Tag Archives: Q Fever

NEBRASKA resident shoots stalking MOUNTAIN LION ~ WASHINGTON health officials asking people to send in TICKS ~ ARIZONA county finds this year’s first WEST NILE VIRUS mosquito ~ CDC publishes “Diagnosis and Management of Q FEVER” ~ RABIES reports from CO, GA, NY, & TXx2 ~ ANNOUNCEMENT: Three organizations accepting applications for AWARDS.

Mountain lion. Courtesy U.S. Department of Agriculture.

Mountain lion. Courtesy U.S. Department of Agriculture.

Nebraska 03/28/13 Dawes County: A resident of the Pine Ridge reported that he shot and killed a mountain lion on Wednesday after attempts to scare the animal off failed. The lion, which displayed no apparent fear, was walking along a creek about 20 yards from the man and about 150 yards from the man’s home. The incident occurred about 10 miles south of Chadron. – See http://journalstar.com/news/state-and-regional/nebraska/mountain-lion-killed-in-dawes-county/article_73019051-2f3b-533f-93ce-7e1406102683.html

Ticks:

Female Rocky Mountain Wood Tick. Courtesy CDC.

Female Rocky Mountain Wood Tick. Courtesy CDC.

Washington 03/27/13 coh.wa.gov: News ReleaseTick season is in full swing in western Washington, and it’s kicking into gear in the eastern side of the state. The Department of Health invites people all over the state to send ticks to the agency for a project to learn more about what types of ticks live in Washington. “Different types of ticks carry different diseases,” explains Liz Dykstra, public health entomologist for the Department of Health.

Female Western Black-legged Tick. Courtesy CDC.

Female Western Black-legged Tick. Courtesy CDC.

“We’re asking people to help us learn more by sending us ticks for identification so we understand the risks for disease in different areas.” Washington has relatively few cases of tick-borne disease, yet each year a few cases of relapsing fever, Lyme disease, and Rocky Mountain spotted fever are reported to state health officials. – For complete release see http://www.doh.wa.gov/Newsroom/2013NewsReleases/13037TickSeason.aspx

West Nile Virus (WNV):

080722_west_nile_generic (2)Arizona 03/28/13 Maricopa County: Officials confirm the first positive WNV mosquito sample, meaning the virus is getting an early start this year. Last year the county had 76 lab-confirmed human cases of WNV including two related fatalities. – See http://www.azfamily.com/news/health/Early-start-for-Maricopa-Countys-West-Nile-season-200430001.html

Q Fever:

qNational 03/29/13 cdc.gov: Q fever, a zoonotic disease caused by the bacterium Coxiella burnetii, can cause acute or chronic illness in humans. Transmission occurs primarily through inhalation of aerosols from contaminated soil or animal waste. No licensed vaccine is available in the United States. Because many human infections result in nonspecific or benign constitutional symptoms, establishing a diagnosis of Q fever often is challenging for clinicians. This report provides the first national recommendations issued by CDC for Q fever cdc_logorecognition, clinical and laboratory diagnosis, treatment, management, and reporting for health-care personnel and public health professionals. The guidelines address treatment of acute and chronic phases of Q fever illness in children, adults, and pregnant women, as well as management of occupational exposures. These recommendations will be reviewed approximately every 5 years and updated to include new published evidence. – See http://www.cdc.gov/mmwr/preview/mmwrhtml/rr6203a1.htm?s_cid=rr6203a1_e

Rabies:

thumbnailCAAVQ16XskunkColorado 03/28/13 Weld County: A skunk found in a neighborhood south of Lee Lake in between Highway 257 and Weld County Road 76 in Windsor has tested positive for rabies. As the animal had bite marks officials are concerned that a domestic or some other wild animal may also be infected and spreading the virus through the area. – See http://www.coloradoan.com/article/20130328/NEWS01/303280028/Rabies-concerns-increase-second-skunk-found-near-Windsor

raccoon_lgGeorgia 03/27/13 Fayette County: A raccoon shot be a sheriff’s deputy off Padgett Road and Lone Oak Drive a short distance south of GA HWY 85 has tested positive for rabies. – See http://www.thecitizen.com/articles/03-27-2013/rabies-confirmed-lone-oak-dr

2195804032_bb25565f77 - CopyNew York 03/27/13 Lewis County: A skunk in Lowville reported to be acting strangely has tested positive for rabies. An unvaccinated domestic animal that was in direct contact with the skunk had to be euthanized. – See http://www.wwnytv.com/news/local/Skunk-Tests-Positive-For-Rabies-In-Lewis-County-200227271.html

darlingcat-mattapoisett-Ma.govTexas 03/27/13 McLennan County: A feral cat that bit and scratched a Waco resident on March 24th in the 3700 block of South 3rd Street has tested positive for rabies. The cat was in the victim’s yard with her animals and when she tried to pick it up the cat became very aggressive. – See http://www.kcentv.com/story/21811264/cat-attacks-woman-tests-positive-for-rabies-in

2048273681_e5422b11e6 - CopyTexas 03/28/13 McLennan County: A skunk found with two dogs by a property owner in the 16000 block of Wortham Bend Road in Waco earlier this week has tested positive for rabies. This is the second confirmed rabies infection in the county this year. – See http://www.wacotrib.com/news/environment/second-rabies-case-confirmed-in-waco-area/article_94b842af-c4d0-5717-833c-767794f97e3d.html

~ AWARDS ANNOUNCEMENT ~

We would like to inform you that the following three awards are currently open for applications. If you are interested, you should apply directly to the organisation involved. We hope you find the information useful.

frontpage_logo1. Rabies in the Americas Award: GARC is pleased to announce that applications are welcomed from students in Asia and Africa for financial support to attend the 24th annual Rabies in the Americas (RITA) meeting in October 2013. Deadline: July 12th, 2013. For more details, see http://rabiescontrol.net/news/news-archive/announcing-financial-support-award-for-a-student-to-attend-rita.html

amv2. World Veterinary Day Award, offered by the World Veterinary Association (WVA) and the World Organisation for Animal Health (OIE). This recognises the most successful celebration of the veterinary profession. It applies to national veterinary associations, either on their own, or in collaboration with other selected veterinary bodies. This year’s theme is ‘Vaccination’. Deadline: May 1st, 2013. For further details, see http://www.worldvet.org/taxonomy/term/38

ACCD_LogoCMYK_color_medium3. Alliance for Contraception in Cats & Dogs: Award to attend the 5th International Symposium on Non-Surgical Contraceptive Methods of Pet Population Control in Oregon, US. This is open to veterinary students, interns and residents currently enrolled in a college or school of veterinary medicine anywhere in the world. Deadline: April 6, 2013. For more details -http://www.acc-d.org/5th%20Symp-Student%20Contest

Don’t forget to sign up for our newsletter for the latest news, campaign information and updates on projects from our community around the world – http://www.rabiescontrol.net/support-us/sign-up-to-our-newsletter.html.

Warm regards,

garcThe Global Alliance for Rabies Control Campaigns Team

www.rabiesalliance.org

EQUINE WEST NILE VIRUS cases now at 518 nationally ~ COYOTE report from ILLINOIS ~ WEST NILE VIRUS reports from GA, IL, OK, & SC ~ RABIES report from GEORGIA ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending October 13, 2012.

Feral horse and foal. Pryor Mountain Wild Horse Range, Montana. Courtesy U.S. Bureau of Land Management.

National 10/18/12 dvm360.com: by Heather Biele, DVM – In early September, 187 cases of equine West Nile virus were reported nationwide, according to the U.S. Geological Survey’s disease maps. Now, just one month later, that number has soared to 518, according to a report posted on October 16. The U.S. Department of Agriculture Animal and Plant Health Inspection Service (USDA-APHIS) released a similar report in early October showing that the mosquito-borne virus is a much greater problem this year, having far surpassed 2011′s report of 87 cases. The USDA states, however, that while this number is higher than the number of cases identified last year, it’s very similar to the number of cases reported to officials years prior.

Amy Glaser, DVM, PhD, a West Nile virus expert and senior research associate at the Animal Health Diagnostic Center at Cornell University’s College of Veterinary Medicine, isn’t surprised by these numbers and actually expects a peak in caseload around this time each year. “Traditionally, the largest volume for equine West Nile virus occurs in September and October, right up until the first frost,” she says. “That typically represents the peak of cases we see during any particular epizootic year.”

At this time, only seven states remain free of the virus—Alaska, Delaware, Hawaii, Kansas, Maine, New Hampshire and West Virginia (Alaska and Hawaii have never reported West Nile virus). As of October 16, Texas holds the highest number of cases with 83, and Louisiana and Pennsylvania are close behind with 50 and 46, respectively. – For complete article see http://veterinarynews.dvm360.com/dvm/Veterinary+Equine/Equine-West-Nile-virus-cases-almost-triple-in-past/ArticleStandard/Article/detail/793412?contextCategoryId=378

Coyote Attacks:

Illinois 10/19/12 Cook and Lake counties: A pair of coyotes attacked a dog on Thursday being walked by its owner in Buffalo Grove’s Mike Rylko Community Park. A park representative said signs have been posted advising people to remain on trails and to keep their dogs leashed. – See http://buffalogrove.patch.com/articles/park-district-warns-of-coyotes-near-buffalo-grove-park

West Nile Virus (WNV):

Georgia 10/18/12 Houston County: Family members have confirmed that 65-year-old Charles Hendrix of Warner Robins has died of WNV after a long battle with the virus. – See http://www.41nbc.com/news/local-news/15764-houston-county-man-infected-with-west-nile-virus-dies

Illinois 10/18/12 idph.state.il.us: Update – State health officials have confirmed 211 human cases of WNV in the state so far this year, including 9 fatalities. For additional statistics see http://www.idph.state.il.us/envhealth/wnvglance12.htm

Oklahoma 10/18/12 Pontotoc County: Health officials confirmed today that a county man older than 65 is the 12th person to die from WNV in the state this year. – http://www.tulsaworld.com/news/article.aspx?subjectid=17&articleid=20121018_17_0_OKLAHO422102

South Carolina 10/17/12 greenvilleonline.com: State health officials have confirmed the number of WNV-related fatalities in the state so far this year now totals three, and there have been a total of 40 human cases of the virus reported this year, which is about 700% above the typical figure of 3 to 5 cases per year. – See http://www.greenvilleonline.com/article/20121017/NEWS/310170071/Three-dead-state-from-West-Nile-virus?odyssey=nav|head

Rabies:

Georgia 10/18/12 Forsyth County: A fox suspected of having rabies attacked a man and bit two dogs, authorities reported Thursday. Local officers are warning residents to be on the lookout for the fox in and near the Hampton subdivision, located off GA 400 as it remains on the loose. – See http://cumming.patch.com/articles/possibly-rabid-fox-attacks-man-dogs-in-north-forsyth

CDC Reports:

CDC MMWR Summary for Week ending October 13, 2012:

Published October 19, 2012/ 61(41); ND-565-ND-578

Anaplasmosis . . . 10 . . . New York (9), North Carolina,

Babesiosis . . . 4 . . . New York (4),

Giardiasis . . . 127 . . . Alabama (3), Alaska (2), Arizona, Arkansas (4), California (27), Delaware, Florida (22), Iowa (2), Maryland (3), Michigan (2), Missouri (2), New York (17), Ohio (9), Oregon, Pennsylvania (5), Vermont (4), Virginia (3), Washington (15), Wisconsin (2), Wyoming,

Hansen Disease (Leprosy) . . . 1 . . . California, 

Lyme Disease . . .  75. . .  Florida (2), Maine (2), Maryland (6), New Hampshire, New York (37), North Carolina (3), Ohio, Pennsylvania (21), Virginia, Wyoming,

Q Fever (Acute) . . . 1 . . . Michigan,  

Rabies (Animal) . . . 56. . . Kansas (2), Kentucky, Maine, Michigan, Missouri (2), Nevada (2), New Hampshire, New Mexico, New York (4), Ohio, Oklahoma (7), Texas (26), Vermont, Virginia (7),

Spotted Fever including Rocky Mountain Spotted Fever (Confirmed) . . . 1. . . North Carolina,  

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 15 . . . Arkansas (2), North Carolina (8), Tennessee (3), Virginia (2).

EHD virus in ILLINOIS may have killed more than 2,000 DEER ~ CALIFORNIA confirms GROUND SQUIRREL positive for BUBONIC PLAGUE ~ Scientists say LYME DISEASE will continue to spread ~ MOUNTAIN LION report from IDAHO ~ COYOTE reports from CA, FL, & ILx2 ~ EEE/WNV report from CAx2, CO, FL, LA, & VT ~ RABIES reports from TN, TX, & VA ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending September 29, 2012.

Whitetail Buck. Courtesy of U.S. Environmental Protection Agency.

Illinois 10/05/12 dnr.illinois.gov: News Release – State officials today announced updated results of monitoring of deer mortality in the state attributed to Epizootic Hemorrhagic Disease (EHD).  Since an earlier update on September 6, many Illinois citizens have taken the time to make reports of sick, dead, and/or dying animals throughout the state. The IDNR Division of Wildlife Resources thanks those individuals who have taken time to provide information on EHD-probable deer mortality in the state. As of September 30, there were 2,043 deer reported as probable EHD deaths, with reports from 76 counties.  The highest numbers were reported from Cook (326); Calhoun (181); Coles (138); Macon and Shelby (121). Hunters taking to the field in Illinois for archery deer hunting and the Oct. 6-7 Illinois Youth Firearm Deer Hunt need not be concerned about eating venison from animals that may have contracted EHD and survived.  EHD has no impact on humans, pets, or livestock. – For complete news release and county maps see http://www.dnr.illinois.gov/news/Pages/EpizooticHemorrhagicDisease%28EHD%29IllinoisUpdate.aspx

Bubonic Plague:

Ground squirrel. Courtesy National Park Service.

California 10/05/12 inlandnewstoday.com: For the first time in nearly a decade, bubonic plague has been confirmed in Riverside County.  State health officials said Thursday that a ground squirrel tested positive. It was found during routine testing at the Fern Basin campground in the San Jacinto Mountains north of Idyllwild. It’s an area where similar findings were an annual occurrence in the 1990’s. Bubonic plague is a bacterial disease that can be transmitted from wild rodents to humans through bites from infected fleas. Campers are being warned to stay away from squirrels and other wild animals.

Lyme Disease:

National 10/05/12 petsandparasites.org: by Dr. Chris Carpenter – The Companion Animal Parasite Council (CAPC) 2012 Fall Lyme Disease Forecast calls for increased risk in the Northeast and Mid-Atlantic region, the upper Midwest, the Southeastern United States and all along the West Coast. The disease incidence is steadily spreading southward, even into some areas traditionally free or with low incidence of Lyme disease such as the Midwest and parts of the Southeast. The Northeast continues as the most Lyme endemic region of the country. – For complete article see http://www.petsandparasites.org/about-capc/

Mountain Lion Sightings:

Idaho 10/05/12 Ada County: A Boise police bicycle officer saw a mountain lion at about 9:30 a.m. Friday, according to a release from the police department. The cat was spotted beyond 31st and Pleasanton streets in a remote gravel area. The animal fled the area, and officers were unable to locate it. Police are consulting with Idaho Fish & Game officials. The Friday morning sighting was the fifth since Wednesday. – See http://www.bellinghamherald.com/2012/10/05/2718042/cougar-sighting-friday-morning.html

Coyote Attacks:

California 10/05/12 Orange County: A Tustin family says their small dog was fatally injured by a coyote in their Laurelwood neighborhood front yard last month. So far this year, local police have reported 13 coyote sightings near Bryan Avenue and Jamboree Road, about 2 miles from Laurelwood. – See http://www.ocregister.com/news/coyote-373645-coyotes-residents.html

Florida 10/05/12 Orange County: Residents in Dr. Phillips are petitioning to have coyotes removed after several family pets were killed. They say sightings occur on a daily basis and their afraid to allow pets, or even small children, out of their sight. – See http://www.cfnews13.com/content/news/cfnews13/news/article.html/content/news/articles/cfn/2012/10/5/neighbors_start_peti.html

Illinois 10/05/12 DuPage County: Local police report two small dogs survived a coyote attack on September 27th in the 2000 block of Stonebridge Court in Wheaton. One dog was treated for four bites on the neck and face. – See http://wheaton.patch.com/articles/dogs-survive-coyote-attack-in-wheaton

Illinois 10/05/12 DuPage County: A Winfield family says their dog, a Yorkshire terrier, was fatally injured by a coyote in their yard adjacent to the Illinois Prairie Path on Wednesday. – See http://abclocal.go.com/wls/story?section=news/local&id=8837288

Eastern Equine Encephalitis (EEE) & West Nile Virus (WNV):

California 10/06/12 Shasta County: Health officials have confirmed the county’s first human case of WNV this year. This person is the 217th human case of WNV in the state this year. – See http://anewscafe.com/2012/10/06/first-human-west-nile-virus-infection-of-2012-identified-in-shasta-county/

California 10/05/12 Merced County: Health officials confirm that a 26-year-old woman from Gustine has presented the first human case of WNV in the city this year. – See http://www.westsideconnect.com/2012/10/05/human-case-of-west-nile-in-gustine-2/

Colorado 10/05/12 Pueblo County: Health officials have confirmed one human case of WNV in the city of Pueblo, and suspects another. – See http://www.chieftain.com/news/local/puebloan-contracts-west-nile-virus/article_5bb26fc6-0f46-11e2-b001-001a4bcf887a.html

Florida 10/05/12 Jackson County: Health officials have reported a human case of WNV in the county, and a horse stabled on Sellers Road between Malone and Campbellton has tested positive for EEE. – See http://www2.jcfloridan.com/news/2012/oct/05/west-nile-eee-reported-jackson-county-ar-4693739/

Louisiana 10/05/12 dhh.louisiana.gov: Update – State health officials have confirmed 25 new human cases of WNV, but not new deaths occurred this week. So far this year, 305 human cases of WNV have been reported, including 11 WNV-related deaths. – See http://www.dhh.louisiana.gov/index.cfm/newsroom/detail/2651

Vermont 10/06/12 Essex County: Health officials have confirmed that a second person in the state has been infected with WNV and is recovering. – See http://www.reformer.com/latestnews/ci_21711420/second-case-west-nile-identified-vermont

Rabies:

Tennessee 10/05/12 tnpublichealth: State health officials are currently distributing oral rabies vaccine packets in eight northeast counties to prevent the spread of rabies in raccoons. The air drops began Tuesday and will continue through Oct. 12th.

Texas 10/05/12 Wichita County: Two skunks found near Wichita Falls, one southwest of the city and the other southeast, have tested positive for rabies. – See http://www.timesrecordnews.com/news/2012/oct/05/skunks-near-city-positive-rabies/

Virginia 10/04/12 Virginia Beach: A fox that attacked four people on Border Way off Salem Road has tested positive for rabies. – See video report at http://www.youtube.com/watch?v=ZjTzOY28pqg

CDC Reports:

CDC MMWR Summary for Week ending September 29, 2012:

Published October 5, 2012/ 61(39); ND-536-ND-549

Anaplasmosis . . . 1 . . . New York,

Babesiosis . . . 4 . . . California, New York (3),

Brucellosis . . . 2 . . . California (2),    

Ehrlichiosis . . . 8 . . . North Carolina (7), Tennessee,

Giardiasis . . . 167 . . . Alabama, Alaska, Arkansas (5), California (20), Georgia, Hawaii, Idaho (2), Iowa (3), Maine, Maryland (5), Massachusetts (7), Michigan (4), Missouri (7), Nebraska (5), New York (55), Ohio (21), Oregon (4), Pennsylvania (6), Vermont, Virginia, Washington (15), Wisconsin,

Lyme Disease . . .  161. . .  California, Delaware (4), Maine (3), Maryland (25), New Hampshire, New York (72), North Carolina (11), Pennsylvania (32), Vermont (5), Virginia (7),

Q Fever (Acute) . . . 2 . . . North Carolina (2), 

Rabies (Animal) . . . 46. . . Idaho (5), Kansas (2), Missouri, New Hampshire, New York (8), Ohio (3), Pennsylvania (6), Rhode Island, Vermont (2), Virginia (17),

Spotted Fever including Rocky Mountain Spotted Fever (Confirmed) . . . 2. . . Maryland, Missouri

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 43 . . . Alabama, Arkansas, Indiana (2), Kentucky (3), Missouri (2), North Carolina (21), Pennsylvania, Rhode Island, Tennessee (8), Virginia (3),

Tularemia . . . 1 . . . Missouri.

CANADA: GRIZZLY kills ALBERTA hiker’s leashed DOG ~ MOUNTAIN LION report from MONTANA ~ EASTERN EQUINE ENCEPHALITIS & WEST NILE VIRUS reports from AL, IA, LA, & MS ~ RABIES report from NJ ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending September 22, 2012.

Grizzly. Courtesy U.S. Fish & Wildlife Service.

Canada:

Alberta 09/28/12 the province.com: A popular hiking area in Banff National Park has been closed after a grizzly bear attacked and killed a small dog. Parks Canada spokeswoman Brianna Burley said it happened in the Skoki Valley area, near the Lake Louise ski hill, on Thursday. A hiker was scrambling off the trail with his Jack Russell terrier when the adult grizzly approached and started stalking the pet. “At first the hiker tried to stand his ground against the grizzly bear, and then came to a realization that the bear was intent on getting the dog,” Burley said Friday. The man tried to scare off the animal by yelling, throwing rocks and his backpack at it, but the grizzly wasn’t backing off, Burley said. “At this point he dropped the leash and the dog ran away about 20 feet at which point the bear chased the dog and that’s where the bear overtook the dog.” The grizzly left the area, taking the dog’s body. The hiker, an employee of Skoki Lodge, was not hurt but was shaken. – For complete article see http://www.theprovince.com/travel/Trails+closed+after+grizzly+bear+attacks+kills+small+Banff/7317499/story.html

Mountain Lion Sightings:

Montana 09/29/12 Lewis & Clark County: On Saturday afternoon, a resident of the South Hills area of Helena alerted authorities that they spotted a mountain lion near the intersection of Lodgepole and Lime Kiln, near Mount Ascension Park. – See http://www.kxlh.com/news/mountain-lion-spotted-in-helena-south-hills-area/

Eastern Equine Encephalitis (EEE) & West Nile Virus (WNV):

Alabama 09/28/12 Mobile County: According to local health officials, a sentinel chicken in Grand Bay has tested positive for EEE. – See http://blog.al.com/live/2012/09/sentinel_chicken_in_grand_bay.html

Iowa 09/28/12 idph.state.ia.us: News Release – The Iowa Department of Agriculture and Land Stewardship and Iowa Department of Public Health today reminded Iowans that mosquitoes remain active until hard freeze occurs and can carry WNV. Surveillance has shown a larger number of horses have been infected with WNV this year, with more than 20 confirmed cases. In addition, 19 human cases of WNV have been reported in 16 counties in 2012. No WNV-related deaths have been reported this year. Humans cannot ‘catch’ WNV from an animal, but an increase in animal cases indicates higher activity among mosquitoes carrying the virus. – See http://www.idph.state.ia.us/IdphNews/Reader.aspx?id=8225EBD7-3840-4A3A-9783-96313D26A376

Louisiana 09/28/12 dhh.louisiana.gov: Update – State health officials today confirmed 29 new human cases of WNV this week and no new deaths, and reminded residents to continue taking precautions against mosquito bites so they can lower their risk of infection. The state is seeing the highest number of reported WNV infections in several years, with 280 cases and 11 deaths from the disease thus far in 2012. – For details and county involved see http://www.dhh.louisiana.gov/index.cfm/newsroom/detail/2646

Mississippi 09/27/12 msdh.ms.gov: Update – State health officials confirm there have been 26 new human cases of WNV in the past week. The number of human cases now confirmed totals 197, including 5 deaths. – For details and county information see http://msdh.ms.gov/msdhsite/_static/14,0,93,554.html

Rabies:

New Jersey 09/29/12 Somerset County: A grounded bat found outside 422 Brookside Lane in Hillsborough less than a mile from the Middle School has tested positive for rabies. Parents of area school children are urged to contact health or school officials if their children touched the bat. Several children were seen near the bat poking it with a stick. – see http://hillsborough.patch.com/articles/rabid-bat-found-on-brookside-lane-sidewalk

CDC Reports:

CDC MMWR Summary for Week ending September 22, 2012:

Published September 28, 2012/ 61(38); ND-522-ND-535

Anaplasmosis . . . 7 . . . New York (7),

Babesiosis . . . 3 . . . Maryland, New York (2),

Brucellosis . . . 1 . . . Indiana,     

Ehrlichiosis . . . 4 . . . Florida, Maryland (2), Virginia,

Giardiasis . . . 194 . . . Alabama (6), Alaska (2), Arkansas (3), Florida (31), Idaho (6), Iowa (3), Maryland (6), Michigan (3), Missouri (4), Montana, Nebraska (8), Nevada, New York (49), Ohio (20), Oregon (5), Pennsylvania (8), South Carolina (2), Vermont, Virginia (2), Washington (29), Wisconsin (2), Wyoming (2),

Hansen Disease (Leprosy) . . . 1 . . . Missouri, 

HME/HGE Undetermined . . . 3 . . . Indiana (3),

Lyme Disease . . .  173. . .  Connecticut, Delaware (5), Florida (4), Maryland (6), Michigan, New York (82), Ohio, Oregon, Pennsylvania (44), Tennessee (2), Virginia (24), Washington (2),

Q Fever (Chronic) . . . 2 . . . Missouri, Nebraska

Rabies (Animal) . . . 63. . . Arkansas (3), Idaho (14), Kansas, Kentucky, Maryland (7), Michigan (4), Missouri (2), New York (10), Texas (9), Virginia (11), West Virginia,

Spotted Fever including Rocky Mountain Spotted Fever (Confirmed) . . . 5. . . Missouri (3), North Carolina (2),

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 39 . . . Alabama, Arizona, Arkansas (4), Florida, Indiana, Missouri (5), North Carolina (11), Ohio, Pennsylvania (2), Rhode Island, Tennessee (5), Virginia (6),

Tularemia . . . 1 . . . Missouri.

Lone WOLF OR-7 at last report still in CALIFORNIA ~ WASHINGTON to kill pack of GRAY WOLVES ~ GEESE may have key to treating diseases from MALARIA to WEST NILE VIRUS ~ RABIES reports from FL, & MT ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending September 15, 2012.

Gray wolf. Courtesy U.S. Fish & Wildlife Service.

Follow-Up Report:

California 09/22/12 redbluffdailynews.com: by Julie Zeeb – The famous Oregonian that waltzed into California in December 2011 and has been border-hoping ever since is back in Tehama County. The gray wolf, known as OR-7, has mostly been in California the last few months, primarily in Plumas County, according to a California Department of Fish and Game blog dedicated to his comings and goings. The three-year-old wolf was last in Tehama County on July 31 and except for one day spent in Butte County has been in various areas of Plumas County, moving from the western area of the county into Tehama County on Sept. 19*. OR-7 is the first and only wolf to have been sighted in California since 1924, first visiting Tehama County for a few days on July 21.

*Author’s Note: According to the latest California Department of Fish & Game satellite reading, OR-7 was in eastern Tehama County on September 20, 2012.

Washington 09/21/12 seattletimes.com: by Shannon Dininny – Washington officials announced plans Friday to kill a pack of at least eight gray wolves that have been attacking livestock in the state’s northeast corner. The move is likely to anger some conservation groups and deal a setback to wolf recovery efforts, though state officials said the step was necessary for sustainable, long-term wolf recovery in the region. The Washington Department of Fish and Wildlife said two teams were in the field Friday to try to kill members of the Wedge Pack, which ranges over a remote area of northern Stevens County. Marksmen would hunt the wolves from the ground, and if those efforts were unsuccessful, they might use helicopters to aid their hunt, Director Phil Anderson said in a statement. The pack is believed to have killed or injured at least 15 cattle from the Diamond M herd that grazes in a large area near the Canadian border, according to the statement. Those attacks have become increasingly more frequent since July, even after the agency killed a non-breeding member of the pack in August, and experts believe the wolves have become dependent on cattle for food. – For complete article see http://seattletimes.com/html/localnews/2019227092_apwawashingtonwolves1stldwritethru.html

Research & Development:

Global 09/21/12 wdtn.com: by Neil Carlson – Sometimes we find the cure for disease where we’d least expect it. In this case, geese could hold the key to treating everything from malaria to rabies. It all started out as a research project to develop a serum to protect people from a pesky outdoor nuisance and the disease it can carry: the West Nile virus. Mosquitoes can pick up the virus from diseased birds and transfer it to humans. Researchers found that geese can rapidly produce the antibodies needed to create serums to treat people for West Nile disease.

But, what’s most amazing is that researchers found geese can be used to produce serums to treat all kinds of diseases. “And we have gone into researching its use of their antibodies for dengue fever, for pandemic influenza, malaria, rabies,” said Richard Glynn, researcher with Avianax. “We’re also working with a group on cancer.” Researchers introduce the dead virus of any given disease to a goose. The goose then quickly produces an antibody to that disease, which is extracted from its egg yolk and used to create the serum to treat that disease.

David Bradley, University of North Dakota

“What’s really exciting about this is the goose provides a platform and produces antibodies rapidly to a variety of viruses — probably toxins, maybe even cancers,” said medical student David Bradley. It’s all amazing, heady stuff that’s being reviewed by the FDA. Who knows? We may all find that one day geese are the answer to many of mankind’s medical problems. All of this still depends on approval for human use by the FDA. However, the government is interested in this research because it could be used to quickly develop vaccines for biological agents spread by terrorists.

Rabies:

Florida 09/21/12 Bay County: A raccoon killed at the intersection of N. 9th Plaza and Lake Drive in Parker has tested positive for rabies. – See http://www.wmbb.com/story/19605639/rabid-raccoon-found-in-parker

Montana 09/21/12 Gallatin County: A Bozeman family is looking for the owner of a border collie involved in a biting incident at 4:40 p.m. Wednesday at the East Gallatin Recreational Area. Walker VanHouten, 16, was running with the Bozeman Hawks cross-country team when a border collie bit him on his calf. VanHouten did not realize he should check with the owner for proof of rabies vaccination. VanHouten will have to go through rabies injections if the dog owner does not come forward by Tuesday. The dog owner should contact Kathleen VanHouten at 585-7944 or vanhoutens3@wispwest.net.

CDC Reports:

CDC MMWR Summary for Week ending September 15, 2012:

Published September 21, 2012/ 61(37); ND-508-ND-521

Anaplasmosis . . . 23 . . . Florida, Maine (2), New York (15), North Carolina (4), Rhode Island,

Babesiosis . . . 8 . . . New York (8),

Brucellosis . . . 1 . . . California,     

Ehrlichiosis . . . 14 . . . Maine, North Carolina (11), Tennessee, Virginia,

Giardiasis . . . 218 . . . Alabama (2), Alaska (2), Arkansas (3), California (42), Delaware, Florida (22), Idaho (3), Iowa (3), Maine (8), Maryland (8), Michigan (3), Missouri (3), Montana, Nebraska (6), Nevada, New York (47), Ohio (19), Oregon (6), Pennsylvania (13), South Carolina (5), Vermont (7), Washington (9), Wisconsin, Virginia (3),

HME/HGE Undetermined . . . 1 . . . Indiana,

Lyme Disease . . .  156. . .  Florida (6), Maine, Maryland (18), Missouri, Nebraska, New Jersey (2), New York (67), Ohio (2), Pennsylvania (38), Rhode Island (3), Texas (2), Vermont (4), Virginia (10), Washington,

Q Fever (Acute) . . . 5 . . . Alaska, Nebraska (2), New York, Ohio

Rabies (Animal) . . . 49. . . Maine (2), Nevada (3), New York (16), Ohio, Texas, Utah (2), Vermont (2), Virginia (21), West Virginia,

Spotted Fever including Rocky Mountain Spotted Fever (Confirmed) . . . 1. . . Ohio,

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 42 . . . Alabama (3), Florida, Indiana (3), New York, North Carolina (18), Tennessee (9), Virginia (7),

Tularemia . . . 1 . . . Nebraska.

OHIO reports first known H3N2v SWINE FLU related DEATH ~ CALIFORNIA reports MOUNTAIN LION sighting ~ WEST NILE VIRUS report from MASSACHUSETTS ~ RABIES reports from FL, GA, MA, NJ, RI, & WI ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending August 25, 2012.

Photo courtesy U.S. Department of Agriculture.

Ohio 09/01/12 newsnet5.com: by Cassandra Nist – The Ohio Department of Health (ODH) has reported Ohio’s first known H3N2v- associated death Friday. The individual had direct contact with swine at the Ross County Fair before coming ill. Click here for a complete list of Ohio’s county fairs. The 61-year-old female Madison County resident passed away earlier this week. Testing at the Ohio Department of Health Laboratory confirmed that the individual had been infected with the H3N2v influenza virus. The patient had multiple other underlying medical conditions, but the influenza virus may have contributed to the death. According to the Centers for Disease Control and Prevention (CDC), the main risk factor for infection is direct exposure to swine. CDC points out that the virus does not spread easily from person-to-person, but limited human-to-human infection has occurred. “H3N2v, like many other viruses, has the greatest potential to impact those with weakened immune systems,” said Dr. Ted Wymyslo, Director of ODH. “We have been seeing a mild illness in most individuals infected with the H3N2v virus, so there’s no need for alarm. However, it is important for those at-risk individuals to take extra precautions like avoiding swine exhibits to protect themselves.” Ohio is currently reporting 102 cases of H3N2v statewide. Those with confirmed cases of H3N2v are between the ages of 6 months and 61 years old. Most ill individuals have recovered on their own or were treated and released after a short stay in the hospital. – For complete article see http://www.newsnet5.com/dpp/news/local_news/oh_cuyahoga/one-person-has-died-from-h3n2v-after-attending-ross-county-fair

Author’s Note: According to The New York Times, “Most cases have been in Ohio and Indiana,” but other cases have been confirmed as far away as Maine and Hawaii.  For a state-by-state breakdown of the 301 cases reported since August 2011 see http://www.cdc.gov/flu/swineflu/h3n2v-case-count.htm

Mountain Lion Sightings:

California 08/31/12 Sebastopol, Sonoma County: A mountain lion sighting south of town on Friday follows at least two possible sightings reported earlier in the spring near the downtown area. The most recent report involves a woman who said she saw what appeared to be a lion in an open field near Elphick and Bollinger avenues. – See http://www.pressdemocrat.com/article/20120831/ARTICLES/120839883

West Nile Virus (WNV):

Massachusetts 09/01/12 Middlesex and Hampden counties: Four more human cases of the WNV have been confirmed, bringing the total to eight in the state this season, health officials said Friday night. Three residents in Middlesex County and one in Hampden County, who were listed as probable cases earlier, were confirmed with the illness and all patients were recovering, officials said. – See http://www.boston.com/news/local/massachusetts/articles/2012/09/01/four_more_west_nile_virus_cases_confirmed_in_state/

Rabies:

Florida 08/31/12 Auburndale, Polk County: A bat found in Tenoroc High has tested positive for rabies, officials said. This is the seventh confirmed case of rabies this year in the county. See http://www.baynews9.com/content/news/baynews9/news/article.html/content/news/articles/bn9/2012/8/31/bat_found_in_tenoroc.html

Georgia 08/31/12 Madison County: Three rabies cases have been confirmed in the county within the past week, county leaders said Friday. Two of the cases involved skunks at locations on Applebaum Way and Charles Hart Road in the Colbert area. In both cases, the skunks had been killed by local residents and turned over to animal control. The third case involved a deceased horse in the area of Friendship Church Road and Chandler Road. – See http://www.madisonjournaltoday.com/archives/5464-Three-rabies-cases-confirmed-in-Madison-County.html

Massachusetts 08/31/12 Hingham, Plymouth County: An 11-year-old Hingham boy, who lives on the 100 block of lower Main Street, was bitten in his yard late afternoon on Monday, Aug. 27, by a cat.  The cat’s teeth punctured his skin, which requires determining the cat’s rabies vaccination status. No one is looking to punish the cat or its owners, but rather to find out its rabies status to determine whether they boy will need a series of rabies treatments.  The cat is not a complete stranger as he visits the boy’s yard from time to time, but not frequently. The cat appears to be well fed and cared for, but does not wear a collar.  He is mostly orange with some white stripes on his body, on his tail, and white on his paws.  The cat does not belong to any of the boy’s immediate neighbors. It is imperative to find out who owns the cat and its vaccination status.  Per the State Board of Health, there is a 10-day window of opportunity from this past Monday to find the cat before the boy must begin the rabies series. Anyone who owns this cat or knows of someone that owns this cat can contact Leslie Badger, Hingham Animal Control Officer, at 781-741-1490, or Marisa Ronan at 781-749-1862.

New Jersey 08/31/12 Hillsborough, Somerset County:  Health officials say there have been an unusual number of animals that have tested positive for rabies between Aug. 15 and 20.  A rabid skunk was found on Brook Drive on Aug. 15. Another rabid skunk was found at the Royce Brook Golf Course on Aug. 20. There was also a rabid cat behind the Goodyear on Route 206 on Aug. 20 (this was a young cat which was white with patches of tiger markings, with short hair.) – See http://www.centraljersey.com/articles/2012/08/31/hillsborough_beacon/news/doc50411ffa53a6a408491769.txt

Rhode Island 08/31/12 Barrington, Bristol County: A raccoon that bit the finger of a 4-year-old girl in her family’s garage has tested positive for rabies. – See http://www.eastbayri.com/news/2012/aug/31/rabid-raccoon-bites-young-barrington-girl/

Wisconsin 08/31/12: The Eau Claire City-County Health Department is looking for two dogs involved with different biting events. The department is looking for a dog that bit a woman at the corner of Washington Street and State Street Thursday at about 5 p.m. The dog is described as a large sized Husky type dog, black and white in color. The woman walking with the dog was dressed in green shorts and a purple tee-shirt. The Health Department is urgently requesting health and rabies status of this dog.

The department is also looking for a dog that bit a child near the beach access to Elk Creek on Friday, Aug. 24. The dog is described as a large bulldog-type snub-nosed breed dog. The dog was with a younger couple with three other dogs. All had collars and tags. The dogs were called Jasper, Jackie, Melon and Sophie. The health and rabies status of the dog needs to be determined. If anyone has information about these two dogs, they should contact the Eau Claire Communications Center at 715-839-4972.

CDC Reports:

CDC MMWR Summary for Week ending August 25, 2012:

Published August 31, 2012/ 61(34); ND-466-ND-479

Anaplasmosis . . . 23 . . . Arkansas, New Hampshire, New York (13), North Carolina, Rhode Island (6), Virginia,

Babesiosis . . . 3 . . . New York (3),

Brucellosis . . . 1 . . . Maryland,     

Ehrlichiosis . . . 13 . . . Arkansas, Delaware, North Carolina (8), Tennessee (2), Virginia,

Giardiasis . . . 183 . . . Alaska, Arizona, Arkansas (6), California (22), Florida (26), Hawaii, Idaho (3), Iowa (6), Maine, Maryland (2), Massachusetts (9), Michigan (7), Missouri (5), Montana, Nebraska (9), Nevada (2), New York (31), Ohio (19), Oregon (4), Pennsylvania (9), South Carolina (3), Vermont (3), Virginia (4), Washington (7), Wisconsin,

HME/HGE Undetermined . . . 1 . . . Indiana,

Lyme Disease . . .  163. . .  California, Connecticut, Delaware (5), Florida, Idaho, Maryland (9), Michigan (2), New York (74), North Carolina (9), Ohio, Pennsylvania (44), Vermont (2), Virginia (13),

Q Fever (Chronic) . . . 1 . . . Maryland, 

Rabies (Animal) . . . 47. . . Illinois (4), Kansas (2), Kentucky, Maine (3), Nevada, New Hampshire, New York (10), Ohio (2), Texas (3), Vermont (3), Virginia (17),

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 34 . . . Arkansas (14), Florida (2), Maryland, Nebraska, South Carolina (2), Tennessee (11), Virginia (3),

Tularemia . . . 1 . . . Washington.

HANTAVIRUS cases linked to YOSEMITE now total six including two fatalities ~ EASTERN EQUINE ENCEPHALTIS & WEST NILE VIRUS reports from FL, IL, ME, MD, & WI ~ RABIES reports from DE, OH, & CANADA: ONTARIO ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending August 18, 2012.

Yosemite National Park. Courtesy National Park Service.

Yosemite National Park 08/31/12 latimes.com: The number of hantavirus cases linked to Yosemite National Park rose Thursday as authorities said three more cases of the rare, rodent-borne disease have been confirmed. The California Department of Public Health announced two new cases and confirmed reports of the death of a Pennsylvania man and a non-fatal case involving a Californian, bringing the total number of cases linked to the park to six. Two people — the Pennsylvania man and a California man — have died. The remaining cases all involve California residents who are recovering, said Yosemite spokeswoman Kari Cobb.

Deer mouse. Photo courtesy of National Park Service.

Officials have shut down the 91 “signature tent cabins” in Curry Village, where they traced some cases to deer mouse droppings found in the area. The first three victims all stayed in cabins within 100 feet of one another in mid-June. Cobb said officials are still trying to determine where the other victims stayed. – For complete article see http://latimesblogs.latimes.com/lanow/2012/08/more-cases-of-hantavirus-at-yosemite-some-camp-cabins-closed.html

Eastern Equine Encephalitis (EEE) & West Nile Virus (WNV):

Florida 08/31/12 Gulf County: Health officials have confirmed that a horse has tested positive for EEE. – See http://www.wmbb.com/story/19428303/confirmed-case-of-eee-in-gulf-county

Illinois 08/31/12 Romeoville, Will County: A woman in her early 40s is the first confirmed human case of WNV in the county this year. She was hospitalized, but has since recovered. Health officials have reported 59 human cases of WNV, including two fatalities, in the state this year. – See http://bolingbrook.patch.com/articles/will-countys-first-human-case-of-west-nile-reported-in-romeoville

Maine 08/31/12 Standish, Cumberland County: Health officials have confirmed that a mosquito sample collected in Standish has tested positive for WNV. The virus has also been found in Gorham, and Lebanon. – See http://www.boston.com/news/local/maine/2012/08/31/west-nile-virus-confirmed-standish-mosquitoes/F2PVMHsszW7ffAvh7tZwrO/story.html

Maryland 08/30/12 washingtonpost.com: One person, an adult, has died of WNV, health officials confirmed Thursday, but they declined to divulge the victim’s age, sex or place of residence. There have been 13 human cases of WNV in the state since July 1. – See http://www.washingtonpost.com/national/health-science/maryland-sees-first-west-nile-virus-death/2012/08/30/e0ecfcc0-f2da-11e1-a612-3cfc842a6d89_story.html

Wisconsin 08/31/12 Polk County: A health advisory has been issued by the Wisconsin Department of Health Services after blood samples from a quarter horse tested positive for EEE. This is the third horse to be diagnosed with the disease in the past ten days. – See http://www.wqow.com/story/19430990/equine-encephalitis-found-in-polk-county-horse

Rabies:

Delaware 08/30/12 RehobothBeach, Sussex County: A fox that bit two people on Pennsylvania and Oak avenues has tested positive for rabies. – See http://www.wgmd.com/?p=68029

Ohio 08/30/12 Boardman, Mahoning County: Potential exposure to rabies may lead to a family receiving treatment after a bat found in their home on Sunday tested positive for the virus. – See http://www.vindy.com/news/2012/aug/30/rabid-bat-found-boardman-home/?nw

Canada:

Ontario 08/30/12 Chatham-Kent: A bat that bit the foot of a 46-year-old Wallaceburg woman has tested positive for rabies. The attack occurred when she stepped out onto the balcony of her condo in the early evening. – See http://www.chathamdailynews.ca/2012/08/30/rabid-bat-bites-burg-woman

CDC Reports:

CDC MMWR Summary for Week ending August 18, 2012:

Published August 24, 2012/ 61(33); ND-452-ND-465

Anaplasmosis . . . 15 . . . Maine (2), Maryland, New York (12),

Babesiosis . . . 7 . . . New York (7),

Brucellosis . . . 4 . . . Arizona, California, North Carolina (2),    

Ehrlichiosis . . . 3 . . . Missouri, New York, Tennessee,

Giardiasis . . . 145 . . . Alabama, Alaska (2), California (15), Florida (28), Idaho (2), Iowa (4), Maine (4), Maryland (5), Michigan (3), Missouri (3), Montana (3), Nebraska (2), Nevada (5), New York (24), Ohio (25), Oregon (4), Pennsylvania (8), Vermont (2), Washington (4), Wisconsin,

Lyme Disease . . .  236. . .  Delaware, Florida (5), Maryland (7), Massachusetts (2), New York (156), Ohio, Oregon, Pennsylvania (60), Tennessee, Vermont (2),

Q Fever (Acute) . . . 1 . . . Florida, 

Rabies (Animal) . . . 70. . . Connecticut (6), Illinois (5), Maine, New Hampshire (2), New York (20), Ohio (7), Texas (12), Vermont, Virginia (15), West Virginia,

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 17 . . . Michigan, Missouri (4), Nebraska, Ohio, South Carolina, Tennessee (9).

HEMORRHAGIC DISEASE killing DEER in central MICHIGAN ~ MOUNTAIN LION sighting in CALIFORNIA ~ LOUISIANA reports four more WEST NILE VIRUS fatalities ~ RABIES reports from NJ, NCx2, PA, & VA ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending August 4, 2012.

Whitetailed deer. Photo by Department of Natural Resources. State of Indiana.

Michigan 08/11/12 jsonline.com: by Paul A. Smith – Officials in Michigan confirmed in early August that Epizootic Hemorrhagic Disease, or EHD, killed deer in two counties in the south central part of the state. Deer deaths have also been reported in 11 counties in Indiana; officials there suspect the cause is EHD but are awaiting confirmation from laboratory tests. EHD is a viral disease transmitted by a midge, or biting fly. Found in wild ruminants such as deer and elk, the disease causes extensive internal bleeding. Infected deer are attracted to water to combat the fever and dehydration due to the hemorrhaging. The disease is characterized by sudden onset, according to wildlife health sources. Deer lose their appetite and fear of humans, grow progressively weaker, salivate excessively and finally become unconscious. Infected deer often are found sick or dead along or in bodies of water. There is no evidence that humans can contract the EHD virus.

Photo by Mwanner. Wikimedia Commons.

Michigan has observed EHD outbreaks each year since 2006. Before 2006, EHD was seen in Michigan in 1955 and ’74. The estimated mortality has varied from 50 to 1,000 deer per year in the affected areas, according to Michigan officials. “Due to the prolonged, dry, hot weather this year, we are not surprised to see EHD emerge again,” said Tom Cooley, DNR wildlife biologist and pathologist. “Mortality numbers will depend on how widespread the disease is. Die-offs usually occur within one watershed area. If multiple watersheds are involved, the total mortality is higher.” There is no known effective treatment for, or control of, EHD. – For complete article see http://www.jsonline.com/sports/outdoors/disease-found-in-midwest-kd6et3h-165867396.html

Mountain Lion Sighting:

California 08/11/12 San Mateo, San Mateo County: A mountain lion was seen Friday morning near the 1700 block of Lexington Avenue walking through San Francisco Watershed property. – See http://abclocal.go.com/kgo/story?section=news/local/peninsula&id=8770195

West Nile Virus (WNV):

Louisiana 08/10/12 sfgate.com: State officials confirmed Friday four more WNV deaths, bringing the state total to six. DHH officials said 68 (human) cases — 15 of them new — have been detected so far this year. More than half — 37 — are of neuro-invasive disease, the more serious form of the virus that infects the brain and spinal cord and can cause brain damage or death. DHH said that’s the highest total of neuro-invasive infections in the state since 2006. The new infections include eight cases of neuro-invasive disease reported in Bossier, Caddo, Concordia, Jefferson, Tangipahoa, Union, Washington and Webster parishes and five cases of the milder West Nile fever reported in Livingston, Orleans, Ouachita and St. Tammany parishes. Two new asymptomatic cases, where people had no symptoms and only discovered the infection when they had blood work done for an unrelated reason such as blood donation, were reported from East Baton Rouge and Rapides parishes. – For complete article see http://www.sfgate.com/news/article/DHH-confirms-4-more-West-Nile-Virus-deaths-3779815.php

Rabies:

New Jersey 08/12/12 Middletown, Monmouth County: A bat that was in contact with a vaccinated dog near Bryna Drive in the Lincroft section has tested positive for rabies. – See http://www.ahherald.com/newsbrief-mainmenu-2/local-news/13577-middletown-issues-rabies-alert

North Carolina 08/12/12 Crumpler, Ashe County:  A stray, Shepherd-mix dog that, on July 27,  bit an elderly man who had been feeding him has tested positive for rabies. – See http://www.jeffersonpost.com/view/full_story/19778525/article-Rabies-alert-in-Ashe-County?instance=popular

North Carolina 08/11/12 Wilmington, New Hanover County: According to the county sheriff’s office, a raccoon that fought with a vaccinated dog along Barnett Avenue on Thursday has tested positive for rabies. The dog was handled by its owner afterward, resulting in potential exposure to both. – See http://www.starnewsonline.com/article/20120811/ARTICLES/120819943

Pennsylvania 08/11/12 Hempfield, Lancaster County: by Richard Gazarik – Two Hempfield children and an animal-control officer have undergone a series of rabies shots after a rabid cat bit a child and exposed two others to the disease, township supervisors said. About 100 residents of Woodhaven Drive received notices on Friday that a feral cat tested positive for rabies, and authorities are searching for two kittens that also may be rabid, said township Supervisor Doug Weimer. The attack occurred on July 30, and the township was notified of the test results on Wednesday, Weimer said, prompting supervisors to issue a public notice through letters, the township website and cable television. He said the cat was caught after the attack, euthanized and tested. In addition to a child, another child and the animal-control officer were administered a series of four rabies shots, he said. Weimer said residents should be wary of two orange-and-white tabby kittens that have not been found. – For complete article see http://triblive.com/news/2387171-74/cat-rabid-child-control-hempfield-rabies-township-animal-cats-kittens

Virginia 08/11/12 Bealeton, Fauquier County: An adult cat, who was a frequent visitor to the area of Marsh Road and Balls Mills Road in Bealeton, Fauquier County, has been confirmed to be rabid, according to a release from the Virginia Department of Health. The cat — described as an orange tabby, young adult, 12-to-14-weeks-old and weighing five pounds — bit at least six people within the last three weeks. Lab results received today confirmed the presence of rabies. The six people who were bitten are starting post-exposure treatment. Fauquier County Environmental Health asks anyone who knows of any suspected contact between this cat and any person or domestic animal within the last three weeks, to contact them immediately. Call Fauquier County Environmental Health at 540-347-6363, and press 0 when prompted. – For complete article see http://www2.starexponent.com/news/2012/aug/11/rabid-cat-confirmed-fauquier-county-ar-2122671/

CDC Reports:

CDC MMWR Summary for Week ending August 4, 2012:

Published August 10, 2012/ 61(31); ND-424-ND-437

Anaplasmosis . . . 18 . . . Maine (4), Nebraska, New York (11), North Carolina, Virginia,

Babesiosis . . . 6 . . . New York (6),

Ehrlichiosis . . . 16 . . . Arkansas, Maryland (2), Missouri (6), New York (2), North Carolina (2), Tennessee, Virginia (2),

Giardiasis . . . 147 . . . Alabama (3), Arkansas (4), California (13), Florida (15), Idaho (2), Iowa (4), Louisiana, Maine (4), Maryland (6), Michigan (3), Missouri (7), Montana, Nebraska (8), Nevada (3), New York (30), Ohio (12), Oregon (7), Pennsylvania (3), Rhode Island, South Carolina (4), Vermont, Virginia (2), Washington (13),

Hansen Disease (Leprosy) . . . 1 . . . Florida, 

HME/HGE Undetermined . . . 2 . . . Indiana, Ohio,

Lyme Disease . . .  249. . .  California, Delaware (6), Florida (2), Maine (2), Maryland (14), Michigan (2), Nebraska, New York (90), North Carolina (6), Ohio (3), Pennsylvania (96), Vermont (6), Virginia (16), West Virginia (4),

Q Fever (Chronic) . . . 1 . . . Nebraska, 

Rabies (Animal) . . . 38. . . Connecticut (3), Illinois (2), Kentucky, Missouri, Nevada, New Hampshire, New York (17), Oregon, Rhode Island, Texas (7), Vermont (2), West Virginia,

Spotted Fever including Rocky Mountain Spotted Fever (Confirmed) . . . 2. . . Alabama, Kentucky,   

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 30 . . . Alabama (2), Arkansas (2), Indiana, Kentucky (2), Missouri (6), Nebraska, North Carolina (5), Tennessee, Virginia (10).

WILD RABBITS in ARIZONA dying from TULAREMIA ~ WEST NILE VIRUS approaching Emergency Risk Level in Dallas-Fort Worth area of TEXAS ~ WEST NILE VIRUS reports from GA, IL, NJ, & OH ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending July 21, 2012.

Wild rabbit. Photo by Matt Reinbold. Wikimedia Commons.

Arizona 07/27/12 yavapaihealth.com: News Release – There have been recent reports of wild rabbits in the Dewey area contracting and dying from tularemia, also known as “rabbit fever”.  The State Laboratory confirmed this in a dead rabbit sent to Phoenix for testing this week. Tularemia is a treatable, naturally occurring illness in the United States, with about 120 human cases reported each year, and most occur in the western and south-central states.  It is caused by a germ carried by animals (especially rodents, rabbits and hares), and can be passed to domestic animals and people. – For complete release see http://www.yavapaihealth.com/?health_news=tularemia-found-in-dewey-rabbits

Texas 07/30/12 examiner.com: by Vicki Davey – The West Nile Virus has been declared well into Risk Level 5 in Dallas, and is on the way to Risk Level 6, which is an emergency level. As of Friday July 27, there were 174 confirmed (human) cases of West Nile Virus in Dallas, Tarrant, Collin, and Denton counties, with about half of them in Dallas County, WFAA news reports. – See http://www.examiner.com/article/deadly-west-nile-virus-wreaks-havoc-dallas
West Nile Virus (WNV):

Georgia 07/30/12 Cobb County: Health officials confirmed Monday the first two human cases of WNV in the state this year. The patients, a 75-year-old man and 55-year-old woman, have been hospitalized and released, officials said. – See http://www.ajc.com/news/cobb/cobb-sees-1st-cases-1487551.html

Illinois 07/30/12 Will County: According to the health department, positive WNV infected mosquito samples were collected Tuesday from sites in Bolingbrook, Joliet, Shorewood and Frankfort. A blue jay and a robin taken from Wilmington and Plainfield, respectively, also tested positive for the virus. – See http://www.mysuburbanlife.com/bolingbrook/newsnow/x1629580998/West-Nile-virus-mosquitoes-found-again-in-Bolingbrook-county-increases-monitoring-of-test-sites

New Jersey 07/30/12 Warren County: Three additional samples of Culex mosquitoes collected in Franklin, Lopatcong and White townships have tested positive for WNV, according to a press release from the county’s Mosquito Commission. The mosquitoes were collected between Tuesday, July 17, and Friday, July 20, in traps specifically designed to catch Culex mosquitoes, the type of mosquito responsible for transmitting the virus, particularly from bird to bird. – See http://www.nj.com/warrenreporter/index.ssf/2012/07/more_mosquitoes_found_with_wes.html

Ohio 07/29/12 Lorain County: Health officials have confirmed that mosquitoes in the county have tested positive for WNV. – See http://morningjournal.com/articles/2012/07/29/news/doc5014b47080ccc998026681.txt

 CDC Reports:

CDC MMWR Summary for Week ending July 21, 2012:

Published July 27, 2012/ 61(29); ND-396-ND-409

Anaplasmosis . . . 16 . . . Maine (3), Nebraska, New Hampshire (2), New York (8), Tennessee, Virginia,

Babesiosis . . . 1 . . . New York,

Brucellosis . . . 2 . . . Florida (2),  

Ehrlichiosis . . . 11 . . . Arkansas (2), Maryland, New York (3), Virginia (5),

Giardiasis . . . 213 . . . Alabama, California (46), Florida (29), Idaho (4), Iowa (4), Louisiana (4), Maine (8), Maryland (3), Massachusetts (7), Michigan, Missouri (10), Montana (2), Nebraska (5), New Mexico, New York (19), Ohio (31), Oregon (3), Pennsylvania (10), Vermont (5), Virginia (5), Washington (14), West Virginia,

Lyme Disease . . .  248. . .  Delaware (8), Florida (2), Maine (2), Maryland (30), Massachusetts (6), New York (89), Ohio (3), Pennsylvania (87), Tennessee, Texas, Vermont (6), Virginia (12), Wisconsin,

Q Fever (Acute) . . . 2 . . . California, Texas,

Rabies (Animal) . . . 55. . . Illinois (2), Kansas, Maine (3), Missouri (2), New York (16), Ohio (3), Oregon (3), Texas (13), Virginia (11), West Virginia,

Spotted Fever including Rocky Mountain Spotted Fever (Confirmed) . . . 2. . . Florida, California

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 33 . . . Alabama, Arkansas (7), Florida (2), New York, Ohio, Tennessee (10), Virginia (11),

Tularemia . . . 1 . . . Washington.

CANADA: WOMAN from northern QUEBEC survives POLAR BEAR attack ~ FLORIDA man’s DOG killed by BLACK BEAR in backyard ~ COLORADAN dies of HANTAVIRUS ~ CALIFORNIA law officer shoots MOUNTAIN LION that broke through family’s back door ~ COLORADO confirms wild RABBIT tested positive for TULAREMIA ~ EASTERN EQUINE ENCEPHALITIS reports from GA, MAx3, NY, NC, & VA ~ WEST NILE VIRUS reports from AZ, FL, ILx2, MI, MS, NJx2, NY, OH, TX, & WI ~ RABIES reports from NJ, NYx2, NC, PA, & TX ~ CDC REPORTS: ZOONOTIC DISEASE summary for week ending July 14, 2012 ~ TRAVEL WARNINGS: CDC notice of CHOLERA outbreak in CUBA.

Polar bear. Courtesy U.S. Geological Survey

Canada:

Quebec 07/27/12 cbc.ca: An Inuk woman underwent surgery in Montreal Friday afternoon, four days after she was mauled by a polar bear near Kangiqsualujjuaq, a small Inuit community in Nunavik, in northern Quebec. Alicie Baron, 57, stepped out of her hunting cabin late Monday night, checking around for a bear as she normally would. She didn’t see anything. “I think this bear was hiding behind our cabin,” she said. Baron said she turned around after hearing a sound and found herself face to face with the bear. “I yelled twice. I tried to make a very loud yell, since my husband was inside. He only heard my last yell,” she said. Baron’s husband grabbed a hunting rifle and tried to shoot the bear. His first bullet jammed, so he got a second gun, firing two shots before the bear let go of Baron. Baron was left with a gaping head wound and a mangled hand. “I was afraid if I just stayed there doing nothing, he would….open my skull,” said Baron from her Montreal hospital bed on Friday. “I had to use my hand for protection.” “I just tried my best to be strong, to try not to have the bear chew off my head,” she said. The couple had to wait in the hunting camp overnight for help to arrive. Baron was first flown to Kuujjuaq for treatment, then on to Montreal. She underwent surgery on Tuesday to treat her head wounds. A second operation on Friday was to repair three fractures and lacerations to her right hand. A stoic Baron said she is hoping to make a full recovery.

United States:

Florida 07/27/12 clickorlando.com: Traps will be set for the bear that attacked and killed a DeLand man’s dog in his backyard, according to Florida Fish and Wildlife Conservation Commission officials. The attack happened Saturday night around 11 p.m. on Oak Street near International Speedway and Kepler Road. Greg Mapp believes the bear was about 350 pounds. He said his dog, Molly, and the bear went “toe to toe” as Molly defended her home. Mapp said the bear ran into the woods behind his house, but his dog was hurt so badly she had to be put down. His neighbor, Patricia Peacock, said she believes she spotted the same bear in her front yard on Wednesday. Joy Hill, a spokesperson with Florida Fish and Wildlife Conservation Commission, said a trap will placed in the area in the next day or two, but she added that the situation is not an emergency and the bear is not considered dangerous. Hill said the bear was likely going after the dog’s food that the owner left in the back yard. She said residents should take food inside. “This was a defensive response by the bear,” Hill said. “It was not a predatory attack. This type of thing will continue to happen as long as people provide food opportunities for bears (that) live in the woods around them.” If officials capture the bear, Hill said they will relocate it to the Ocala National Forest. Hill said the trap is being moved from Paisley in Lake County where a bear bit another dog earlier in the week. Local 6 spoke with the owner of the the other dog, Brian Pollock, who said he kept his trashcans empty and doesn’t have food on his porch. But a bear bit the neck of his dog, Spike, who is recovering.

Deer mouse. Common carrier of Hantavirus. Courtesy U.S. Department of Agriculture.

Colorado 07/25/12 therepublic.com: The Tri-County Health Department says an Adams County woman has died of hantavirus in the first Colorado death from the respiratory disease this year. The department said Wednesday that the 36-year-old woman, who had no serious underlying health conditions, was admitted to a hospital July 8 with flu-like symptoms and died two days later. Health officials say she most likely was exposed to hantavirus while cleaning a rodent-infested area of her home. People can catch the virus from inhaling airborne particles of infected rodents’ excrement. Symptoms include fever, chills, headache and severe muscle pain, especially in the lower back and legs, followed by a dry cough or difficulty breathing. State health officials say a Delta County man and Garfield County woman were infected with hantavirus earlier this year. Both survived.

California 07/27/12 mercurynews.com: by Patty Guerra – Tami Mendonca was working in the front yard of her home Sunday when she heard a crash in the back yard. She ran around to check and saw the back door hanging open. “It had just been kicked in,” she said. Using the cell phone she always keeps in her pocket, she called 911 to report the intruder. “Then she grabs the machete,” interjected her husband, Ray, as the couple recounted the story Thursday. The machete-wielding Mendonca flagged down a neighbor, and they watched the house while waiting for help to arrive. A Stanislaus County sheriff’s deputy got there quickly and went into the house with his K-9. “He came out and said the house was clear,” Tami Mendonca said. “Nothing had been taken.” While they were chatting, the Mendoncas’ dogs ran out to one of the eucalyptus trees in the yard and started barking. “We’re all excited and we thought we’ve got him up the tree,” she said. “Then we looked up, and we all just froze.” The suspect was a 100-pound mountain lion. The deputy told Mendonca to put her dogs in the kennel while he called the state Department of Fish and Game. “Fish and Game told them if the animal comes out of the tree, they should probably consider dispatching it,” sheriff’s deputy Royjindar Singh said Thursday. “The lion decided to come out of the tree, so (the deputy) shot it and killed it.” Authorities said the deputy had no alternative, as the mountain lion was a threat to public safety. “There are too many factors going on,” said Capt. Robert Simpson of the Department of Fish and Game. “Mountain lions have no fear; they have no predator.” – For complete article see http://www.mercurynews.com/california/ci_21173139/mountain-lion-killed-after-breaking-into-home

Colorado 07/27/12 kdvr.com: Public Health officials announced Friday that a rabbit tested positive for an illness that “is similar to plague” in Pueblo. The rabbit was found in Pueblo West in the 1000 Block of West Saginaw Drive, and tested positive for Tularemia. Though the bacterial illness occurs naturally in the U.S., it’s a condition that can be fatal to humans. – For complete article see http://kdvr.com/2012/07/27/rabbit-with-plague-like-illness-found-in-pueblo/

Eastern Equine Encephalitis (EEE):

Georgia 07/26/12 Chatham County: Health officials said Thursday that preliminary tests have confirmed the presence of WNV and EEE in mosquitoes collected in the county. – See http://www2.wsav.com/news/2012/jul/26/west-nile-virus-and-eastern-equine-encephalitis-de-ar-4214153/

Massachusetts 07/27/12 Pittsfield, Berkshire County: A mosquito sample collected in the Williams Street area has tested positive for EEE. – See http://www.berkshireeagle.com/ci_21173247/mosquito-sample-pittsfield-tests-positive-eee

Massachusetts 07/26/12 Westborough, Worcester County: Public health officials announced today that EEE has been detected in mosquitoes collected in the area. – See https://www.google.com/search?q=westborough+ma&ie=utf-8&oe=utf-8&aq=t&rls=org.mozilla:en-US:official&client=firefox-a

Massachusetts 07/27/12 Canton, Norfolk County: Health officials announced earlier this week that EEE has been found in mammal-biting mosquitoes and the town’s risk level has been raised to “high”.  – See http://www.thecantoncitizen.com/2012/07/24/eee-mosquitoes-announce/

New York 07/26/12 Morristown, St. Lawrence County: A horse found shaking and sweating in a field earlier this week tested positive for EEE. The horse has since died. – See http://www.syracuse.com/news/index.ssf/2012/07/horse_dies_from_eee_in_st_lawr.html

North Carolina 07/25/12 New Hanover County: A third sentinel chicken has tested positive for EEE in the past three weeks. There is no vaccine and no cure for humans if exposed to this disease. Vaccines are available for horses. Recently, horses with the disease were euthanized in Robeson and Bladen counties. – See http://northnewhanover.wect.com/news/environment/57648-third-case-mosquito-bourne-illness-found-new-hanover-co

Virginia 07/26/12 Chesapeake: Mosquito populations are way up this year, and more than ever they are testing positive for EEE, a virus that can be fatal to people, according to city officials. And the spread of the virus among mosquitoes likely will get worse over the next two months until the mosquito season peaks. Mosquitoes are especially pesky in Chesapeake and Suffolk because of the Great Dismal Swamp, which straddles city lines and is home to millions of mosquitoes, including the bird-biting mosquito that carries EEE, an official said. – See http://hamptonroads.com/2012/07/officials-talk-about-mosquito-results-chesapeake

West Nile Virus (WNV):

Arizona 07/27/12 Pinal County: Mosquitoes trapped during routine surveillance have tested positive for WNV. – See http://explorernews.com/news/article_550bca4c-d813-11e1-9da2-001a4bcf887a.html

Florida 07/25/12 Duval County: Health officials confirmed a 62-year-old woman is the first human case of WNV diagnosed in the county this year. The woman was hospitalized but has since been released. – See http://www.firstcoastnews.com/news/article/265870/10/Duval-County-sees-first-case-of-West-Nile-since-2011

Illinois 07/26/12 Winnebago County: The county health department announced today that two crows, found in the 61104 and 61088 zip code areas, have tested positive for WNV. – See http://www.wifr.com/news/headlines/West-Nile-Virus–163874226.html?ref=226

Illinois 07/25/12 dailyregister.com: Tests conducted by the Egyptian Health Department has confirmed WNV positive batches of mosquitoes in Saline, Gallatin and White Counties, including the towns of Shawneetown, Harrisburg and Carmi. – See http://www.dailyregister.com/news/x147945677/Mosquitoes-test-positive-for-West-Nile-in-Saline-White

Michigan 07/27/12 Oakland County: A 44-year-old man was hospitalized earlier this month with the first confirmed human case of WNV in the state this year. He is now recovering at home. – See http://www.mlive.com/news/index.ssf/2012/07/west_nile_michigan.html

Mississippi 07/27/12 wjtv.com: by Karen Wilson – Today the Mississippi State Department of Health (MSDH) reports the first WNV death for 2012, along with eight new human cases. The death was in Smith County, and the new reported cases are in Leflore, Rankin (3), Smith, Stone (2), and Sunflower County. Today’s report brings the state total for 2012 to 19 cases and one death. – See http://www2.wjtv.com/news/2012/jul/27/west-nile-death-ar-4222178/

New Jersey 07/27/12 state.nj.us: News Release – The first human case of WNV has been confirmed in a 19-year-old Monmouth County woman who was hospitalized but has recovered. In 2011, seven people tested positive for WNV.  In 2010, 30 cases were reported, including two deaths, one in Camden and one in Hudson. – See https://mail.google.com/mail/?shva=1#inbox/138c8f993b248cc8

New Jersey 07/25/12 Egg Harbor City, Atlantic County: A mosquito tested positive for WNV this week. Earlier, a mosquito collected in the vicinity of Duerer and 10th streets, and another at Birch Grove Park in Northfield, have tested positive for the virus. – See http://galloway.patch.com/articles/west-nile-virus-identified-in-egg-harbor-city#c

New York 07/26/12 Staten Island: A man, who is over 50, was hospitalized with the first human case of WNV in New York City this year. He has since recovered. – See http://www.nydailynews.com/new-york/west-nile-virus-mosquitoes-found-13-towns-southern-connecticut-staten-nausau-westchester-article-1.1122250

Ohio 07/27/12 Clermont County: An 85-year-old man has the first human case of WNV in the state this year. The man has been hospitalized. There is no report on his condition. – See http://www.wdtn.com/dpp/news/ohio/ohio-man-confirmed-with-west-nile-virus#.UBNTK_Ut7WA

Texas 07/26/12 Allen, Collin County: Health officials have confirmed three human cases of WNV in the city but did not say in which zip codes the infected people reside. – See http://www.nbcdfw.com/news/health/West-Nile-Virus-Infects-3-in-Allen-Collin-County-163904386.html

Wisconsin 07/25/12 Dane County: A bird has tested positive for WNV; the first to do so in the state this year. – See http://www.nbc15.com/home/headlines/Bird-Tests-Positive-for-West-Nile-Virus-in-Dane-Co-163724956.html

Rabies:

New Jersey 07/24/12 Manalapan, Monmouth County: A bat found outside a local residence on July 15 has tested positive for rabies. Brown bats are commonly found in the area. – See http://manalapan.patch.com/articles/rabid-bat-found-in-manalapan

New York 07/26/12 Jay, Essex County: A raccoon found in the town has tested positive for rabies. – See http://pressrepublican.com/0100_news/x1289993952/No-Headline-Provided

New York 07/26/12 Clinton County: One person is being treated for exposure to rabies after picking up a bat with bare hands. The bat tested positive for the virus. – See http://www.wcax.com/story/19117297/ny-bat-tests-positive-for-rabies

North Carolina 07/25/12 Manson, Warren County: A raccoon killed by a tethered but unvaccinated dog in the Shells Lane area has tested positive for rabies. The dog had to be euthanized.– See http://www.vancnews.com/the_warren_record/news/article_4ce69744-d5f6-11e1-ab9a-0019bb2963f4.html

Pennsylvania 07/26/12 Chestnuthill Township, Monroe County: A skunk found wandering in a residential yard has tested positive for rabies. – See http://www.poconorecord.com/apps/pbcs.dll/article?AID=/20120726/NEWS90/120729832/-1/NEWS

Rabid cow.

Texas 07/27/12 Grayson County: A show cow tested positive for rabies a couple weeks ago. Family members became concerned once it began choking severely and exhibiting symptoms of pneumonia. After a vet observed and assessed that the rabies virus was indeed present, the cow was euthanized three days later. – See http://www.kxii.com/morningshow/headlines/Grayson-Co-confirmed-case-of-rabies-in-cow-163835126.html

CDC Reports:

CDC MMWR Summary for Week ending July 14, 2012:

Published July 20, 2012/ 61(28); ND-382-ND-395

Anaplasmosis . . . 17 . . . New York (16), Virginia,

Babesiosis . . . 9 . . . California, New York (8),

Ehrlichiosis . . . 9 . . . Arkansas, Tennessee (2), Virginia (6),

Giardiasis . . . 112 . . . Alaska (2), Arkansas (2), California (23), Florida (20), Iowa (4), Maine (3), Maryland (3), Missouri (5), Nebraska (5), Nevada, New York (25), Ohio (4), Oregon (2), Pennsylvania (2), Vermont (2), Virginia (4), Washington (5),

Lyme Disease . . .  266. . .  California, Connecticut (6), Delaware (9), Florida (3), Maryland (33), New York (109), Oregon, Pennsylvania (79), Vermont (7), Virginia (18),

Q Fever (Acute) . . . 1 . . . Texas,

Rabies (Animal) . . . 43. . . Connecticut (3), Illinois (2), New York (17), Ohio, Texas (5), Vermont, Virginia (13), West Virginia,

Spotted Fever including Rocky Mountain Spotted Fever (Probable) . . . 20 . . . Alabama (2), Arkansas (3), Florida, Indiana, Maryland, New York, Tennessee (5), Virginia (6),

Tularemia . . . 3 . . . Alaska, Montana, Washington.

Travel Warnings:

Cuba 07/27/12 cdc.gov: Outbreak Notice – The Cuban Ministry of Health has confirmed the first cholera outbreak in Cuba in more than a century. One hundred thirty-seven confirmed cases and 3 deaths have been reported in Granma province in the cities of Manzanillo, Bayamo, Yara, and Campechuela Niquero. Currently, cases are limited to Granma Province, mostly in Manzanillo. According to the Cuban Ministry of Public Health, control measures have been implemented including ensuring that water is safe for drinking, implementation of environmental sanitation measures and public awareness campaigns. The Pan American Health Organization is also closely monitoring this situation. Most travelers are not at high risk of getting cholera. However, travelers to an area with a known outbreak should take steps to avoid getting sick. The vaccine to prevent cholera is not available in the United States. – For complete notice see http://wwwnc.cdc.gov/travel/notices/outbreak-notice/cholera-cuba.htm