News Scan for Feb 15, 2019

More Saudi MERS
Raw turkey Salmonella
Polio in Indonesia, Pakistan
Lassa fever in Nigeria

Saudi Arabia confirms new MERS case, 62 for the year

Saudi Arabia's Ministry of Health (MOH), in its epidemiologic week 7 update, today added another MERS-CoV case to its growing total, in a man from its most recent hardest-hit city, while the World Health Organization (WHO) provided details on Saudi cases confirmed in January.

The new case involves a 49-year-old man in Wadi ad-Dawasir, a city that has now seen 39 MERS-CoV (Middle East respiratory syndrome coronavirus) cases in 2019. The man acquired his infection in a healthcare setting and is currently hospitalized, the MOH said. He reported no recent contact with camels, a known MERS risk factor.

The Saudi MOH has now confirmed 62 MERS infections since Jan 1.

The WHO report, meanwhile, also posted today, details 14 Saudi MERS cases, including 3 from Wadi ad-Dawasir and 3 fatalities. Eight cases involve three separate clusters: the one in Wadi ad-Dawasir plus a 2-case cluster in Riyadh province and a 3-case cluster in Jeddah.

Of the 14 January cases, all but one involved men. Twelve patients had underlying medical conditions, 10 of whom had diabetes. One of the Wadi ad-Dawasir patients reporting drinking camel milk and having camel contact, as did another patient not in that cluster. The other two Wadi ad-Dawasir patients reported contact with another MERS-CoV patient, as did three others who live elsewhere.

The WHO said it will provide more details on the Wadi ad-Dawasir outbreak and subsequent response in its next update.
Feb 15 Saudi MOH update
Feb 15 WHO statement


Multistate outbreak of Salmonella tied to raw turkey grows to 279 cases

The Centers for Disease Control and Prevention (CDC) today said a multistate Salmonella outbreak linked to raw turkey products has grown by 63 cases since Dec 21, to 279 cases, and 2 states reported their first cases, raising the number of affected states to 41.

The outbreak has claimed 1 life and hospitalized 107. Previous updates reported that the death occurred in California. Ill people range in age from less than a year to 101, with a median age of 43. Fifty-three percent of patients are female.

The outbreak has been ongoing for more than a year, as illness-onset dates range from Nov 20, 2017, to Jan 29, 2019.

"Epidemiologic and laboratory evidence indicates that raw turkey products from a variety of sources are contaminated with Salmonella Reading and are making people sick," the CDC said. "In interviews, ill people report eating different types and brands of turkey products purchased from many different locations. Four ill people lived in households where raw turkey pet food was fed to pets."

The agency added, "The outbreak strain has been identified in samples taken from raw turkey pet food, raw turkey products, and live turkeys."

Recalls have involved Woody’s Pet Food Deli in Minnesota; Jennie-O Turkey Store Sales, LLC, in Faribault, Minnesota; Jennie-O Turkey Store Sales, LLC, in Barron, Wisconsin; and Raws for Paws of Minneapolis.

The CDC also noted that Canadian officials have reported a related outbreak involving 72 illnesses in eight provinces or territories.
Feb 14 OIE report


Indonesia reports its first polio case in years as Pakistan notes WPV1

Indonesian officials have confirmed the first case of vaccine-derived polio in more than 13 years as Pakistan notched its second case of wild poliovirus type 1 (WPV1) infection of 2019, according to a weekly update today by the Global Polio Eradication Initiative (GPEI).

The Indonesian case involves circulating vaccine-derived poliovirus type 1 (cVDPV1) in a patient in Papua province. The patient experienced onset of paralysis on Nov 27, 2018. The same cVDPV1 strain was also detected in a healthy contact.

"This outbreak is not linked to the cVDPV1 currently affecting neighbouring Papua New Guinea," the GPEI said. Indonesia recorded its last cVDPV1 case in 2005, the same year it battled an outbreak of at least 251 WPV1 cases.

Pakistan's WPV1 infection occurred in Bannu district, Khyber Pakhtunkhwa province, with onset of paralysis on Jan 15. The country also reported four environmental WPV1 detections in several provinces. In addition to Pakistan's two WPV1 cases, Afghanistan has also confirmed a case this year.
Feb 15 GPEI update


Nigeria's Lassa fever outbreak grows to 324 confirmed cases

Nigeria's outbreak of Lassa fever has grown to 324 confirmed cases, up from 275 cases less than 2 weeks ago, the WHO said yesterday in an update.

Nigerian officials have also noted 3 probable cases. Deaths have climbed from 72, up from 57, and account for 22% of all cases.

Last week officials confirmed 37 new cases of the viral hemorrhagic fever disease, including 10 fatal illnesses, in nine states. Hardest-hit states are Edo (108 total cases) and Ondo (103). Twelve healthcare workers in seven states have contracted the virus, up from nine reported on Feb 3.

Officials are monitoring 2,658 contacts of cases. Of the original 3,746 contacts monitored, 1,045 completed their 21 days of monitoring and 39 tested positive for Lassa fever. The Nigeria Centre for Disease Control declared the outbreak an emergency on Jan 22.
Feb 14 WHO update

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