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World Updates

Middle East respiratory syndrome coronavirus (MERS-CoV) – Republic of Korea

On 12 October 2015, the National IHR Focal Point of the Republic of Korea provided follow-up information on a previously reported case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. The patient, who was discharged from hospital on 3 October following two consecutive negative PCR tests for MERS-CoV, was readmitted to hospital with fever on 11 October and tested again positive for MERS-CoV on 12 October. The patient, a 35-year-old male, developed symptoms on 11 October and visited a hospital. He was transferred to another hospital for isolation.

Middle East respiratory syndrome coronavirus (MERS-CoV) – Saudi Arabia

Between 10 and 13 October 2015, the National IHR Focal Point for the Kingdom of Saudi Arabia notified WHO of 4 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. The four cases are from the same compound in Riyadh city. Contact tracing of household and healthcare contacts is ongoing for these cases.

Zika virus infection – Brazil and Colombia

Between 8 October and 16 October 2015, the National IHR Focal Points of Brazil and Colombia notified PAHO/WHO of cases of Zika virus infection. In May 2015, the public health authorities of Brazil confirmed autochthonous transmission of Zika virus in the northeastern part of the country. As of 8 October, autochthonous cases of Zika virus had been detected in 14 states: Alagoas, Bahia, Ceará, Maranhão, Mato Grosso, Pará, Paraná, Paraíba, Pernambuco, Piauí, Rio de Janeiro, Rio Grande do Norte, Roraima, and São Paulo.

Cholera – United Republic of Tanzania

The Ministry of Health and Social Welfare (MOHSW) of the United Republic of Tanzania has notified WHO of new foci of cholera outbreaks in the country. As of 13 October, 13 regions have been affected, namely Dar es Salaam, Morogoro, Pwani, Kigoma, Kilimanjaro, Iringa, Dodoma, Geita, Mara, Singida, Shinyaga, Mwanza and Zanzibar. As of 19 October, the cumulative number of cases is 4,835 cases, including 68 deaths. The region of Dar es Salam accounts for 72% of all reported cases (3,460). Zanzibar has reported 140 cases.

Human infection with avian influenza A(H7N9) virus – China

On 14 October 2015, the National Health and Family Planning Commission (NHFPC) of China notified WHO of 2 additional laboratory-confirmed cases of human infection with avian influenza A (H7N9) virus. The cases are a 55-year-old female and a 53-year-old male, with onset dates of 18 September and 21 September, respectively. Both cases had exposure to poultry and live poultry markets. No epidemiological link between the cases was reported. The cases were reported from 2 municipalities (Huzhou city and Jinhua city) in Zhejiang province.

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