2018年12月30,31日

サル痘-ナイジェリア
エボラ(158) -コンゴ(民)
麻疹(81)  アイルランド,米国,マガダスカル
黄熱-ナイジェリア アフリカ(30)
髄膜炎菌性髄膜炎-ナイジェリア(04) C 型

サル痘-ナイジェリア アフリカ(17)
PRO/AH/EDR> Monkeypox - Africa (17): Nigeria
Archive Number: 20181231.6237302
情報源 Nigeria CDC Situation Report 2018年12月13日
Key indictors / Numbers
New suspected cases in reporting month: 15
New confirmed cases in reporting month: 6
Total number of cases reported in 2018: 114
Total confirmed cases in 2018: 45
Total deaths in 2018: 1
Confirmed health worker infection: 2

Epidemiological summary
- 2018年初からナイジェリア国内において,サル痘感染例の散発的な発生が続いている
- 今月 15 new suspected monkeypox cases が報告され,うち 6例の confirmed cases in 5 states (Rivers -1, Bayelsa -2, Delta -1, Cross Rivers -1, Edo -1) が確認されている。
- 2018年,合計 114 suspected, 45 confirmed, one probable cases and one death が報告。The 45 cases confirmed in 13 states (Rivers, Bayelsa, Delta, Oyo, Cross River, Edo, Enugu, Imo, Lagos, Plateau, Abia, Anambra, and Nasarawa) が確認された。
- September 2017 のアウトブレイク発生以降,311 suspected cases in 26 states が報告。132 confirmed cases in 17 states (Rivers, Bayelsa, Cross River, Imo, Akwa Ibom, Lagos, Delta, Edo, FCT, Abia, Oyo, Enugu, Ekiti, Nasarawa, Benue, Plateau, Anambra) and 7 deaths が確認。
- 遺伝学的解析により,複数の感染源から導入された monkeypox virus の ヒト-ヒト感染の証拠が確認されている。2018年は男性の感染例が 73.3% を占めた
- Persons within the 21-40 age group で最も感染が多い。
Fig 1 [graph]: Weekly trend of Nigeria monkeypox cases as at 13 Dec 2018
Fig 2: Map of Nigeria showing distribution of monkeypox cases by local government area as at 13 Dec 2018
Fig 3: Map of Nigeria showing distribution of monkeypox cases by state as at 13 Dec 2018

エボラ(158)-コンゴ(民)
PRO/AH/EDR> Ebola update (158): Congo DR (NK, IT) cases, summary, response
Archive Number: 20181231.6236998
[1] Case updates
- Mon 31 Dec 2018. Epidemiological situation report, DRC Ministry of Health [in French]
The epidemiological situation of the Ebola virus disease in the provinces of North Kivu and Ituri dated 30 Dec 2018:
- 流行開始以降の累積患者数は 598, of which 550 are confirmed and 48 are probable. In total, there were 363 deaths (315 confirmed and 48 probable) and 204 people healed.
 ...
- 2 new confirmed cases, including 1 in Komanda and 1 in Mabalako.
- 2 new deaths of confirmed cases (all community deaths): 1 in Mabalako and 1 in Komanda.
[No changes in news of the response / vaccination totals from 30 Dec]

- Sun 30 Dec 2018. Epidemiological situation report, DRC Ministry of Health [in French]
The epidemiological situation of the Ebola virus disease dated 29 Dec 2018:
- Since the beginning of the epidemic, the cumulative number of cases is 596, of which 548 are confirmed and 48 are probable. In total, there were 361 deaths (313 confirmed and 48 probable) and 204 people healed.
- 8 suspected cases are under investigation.
- 3 new confirmed cases, 2 in Butembo and 1 in Oicha.
- 1 new case death confirmed in Oicha (community death).
- 1 new person healed out of Butembo CTE.

[2] Report from European Commission's directorate-general for European Civil Protection and Humanitarian Aid Operations
情報源 Relief Web 2018年12月30日
Democratic Republic of Congo - Ebola outbreak (DG ECHO) (ECHO Daily Flash of 30 Dec 2018)
As of 29 Dec there are 593 reported cases ([598 cases as of 31 Dec 2018. - Mod.LK]; 545 confirmed and 48 probable). Vaccination activities were stopped in Goma, Beni, Butembo, Katwa, and Komanda following demonstrations.  ...

[3] Response
- Sat 29 Dec 2018. Press Release
[International Rescue Committee, abridged, edited]
- Sat 29 Dec 2018. Congo-Kinshasa: Uganda On High Alert Over Ebola Spread in DR Congo Election Aftermath [All Africa]
Uganda has heightened Ebola surveillance and prevention preparedness  ...
関連項目 Ebola update (157): Congo DR (NK, IT) cases, summaries, response, USA (NE) 20181229.6227661

麻疹(81) アイルランド,米国,マガダスカル
PRO/EDR> Measles update (81): Europe, Americas, Africa
Archive Number: 20181231.6236997
[1] アイルランド Ireland
 (Dublin)
情報源 Osburn Oracle 2018年12月29日
保健当局 The Health Service Executive (HSE) が麻疹アウトブレイク a measles outbreak in Dublin's North Inner City への対応に追われている。7月以降,小児と成人を合わせて 13 cases が確認されている ...
 Ireland
情報源 The Journal 2018年12月30日
麻疹感染が確認された 10例中 7例がワクチンを接種していなかった。2017年の年間感染数が 25例であったのに対し,17日の時点で 2018年の感染は 85例と報告されている。最後に感染が報告されたのは10月であった ...
Here's a geographical breakdown of where the measles cases occurred here:
East: 29
Midwest: 33
Southeast: 15
South: 4
West: 3
Northeast: 1
There were no confirmed cases in the midlands.
 ...
[2] 米国 New Jersey (Newark): airport
情報源 Fox News 2018年12月29日
クリスマスイブに,ブリュッセル Brussels からニュージャージー州の空港 Newark Liberty International Airport's Terminal B  に到着した客の 1人が,麻疹に感染していたことが確認されたと,28日保健当局 the New Jersey Department of Health が明らかにした ...
[3] マダガスカル
Madagascar measles outbreak grows, 2/3 of cases from Analamanga region. Total cases rise to 15 049 since 1 Oct 2018
情報源 Outbreak News Today 2018年12月28日
マダガスカルにおける麻疹アウトブレイク the measles outbreak について,10月1日以降の患者数が合計 15 049 cases となり,約 65%the Analamanga region で確認されていると,地元メディアが報じている。過去 3か月間に 48 districts in Madagascar でアウトブレイクが発生し,うち 6 地区で 400 cases を超える患者が報告されている。最も患者数が多いのは The district of Antananarivo Renivohitra の 8869 patients, followed by that of Ambato Boeny with 947 cases, Marovoay with 693 cases, Mahajanga I with 518 cases, Ambohidratrimo with 466 cases, and Antananarivo Atsimondrano with 412 cases ...

黄熱-ナイジェリア アフリカ(30)
PRO/AH/EDR> Yellow fever - Africa (30): Nigeria
Archive Number: 20181231.6236702
情報源 Nigeria CDC Situation Report 2018年12月16日
Highlights
- In the reporting week 50 (10-16 Dec 2018), 13 new positive cases from Edo (9), FCT (3), and Ekiti (1) states were confirmed at WHO regional reference laboratory, Institut Pasteur, Dakar (IP Dakar).
- From the onset of the outbreak in September 2017 to date, 3902 suspected cases have been reported from all 36 states and the FCT in Nigeria.
 ...
- So far, 78 positive cases from 14 states (Kwara, Kogi, Kano, Zamfara, Kebbi, Nasarawa, Niger, Katsina, Edo, Ekiti, Rivers, Anambra, FCT, and Benue states) have been confirmed at IP Dakar.
- Since the onset of the outbreak, 13 deaths in IP Dakar-confirmed cases and 27 deaths in presumptive positive cases have been recorded. Case fatality rate [CFR] among presumptive positive and IP Dakar-confirmed cases is 14.6% and 16.7%, respectively.
- Yellow fever preventive mass vaccination campaigns have been conducted in 6 states (Borno, Kebbi, Niger, Plateau, Sokoto, and the FCT) between 22 Nov and 2 Dec 2018, bringing the total states covered by preventive mass vaccination campaign to 12.
- A multi-agency national emergency operations centre (EOC) at NCDC is coordinating the national response.

Key indicators:
Total suspected cases reported: 3902
Total samples tested: 3295
Number of presumptive positive cases: 185
Number of confirmed yellow fever cases (Dakar): 78
Total deaths from suspected cases: 33
Total deaths from presumptive positive cases: 27
Total deaths from confirmed cases: 13
LGAs [local government areas] that have reported at least one suspected case: 580
Number of states with confirmed cases from IP Dakar: 14

Fig 1 [graph]: 2017/2018 Weekly epidemiological curve of yellow fever cases in Nigeria
Fig 2 [map]: Affected LGAs in Nigeria
Fig 3 [map]: Yellow fever cases in Edo state as at 15 Dec 2018
Fig 4 [graph]: Epicurve of suspected and presumptive yellow fever cases in Edo

髄膜炎菌性髄膜炎-ナイジェリア(04) C 型
PRO/EDR> Meningitis, meningococcal - Nigeria (04): fatal, serogroup C
Archive Number: 20181231.6235503
情報源  Situation Report, Nigeria Centre for Disease Control (NCDC) 2018年12月18日
乾期の開始とともに,ナイジェリア国内の髄膜炎患者数 the number of cerebrospinal meningitis (CSM) cases の増加が見込まれており, the 2018/2019 seasons 初めての発生状況報告 the 1st SitRep [situation report] を行う ...
As at epi-week 50, 8 new suspected cases were reported from Katsina state.
10月1日から 12月18日までの間に a total of 72 suspected cases from 10 states が報告されており,4件の検体で髄膜炎菌が陽性となった。_Neisseria meningitides_ serogroup C (NmC) accounted for 100% (4) of the positive cases.
Key indicators:
Total [suspected] cases reported: 72
Total deaths: 9
Confirmed cases: 4
States that have reported at least one suspected case: 10
LGAs [local government areas] in alert in the last 4 weeks ([epi-]week 47-50, 2018): 1
LGAs in epidemic in the last 4 weeks ([epi-]week 47-50, 2018): 0
Cumulative LGAs ever in epidemic: 0

伝染性サケ貧血-チリ
PRO/AH/EDR> Infectious salmon anemia - Chile: (AI)
Archive Number: 20181231.6234476
情報源 Merco Press 2018年12月29日
Rowlett 749 center in the Patagonia Aisen region で伝染性サケ貧血ウイルス the detection and outbreak of the ISA virus, infectious salmon anemiaが確認され,Chile's National Fisheries and Aquaculture Service (SERNAPESCA) が監視区域を設定した ...

12月30日
黄熱-ザンビア アフリカ(29)
PRO/AH/EDR> Yellow fever - Africa (29): Zambia (LS) fake cards
Archive Number: 20181230.6228781
情報源 Zambia Daily Mail Limited 2018年12月29日
偽の黄熱ワクチン接種証明書 Fake World Health Organisation (WHO) yellow fever certificates of vaccination が,Inter-City Bus Terminus in Lusaka において,約 38米ドルのワクチン接種費用を払えない旅行者らに,およそ 4米ドルで公然と売られている。