チクングニア(01)
メキシコ，ホンジュラス，ボリビア，ブラジル，スーダン，タイ，インド
エボラ(01)－コンゴ（民）
● 炭疽－ケニア
PRO/AH/EDR> Anthrax - Kenya: (ME) livestock, human
Archive Number: 20190103.6241419
情報源 Outbreak News Today 2019年1月2日
Chuka, Kenya で汚染された肉を摂取した 3人が入院となった。炭疽感染の疑い suspected anthrax で治療を受けているが危険な状態であると報じられている。ほかにもおよそ 10人が他の施設で治療を受け退院した。炭疽に感染したウシの肉を食べたとみられ，畜産当局者が調査を行っている。
● チクングニア(01)
メキシコ，ホンジュラス，ボリビア，ブラジル，スーダン，タイ，インド
PRO/AH/EDR> Chikungunya (01): Americas, Africa, Asia
Archive Number: 20190103.6241396
[1] Cases in various countries
メキシコ Mexico [in Spanish]:
- National. 19 Nov 2018.(conf.) 37 cases; States affected: Sinaloa (13), Chiapas (7), Michoacan (3), Veracruz (3), Durango (2), Yucatan (2), Guerrero (2), Morelos (2), Nayarit (1), Hidalgo (1), Jalisco (1).
- Yucatan state. 17 Dec 2018. (registered) 3 cases.
- Sonora state. 15 Dec 2018. (conf.) 25 cases.
ホンジュラス 6 Dec 2018. [in Spanish] (reported) 173 cases.
ボリビア
(Cochabamba department). 30 Dec 2018. [in Spanish] (susp.) 82 cases (conf.) 7 cases of which 1 imported from another department.
(Santa Cruz, Beni). 14 Nov 2018. (conf.) 85 cases.
ブラジル Brazil [in Portuguese]
- National. 12 Dec 2018. (reported) as of 10 Nov 2018, 82 382 cases.
- Gerais state. 24 Nov 2018. (conf.) 11 660 cases; Deaths (conf.) 1 (under investigation) 2; Affected region Vale do Aco
- Rio de Janeiro state. 23 Nov 2018. (registered) as of 13 Nov 2018, 36 102 cases; Deaths 16.
- Bahia and Roraima states. 10 Dec 2018. (published) A distinct lineage, the CHIKV-East-Central-South-America (ECSA)-genotype, was detected nearly simultaneously in Feira de Santana, Bahia state, northeast Brazil. ...
- Mato Grosso state. 28 Dec 2018. (registered) 14 243 cases; Deaths (conf.) 8; Localities most affected: metro Cuiaba 10 097 cases.
スーダン Sudan. 9 Nov 2018. (reported) cases in South Darfur, 1 case laboratory confirmed; the outbreak of chikungunya began in August [2018] after heavy rains hit Sudan's eastern Kassala state and El Gash river flooded large pieces of land. Kassala has at least 13 400 cases but may include dengue cases also.
タイ Thailand
- National. 13 Nov 2018. (conf.) cases increased from 538 to 2143 cases in approximately one month.
- Yala province. 29 Nov 2018. (reported) Yala Province Public Health Office says Chikungunya patients have been found in a few villages within the Yala Municipality [case numbers not given].
- Phuket province. 12 Dec 2018. (susp.) 20 cases, (conf.) 68 cases.
インド India (Ahmedabad, state). 4 Dec 2018. (reported) In November 2018, 31 cases. ...
米国 States reporting chikungunya virus disease cases - USA, 2018 (as of 11 Dec 2018)
関連項目 2018
Chikungunya (08): Americas, Africa, Asia, Europe, observations, research 20181111.6138426
● サルモネラ症－米国 生きた家きん
Environmental Investigation of a Multistate Salmonellosis Outbreak Linked to Live Backyard Poultry from a Mail-Order Hatchery - Michigan, 2018
PRO/AH/EDR> Salmonellosis - USA: (MI) live poultry, mail-order hatchery
Archive Number: 20190103.6241365
情報源 MMWR 67(5152);1430-1431 2019年1月4日
Google 翻訳参照願います。
● ボツリヌス症－米国 創傷，薬物注射関連
Wound Botulism Outbreak Among Persons Who Use Black Tar Heroin: San Diego County, California, 2017-2018
PRO/EDR> Botulism - USA: (CA) wound, injection drug related
Archive Number: 20190103.6241364
情報源 MMWR 67(5152);1415-1418 2019年1月4日
● エボラ(01)－コンゴ（民）
PRO/AH/EDR> Ebola update (01): Congo DR (NK, IT) cases, summaries, Uganda
Archive Number: 20190103.6241326
[1] Case updates
- Wed 2 Jan 2019. 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 1 Jan 2019:
-Since the beginning of the epidemic, the cumulative number of cases is 608, of which 560 are confirmed and 48 are probable. In total, there were 368 deaths (320 confirmed and 48 probable) and 207 people cured.
- 29 suspected cases under investigation.
- 6 new confirmed cases, 2 in Butembo, 2 in Katwa and 2 in Beni.
- 2 new deaths of confirmed cases in Beni.
- 2 new people healed out of Butembo CTE.
News of the response；Vaccination ...
- Tue 1 Jan 2019. 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 31 Dec 2018: [Due to technical issues, there was a delay in sending the Ebola newsletter on Tue 1 Jan 2019. We apologize for this inconvenience.]
- Since the beginning of the epidemic, the cumulative number of cases is 602, of which 554 are confirmed and 48 are probable. In total, there were 366 deaths (318 confirmed and 48 probable) and 205 people healed.
- 54 suspected cases under investigation.
- 4 new confirmed cases, including 3 in Oicha and 1 in Beni.
- 3 new confirmed case deaths, including 1 in Butembo, 1 in Beni (community deaths) and 1 in Oicha (community deaths).
- 1 new person healed out of CTE Mangina.
[2] Outbreak summaries
- Wed 2 Jan 2019. DRC Ebola total tops 600; vaccination team attacked
[CIDRAP (Center for Infectious Disease Research and Policy)]
1日と 2日で新たに 10例の感染 new Ebola infections が報告され，the Democratic Republic of the Congo (DRC) Ebola outbreak の患者数が the 600-case mark を超えた。今度は Komanda において，保健省のワクチン接種担当者らへの暴力行為が行われた ...
Wounded vaccination worker airlifted
New cases in 4 hot spots
Of the 10 new confirmed cases, 3 are in Oicha, 3 in Beni, 2 in Butembo, and 2 in Katwa, ...
Samaritan's Purse to open treatment center
- Thu 3 Jan 2019. WHO DG concludes New Year visit to Ebola-affected areas in the DRC [WHO]
[3] ウガンダ
情報源 The Island Packet 2019年1月2日
大統領選挙での混乱を受け，多数の人々がコンゴ（民）から国境を越えてウガンダに入っており，エボラの波及が懸念されている ...
関連項目 2018
Ebola update (158): Congo DR (NK, IT) cases, summary, response 20181231.6236998
● アフリカ豚コレラ－ベルギー 欧州(01) OIE
African swine fever, Belgium，Follow-up report No. 15
PRO/AH/EDR> African swine fever - Europe (01): Belgium (LX) wild boar, spread, OIE, RFI
Archive Number: 20190103.6241296
情報源 OIE, WAHID (World Animal Health Information Database), weekly disease information 2019; 32(01) 2018年12月31日
感染開始時期 2012018年9月9日
前回流行時期 1985年
原因ウイルス Virus de la peste porcine africaine
新たな感染流行 (10)
Summary of outbreaks
Total outbreaks: 10
種/個体数/症例数/死亡/廃棄/処分
イノシシ Wild boar: Sus scrofa (Suidae) / 22 / 22 / 0 / 0
メキシコ，ホンジュラス，ボリビア，ブラジル，スーダン，タイ，インド
エボラ(01)－コンゴ（民）
デング熱(01)
米国，メキシコ，ホンジュラス，ドミニカ共和国，ジャマイカ
ボリビア，ブラジル，コロンビア，パラグアイ，ベネズエラ
米国，メキシコ，ホンジュラス，ドミニカ共和国，ジャマイカ
ボリビア，ブラジル，コロンビア，パラグアイ，ベネズエラ
● 炭疽－ケニア
PRO/AH/EDR> Anthrax - Kenya: (ME) livestock, human
Archive Number: 20190103.6241419
情報源 Outbreak News Today 2019年1月2日
Chuka, Kenya で汚染された肉を摂取した 3人が入院となった。炭疽感染の疑い suspected anthrax で治療を受けているが危険な状態であると報じられている。ほかにもおよそ 10人が他の施設で治療を受け退院した。炭疽に感染したウシの肉を食べたとみられ，畜産当局者が調査を行っている。
● チクングニア(01)
メキシコ，ホンジュラス，ボリビア，ブラジル，スーダン，タイ，インド
PRO/AH/EDR> Chikungunya (01): Americas, Africa, Asia
Archive Number: 20190103.6241396
[1] Cases in various countries
メキシコ Mexico [in Spanish]:
- National. 19 Nov 2018.(conf.) 37 cases; States affected: Sinaloa (13), Chiapas (7), Michoacan (3), Veracruz (3), Durango (2), Yucatan (2), Guerrero (2), Morelos (2), Nayarit (1), Hidalgo (1), Jalisco (1).
- Yucatan state. 17 Dec 2018. (registered) 3 cases.
- Sonora state. 15 Dec 2018. (conf.) 25 cases.
ホンジュラス 6 Dec 2018. [in Spanish] (reported) 173 cases.
ボリビア
(Cochabamba department). 30 Dec 2018. [in Spanish] (susp.) 82 cases (conf.) 7 cases of which 1 imported from another department.
(Santa Cruz, Beni). 14 Nov 2018. (conf.) 85 cases.
ブラジル Brazil [in Portuguese]
- National. 12 Dec 2018. (reported) as of 10 Nov 2018, 82 382 cases.
- Gerais state. 24 Nov 2018. (conf.) 11 660 cases; Deaths (conf.) 1 (under investigation) 2; Affected region Vale do Aco
- Rio de Janeiro state. 23 Nov 2018. (registered) as of 13 Nov 2018, 36 102 cases; Deaths 16.
- Bahia and Roraima states. 10 Dec 2018. (published) A distinct lineage, the CHIKV-East-Central-South-America (ECSA)-genotype, was detected nearly simultaneously in Feira de Santana, Bahia state, northeast Brazil. ...
- Mato Grosso state. 28 Dec 2018. (registered) 14 243 cases; Deaths (conf.) 8; Localities most affected: metro Cuiaba 10 097 cases.
スーダン Sudan. 9 Nov 2018. (reported) cases in South Darfur, 1 case laboratory confirmed; the outbreak of chikungunya began in August [2018] after heavy rains hit Sudan's eastern Kassala state and El Gash river flooded large pieces of land. Kassala has at least 13 400 cases but may include dengue cases also.
タイ Thailand
- National. 13 Nov 2018. (conf.) cases increased from 538 to 2143 cases in approximately one month.
- Yala province. 29 Nov 2018. (reported) Yala Province Public Health Office says Chikungunya patients have been found in a few villages within the Yala Municipality [case numbers not given].
- Phuket province. 12 Dec 2018. (susp.) 20 cases, (conf.) 68 cases.
インド India (Ahmedabad, state). 4 Dec 2018. (reported) In November 2018, 31 cases. ...
米国 States reporting chikungunya virus disease cases - USA, 2018 (as of 11 Dec 2018)
関連項目 2018
Chikungunya (08): Americas, Africa, Asia, Europe, observations, research 20181111.6138426
● サルモネラ症－米国 生きた家きん
Environmental Investigation of a Multistate Salmonellosis Outbreak Linked to Live Backyard Poultry from a Mail-Order Hatchery - Michigan, 2018
PRO/AH/EDR> Salmonellosis - USA: (MI) live poultry, mail-order hatchery
Archive Number: 20190103.6241365
情報源 MMWR 67(5152);1430-1431 2019年1月4日
Google 翻訳参照願います。
● ボツリヌス症－米国 創傷，薬物注射関連
Wound Botulism Outbreak Among Persons Who Use Black Tar Heroin: San Diego County, California, 2017-2018
PRO/EDR> Botulism - USA: (CA) wound, injection drug related
Archive Number: 20190103.6241364
情報源 MMWR 67(5152);1415-1418 2019年1月4日
● エボラ(01)－コンゴ（民）
PRO/AH/EDR> Ebola update (01): Congo DR (NK, IT) cases, summaries, Uganda
Archive Number: 20190103.6241326
[1] Case updates
- Wed 2 Jan 2019. 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 1 Jan 2019:
-Since the beginning of the epidemic, the cumulative number of cases is 608, of which 560 are confirmed and 48 are probable. In total, there were 368 deaths (320 confirmed and 48 probable) and 207 people cured.
- 29 suspected cases under investigation.
- 6 new confirmed cases, 2 in Butembo, 2 in Katwa and 2 in Beni.
- 2 new deaths of confirmed cases in Beni.
- 2 new people healed out of Butembo CTE.
News of the response；Vaccination ...
- Tue 1 Jan 2019. 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 31 Dec 2018: [Due to technical issues, there was a delay in sending the Ebola newsletter on Tue 1 Jan 2019. We apologize for this inconvenience.]
- Since the beginning of the epidemic, the cumulative number of cases is 602, of which 554 are confirmed and 48 are probable. In total, there were 366 deaths (318 confirmed and 48 probable) and 205 people healed.
- 54 suspected cases under investigation.
- 4 new confirmed cases, including 3 in Oicha and 1 in Beni.
- 3 new confirmed case deaths, including 1 in Butembo, 1 in Beni (community deaths) and 1 in Oicha (community deaths).
- 1 new person healed out of CTE Mangina.
[2] Outbreak summaries
- Wed 2 Jan 2019. DRC Ebola total tops 600; vaccination team attacked
[CIDRAP (Center for Infectious Disease Research and Policy)]
1日と 2日で新たに 10例の感染 new Ebola infections が報告され，the Democratic Republic of the Congo (DRC) Ebola outbreak の患者数が the 600-case mark を超えた。今度は Komanda において，保健省のワクチン接種担当者らへの暴力行為が行われた ...
Wounded vaccination worker airlifted
New cases in 4 hot spots
Of the 10 new confirmed cases, 3 are in Oicha, 3 in Beni, 2 in Butembo, and 2 in Katwa, ...
Samaritan's Purse to open treatment center
- Thu 3 Jan 2019. WHO DG concludes New Year visit to Ebola-affected areas in the DRC [WHO]
[3] ウガンダ
情報源 The Island Packet 2019年1月2日
大統領選挙での混乱を受け，多数の人々がコンゴ（民）から国境を越えてウガンダに入っており，エボラの波及が懸念されている ...
関連項目 2018
Ebola update (158): Congo DR (NK, IT) cases, summary, response 20181231.6236998
● アフリカ豚コレラ－ベルギー 欧州(01) OIE
African swine fever, Belgium，Follow-up report No. 15
PRO/AH/EDR> African swine fever - Europe (01): Belgium (LX) wild boar, spread, OIE, RFI
Archive Number: 20190103.6241296
情報源 OIE, WAHID (World Animal Health Information Database), weekly disease information 2019; 32(01) 2018年12月31日
感染開始時期 2012018年9月9日
前回流行時期 1985年
原因ウイルス Virus de la peste porcine africaine
新たな感染流行 (10)
Summary of outbreaks
Total outbreaks: 10
種/個体数/症例数/死亡/廃棄/処分
イノシシ Wild boar: Sus scrofa (Suidae) / 22 / 22 / 0 / 0
● デング熱(01)
米国，メキシコ，ホンジュラス，ドミニカ共和国，ジャマイカ
ボリビア，ブラジル，コロンビア，パラグアイ，ベネズエラ
PRO/EDR> Dengue/DHF update (01): Americas
Archive Number: 20190103.6240824
Cases in various countries
WHO/PAHO report Fri 14 Dec 2018
Reported cases of dengue fever in the Americas, by country or territory to EW 53 of 2018. ...
米国 (Miami-Dade County, Florida). 20 Nov 2018. (conf.) One locally acquired case
メキシコ Mexico [in Spanish]
- National. 21 Nov 2018. (conf.) Tabasco state 47 cases; deaths by state: Chiapas (26), Jalisco (1), Michoacán (1), Nayarit (1), Oaxaca (1), Tamaulipas (1) Veracruz (1); deaths under investigation: Chiapas (11), Oaxaca (7), Jalisco (6), Veracruz (5), Coahuila (3), Guerrero (2), Quintana Roo (1), Sinaloa (1), and Tabasco (1).
- Monterrey, Nuevo Leon state. 10 Nov 2018. (reported) 514 cases; DHF/serious 214 cases.
- Jalisco state. 4 Dec 2018. (conf.) 2234 cases; deaths 3.
- Quintana Roo state. 27 Nov 2018. (conf.) 135 cases; DHF/serious 29 cases; Affected 7 municipalities: Chetumal 56 cases, Bacalar 48 cases, Tulum 6 cases, Felipe Carrillo Puerto 8 cases; Solidaridad, Cozumel and Benito Juárez 17 cases altogether.l [in Spanish]
- Guerrero state. 6 Dec 2018. (registered) 90 cases.
- Yucatan state. 17 Dec 2018. (registered) 15 cases.
- Guanajuato state. 31 Dec 2018. (conf.) 38 cases; deaths 3.
ホンジュラス Honduras [in Spanish]:
- National. 6 Dec 2018. (reported) 6849 cases; deaths last week 4 with 2 more suspected; localities most affected: Cortés, metropolitan San Pedro Sula, Yoro and Olancho.
- North Area. 27 Nov 2018. (registered) at least 1132 cases: deaths 3; municipality most affected Villanueva, Cortes department.
- Cortés department. 19 Dec 2018. 19 Dec 2018. (registered) at least 1400 cases; deaths 4.
ドミニカ共和国 19 Dec 2018. [in Spanish](registered) 1251 cases; deaths 1.
ジャマイカ 12 Dec 2018. Up to 17 Nov 2018, (susp.) 570 cases, (conf.) 9 cases; deaths 1.
ボリビア Bolivia [in Spanish]:
- Santa Cruz and Beni departments. 14 Nov 2018. (conf.) 409 cases.
- Caranavi, Yungas region, La Paz department. 4 Dec 2018. During the previous week (susp.) 209 cases, (conf.) 74 cases; DHF/serious 1 case.
- Cochabamba department. 30 Dec 2018. (susp.) 317 cases (conf.) 19 cases of which 5 imported from other departments.
ブラジル Brazil [in Portuguese]:
- National. 12 Dec 2018. (reported) as of 10 Nov 2018, 228 042 cases.
- Rio Branco, Arce state. 15 Nov 2018. (reported) 2500 cases (awaiting testing) 235 (conf.) 695.
- Minas Gerais state. 24 Nov 2018. (conf.) 26 155 cases; deaths (conf.) 8 (under investigation) 11; affected municipalities: Araújos, Arcos, Conceição do Pará, Contagem, Ituiutaba, Lagoa da Prata, Moema, Uberaba, (conf. and probable) 350 cases.
- Rio de Janeiro state. 23 Nov 2018. (registered) as of 13 Nov 2018, 13 886 cases; deaths 16.
- Bauru, Sao Paulo state. 14 Dec 2018. (conf.) 73 locally acquired cases.
- Taubaté, Sao Palo state. 15 Dec 2018. (registered) 57 cases.l
- Mato Grosso state. 28 Dec 2018. (registered) 93 376 cases; deaths (conf.) 4.
コロンビア (Cúcuta, Norte de Santander department). 23 Nov 2018. [in Spanish](reported) more than 2000 cases.
パラグアイ 30 Dec 2018. [in Spanish] (reported) 3414 cases; deaths 14; localities most affected: Central department, Asunción.
ベネズエラ Venezuela [in Spanish]:
- National. 27 Nov 2018. (reported) 14 166 cases (conf.) 1871 cases
- San Felipe, Yaracui state. 26 Nov 2018. (reported) in less than 72 hours, 28 children admitted into the emergency unit of the Hospital Pediátrico with DHF/serious dengue.
[2] WHO/PAHO: North and South America: epidemiological alert
情報源 WHO/PAHO North and South America: Epidemiological Alert Dengue 2018年11月21日
[3] Dengue vaccine ワクチン: WHO position paper - September 2018
情報源 WHO Weekly Epidemiological Record 2018年9月7日
弱毒生デング熱ワクチン The live attenuated dengue vaccine CYD-TDV は，過去のデング熱感染既往（血清抗体陽性）者に対して，有効かつ安全 efficacious and safe であることが，臨床試験で示されている。しかし，（血清抗体陰性者が）ワクチン接種後に初めてデング熱の自然感染を受けた場合の重症化リスクをはらんでいる carries an increased risk of severe dengue 。各国は抗体陰性者への接種リスクを最小限とすることが保証できる場合にのみ，ワクチン the dengue vaccine CYD-TDV の導入を考慮すべきである。デング熱対策の一環としてワクチン接種を検討する国々にあっては，ワクチン接種前のスクリーニング検査を推奨する。（スクリーニングまたは過去の抗体検査の結果に基づき）過去のデング熱感染歴があるものだけが，ワクチンを接種されることになる。もし接種前のスクリーニング検査が行えない not feasible 場合，9歳時点の血清抗体陽性率が 80 %を超える地域でのスクリーニングなし接種を検討しても良い。正しく抗体検査陰性者の接種を避けられるよう，特異度の高いスクリーニング検査が求められ，より多くの抗体陽性者がワクチンを受けられるよう，感度の高い検査である必要がある。市販のデング IgG ELISA 検査は，ほとんどのデング常在国で入手可能であり，過去のデング感染の特定に使用されている。しかしこれらの laboratory-based assays は，接種する現場で at the point of care 結果を得ることはできない。Point- of-care tests, i.e. RDTs, は the pre-vaccination screening strategy に役立つかも知れないが，過去のデング感染だけを検出すると認められている（validated or licensed）検査は存在しない。より良い RDTs が開発されるまでの間，高率に感染伝播がある地域では，conventional dengue IgG ELISA に比べ過去のデング感染検出の感度は低いものの，現在入手可能な IgG-containing RDTs の使用を検討してもよい。他のフラビウイルスと 100％ 交差反応性のない検査は存在しない ... 国立感染症研究所の情報を参照願います。
関連項目 2018
Dengue/DHF update (21): Americas 20181109.6135133