IMPETIGO – USA: (OHIO) SCHOOLS
Published Date: 2015-10-09 21:21:33
Subject: PRO/EDR> Impetigo – USA: (OH) schools
Archive Number: 20151009.3704319
Date: Thu 8 Oct 2015
Source: NBC4 [edited]
As a result of an outbreak of impetigo, Madison-Plains Local Schools [Madison County, Ohio] will be closed Friday [9 Oct 2015]. Superintendent Tim Dettwiller said 4 kids have been sent home with confirmed impetigo. There are 60 other kids with rashes of unknown cause in grades K-9. The 1st rash appeared last Friday [2 Oct 2015], and the problem has escalated since then.
Bio Clean will clean the school on Friday [9 Oct 2015] and Saturday [10 Oct 2015]. They will fog the building with a substance that kills all viruses, bacteria, etc. Football games and athletic events for Friday and the weekend are still on pending a nurse inspection of athletes. That could change at any time.
According to The Mayo Clinic, impetigo usually appears as red sores on the face, especially around a child’s nose and mouth. The sores burst and develop honey-colored crusts. You’re exposed to the bacteria that cause impetigo when you come into contact with the sores of someone who’s infected or with items they’ve touched — such as clothing, bed linen, towels and even toys.
ProMED-mail from HealthMap Alerts
[Madison County, with a population of 43 435 in 2010, is a county located in the U.S. state of Ohio, immediately west of the city of Columbus, the state capital (https://en.wikipedia.org/wiki/Madison_County,_Ohio).
Impetigo is a highly contagious superficial infection of the skin that especially affects the skin around the nose and mouth, but can spread to other areas around the body. Blisters burst leaving honey-colored crusts. It is caused by _Streptococcus pyogenes_ (group A beta-hemolytic streptococci) or _Staphylococcus aureus_ and occurs more commonly in infants and children than adults. It is transmitted primarily from direct contact with someone who has impetigo or by contact with contaminated objects such as towels, toys, clothing, or household items. Hot, humid weather, and the presence of eczema predispose to developing impetigo. Antibiotic therapy can shorten the course of the disease and help prevent the spread to others. The patient may no longer be contagious 24-48 hours after starting antibiotic therapy. Impetigo may be complicated by post streptococcal glomerulonephritis, which cannot be prevented by prior antibiotic therapy of the impetigo. – Mod.ML
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/29523.]
Streptococcus, group A, scarlet fever – UK (03): (England) update 20150401.3269483
Streptococcus, group A, scarlet fever – UK (02): (England) update 20150316.3233795
Streptococcus, group A, scarlet fever – UK: (England) update 20150215.3167754
Streptococcus, group A – New Zealand: (CA) care home, fatal 20140612.2535727
Streptococcus, group A, scarlet fever – UK (10): (England) update 20140508.2457781
Streptococcus, group A, scarlet fever – UK (09): (England) update 20140425.2429368
Streptococcus, group A, scarlet fever – UK (08): (England) update 20140408.2388282
Streptococcus, group A, scarlet fever – UK (07): (England) background 20140322.2348946
Streptococcus, group A, scarlet fever – UK (06): (England) RFI 20140320.2344345
Streptococcus, group A, scarlet fever – UK (05): (England) RFI 20140312.2327490
Streptococcus, group A, scarlet fever – UK (04): (Scotland) RFI 20140306.2317827
Streptococcus, group A, scarlet fever – UK (03): (England) RFI 20140304.2311992
Streptococcus, group A, scarlet fever – UK (02): England 20140302.2308816
Streptococcus, group A, scarlet fever – UK: England, alert 20140215.2279072
Streptococcus, group A, scarlet fever – Canada: (PE) RFI 20140123.2225403
RABIES – MALAYSIA (05): (KEDAH) CANINE, HUMAN EXPOSURE
Published Date: 2015-10-09 21:04:04
Subject: PRO/AH/EDR> Rabies – Malaysia (05): (KH) canine, human exposure
Archive Number: 20151009.3704439
Date: Fri 9 Oct 2015
Source: New Straits Times [edited]
The [Kedah] state Health Department has received a total of 70 reports on dog bites as of Wednesday [7 Oct 2015], an increase of 22 cases from the week before. According to state health director Datuk Dr Norhizan Ismail, Kuala Muda recorded the highest number of dog bite cases with 21. This was followed by Kulim with 18, Kubang Pasu at 10, Kota Star with 7, Bandar Baharu and Langkawi with 4 each, 3 in Baling, and 1 each in Yan and Padang Terap.
In his statement, he said from the total number, only a husband and wife couple in Kota Star were placed under observation, as their dog was confirmed to have rabies. “The Kota Star district health office will monitor the health of this couple, who have been advised to seek immediate treatment if they experience fever, headaches, and muscle fatigue,” he said. It was earlier reported that there was an outbreak of the zoonotic virus in Perlis, Kedah and Penang. Measures had been stepped up to ensure that the public is safe from the disease.
[Byline: Melissa Darlyne Chow]
ProMED-mail from HealthMap Alerts
[It is hard to make out the timeline in this report, and the scale of the dog biting; the simplest explanation is that it is the October (2015) total as of the 7th. But it does shine a light on the problem “What bites do you pay attention to?”, noting that dogs have a natural tendency to bite, especially when on alert. And at the community level, awareness of an individual dog’s habits may be slim. Which brings home the importance of having all dogs vaccinated against rabies when canine rabies is a known and recognised problem.
These bite reports are for the state of Kedah in NE Malaysia, on the Thai border; see http://www.fallingrain.com/world/MY/02/Kota.html. Kota Setar is a district in Kedah, Malaysia where the state capital Alor Star is situated. – Mod.MHJ
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/13000.]
Rabies – Malaysia (04): (Kedah) canine, human exposure 20150920.3658774
Rabies – Malaysia (03): (PG) canine, control measures 20150918.3654591
Rabies – Malaysia (02): (PL) canine, human exposure 20150829.3611011
Rabies – Malaysia: (PL) canine, OIE 20150825.3599775
RABIES – USA (41): (OREGON) BAT, HUMAN EXPOSURE
Published Date: 2015-10-09 21:18:37
Subject: PRO/AH/EDR> Rabies – USA (41): (OR) bat, human exposure
Archive Number: 20151009.3704304
Date: Thu 8 Oct 2015
Source: OPB [edited]
3rd Rabies Case Confirmed in Lane County
Another rabies case was reported in Lane County [Oregon] earlier this week [week up to 8 Oct 2015]. A woman was walking on the campus of Lane Community College when she was scratched by a bat. Authorities later found a dead bat on campus that tested positive for the fatal virus.
Jason Davis is with Lane County Health and Human Services. He said this is the 3rd case in Lane County this year . “When we see that kind of geographic distribution in a very small area it makes us concerned that maybe the entire bat colony has rabies and there could be more interactions.”
There have been 12 rabies cases identified in Oregon this year .
[Byline: Amanda Peacher]
ProMED-mail from HealthMap Alerts
[There is no knowing if the dead bat was the one that had scratched this woman. But as bats do not like being handled and if healthy will not be lying on the sidewalk, I think we can presume that it came from a bat roost with active rabies cases.
On my last commentary on rabid bats a member took me to task, rightfully, for putting a live bat in a closed plastic bag as it could suffocate. Leave a gap so it can breathe. It will then be fitter when brain sampled.
To find Lane County in Oregon, go to http://www.lib.utexas.edu/maps/united_states/oregon_90.jpg and look for the 1st “O” in the state title. That is Lane County. The main campus for Lane Community College is in Eugene, which is shown in the map. To date this year (2015), 17 rabid animals have been picked up and sampled, and all but one were bats; the exception was a fox. See: https://public.health.oregon.gov/DiseasesConditions/DiseasesAZ/rabies/Documents/rabiesmap15.pdf. For further information on rabies in Oregon, go to: https://public.health.oregon.gov/DiseasesConditions/DiseasesAZ/Pages/disease.aspx?did=41. – Mod.MHJ
A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/promed/p/2215.]
Rabies – USA (39): (TX) bat, human exposure, Alert 20151005.3693066
Rabies – USA (36): (CA) bat, human exp 20150928.3674887
Rabies – USA (30): (MO) bat, canine, human exposure 20150915.3646808
Rabies – USA (28): (MS) bat strain in a cat 20150822.3596161
Rabies – USA (22): (WA,KS) bat, wildlife, human exp 20150710.3501034
Rabies – USA (19): (MO) bat, canine, human exposure 20150623.3459463
Rabies – USA (17): bats, feral cats, canine, human exposure 20150613.3432622
Rabies – USA (12): (NM) fox, human exp, new bat strain virus 20150521.3376189
Rabies – USA (10): bat, poss. human exp. 20150511.3354769
Rabies – USA (09): (FL) bat, human exposure susp 20150409.3285765
Bat die-off, USA: (FL) human exposure, rabies susp, improbable 20150223.3186055
Rabies – USA (04): (FL) possible bat exposure 20150222.3184593
LASSA FEVER – NIGERIA (08)
Published Date: 2015-10-09 22:20:11
Subject: PRO/AH/EDR> Lassa fever – Nigeria (08)
Archive Number: 20151009.3704655
Date: Fri 2 Oct 2015
Source: Nigeria Centre for Disease Control, Nigeria Federal Ministry of Health 5(39) [edited; not yet posted on the Ministry website]
No Lassa fever cases were reported in week 39, 2015, compared with 1 suspected case from Lafia LGA (local government area] (Nasarawa State) at same period in 2014.
Between weeks 1 and 39, 2015, 227 Lassa fever cases with 11 lab-confirmed and 6 deaths (CFR [case fatality rate], 2.6 percent) from 21 LGAs (10 States & FCT [Federal Capital Territory]) were reported compared with 916 cases with 93 lab-confirmed and 31 deaths (CFR, 3.4 percent) from 30 LGAs (12 States) at the same period in 2014.
Numbers of cases in states reported / confirmed / deaths
Bauchi 3 / 3 / 1
Borno 7 / 0 / 0
Edo 180 / 6 /
FCT 1 / 0 / 0
Gombe 2 / 0 / 0
Kogi 2 / 0 / 0
Kwara 2/ 0 / 0
Nasarawa 2 / 0 / 0
Ondo 2 / 2 / 0
Plateau 22 / 0 / 1
Taraba 4 / 0 / 0
[As noted in the comments in ProMED-mail archive no. 20150228.3199551: “Lassa fever virus [LFV] is endemic in Nigeria and multi-mammate mice (_Mastomys_ spp.) are the rodent hosts. Lassa fever is now a serious problem in 23 of the 36 states of that country.”
LFV can be transmitted from person to person through contact with an infected individual’s viremic blood in the absence of adequate personal protective equipment. Several cases of transmission have occurred in hospitals.
As Mod.CP pointed out in his comment in archived posting 20130131.1524034: “In the countries of Africa, such as Nigeria, where Lassa fever is endemic, the disease is a significant cause of morbidity and mortality. While Lassa fever infection is normally mild or has no observable symptoms in about 80 per cent of people infected with the virus, the remaining 20 per cent have a severe, multisystem disease. Rarely, Lassa fever is associated with epidemics, during which the case-fatality rate can reach 50 per cent. There is no preventative vaccine or treatment. The antiviral drug ribavirin has been used with success in Lassa fever patients.”
The virus is a member of the family _Arenaviridae_ and causes acute hemorrhagic fever. It is transmitted to humans from contact with food or household items contaminated with excreta of the reservoir rodent host. In the absence of adequate infection control measures, person-to-person virus transmission can occur in houses or in hospital environments, or in laboratories testing samples from patients.
Images of _Mastomys_ mice can be seen at http://www.ispot.org.za/node/255877.
Maps of Nigeria can be seen at http://www.un.org/Depts/Cartographic/map/profile/nigeria.pdf and http://healthmap.org/promed/p/62. – Mod.TY]
Lassa Fever – Nigeria (07) 20150813.3577115
Lassa Fever – Nigeria (06) 20150706.3487792
Lassa fever – Nigeria (05) 20150531.3397922
Lassa fever – Nigeria (04) 20150516.3367155
Lassa fever – Nigeria (03) 20150426.3322978
Lassa fever – Nigeria (02) 20150318.3239282
Lassa fever – Nigeria 20150228.3199551
Lassa fever – Nigeria (07): (ED) 20140717.2617327
Lassa fever – Nigeria (06): (PL) 20140621.2555743
Lassa fever – Nigeria (05): (EB) 20140522.2489540
Lassa fever – Nigeria (04): (PL) 20140410.2395734
Lassa fever – Nigeria, Liberia 20140328.2363217
Lassa fever – Nigeria (03): (OY) 20140222.2294417
Lassa fever – Nigeria (02): (BA) fatal 20140116.2178284
Lassa fever – Nigeria: (NA) 20140114.217300