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Diabetic retinopathy, the most common diabetes-related eye disease, affects 29% of U.S. adults aged ≥40 years with diabetes.

Last month, an FDA panel recommended approval of cefiderocol for treatment of complicated urinary tract infections (cUTIs), including pyelonephritis caused by Gram-negative bacteria. …

The 44th annual Great American Smokeout will occur on November 21, 2019.

The shingles vaccine Shingrix was approved in 2017. Doctors say they are learning more about how it works, its safety risks, and how it compares to Zostavax. …

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African Swine Fever -- Worldwide/UnknownThe following information includes data on African swine fever (ASF) in Asia, selectively extracted from the above, recent weekly FAO update.1. Affected Provinces:- China: Anhui, Heilongjiang, Henan, Jilin, Liaoning, Jiangsu, Zhejiang, Shanxi, Yunnan, Hunan and Guizhou, Hubei, Jiangxi, Fujian, Sichuan, Shaanxi, Qinghai, Guangdong, Gansu, Shandong and Hainan Provinces, Tianjin, Chongqing, Shanghai and Beijing Municipalities, Inner Mongolia, Ningxia Hui, Guangxi Zhuang, Xinjiang Uygur and…

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African Swine Fever -- MoldovaInformation received on [and dated] 14 Nov 2019 from Dr. Vitalie Caraus, Head of the Animal Health and Welfare Department, Animal Health and Welfare Department, National Food Safety Agency of the Republic of Moldova, Chisinau, MoldovaSummaryReport type: Immediate notificationDate of start of the event: 11 Nov 2019Date of confirmation of the event: 12 Nov 2019Reason for notification: Recurrence of a listed diseaseDate of previous occurrence: November 2019Manifestation of…

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African Swine Fever -- PolandThe Polish authorities have confirmed that African swine fever (ASF) has been found in a dead wild boar at 85 km (about 53 mi) from the border with Germany. The case positive for ASF concerned a wild boar that was found on [4 Nov 2019] after having been killed in a road accident in Lubuskie voivodship. This province borders to Germany in the west.The Polish Chief Veterinary Inspection broke the news on Thursday [14 Nov 2019]. The animal had been tested at the Polish State Veterinary…

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E. coli -- United States…

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E. coli -- United StatesBetween 13 and 15 Nov 2019, the Wisconsin Division of Public Health (DPH) Communicable Diseases Epidemiology Section has observed a significant increase in the number of reported cases of _Escherichia coli_ (_E. coli_) O157 infection. We are treating this as an outbreak. Cases have been reported from numerous jurisdictions within Wisconsin and have not been isolated to a single region. One associated case of hemolytic uremic syndrome (HUS) has also been reported. The investigation into the…

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Psittacosis -- United StatesPsittacosis results from inhalation of aerosolized droppings or respiratory secretions of birds infected with _Chlamydia psittaci_. During 2008-2017, a total of 60 cases of psittacosis, a nationally notifiable disease in the United States, were reported to the National Notifiable Diseases Surveillance System ().The most common source of psittacosis in the USA is believed to be pet psittacine birds (e.g., parrots, cockatoos). The most recent large poultry-associated outbreaks in the USA…

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Rabies -- MexicoIn order to achieve elimination, the country has implemented a national strategy for the control and elimination of rabies. This includes free, mass vaccination campaigns for dogs, that have taken place since the 1990's with more than 80 percent coverage; continuous and effective surveillance; public awareness-raising campaigns; timely diagnosis; and the availability of post-exposure prophylaxis in the country's public health services.As a result, the country went from registering 60 cases…

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Tuberculosis -- United StatesTwo elephants at Point Defiance Zoo & Aquarium have tested positive for tuberculosis, zoo officials announced Wednesday [13 Nov 2019].Tuberculosis is an infectious disease affecting the lungs, and there is evidence it can be passed from some animals, including elephants, to humans.That's what officials believed happened when staff members tested positive with a latent, or inactive, tuberculosis infection in September [2019]. [See ProMED-mail post Tuberculosis - USA: (WA) latent, zoo…

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West Nile Virus -- FranceWest Nile fever, FranceInformation received on [and dated] 13 Nov 2019 from Dr Loic Evain, directeur general adjoint, CVO, Direction generale de l'alimentation, Ministere de l'Agriculture et de l'Alimentation, Paris, FranceSummaryReport type: follow-up report no. 6Date of start of the event: 31 Aug 2019Date of confirmation of the event: 10 Sep 2019Report date: 13 Nov 2019Date submitted to OIE: 13 Nov 2019Reason for notification: recurrence of a listed diseaseDate of…

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Bluetongue -- IndiaAccording to the Chitradurga district Department of Animal Husbandry and Veterinary Services, nearly 5% of the total sheep in the district are suffering from the deadly bluetongue disease. Chitradurga is one of the largest sheep-rearing districts in the state with more than 14 lakh [1.4 million] sheep.The disease is caused by the biting of _Culicoides_ midges, and it damages the immune system, resulting in slow death.Deputy director, Department of Animal Husbandry and Veterinary…

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Other Animal Disease -- Cote d'Ivoire…

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Amoeba -- Pakistan[_Naegleria fowleri_] has claimed another life in Karachi on [Mon 11 Nov 2019]. This was the 16th death reported in the ongoing year [2019] because of the disease. According to details, a 28-year-old resident of New Karachi area was brought to a private clinic 4 days ago where he died of the disease during treatment.According to the researchers, _Naegleria_ has a fatality rate of more than 98%. Infections can happen when contaminated water enters the body through the nose. It cannot be…

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Botulism -- United StatesNew Mexico health officials are investigating the 3rd suspected case of botulism in 2019. The department said Friday [15 Nov 2019] that a patient hospitalized in Albuquerque is believed to have wound botulism, a rare illness that can lead to muscle paralysis and death if left untreated. Botulism was confirmed in people hospitalized in May and October [2019]. The health department says all 3 cases are linked to the use of injection drugs.Botulism is caused by a nerve toxin produced by a…

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Botulism -- ChinaYang Chen-chang, director of clinical toxicology and occupational medicine at Taipei Veterans General Hospital, spoke at a forum in Taipei yesterday, 16 Nov 2019, about intoxication caused by Botox injections. The nation's 1st case of poisoning caused by a botulinum toxin injection was reported by toxicologist Yang Chen-chang at a conference at Taipei Veterans General Hospital (TVGH).Yang, TVGH clinical toxicology and occupational medicine department director, disclosed the case during a…

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CJD -- Canada1. S-Juan P, Ward HJT De Silva R, et al. Ophthalmic surgery and Creutzfeldt-Jakob disease. Br J Ophthalmol. 2004; 88(4): 446-9; 2. Collins S, Law MG, Fletcher A, et al. Surgical treatment and risk of sporadic Creutzfeldt-Jakob disease: a case-control study. Lancet. 1999; 353(9154): 693-7; 3. UK National Health Service. Creutzfeldt-Jakob disease. 2018; 4. US National Institute of Neurological Disorders and Stroke. Creutzfeldt-Jakob Disease Fact Sheet. 2019;HealthMap/ProMED-mail map of…

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Norovirus -- United StatesA 2nd school in Palisade is getting cleaned over the weekend after several students were sick at home on Fri 15 Nov 2019, the Daily Sentinel reports.Eight percent of Mount Garfield Middle School students were home with flu-like symptoms, District 51 spokeswoman Emily Shockley said. Some had acute-onset vomiting, which lasted between 12 and 24 hours. The health department does not know what the illness is but said it is behaving like a virus.Palisade High School closed early Thursday…

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Polio -- PakistanNew wild poliovirus isolates reported this week:AFP cases: 2Environment: 3Others: 0New cVDPV isolates reported this week:AFP cases: 19Environment: 10Others: 5Headlines- Besides acute flaccid paralysis [AFP] surveillance and environmental surveillance, how else do disease surveillance officers track the poliovirus in populated cities, hard-to-reach geographical areas, and conflict zones? [See for details.]Summary of new viruses this week (AFP cases and ES…

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Food-related toxin -- United States"Histamine poisoning results from the consumption of foods, typically certain types of fish and cheeses that contain unusually high levels of histamine. Spoiled fish of the families Scombridae and Scomberesocidae (such as, tuna, mackerel, bonito) are commonly implicated in incidents of histamine poisoning, which leads to the common usage of the term, "scombroid fish poisoning," to describe this illness. However, certain non-scombroid fish, most notably mahi-mahi, bluefish, and sardines, when…

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Respiratory Illness -- BelgiumThis debate has extra resonance in the UK, where the government has embraced e-cigarettes as a way to wean people off tobacco.There, officials say the worst thing people could do is go back to regular cigarettes out of fear vapes could land them in the hospital with a major lung malfunction. "You're terrifying people who are benefiting from vaping by not smoking," said Clive Bates, a former chief of the UK charity Action on Smoking and Health (ASH) and a strong defender of…

A rapid blood assay accurately classifies risk according to severity and suggests higher-dose antibiotics should be an early option for patients with severe sepsis whose outlook is poor, new data show. …

Afghanistan and Pakistan are the only countries that continue to confirm ongoing wild poliovirus type 1 transmission.

In 2017, 91.6% of adults aged ≥25 years easily understood information from their health care providers most or all of the time.

Cigarette smoking is the leading cause of preventable disease and death in the United States…

Since the launch of the Global Polio Eradication Initiative in 1988 and broad use of live, attenuated oral poliovirus vaccine, the number of wild poliovirus cases has declined >99.99%.