Outbreaks

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Ebola has Spread to a Neighboring Country, Uganda 6-12-19

The WHO, the Democratic Republic of the Congo (DRC) Health Minister, and the Ugandan Health Minister have all announced that there have been confirmed cases of Ebola (EVD) in Uganda.  The numbers, officially reported in the WHO’s Situation Report, as of 6/10/19 follow: DRC: 2008 cases; 1977 confirmed & 94 probable – 1396 deaths; 1302 confirmed & 94 probable Uganda: 3 cases; 3 confirmed –1 death confirmed (Uganda reports a 2nd confirmed death) A subsequent report by the Minister of Health for [...]

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U.S. Measles Cases number over 1000 in 2019

According to the CDC, another measles milestone has been reached and, as of 6/6/19, there were 1,022 confirmed cases of measles in 28 of the 50 states.  This is the largest number of cases tallied in the past 27 years (1992), and that was 8 years BEFORE measles was considered eradicated from the U.S (2002).  Refer to the CDC Map and Chart located on the 2nd page of this document. There are currently ongoing outbreaks (3 or more cases in [...]

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Outbreak of Ebola Virus Disease (EVD) in the DRC

Note:  There have been previous posts on Ebola to the Health Intelligence Page.  Please see those articles for background, as well as more detailed information on EVD.  You can find these articles by clicking on the button marked ‘View all Posts & Resources,’ found at the bottom of the In the News and Outbreaks/Emerging Diseases categories, and then looking for Ebola.  The current outbreak began in August 2018 but there was another DRC outbreak earlier in 2019 on the [...]

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Measles (Rubeola) in Multiple States in the United States

The Data:* According to the CDC, from January 1st through May 24, 2019, there have been 940 confirmed cases of measles in 26 states within the U.S.A. (compared to 127 cases as of February 14, 2019), with an increase of 60 cases in just the past week.  This jettisons this year’s cases to the highest number since the decade before (1994) Measles was considered eradicated, which was 2000. There are currently 10 outbreaks of Measles located in seven (7) states: [...]

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Acute Flaccid Myelitis (AFM) Update 2-23-19

The CDC released a new update of confirmed cases and PUIs (persons under investigation) for AFM through 2/18/19.  With five (5) new confirmed cases reported for 2018 included, it brings the total number of 2018 confirmed cases to 215, which are part of the 371 reports of PUIs to the CDC.  This number is the largest number the CDC has reported since CDC tracking, compilation and reporting began in August of 2014. Local and State Health Departments, in conjunction with [...]

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Outbreaks/Emerging Diseases:  MEASLES (Rubeola)

Although Measles was declared eradicated in 2000 within the United States, there have been individual cases of measles reported in most years, mostly as outbreaks (3 or more confirmed cases in one area).  2014 had the highest number of cases with 667, followed with preliminary data from 2018 of 372 cases, as a result of 17 outbreaks.  Other years had lower levels of measles cases but numbering over 100 (in 2008, 2011, 2013, 2014, 2015, and 2017).  According to [...]

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Outbreak of Acute Flaccid Myelitis (AFM) 10-17-18 Update

The CDC continues to investigate a surge in cases of a rare syndrome (one in one million), called AFM, which causes inflammation in spinal cord and results in the sudden onset of a weakened limb or limbs that may lead to paralysis.  The majority of cases (90%) are in children.  In this current outbreak, the average age is four (4) years old. Although the condition is not new, there was a significant increase in cases beginning in 2014, which coincided [...]

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Outbreak of Acute Flaccid Myelitis (AFM)

The CDC is investigating a surge in cases of a rare syndrome, called AFM, which causes inflammation in spinal cord and results in the sudden onset of a weakened limb or limbs that may lead to paralysis.  The majority of cases (90%) are in children.  In this current outbreak, the average age is four (4) years old. Although the condition is not new, there was a significant increase in cases beginning in 2014, which coincided with a large outbreak of [...]

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Middle East Respiratory Syndrome – Corona Virus (MERS-CoV)

A patient who normally lives in the Middle East, but traveled to England on Saudi Arabian Airlines Flight# SV123, on August 16, 2018, has been diagnosed with MERS-CoV infection after his/her arrival in England per Dr. Jenny Harries, the Deputy Medical Director for Public Health England.  The person is believed to have contracted the illness while in the Middle East and it has not been released if *he was showing any symptoms while traveling.  He initially was diagnosed and [...]

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ZIKA UPDATE 7/23/18

There have been recent reports, from new agencies and other organizations, about Zika cases in the United States for 2018.  It seemed important to clarify exactly what those reports mean at this time, while also stating that the current status in the United States could change at any time.  Those areas with mosquitos that can carry the Zika virus need to be aware of this possibility, particularly after high rain/standing water events. Specifically, although there are currently Zika cases in [...]

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EBOLA RESOURCES 2018

View Website – View Website – Information on the current outbreak View Website – Map of affected areas for the current outbreak (May 2018) View Website – Travel Notices for the Congo View Website – General information about Ebola View Website – Description View Website – Transmission View Website – Signs & Symptoms                                                                 View Website – Prevention View Website – For Prehospital Providers, EMS, [...]

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Ebola Outbreak May 2018

As you are no doubt aware from the media, there is an outbreak of Ebola in the Democratic Republic of Congo (DRC).  There are no cases in the United States or in any country aside from the DRC. The World Health Organization’s Emergency Committee met May 18th and decided that the outbreak should not be considered an International Health Event, at least at this time, but is of concern and will be closely monitored by WHO, CDC & other [...]

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MIDDLE EAST RESPIRATORY SYNDROME (MERS)

Download the below information in PDF form MERS is considered an emerging disease, caused by a novel virus (one that has not been identified before), that was first identified in September of 2012.  It is caused by a coronavirus, the same type of virus that caused SARS and about 20% of all colds.  Although much has been learned about it since it was first diagnosed in a patient, there are still significant gaps in that knowledge These gaps include how [...]

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Zika Update as of Aug 23, 2016

1. A new area with local transmission by mosquitos has been identified in Miami, Florida for a portion of South Beach. 2. A non-travel case of Zika has been identified in Pinellas County, Florida and was announced Tuesday. 3. A scientific research study was released using mice models that indicates that the Zika virus is able to cause brain damage in mice adult neural stem cells. For a more complete Zika update, Click Here.

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Should EMS Data be Monitored for Zika Infection?

FirstWatch likes to provide surveillance and early warning for many different threats to our clients – that was, in fact, the initial reason for starting the company. So, it makes sense that the question would be asked by us, and perhaps by you, if Zika should be monitored through the data we capture for you. We have seriously contemplated it and will outline our rationale to not recommend doing so at this time. However, we would very much like [...]

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Zika in all but 4 U.S. States

There are currently three scenarios in which the Zika virus is spreading: areas where local mosquito transmission is occurring, areas that have the potential for having local mosquito transmission (have Aedes mosquitos & have or have had Zika infected people), and those areas where Zika transmission is very unlikely although travel-related infections may occur. The only states that do not have travel-related cases are Alaska, Idaho, Wyoming, and South Dakota. First responders should continue to avoid mosquito breeding around the [...]

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UPDATED: What EMS Should Know About Zika

Download the below information in PDF form Current Assessment The largest outbreak of the Zika virus continues with active circulation (local transmission) in many countries in South and Central America and the Caribbean, in some of the Islands in Oceania/Pacific Islands and in Cape Verde, Africa. Over a hundred imported cases, by way of returning travelers, have been identified in the United States, Canada, and countries throughout the world. One case in Texas was contracted in the US (not imported) via [...]

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Confirmed Zika Transmission through Intercourse

Download the below information in PDF form Update Since my last writing on Zika, there have been new developments. Multiple cases of Zika have been diagnosed in the United States, all of which were imported into the country with the exception of one. This single case was transmitted to an individual by sexual contact in Dallas, TX. During the investigation, it was found that the Zika virus can live in semen and transmitted to sexual partners through intercourse. This is the second [...]

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What EMS Should Know About Zika

Download the below information in PDF form Current Assessment The largest outbreak of the Zika virus is occurring in Central and South America with fear that the virus will become more widespread to other countries. There has been a rapid surge in Zika virus infections, particularly in Brazil. While the Zika virus usually causes no immediate harm to the patient, it is linked to microencephaly (small head and brain) in the developing fetus of pregnant women. The first US case of Zika induced microencephaly was [...]

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MERS-CoV Outbreak in Korea

Download the below information in PDF form The World Health Organization is reporting an outbreak of Middle Eastern Respiratory Syndrome caused by the Corona Virus, otherwise known as MERS-CoV. On May 20th, a case of MERS was confirmed in South Korea. The index patient had recently traveled to the Middle East including Qatar, UAE and Bahrain. The patient had sought treatment in Korea for influenza type symptoms at multiple healthcare locations and eventually diagnosed with the virus. There have been an [...]

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