Source: http://www.cidrap.umn.edu/news-persp...an-feb-15-2019
News Scan for Feb 15, 2019
More Saudi MERS; Raw turkey Salmonella; Polio in Indonesia, Pakistan; Lassa fever in Nigeria
Filed Under:
Lassa fever; MERS-CoV; Salmonella; Foodborne Disease; Polio; VHF
Saudi Arabia confirms new MERS case, 62 for the year
Saudi Arabia's Ministry of Health (MOH), in its epidemiologic week 7 update,...
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Source: http://www.cidrap.umn.edu/news-persp...an-feb-15-2019
Stewardship / Resistance Scan for Feb 15, 2019
Electronic stewardship intervention; Antibiotic resistance and UTI risk; C diff testing in children
Filed Under:
Antimicrobial Stewardship; Diagnostics; Clostridium difficile
Digital stewardship cuts antibiotics for respiratory infections in UK study
Electronically delivered prescribing feedback and decision support interventions reduced antibiotic prescribing for respiratory infection (RTI) in adults by 12%, according to the results of a clinical trial published this week in the British Medical Journal.
In the open label cluster randomized controlled trial, British researchers evaluated the impact of a 12-month antimicrobial stewardship intervention that included a brief training webinar, automated monthly feedback reports of antibiotic prescribing sent by email, and electronic decision support tools to inform clinicians when an antibiotic is indicated. Intervention components were supported by a local practice champion. The primary outcome was the rate of antibiotic prescriptions for respiratory tract infection (RTI) per 1,000 patient years.
The trial included 79 general practices across the United Kingdom; 41 practices were in the stewardship arm, and 38 were in the usual-care arm. The overall adjusted rate ratio for antibiotic prescribing for RTI was 0.88 (95% confidence interval [CI], 0.78 to 0.99, P = 0.04), with prescribing rates of 98.7 per 1,000 patient years in the stewardship group (31,907 prescriptions) and 107.6 per 1,000 patient years for usual care (27,923 prescriptions).
Results of the subgroup analysis showed that the intervention had the greatest impact on prescribing for adults aged 15 to 84 (adjusted rate ratio, 0.84; 95% CI, 0.75 to 0.95), with one antibiotic prescription per year avoided for every 62 patients (95% CI, 40 to 200). But there was no evidence of an effect for children under 15 (adjusted rate ratio, 0.96; 95% CI, 0.82 to 1.12) or adults over 85 (adjusted rate ratio, .97; 95% CI, 0.79 to 1.18). There was also no evidence of an increase in serious bacterial complications in the stewardship arm (rate ratio, 0.92; 95% CI, 0.74 to 1.13).
"Although the absolute impact is moderate, it is likely to be important for public health in the drive to reduce antibiotic prescribing and the risks of antimicrobial resistance," the authors of the study concluded. "Interventions using data from electronic health records might be used to promote antimicrobial stewardship in primary care and might be readily scaled up. The needs of very young or old patients need specific consideration."
Feb 13 BMJ study
Cephalosporin resistance may raise risk of recurrent UTIs
In a retrospective cohort study yesterday in BMC Infectious Diseases, researchers with the University of Pennsylvania Perelman School of Medicine reported that extended-spectrum cephalosporin (ESC) resistance in community-onset urinary tract infection (UTI) caused by Enterobacteriaceae (EB) is significantly associated with increased risk of recurrent UTI within 12 months compared with ESC-susceptible EB.
The researchers evaluated all patients presenting to emergency departments or outpatient practices within the University of Pennsylvania Health System from December 2010 through April 2013. Exposed patients were defined as those with an EB UTI demonstrating resistance to an ESC, and unexposed patients were those who had a UTI with ESC-susceptible EB. The primary outcome was time to first recurrent UTI.
A total of 302 patients with an index community-onset EB UTI were included, with 151 exposed and 151 unexposed. Overall, 163 (54%) patients experienced a recurrent UTI with a median time to recurrence of 69 days (interquartile range, 25 to 183). On multivariable analyses, ESC-resistance was associated with an increased hazard of recurrent UTI (adjusted hazard ratio [aHR], 1.39, 95% confidence interval [CI], 1.01 to 1.91, P = 0.04). Other variables that were independently associated with recurrence included a history of UTI 6 months prior to the index UTI (aHR, 1.59; 95% CI, 1.17 to 2.15, P < 0.01) and presence of a urinary catheter at the time of the index UTI (aHR 1.59; 95% CI, 1.06 to 2.38, P = 0.03). Secondarily, the researchers found that when the treatment for the index UTI was adjusted for initial inappropriate antibiotic therapy, there was no longer a significant association between ESC-resistance and time to recurrent UTI (aHR 1.26;...Today, 06:43 PM -
Source: http://www.cidrap.umn.edu/news-persp...ases-climb-835
Ebola still claiming lives as DRC cases climb to 835 Filed Under: Ebola; VHF Lisa Schnirring | News Editor | CIDRAP News | Feb 15, 2019 The pace of new Ebola cases in the Democratic Republic of the Congo (DRC) slowed slightly last week, though the outbreak's intensi...Today, 06:42 PM -
Source: https://thearabweekly.com/locust-out...audi-arabia-un Locust outbreak threatens Egypt, Saudi Arabia: UN There was a risk of further spread towards the India-Pakistan border, the UN Food and Agriculture Organisation said. Friday 15/02/2019 GENEVA - A locust outbreak in Sudan and Eritrea is spreading rapidly al...Today, 05:12 PM
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Source: https://www.tennessean.com/story/new...se/2882110002/ The Tennessean Health department: No evidence tuberculosis spread at Wilson Central after 450 tested Andy Humbles, Nashville Tennessean Published 1:53 p.m. CT Feb. 15, 2019 There is no evidence that tube...Today, 05:02 PM
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Source: https://calcoasttimes.com/2019/02/14...of-meningitis/ Cuesta College student dies of meningitis Posted onFebruary 14, 2019 A Cuesta College student who lives in San Luis Obispo died Wednesday shortly before midnight from what health officials believe was a case...Today, 04:59 PM
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Source: http://www.cidrap.umn.edu/news-persp...continues-rise
US flu activity continues to rise Filed Under: Influenza, General Lisa Schnirring | News Editor | CIDRAP News | Feb 15, 2019 US flu activity rose again last week, with the H3N2 strain expanding out of the southeast region, where it has been the dominant strain, and pushi...Today, 04:53 PM -
Forte augmentation des cas de rougeole dans le monde l’année dernière (OMS)
© UNICEF/UN0201055/Krepkih
Dana, avec sa mère Inna, reçoit un vaccin contre la rougeole à Kiev, en Ukraine.
14 février 2019
Le nombre total de cas de rougeole signalés dans le monde en 2018 devrait être bien supérieur à celui enregistré en 2017, a annoncé...Today, 12:15 PM -
Club Med offers sickened guests compensation after virus outbreak By Tian Xuefei and Zhou Huiying in Harbin | China Daily | Updated: 2019-02-13 09:18 ... The club has suspended the reception of new guests and a professional health team has been sent to Yabuli to deal with the outbreak. Eight tourists at the resort tested positive for n...Today, 11:22 AM
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Source: http://www.latribuna.hn/2019/02/15/a...ivel-nacional/ Alarma por 410 casos de dengue a nivel nacional 15 Feb, 2019 - 4:00 am Google translation: Alarm for 410 cases of dengue at the national level Feb 15, 2019 - 4:00 a.m. A total of 410 cases of dengue are registered nationwide, of which 185 are serious, so the authorities of the Ministry of Health alerted the po...Today, 11:19 AM
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Source: http://sggpnews.org.vn/health/one-vi...gue-80284.html One Vietnamese adult dies of dengue Friday, February 15, 2019 21:45 The Hospital of Tropical Disease Hospital in Ho Chi Minh City reported one death of dengue and several serious cases. One Vietnamese adult dies of dengue Though this ti...Today, 11:16 AM
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Source: http://www.asahi.com/ajw/articles/AJ201902150031.html Measles spreads at Osaka site; infected woman used Shinkansen THE ASAHI SHIMBUN February 15, 2019 at 14:35 JST OSAKA--Health officials have issued measles warnings to anyone who shopped at a commercial complex here, particularly for Valentine’s Day gifts, or used specific bullet trains connecting Osaka and Tokyo earlier this month....Today, 11:08 AM
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Source: https://www.novinite.com/articles/19...es+in+Bulgaria 17 Cases of Measles in Bulgaria Society » HEALTH | February 15, 2019, Friday // 11:19| 17 cases of measles have been registered in Bulgaria so far, Radosveta Filipova, expert at Bulgaria’s Ministry of Health announced,...Today, 11:04 AM
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Newcastle disease,
MexicoInformation received on 15/02/2019 from MVZ Joaquín Braulio Delgadillo Álvarez, Director General de Salud Animal, Servicio Nacional de Sanidad, Inocuidad y Calidad Agroalimentaria (SENASICA) Secretaría de Agricultura, Ganadería, Desarrollo Rural, Pesca y Alimentación, Ministerio de Agricultura, Ganadería, Desarrollo Rural, Pesca y Alimentación, México, Mexico Today, 10:43 AM -
Source: https://www.who.int/csr/don/15-febru...udi-arabia/en/
Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia
Disease outbreak news 15 February 2019 From 1 January through 31 January 2019, the International Health Regulations (IHR) National Focal Point of Saudi Arabia repo...Today, 10:36 AM -
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Highly pathogenic avian influenza,
NigeriaInformation received on 15/02/2019 from Dr Olaniran Alabi, Director, Chief Veterinary Officer, Veterinary and Pest Control Services, Federal Ministry of Agriculture and Rural Development, ABUJA, Nigeria Today, 10:29 AM -
Ministry of Health confirms second case of Nile fever in country
14/02/19
BRASÍLIA, Brazil (FOLHAPRESS) - The Brazilian Ministry of Health confirmed the second case reported in the country of neurological disease by the West Nile virus, a type of arbovirose still unknown in Brazil.
Like dengue and zika, West Nile fever virus is transmitted...Today, 07:22 AM -
Hospital emergency patients surge during the Spring Festival
2019-02-10 08:13 Sina Anhui
The reporter learned from the First Affiliated Hospital of the First Affiliated Hospital of China University of Science and Technology (Anhui Provincial Hospital)...Yesterday, 09:53 PM -
Source: http://www.cidrap.umn.edu/news-persp...ate-protection
Early US flu vaccine analysis finds moderate protection Filed Under: Influenza Vaccines Lisa Schnirring | News Editor | CIDRAP News | Feb 14, 2019 In its early estimate of this season's flu vaccine effectiveness (VE) in the United States, the Centers for Disease Control and Prevention (CDC) said VE ...Yesterday, 06:26 PM -
Source: http://www.cidrap.umn.edu/news-persp...an-feb-14-2019
News Scan for Feb 14, 2019
Ebola outbreak expands; MERS in Oman, Saudi Arabia; Meningitis B on campuses
Filed Under:
Ebola; VHF; MERS-CoV; Meningitis
New health area, Bunia, reports Ebola in DRC as outbreak hits 829 cases
Bunia, in the Democratic Republic of the Congo (DRC) is the 19th...Yesterday, 05:47 PM -
Source: http://www.cidrap.umn.edu/news-persp...an-feb-14-2019
Stewardship / Resistance Scan for Feb 14, 2019
Postgrad stewardship support; Global antibiotic use in animals
Filed Under:
Antimicrobial Stewardship
Survey finds low postgrad stewardship training in pharmacists,
...Yesterday, 05:45 PM -
Source: http://www.cidrap.umn.edu/news-persp...her-infections
Study: At-home decolonization cuts MRSA, other infections Filed Under: Antimicrobial Stewardship; MRSA Chris Dall | News Reporter | CIDRAP News | Feb 14, 2019 The results of a randomized, controlled clinical trial involving patients colonized with methicillin-resistant ...Yesterday, 05:44 PM -
Source: https://www.standardmedia.co.ke/heal...ft-fever-cases Test show more Rift fever cases in Nyandarua Mercy Kahenda Posted on: 12th Feb 2019 00:00:00 GMT +0300 Two more cases of Rift Valley fever have been reported in the county. Tests conducted at the Kenya Medical Rese...Yesterday, 05:39 PM
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Source: https://www.newsfirst.lk/2019/02/14/...certification/ Two malaria cases in 2019: Will Sri Lanka lose its ‘Malaria-free’ certification? Written by Staff Writer 14 Feb, 2019 | 4:51 pm COLOMBO (News 1st) – For the first time since the country ...Yesterday, 05:33 PM
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Source: https://www.nbcsandiego.com/news/loc...505787661.html Meningococcal Meningitis Case Reported at Bonita Vista High School “We want to make sure students are up to date on their vaccinations and make sure that those in the school community look for the appr...Yesterday, 05:30 PM
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GUADELOUPE
Alerte au rhum frelaté : Un cas d'intoxication grave en Guadeloupe Un cas d'intoxication grave au méthanol a été recensé en Guadeloupe, suite à la consommation d’un rhum issu des circuits informels. Une très faible dose suffit. La Préfecture lance donc un appel à la population....Yesterday, 12:12 PM -
Rougeole : Six décès et plus de 200 cas signalés 13 Février 2019 23:40 Les services du ministère de la Santé ont enregistré jusqu’au mercredi 13 février 2019 144 cas de rougeole à la région de Kasserine, 66 cas à Sfax et d’autres cas isolés dans d’autres régions. Six décès chez des bébés ont été a...Yesterday, 12:09 PM
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Source: https://www.kitv.com/story/39962106/...land-wednesday Two new cases of Rat Lungworm Disease confirmed on Big Island Wednesday Two new cases of Rat Lungworm Disease confirmed on the Big Island Wednesday. According to the Department of Hea...Yesterday, 09:26 AM
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The Ministry of Agriculture on Tuesday denied the bird flu epidemic, saying that the news is part of the targeting of the national economy.
The ministry said in a statement received, Alsumaria News, a copy of it, "the news that the media reported on the incidence of bird...Yesterday, 08:44 AM -
H7N9 situation update
06 February 2019, 17:00 hours; Rome
The next update will be issued on 06 March 2019
Disclaimer
Information provided herein is current as of the date of issue. Information added or changed since the last H7N9 situation update appears in red. Human cases are depicted in the geographic location of their report. For some cases, exposure may have occurred in one geographic location but reported in another. For cases with unknown onset date, reporting date was used instead. FAO compiles information drawn from multiple national (Ministries of Agriculture or Livestock, Ministries of Health, Provincial Government websites; Centers for Disease Prevention and Control [CDC]) and international sources (World Health Organization [WHO], World Organisation for Animal Health [OIE]) as well as peer-reviewed scientific articles. FAO makes every effort to ensure, but does not guarantee, accuracy, completeness or authenticity of the information. The designation employed and the presentation of material on the map do not imply the expression of any opinion whatsoever on the part of FAO concerning the legal or constitutional status of any country, territory or sea area, or concerning the delimitation of frontiers.
Overview
Hazard: Influenza A(H7N9) virus with pandemic potential.
Country: China; imported cases...Yesterday, 08:12 AM -
Frontiers in Microbiology: A Novel Reasortant H7N6 Is Transmissible in Guinea Pigs via Respiratory Droplets
#13,863
For a full decade after it re-emerged in 2003, the Asian Highly Pathogenic H5N1 virus reigned as the top bird flu pandemic threat around the world. Other - mostly H7 - avian viruses had shown a limited ability to infect humans, but produced generally mild symptoms (see A Brief History Of H7 Avian Flu Infections).Our perception of H7 avian viruses
...Yesterday, 07:59 AM -
Una donna di 55 anni e un 50enne sono collegati alla macchina cuore-polmoni. I medici: «Il picco non è ancora finito» Anna Ghezzi 14 Febbraio 2019 PAVIA. Dieci pazienti sono finiti in rianimazione al San Matteo dall’inizio dell’epidemia influenzale, il picco è stato la set...Yesterday, 04:48 AM
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PORDENONE. Sono quattro i pazienti ricoverati nel reparto di terapia intensiva dell’ospedale di Pordenone a causa dell’influenza. Per due di loro la prognosi è riservata. Sono questi i giorni del picco dell’epidemia e il periodo a rischio durerà ancora per due settimane circa.
Terapia intensiva Sono quattro i casi gravi ricoverati in terapia intensiva per le conseguenz...Yesterday, 04:46 AM -
This should be watched. Northwest Arkansas is one of the fastest growing areas in the country right now. Walmart and is headquartered in Benton County and you have dense residential housing being built into rural areas next to chicken farms.
https://www.nwahomepag...Yesterday, 03:07 AM -
February 13th, 2019, 08:05 PM
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Source: https://www.twincities.com/2019/02/0...ue-for-people/ Experts: Yes, chronic wasting disease in deer is a public health issue — for people By Dave Orrick | Pioneer Press PUBLISHED: February 7, 2019 at 6:02 pm | UPDATED: February 8, 2019 at 1:07 pm There is growing concern in the scientific and public health community that chronic wastin...February 13th, 2019, 07:17 PM
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Source: https://mobile.nation.co.ke/news/afr...87z/index.html 2 Hours Ago Hundred children die in DR Congo measles outbreak KINSHASA More than a hundred children in Democratic Republic of Congo have died of measles since the start of the year, an outbreak that has added to deadly epidemics of cholera and Ebola, the UN said o...February 13th, 2019, 06:26 PM
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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345419/ China’s shifting neglected parasitic infections in an era of economic reform, urbanization, disease control, and the Belt and Road Initiative Lei Wang,1,2,3 Yang Zou,1,3 Xinping Zhu,4 Maria Elena Bottazzi,2,5 Peter J. Hotez,2,5 and Bin...February 13th, 2019, 06:22 PM
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Source: https://wwwnc.cdc.gov/eid/article/25/3/18-0960_article Neutralizing Antibody against Enterovirus D68 in Children and Adults before 2014 Outbreak, Kansas City, Missouri, USA1 Christopher J. HarrisonComments to Author , William C. Weldon2, Barbara A. Pahud2, Mary Anne Jackson2, M. Steven Oberste2, and...February 13th, 2019, 06:19 PM
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Source: http://www.cidrap.umn.edu/news-persp...an-feb-13-2019
News Scan for Feb 13, 2019
MERS in Saudi Arabia, Oman; Lettuce E coli probe; H5N8 in Namibian penguins
Filed Under:
E coli; Avian Influenza (Bird Flu); MERS-CoV; Foodborne Disease
Saudi Arabia, Oman record new MERS cases
Today health officials in Saudi Arabia and Oman reported one new case of...February 13th, 2019, 06:15 PM
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