ProMED: Global spread of Chikungunya virus and Ebola outbreak in DRC

ProMED
ProMed report
Epidemics can occur anywhere, at any time.

We publish regular updates, produced by Program for Monitoring Emerging Diseases (ProMED), on outbreaks of emerging infectious diseases to keep you informed on the frequency and impact of our priority diseases.

ProMED is the largest publicly-available system conducting global reporting of infectious diseases outbreaks, with ProMED staff, moderators and team members scanning for, reviewing and posting information relating to global health security from official health reports and media articles.

The below post contains information from health reports, news articles, and academic papers relating to our priority diseases, compiled together by ProMED. Content below may be edited from original ProMED posts for style and length.

These posts provide an overview of disease outbreak activity over the past several weeks. For the latest information relating to outbreaks of infectious diseases, please visit the ProMED website.

Chikungunya

Location

Brazil, Ethiopia, Taiwan, Thailand and USA
 

Outbreak Update

Brazil

18 Aug 2019 - Probable 97 900 cases, up from 72 000 for the same period last year (2018).

Ethiopia

13 Aug 2019 - Reported 3756 cases in Dire Dawa city

Taiwan

4 Aug 2019 - Confirmed one locally acquired case, 24 imported cases from Myanmar (12 cases), the Maldives, Thailand and India.

Thailand 

21 Aug 2019 - As of 14 Aug 2019 (rep) 6289 cases in 45 provinces; incidence: 9.52 persons per 100 000 population, the highest in 5 years

USA

1 Aug 2019 - Case counts for states reporting chikungunya virus disease, United States:

State / Travel-associated / Locally acquired
Arizona / 1 / 0
California / 4 / 0
Florida / 2 / 0
Hawaii / 1 / 0
Illinois / 4 / 0
Kentucky / 1 / 0
Massachusetts / 1 / 0
New Jersey / 3 / 0
New Mexico / 2/ 0
New York / 2 / 0
North Carolina / 3 / 0
Ohio / 5 / 0
Rhode Island / 1 / 0
Texas / 5 / 0
Virginia / 2 / 0
Wisconsin / 1 / 0
Wyoming / 1 / 0
Totals / 40 / 0

Territories
Puerto Rico / 0 / 2
Totals / 0 / 2

 

Ebola

Location

North Kivu, South Kivu and Ituri provinces, Democratic Republic of Congo
 

Outbreak Update

A 4th patient has been sickened in cluster of Ebola cases in South Kivu province in the Democratic Republic of the Congo (DRC) outbreak, as overall activity in the affected area remained high owing to movements in and out of hot spot areas, the World Health Organization (WHO) said today [22 Aug 2019]. The first 2 patients were the child and mother who were exposed to the virus in Beni before they traveled about 435 miles south the South Kivu province. The 3rd was a patient in a health facility where the 1st patient had initially sought care. (in CIDRAP, 22 August 2019)


Wed 21 Aug 2019, World Health Organization Regional Office for Africa Dashboard: 

- 2930 cases including confirmed and probable
- 14 000 contacts being followed out of 16 400 known contacts
- 877 survivors
- 1959 deaths

While the past few weeks of the outbreak have been characterized by the geographic expansion of cases to new health zones, we continue to see high case numbers, sustained local transmission, and inter-health zone movement of cases both into and out of the hotspot areas of Beni, Mandima, and Butembo. (see WHO Disease Outbreak News update, 22 August 2019)