of microcephaly cases in Thailand is important to determine whether these cases are linked to Zika infection – if found to be linked, these would be the first identified cases of Zika-associated microcephaly in Southeast Asia.
    • If Zika is identified, viral sequencing would be necessary to determine the strain of the virus to determine whether it is a local or imported strain.
  • The sequencing results from 5 Zika virus cases reported in Malaysia indicate that all are from the “Asian” lineage.
    • Two of the cases, including the imported case, are similar to the virus that was circulating in French Polynesia in 2013, i.e., a post-2007 “Asian” strain.
    • The other 3 locally acquired cases are reported to be a similar to a previously circulating Southeast Asian strain of the “Asian” lineage.

-

Keywords: WHO; Updates; Worldwide; Zika Virus; GBS.

------

#Outcomes of #Pregnancies with Laboratory Evidence of Possible #Zika Virus #Infection in the #US, 2016 (@CDCgov, Sept. 29 ‘16)

 

Title: #Outcomes of #Pregnancies with Laboratory Evidence of Possible #Zika Virus #Infection in the #US, 2016.

Subject: Zika Virus, Zika Congenital Infection and Zika Congenital Syndrome, weekly US CDC update.

Source: US Centers for Disease Control and Prevention (CDC), full page: (LINK).

Code: [     ]

______

Outcomes of Pregnancies with Laboratory Evidence of Possible Zika Virus Infection in the United States, 2016

___

Language: [ English | Español | Português ]

______

Pregnancy Outcomes in the United States and the District of Columbia

  • Liveborn infants with birth defects* - 21
  • Pregnancy losses with birth defects** - 5

 

Pregnancy Outcomes in the United States Territories

_____

  • What these numbers show
    • These numbers reflect the number of poor outcomes among pregnancies with laboratory evidence of possible Zika virus infection that have been reported to the pregnancy surveillance systems. There are some delays in reporting.  The latest numbers on the total number of pregnant women with Zika are typically available on the individual websites for each jurisdiction.  In addition, reported numbers may increase or decrease as preliminary information is clarified.
    • The number of live-born infants and pregnancy losses with birth defects are combined for the 50 US states, the District of Columbia, and the US territories. To protect the privacy of the women and children affected by Zika, CDC is not reporting individual state, tribal, territorial or jurisdictional level data.
    • The poor birth outcomes reported include those that have been detected in infants infected with Zika before or during birth, including microcephaly, calcium deposits in the brain indicating possible brain damage, excess fluid in the brain cavities and surrounding the brain, absent or poorly formed brain structures, abnormal eye development, or other problems resulting from damage to brain that affects nerves, muscles and bones, such as clubfoot or inflexible joints, and confirmed hearing loss.
  • What these new numbers do not show
    • These numbers are not real time estimates. They will reflect the outcomes of pregnancies reported with any laboratory evidence of possible Zika virus infection as of 12 noon every Thursday the week prior; numbers will be delayed one week.
    • These numbers do not reflect outcomes among ongoing pregnancies.
    • Although these outcomes occurred in pregnancies with laboratory evidence of Zika virus infection, we do not know whether they were caused by Zika virus infection or other factors.
  • Where do these numbers come from?
    • These data reflect pregnancies reported to the US Zika Pregnancy Registry(http://www.cdc.gov/zika/hc-providers/registry.html) and the Zika Active Pregnancy Surveillance System. CDC, in collaboration with state, local, tribal and territorial health departments, established these systems for comprehensive monitoring of pregnancy and infant outcomes following Zika virus infection.
    • The data collected through these systems will be used to update recommendations for clinical care, to plan for services and support for pregnant women and families affected by Zika virus, and to improve prevention of Zika virus infection during pregnancy.
    • These registries are covered by an assurance of confidentiality(http://www.cdc.gov/od/science/integrity/confidentiality/). This protection requires us to safeguard the information collected for the pregnant women and infants in the registries.

____

* Includes microcephaly, calcium deposits in the brain indicating possible brain damage, excess fluid in the brain cavities and surrounding the brain, absent or poorly formed brain structures, abnormal eye development, or other problems resulting from damage to the brain that affects nerves, muscles and bones, such as clubfoot or inflexible joints, and confirmed hearing loss.

**Includes miscarriage, stillbirths, and terminations with evidence of the birth defects mentioned above

-

Keywords: Zika Virus; Zika Congenital Infection; Zika Congenital Syndrome; US CDC; USA; Updates.

------

#USA, #Florida: Department of Health Daily #Zika #Update (September 29 2016)

 

Title: #USA, #Florida: Department of Health Daily #Zika #Update.

Subject: Zika Virus, daily epidemiological update by Fla. DoH.

Source: US State of Florida Department of Health, full page: (LINK).

Code: [     ]

______

Department of Health Daily Zika Update

By Florida Department of Health, Office of Communications / September 29, 2016 / Press Release / Contact: Communications Office, NewsMedia@flhealth.gov - (850) 245-4111

____

Tallahassee, Fla.

In an effort to keep Florida residents and visitors safe and aware about the status of the Zika virus, the department will issue a Zika virus update each week day. Updates will include a Zika case count by county and information to keep Floridians informed and prepared.

In order to keep the public informed, the department has posted our investigation process here.

There are five new travel related cases today in Miami-Dade County. Please visit our website to see the full list of travel-related cases.

There are four new non-travel related cases today in Miami-Dade County.

  • One case is a Miami-Dade County resident that had exposure in Miami Beach.
  • Three cases are Miami-Dade County residents and the department is investigating where exposure occurred.

There are also two non-Florida residents who had tested positive for Zika and had exposure in Miami-Dade County.

 

Number of Zika cases by county

[County - Number of Cases (all travel related)]

  1. Alachua – 10
  2. Bay – 3
  3. Brevard – 14
  4. Broward – 114
  5. Charlotte – 1
  6. Citrus – 2
  7. Clay – 4
  8. Collier – 7
  9. Duval – 8
  10. Escambia – 3
  11. Flagler – 2
  12. Hernando – 4
  13. Highlands – 1
  14. Hillsborough – 23
  15. Lake – 3
  16. Lee – 12
  17. Leon – 2
  18. Manatee – 4
  19. Marion – 3
  20. Martin – 2
  21. Miami-Dade – 232
  22. Monroe – 5
  23. Nassau – 1
  24. Okaloosa – 3
  25. Okeechobee – 1
  26. Orange – 81
  27. Osceola – 30
  28. Palm Beach – 36
  29. Pasco – 8
  30. Pinellas – 16
  31. Polk – 27
  32. Santa Rosa – 1
  33. Sarasota – 3
  34. Seminole – 21
  35. St. Johns – 4
  36. St. Lucie – 5
  37. Volusia – 9
  • Total cases not involving pregnant women  - 705
    • Cases involving pregnant women regardless of symptoms – 92

Data as of Sep. 29, 2016 - 2:13 PM ET

______

DOH continues door-to-door outreach and targeted testing in Palm Beach and Miami-Dade counties and mosquito abatement and reduction activities are also taking place around the locations that are being investigated.

DOH believes ongoing transmission is only taking place within the identified area in Miami Beach in Miami-Dade County, see map below.

One case does not mean ongoing active transmission is taking place. DOH conducts a thorough investigation by sampling close contacts and community members around each case to determine if additional people are infected. If DOH finds evidence that active transmission is occurring in an area, the media and the public will be notified.

For a complete breakdown of non-travel and travel-related Zika infections to-date, please see below.

 

[Infection Type - Infection Count]

  • Travel-Related   Infections of Zika – 705
  • Non-Travel   Related Infections of Zika - 119
  • Infections   Involving Pregnant Women – 92
  • Out   of State Cases (not Florida Residents) – 15
  • Undetermined   - 1
    •  Total – 932

______

The department is currently conducting 15 active investigations. The department has closed 23 investigations. Information regarding the investigations can be found here. If investigations reveal additional areas of active transmission, the department will announce a defined area of concern. 

 

Active Investigations

Information on Active Investigations

When a local case of Zika virus is confirmed through laboratory testing, the department conducts a thorough investigation around the case to determine if additional people are infected.

The department interviews and tests close contacts and community members around the case. Knowing if additional people are infected helps the department determine if there is a zone where mosquitoes are transmitting the virus.

Not every case results in a designation of active transmission in an area. In some instances, a case of Zika is an isolated incident with no additional people infected.

For more information on the department’s testing and investigation process, click here

_____

  • Current Number of Active Investigations: 15
    • Miami-Dade County:
      • 11 open investigations
    • Palm Beach:
      • 2 open investigations
    • Unknown:
      • 2 open investigations
        • *Note: Exposure occurred in Miami Beach and overseas in an area with widespread transmission of Zika.
  • Current Number of Closed Investigations: 23
    • Miami-Dade County:
      • 17 closed investigations
    • Palm Beach County:
      • 4 closed investigation
    • Broward County:
      • 1 closed investigation
    • Pinellas:
      • 1 closed investigation
  • Sampling Activities For Active Investigations
    • Miami Beach in Miami-Dade County
      • [Total # of Samples Collected – Positive – Negative - Pending Results]
        • 1,042 – 48 – 992 – 2
    • Palm Beach County – 3 Investigations
      • [Total # of Samples Collected – Positive – Negative - Pending Results]
        • 3 – 0 – 3 – 0
    • Miami-Dade Investigations Outside of Wynwood and Miami Beach – 9 Investigations
      • [Total # of Samples Collected – Positive – Negative - Pending Results]
        • 1 – 0 – 0 – 1
    • Wynwood Area in Miami-Dade County
        • Note: This investigation is closed, but the department is providing the sampling results below for reference.
      • [Total # of Samples Collected – Positive – Negative - Pending Results]
        • 524 – 33 – 491 – 0

Data as of Sep. 29, 2016 - 2:12pm ET

_______

The department has conducted Zika virus testing for more than 8,515 people statewide. Florida currently has the capacity to test 6,395 people for active Zika virus and 7,539 for Zika antibodies. At Governor Scott’s direction, all county health departments now offer free Zika risk assessment and testing to pregnant women.

(…)

-

Keywords: USA; Updates; Zika Virus; Florida.

-------

#Pregnant #Women with Any Laboratory Evidence of Possible #Zika Virus #Infection in the #US and Territories, 2016 (@CDCgov, Sept. 29 ‘16)

 

Title: #Pregnant #Women with Any Laboratory Evidence of Possible #Zika Virus #Infection in the #US and Territories, 2016.

Subject: Zika Virus & Pregnancy, weekly US CDC update.

Source: US Centers for Disease Control and Prevention (CDC), full page: (LINK).

Code: [     ]

______

Pregnant Women with Any Laboratory Evidence of Possible Zika Virus Infection in the United States and Territories, 2016

___

Language: [ English | Español | Português ]

______

  • Pregnant Women with Any Laboratory Evidence of Possible Zika Virus Infection
    • US States and the District of Columbia* - 808
      • *Includes aggregated data reported to the US Zika Pregnancy Registry as of September 22, 2016
    • US Territories** - 1,490

____

About These Numbers

  • What these updated numbers show
    • These numbers reflect the number of pregnancies with laboratory evidence of possible Zika virus infection that have been reported to the pregnancy surveillance systems. There are some delays in reporting.  The latest numbers on the total number of pregnant women with Zika are typically available on the individual websites for each jurisdiction.  In addition, reported numbers may increase or decrease as preliminary information is clarified.
    • This information will help healthcare providers as they counsel pregnant women affected by Zika and is essential for planning at the federal, state, and local levels for clinical, public health, and other services needed to support pregnant women and families affected by Zika.
  • What these new numbers do not show
    • These new numbers are not comparable to the previous reports. These updated numbers reflect a different, broader population of pregnant women.
    • These updated numbers are not real time estimates. They will reflect the number of pregnant women reported with any laboratory evidence of possible Zika virus infection as of 12 noon every Thursday the week prior; numbers will be delayed one week.
  • Where do these numbers come from?
    • These data reflect pregnant women in the US Zika Pregnancy Registry and the Zika Active Pregnancy Surveillance System in Puerto Rico. CDC, in collaboration with state, local, tribal and territorial health departments, established these registries for comprehensive monitoring of pregnancy and infant outcomes following Zika virus infection. 
    • The data collected through these registries will be used to update recommendations for clinical care, to plan for services and support for pregnant women and families affected by Zika virus, and to improve prevention of Zika virus infection during pregnancy.
  • What are the outcomes for these pregnancies?

-

Keywords: US CDC; USA; Updates; Zika Virus; Pregnancy.

------

#USA, #Zika Virus #CaseCounts as of September 28 2016 (@CDCgov)

 

Title: #USA, #Zika Virus #CaseCounts as of September 28 2016.

Subject: Zika Virus, US CDC weekly epidemiological update.

Source: US Centers for Disease Control and Prevention (CDC), full page: (LINK).

Code: [     ]

______

Zika Virus Case Counts in the US as of September 28 2016

___

Language: [ English | Español | Português ]

______

Cases in Pregnant Women

__

_____

  • As of September 28, 2016 (5 am EST)
    • Zika virus disease and Zika virus congenital infection are nationally notifiable conditions.
    • This update from the CDC Arboviral Disease Branch includes provisional data reported to ArboNET for January 01, 2015 – September 28, 2016.
  • US States
    • Locally acquired mosquito-borne cases reported: 59
    • Travel-associated cases reported: 3,565
    • Laboratory acquired cases reported:  1
      • Total: 3,625
        • Sexually transmitted: 30
        • Guillain-Barré syndrome: 12
  • US Territories
    • Locally acquired cases reported: 21,988
    • Travel-associated cases reported: 81
      • Total: 22,069 *
        • Guillain-Barré syndrome: 39

____

*Sexually transmitted cases are not reported for US territories because with local transmission of Zika virus it is not possible to determine whether infection occurred due to mosquito-borne or sexual transmission.

 

Laboratory-confirmed Zika virus disease cases reported to ArboNET by state or territory — United States, 2015–2016 (as of September 28, 2016)§

[States - Travel-associated cases*: No. (% of cases in states)(N=3,566) - Locally acquired cases†: No. (% of cases in states)(N=59)]

  1. Alabama – 27 (1) – 0 (0)
  2. Arizona – 31 (1) – 0 (0)
  3. Arkansas  - 10 (<1) – 0 (0)
  4. California  - 267 (7) – 0 (0)
  5. Colorado – 36  (1) – 0 (0)
  6. Connecticut – 58 (2) – 0 (0)
  7. Delaware – 13 (<1) – 0 (0)
  8. District of Columbia – 23 (1) – 0 (0)
  9. Florida – 672 (19) – 59 (100)
  10. Georgia – 81 (2) – 0 (0)
  11. Hawaii – 12 (<1) – 0 (0)
  12. Idaho – 3 (<1) – 0 (0)
  13. Illinois – 70 (2) – 0 (0)
  14. Indiana – 34 (1) – 0 (0)
  15. Iowa – 16 (<1) – 0 (0)
  16. Kansas – 15 (<1) – 0 (0)
  17. Kentucky – 24 (1) – 0 (0)
  18. Louisiana – 31  (1) – 0 (0)
  19. Maine – 11 (<1) – 0 (0)
  20. Maryland – 101 (3) – 0 (0)
  21. Massachusetts – 76 (2) – 0 (0)
  22. Michigan – 57 (2) – 0 (0)
  23. Minnesota – 47  (1) – 0 (0)
  24. Mississippi – 23 (1) – 0 (0)
  25. Missouri – 27 (1) – 0 (0)
  26. Montana – 7 (<1) – 0 (0)
  27. Nebraska – 11 (<1) – 0 (0)
  28. Nevada – 14 (<1) – 0 (0)
  29. New Hampshire – 9 (<1) – 0 (0)
  30. New Jersey – 133 (4) – 0 (0)
  31. New Mexico – 6 (<1) – 0 (0)
  32. New York – 811 (23) – 0 (0)
  33. North Carolina – 66 (2) – 0 (0)
  34. North Dakota – 1 (<1) – 0 (0)
  35. Ohio – 52 (1) – 0 (0)
  36. Oklahoma – 26 (1) – 0 (0)
  37. Oregon – 27 (1) – 0 (0)
  38. Pennsylvania†† – 129 (4) – 0 (0)
  39. Rhode Island – 32 (1) – 0 (0)
  40. South Carolina – 31 (1) – 0 (0)
  41. South Dakota – 1 (<1) – 0 (0)
  42. Tennessee – 51 (1) – 0 (0)
  43. Texas – 204 (6) – 0 (0)
  44. Utah - 13** (<1) – 0 (0)
  45. Vermont – 7 (<1) – 0 (0)
  46. Virginia – 85 (2) – 0 (0)
  47. Washington – 34 (1) – 0 (0)
  48. West Virginia – 11 (<1) – 0 (0)
  49. Wisconsin – 38 (1) – 0 (0)
  50. Wyoming – 2 (<1) – 0 (0)

[Territories - Travel-associated cases*: No. (% of cases in territories)(N=81)  - Locally acquired cases†: No. (% of cases in territories)(N=21,988)]

  1. American Samoa – 6 (7) – 47 (<1)
  2. Puerto Rico – 74 (91) - 21,535*** (98)
  3. US Virgin Islands – 1 (1) – 406 (2)

____

§Only includes cases meeting the probable or confirmed CSTE case definition and does not include asymptomatic infections unless the case is a pregnant woman with a complication of pregnancy

*Travelers returning from affected areas, their sexual contacts, or infants infected in utero

†Presumed local mosquito-borne transmission

††One additional case acquired through laboratory transmission

**Includes one case with unknown route of person-to-person transmission.

***The Puerto Rico Department of Health is retroactively reporting cases, resulting in larger than normal increases in cases in recent weeks.

-

Keywords: US CDC; USA; Updates; Zika Virus.

-------

#UndertheLens: #Arenaviridae are a #family of viruses generally spread to people by #rodents (@CDCgov)

 

Title: #UndertheLens: #Arenaviridae are a #family of viruses generally spread to people by #rodents.

Subject: Arenavirus, educational materials.

Source: US Centers for Disease Control and Prevention (CDC), full page: (LINK). via Instagram.

Code: [     ]

______

 

-

Keywords: US CDC; Updates; Arenavirus; Educational Materials.

------

#USA, #Texas: #Zika Virus reported cases, 29 September 2016 (DoH, edited)

 

Title: #USA, Texas: Zika Virus reported cases, 29 September 2016.

Subject: Zika Virus, daily epidemiological update by Texas DoH.

Source: US State of Texas Department of Health, full page: (LINK).

Code: [     ]

______

Reported Zika Virus Cases – September 29, 2016

___

Texas has had 208 reported cases of Zika virus disease. All the cases were associated with travel to an area where Zika is being spread.

This count includes 12 pregnant women, two infants infected before birth, and two people who had sexual contact with travelers.

 

Texas Zika Cases by County

[County  - Cases]

  1. Angelina  - 1
  2. Bell  - 6
  3. Bexar  - 15
  4. Brazos – 3
  5. Burnet  - 1
  6. Cameron – 2
  7. Collin  - 5
  8. Dallas  - 35
  9. Denton  - 6
  10. El Paso  - 3
  11. Ellis  - 1
  12. Fort Bend  - 7
  13. Frio  - 1
  14. Galveston – 7
  15. Gray  - 1
  16. Grayson  - 1
  17. Gregg  - 1
  18. Hamilton  - 1
  19. Harris  - 56
  20. Jackson  - 1
  21. Jefferson  - 2
  22. Jones  - 1
  23. Lee  - 1
  24. Lubbock  - 1
  25. Matagorda  - 1
  26. Medina  - 1
  27. Midland  - 1
  28. Montgomery  - 1
  29. Palo Pinto  - 1
  30. Randall  - 1
  31. Rusk  - 1
  32. Tarrant  - 23
  33. Travis  - 8
  34. Upshur  - 1
  35. Val Verde  - 1
  36. Walker  - 1
  37. Williamson  - 5
  38. Webb  - 2
  39. Wise  - 1
    • Total – 208

___

Note: Zika case data for Texas will be updated each weekday no later than 11 a.m.

-

Keywords: USA; Updates; Texas; Zika Virus.

------

#MERS-CoV, #Saudi Arabia: One New Case reported in the last 24 hours (@SaudiMOH, September 29 2016)

 

Title: MERS-CoV, Saudi Arabia: One New Case reported in the last 24 hours.

Subject: Middle East Respiratory Syndrome Coronavirus Epidemic in the Kingdom of Saudi Arabia, daily update.

Source: Saudi Arabia Ministry of Health, full page: (LINK).

Code: [     ]

______

MOH: '1 New Confirmed Coronavirus Case Recorded'

9/29/2016

______

New Cases: [Sex, Age, Citizenship, Resident in, Health Status, Note]

  1. F, 51, Saudi, Al Karj, stable; *

___

*) Primary case (contact with camels).

______

New Recoveries: [Sex, Age, Citizenship, Resident in]

  1. M, 52, Saudi, Wadi Al Wasir.

New Deaths:

  • No reports

Cumulative number of confirmed cases and deaths since June 2012:

[Total No. of Cases – Total No. of Deaths – Patients under treatment]

  • 1457At least 611 - 3

___

-

Keywords: MERS-CoV; Saudi Arabia; Updates.

-----

#Singapore, #Zika #Cases & #Clusters as of September 29 2016 (NEA, edited)

 

Title: #Singapore, #Zika #Cases & #Clusters as of September 29 2016.

Subject: Zika Virus, ongoing vector-borne epidemic in Singapore.

Source: Singapore National Environment Agency (NEA), full page: (LINK).

Code: [     ]

______

Zika Cases & Clusters

___

Number of Zika Cases

It is important to note that the day-to-day numbers fluctuate, as they depend on the number of cases notified each day. Therefore, weekly numbers are a better reflection of actual trends.

Number of Reported Cases

  • 23-Sep –  2
  • 24 Sep - 4
  • 25-Sep - 2
  • 26-Sep - 0
  • 27-Sep - 1
  • 28-Sep - 2
  • 29-Sep at 3PM - 2

 

Number of Reported Cases by E-week (from Sun 0000hrs to Sat 2359hrs)

  • Epi-week 33 (14-20Aug16) - 0
  • Epi-week 34 (21-27Aug16) - 1
  • Epi-week 35 (28Aug-3Sep16) - 214^
  • Epi-week 36 (4-10Sep16) - 103
  • Epi-week 37 (11-17Sep16) - 62
  • Epi-week 38 (18-24Sep16) - 11
  • Epi-week 39 (25-29Sep16 at 3 PM) – 7
    • Cumulative No. of cases for 2016 (First 38 weeks): 392

__

^52 cases from look-back exercise

Compiled by Communicable Diseases Division, Ministry of Health

 

Location of Active Zika Clusters As of 29 Sep 2016

[S/N – Locality]

  1. Aljunied Cres (Blk 95,97,98,99,100,101,102,103,104,105,106,107,108,109,110,111,112)
    • Aljunied Rd
    • Aljunied Rd (Blk 125)
    • Circuit Rd (Blk 61,85)
    • Geylang East Ave 1 (Blk 126)
    • Geylang East Ctrl (Blk 1 22)
    • Lor 21A,23,25 Geylang
    • Paya Lebar Way (Blk 91,120,121,122,123)
    • Pipit Rd (Blk 54, 56, 92A)
    • Sims Dr (Blk 42A,43,44)
    • Sims Pl (Blk 52,53)
      • 298 cases as of 29 Sep 2016, of which 7 cases with onset in the last 2 weeks;
  2. Bedok Nth Ave 2 (Blk 514)
    • Bedok Nth Ave 3 (404,405,507)
    • Bedok Nth St 3 (Blk 525)
      • 5 cases as of 29 Sep 2016, of which 0 cases with onset in the last 2 weeks;
  3. Joo Seng Rd (Blk 17, 18, 21)
    • Vernon Pk
      • 4 cases as of 29 Sep 2016, of which 0 cases with onset in the last 2 weeks;
  4. Elite Ter
    • Fidelio St
    • Jln Tua Kong (Park East)
    • Tua Kong Green
    • Siglap Rd (Flamingo Valley)
      • 13 cases as of 29 Sep 2016, of which 0 cases with onset in the last 2 weeks;
  5. Ubi Ave 1, Cres
      • 4 cases as of 29 Sep 2016, of which 0 cases with onset in the last 2 weeks;
  6. Balam Rd (Blk 29)
    • Circuit Rd (Blk 35)
    • Jln Raya
      • 3 cases as of 29 Sep 2016, of which 0 cases with onset in the last 2 weeks;
  7. Sengkang Ctrl (Blk 272C)
    • Sengkang East Ave (Blk 279C)
      • 2 cases as of 29 Sep 2016, of which 0 cases with onset in the last 2 weeks;
  8. Hougang Ave 7 (Blk 325)
      • 2 cases as of 29 Sep 2016, of which 0 cases with onset in the last 2 weeks.

___

For a list of clusters closed and under surveillance, please click here.

Last updated on 29 Sep 2016

-

Keywords: Singapore; Updates; Zika Virus.

-------

#RiftValley #fever in #Niger (@WHO, September 29 2016)

 

Title: #RiftValley #fever in #Niger.

Subject: RVF in Niger.

Source: World Health Organization (WHO), full page: (LINK).

Code: [     ]

______

Rift Valley fever in Niger

Disease outbreak news / 29 September 2016

On 30 August 2016, WHO received reports about unexplained deaths among humans, along with death and abortion in livestock in the North Western parts of Niger, and the areas bordering Mali.

From 2 August to 22 September 2016, 64 human cases including 23 deaths have been reported in Tchintabaraden health district in Tahoua region. The area is mainly populated by nomadic stockbreeders.

Most of the cases are male (62.5%), and work as farmers or animal breeders. In the affected area, an epizootic outbreak is also reported among livestock during the same time duration, including deaths and abortions among cattle and small ruminants.

As of 16 September 2016, 6 of the 13 human specimens tested at Institute Pasteur (IP), Dakar were positive for Rift Valley Fever (RVF). Among the 6 animal specimens tested, 3 were positive for RVF. Sequencing and further laboratory testing is ongoing.

Genetic sequence data is required to confirm or refute the endogenous origin of the outbreak. Moreover, laboratory support for Niger is being considered.

 

Public Health Response

On 31 August, a multisectoral national rapid response team, including members from the Ministry of Health, veterinary services and Centre de Recherche Médicale et Sanitaire (CERMES), and World Health Organization, was deployed for field investigation. Ministries of Health and Agriculture/Livestock have developed a national response plan.

The WHO Country Office continues to provide technical and financial support for surveillance, outbreak investigation, technical guidelines regarding case definition, case management, shipment of samples and risk communication.

FAO, OIE, and WHO are coordinating on animal and human health and providing additional support to Niger for the outbreak response WHO is working with partners in the Global Outbreak Alert and Response Network (GOARN) to coordinate international support for the response. IFRC, and Unicef are supporting outbreak response.

The NGO ALIMA and the Nigerian NGO BEFEN are providing support for case management and social mobilisation on the ground.

Currently, in conjunction with the Ministry of Public Health, an entomological survey is being prepared for urgent implementation with WHO technical and financial support. This is to identify potential vectors for RVF in the region and it is considered to be in the definition of vector control activities.

Currently, some of the main challenges include under-detection of human cases. The risk that only severe cases are being detected and reported cannot be ruled out.

There is no national local capacity to test the specimens. For laboratory confirmation for RVF, the samples are being shipped to WHO regional collaborating centres.

Moreover, to ascertain the extent of this outbreak, the involvement of the national livestock department is required.

 

WHO Risk Assessment

Based on the available information, the event risk assessment is ongoing. The risk of further spread of outbreak within Niger and internationally (especially to neighbouring countries and those on the transhumance and migration routes) cannot be ruled out.

Nomadic stockbreeders from Niger and neighbouring countries have just participated in the Cure Salée festival, a major annual mass gathering event from 23 to 25 September. During this festival, herds are brought to graze on the salty pastures ahead of the dry season. Around 2 million cattle and even more small ruminants were expected to be part of the event.

At the end of the rainy season, as per known migration patterns, the nomadic human population along with their herds will progressively move to other Southern Sub Saharan countries and irrigation systems along the Niger river where pastures may still be available.

In conjunction with the ongoing outbreak, the high density of animals in the area and the transhumance pattern significantly increases the risk of international spread. The security situation in the Sahel is unstable and also needs to be taken into consideration.

-

Keywords: Rift Valley Fever; WHO; Updates; Niger.

------