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#Update: Increase in #Human #Infections with #Avian #Influenza #H7N9 Viruses During the 5th #Epidemic — #China, Oct. ‘16–Aug. 7 ‘17 (@CDCgov, edited)

Title : #Update: Increase in #Human #Infections with #Avian #Influenza #H7N9 Viruses During the 5th #Epidemic — #China, Oct. ‘16–Aug. 7 ‘17....

18 Oct 2017

Suspected cases from #Seychelles test negative for #plague (@WHO, Oct. 18 ‘17)


Title: Suspected cases from #Seychelles test negative for #plague.

Subject: Plague, suspected imported case in Seychelles.

Source: World Health Organization (WHO), full page: (LINK).

Code: [     ]

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Suspected cases from Seychelles test negative for plague

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News release / 18 October 2017 / Victoria, Seychelles

Samples from patients in Seychelles suspected to be ill with pneumonic plague tested negative at a WHO partner laboratory in Paris, France on Tuesday, 17 October 2017.

The ten samples were shipped by the Seychelles Ministry of Health and WHO to the collaborating centre for Yersinia at the Institut Pasteur to confirm the status of several suspected and one probable case – a 34-year-old Seychelles national who had returned from Madagascar with plague-like symptoms.

WHO is working with the Seychelles health authorities to reduce the risk of plague spreading from neighbouring Madagascar, which faces an unprecedented outbreak that has killed more than 70 people since August. No plague cases have been confirmed in the Seychelles.

Alongside support for laboratory testing, WHO has deployed experts and medical supplies to the 115-island country. WHO is also providing guidance for the tracing and treatment of contacts of people who are suspected to have been infected.

“We are working with health authorities to reduce the risk of the spread of plague in the Seychelles by improving surveillance and preparedness,” said Dr. Ibrahima Soce Fall, WHO Regional Emergencies Director for the Africa region.

WHO is advising the Government of Seychelles on the implementation of public health measures that are in line with the WHO International Health Regulations, such as enhanced surveillance, isolation and treatment of suspect cases, contact tracing and prophylactic treatment of potential contacts.

WHO currently assesses the risk of spread of plague in the Seychelles to be low.

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For further information, please contact: Christian Lindmeier, WHO Communications Officer, Telephone:: + 41 22 791 1948, Mobile: + 41 79 500 65 52, Email: lindmeierch@who.int

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Keywords: WHO; Updates; Seychelles; Plague.

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#HK, Suspected case tests negative for #MERS #Coronavirus (CHP, Oct. 18 ‘17)


Title: #HK, Suspected case tests negative for #MERS #Coronavirus.

Subject: Middle East Respiratory Syndrome, suspected imported case in Hong Kong.

Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).

Code: [     ]

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Suspected case tests negative for MERS-CoV

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The Centre for Health Protection of the Department of Health today (October 18) reported that the suspected case of Middle East Respiratory Syndrome (MERS) pending results yesterday (October 17), upon preliminary testing, tested negative for MERS Coronavirus.


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Keywords: HK PRC SAR; Updates; MERS-CoV.

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17 Oct 2017

#Plague #Outbreak in #Madagascar continues to spread, with at least 800 cases and 70 deaths so far (Mali Actu, Oct. 17 ‘17)


Title: Plague Outbreak in Madagascar continues to spread, with at least 800 cases and 70 deaths so far.

Subject: Plague outbreak in Madagascar.

Source: Le Mali Actu, full page: (LINK). Article in French, edited.

Code: [  /!\   ]

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Madagascar: l’épidémie de peste continue de se propager

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L’épidémie de peste qui s’est déclarée il y a deux mois à Madagascar continue à se propager, notamment dans sa capitale Antananarivo, et a fait déjà au moins 74 morts, selon un nouveau bilan publié mardi par les autorités locales. Au total 805 cas de la maladie ont été recensés sur le territoire de la Grande île, a ajouté le ministère de la Santé. La peste réapparaît presque chaque année à Madagascar, généralement de septembre à avril.

(…)

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Keywords: Plague; Madagascar.

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#HK, a Suspected #MERS #Coronavirus case reported (CHP, Oct. 17 ‘17)


Title: #HK, a Suspected #MERS #Coronavirus case reported.

Subject: Middle East Respiratory Syndrome, suspected imported case in Hong Kong.

Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).

Code: [     ]

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Suspected MERS case reported

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The Centre for Health Protection (CHP) of the Department of Health today (October 17) reported a suspected case of Middle East Respiratory Syndrome (MERS), and again urged the public to pay special attention to safety during travel, taking due consideration of health risks of the places of visit.

The case is detailed below:

  • Sex – Female
  • Age – 28
  • Affected area involved - Dubai, United Arab Emirates
  • Hospital - Ruttonjee Hospital
  • Condition – Stable
  • MERS-CoV preliminary test result – Pending

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(…)

The public may visit:

Tour leaders and tour guides operating overseas tours are advised to refer to the CHP's health advice on MERS.

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Keywords: HK PRC SAR; Updates; MERS-CoV.

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Highly pathogenic #avian #influenza #H5N8 [seven captive & wild #birds #outbreaks], #SouthAfrica (#OIE, Oct. 17 ‘17)


Title: Highly pathogenic #avian #influenza #H5N8 [seven captive & wild #birds #outbreaks], #SouthAfrica.

Subject: Avian Influenza, H5N8 subtype, poultry and wild birds epizootics in South Africa.

Source: OIE, full page: (LINK).

Code: [     ][     ]
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Highly pathogenic influenza A viruses (infection with) (non-poultry including wild birds) H5N8, South Africa
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Information received on 17/10/2017 from Dr Bothle Michael Modisane, Chief Director , Department of Agriculture, Forestry and Fisheries, Animal Production and Health, PRETORIA, South Africa
  • Summary
    • Report type    Follow-up report No. 10
    • Date of start of the event    30/06/2017
    • Date of confirmation of the event    30/06/2017
    • Report date    17/10/2017
    • Date submitted to OIE    17/10/2017
    • Reason for notification    New strain of a listed disease in the country
    • Causal agent    Highly pathogenic influenza A virus
    • Serotype    H5N8
    • Nature of diagnosis    Clinical, Laboratory (advanced)
    • This event pertains to    a defined zone within the country
  • Summary of outbreaks   
    • Total outbreaks: 7
      • Total animals affected: Species    - Susceptible    - Cases    - Deaths    - Killed and disposed of – Slaughtered
        • Birds    - 122    - 34    - 34    - 0    - 0
        • Laughing Dove:Streptopelia senegalensis(Columbidae)    - 50    - 3    - 3    - 0    - 0
        • Pied crow:Corvus albus(Corvidae)  - … – 2    - 2    - 0    - 0
        • Peregrin falcon:Falco peregrinus(Falconidae)  - … – 1    - 1    - 0    - 0
      • Outbreak statistics: Species    - Apparent morbidity rate    - Apparent mortality rate    - Apparent case fatality rate    - Proportion susceptible animals lost*
        • Birds    - 27.87%    - 27.87%    - 100.00%    - 27.87%
        • Laughing Dove:Streptopelia senegalensis(Columbidae)    - 6.00%    - 6.00%    - 100.00%    - 6.00%
        • Pied crow:Corvus albus(Corvidae)    - **    - **    - 100.00%    - **
        • Peregrin falcon:Falco peregrinus(Falconidae)    **    **    100.00%    - **
          • *Removed from the susceptible population through death, destruction and/or slaughter
          • **Not calculated because of missing information
  • Epidemiology
    • Source of the outbreak(s) or origin of infection   
      • Unknown or inconclusive
(...)
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Keywords: OIE; Updates; Avian Influenza; H5N8 ; Poultry; Wild Birds; South Africa.

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Highly pathogenic #avian #influenza #H5N8, #SouthAfrica (six #poultry #outbreaks) (#OIE, Oct. 17 ‘17)


Title: Highly pathogenic #avian #influenza #H5N8, #SouthAfrica (six #poultry #outbreaks).

Subject: Avian Influenza, H5N8 subtype, poultry epizootics in South Africa.

Source: OIE, full page: (LINK).

Code: [     ]

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Highly pathogenic avian influenza H5N8, South Africa

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Information received on 17/10/2017 from Dr Bothle Michael Modisane, Chief Director , Department of Agriculture, Forestry and Fisheries, Animal Production and Health, PRETORIA, South Africa

  • Summary
    • Report type    Follow-up report No. 16
    • Date of start of the event    19/06/2017
    • Date of confirmation of the event    22/06/2017
    • Report date    17/10/2017
    • Date submitted to OIE    17/10/2017
    • Reason for notification    New strain of a listed disease in the country
    • Causal agent    Highly pathogenic avian influenza virus
    • Serotype    H5N8
    • Nature of diagnosis    Clinical, Laboratory (advanced)
    • This event pertains to    a defined zone within the country
  • Summary of outbreaks   
    • Total outbreaks: 6
      • Total animals affected: Species    - Susceptible    - Cases    - Deaths    - Killed and disposed of – Slaughtered
        • Birds    - 788713    - 20691    - 20687    - 238014    - 0
      • Outbreak statistics: Species    - Apparent morbidity rate    - Apparent mortality rate    - Apparent case fatality rate    - Proportion susceptible animals lost*
        • Birds    - 2.62%    - 2.62%    - 99.98%    - 32.80%
          • *Removed from the susceptible population through death, destruction and/or slaughter
  • Epidemiology
    • Source of the outbreak(s) or origin of infection   
      • Unknown or inconclusive
  • Epidemiological comments   
    • Coordinates modified to protect confidentiality as required by South African Legislation.

(...)

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Keywords: OIE; Updates; Avian Influenza; H5N8 ; Poultry; South Africa.

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Highly pathogenic #avian #influenza #H5N8, #Italy [three #poultry #outbreaks] (#IZSVE, Oct. 17 ‘17)


Title: Highly pathogenic #avian #influenza #H5N8, #Italy [three #poultry #outbreaks].

Subject: Avian Influenza, H5N8 subtype, poultry epizootics in Italy.

Source: National Reference Laboratory for Avian Influenza, Padua, Italy, full page: (LINK).

Code: [     ]

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Highly pathogenic avian influenza (HPAI) in Italy

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|-- Outbreaks | PDF (last update: 17/10/2017) —|

|-- Maps | PDF (last update: 17/10/2017) –|


Summary

  • On 13 October, the Istituto Zooprofilattico Sperimentale della Lombardia e dell’Emilia-Romagna identified as positive for Avian Influenza A virus subtype H5 a fattening turkeys farm located in Brescia province (Lombardy region).
    • The farm hosted 16.178 male birds.
    • Following the confirmation of H5N8 in another fattening turkey farm belonging the same owner, samples were collected on 10 October, testing negative for Avian Influenza.
    • Further samples were collected on 13 October, after increased mortality was reported to the local Veterinary Services.
  • On 14 October, IZSLER confirmed as positive for Avian Influenza A virus subtype H5 a backyard flock in Sondrio province (Lombardy region).
    • Approximately 10 broilers were present in the flock.
    • All the birds were dead at the time of confirmation.
    • Epidemiological investigations revealed an epidemiological connection with the grower farm in Bergamo Province confirmed as HPAI H5N8 case on 11 October.
  • On 16 October, the National Reference Laboratory (NRL) for Avian Influenza and Newcastle Disease characterised as subtype H5N8 the viruses isolated in the last two outbreaks.

(…)

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Keywords: Italy; Updates; Avian Influenza; H5N8; Poultry.

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#Avian #Influenza [#H5N1, #H5N6, #H7N9] #Report–Oct. 8-14 ‘17 (Wk 41) (#HK CHP, Oct. 17 ‘17)


Title: #Avian #Influenza [#H5N1, #H5N6, #H7N9] #Report–Oct. 8-14 ‘17 (Wk 41).

Subject: Avian Influenza, H5 & H7 subtypes, global poultry panzootic and human cases in China.

Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).

Code: [     ]

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Avian Influenza Report - Reporting period: October 8, 2017 – October 14, 2017 (Week 41) (Published on October 17, 2017)

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Avian Influenza Report is a weekly report produced by the Respiratory Disease Office, Centre for Health Protection of the Department of Health. This report highlights global avian influenza activity in humans and birds.

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VOLUME 13, NUMBER 41

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Keywords: HK PRC SAR; Updates; Worldwide; China; H5N1; H5N6; H7N9; Human; Poultry; Avian Influenza.

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#Travel #Advice: #Plague in #Madagascar (@CDCgov, Oct. 17 ‘17)


Title: #Travel #Advice: #Plague in #Madagascar.

Subject: Plague (Pneumonic, Bubonic & Septicemic) outbreak in Madagascar, travel warnings.

Source: US Centers for Disease Control and Prevention (CDC), full page: (LINK).

Code: [     ]

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Plague in Madagascar

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Alert - Level 2, Practice Enhanced Precautions

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Map of Madagascar showing areas with plague. The most affected districts and cities include Antananarivo (the capital city and its suburbs), Toamasina, and the rural district of Faratsiho. Cases have also been reported in Ambalavo, Ambatondrazaka, Ambohidratrimo, Ambohimahasoa, Ampanihy, Amparafaravola, Andramasina, Anjozorobe, Ankazobe, Anosibe An'ala, Anta-Atsimondrano, Anta-Avaradrano, Antanifotsy, Anta-Renivohitra, Antsirabe I, Arivonimamo, Fandriana, Faratsiho, Fenerive Est, Fianarantsoa I, Lalangina, Maevatanana, Mahabo, Mahajanga I, Miarinarivo, Moramanga, Soavinandriana, Toamasina I, Toamasina II, Toliara I, Tsiroanomandidy, Vohibato, and Vohémar.

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[Map of Madagascar showing areas with plague: |-- View Larger Map –|]

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What is the current situation?

  • From August 23 through October 12, 2017, the World Health Organization has reported 684 cases of plague in Madagascar; nearly 10% of those infected have died.
  • Although bubonic plague occurs nearly every year in Madagascar, an unusual outbreak of plague pneumonia is occurring in geographically widespread areas, including in heavily populated cities of Antananarivo (the capital city and its suburbs) and Toamasina.*
  • New cases continue to be reported; as of October 12, a total of 474 of the cases are plague pneumonia (which can be spread from person to person), 156 are bubonic plague (which is spread through flea bites), 1 is a bloodstream infection, and the remainder are unknown.
  • In response to the outbreak, the local government is working to control fleas and is canceling mass gatherings because plague pneumonia can be spread from person to person in close contact.

What is plague?

  • Plague is a bacterial infection that is usually spread through bites by infected fleas.
  • When acquired by flea bite, plague has symptoms of high fever and swollen and tender lymph nodes (bubonic plague) that occur 2–6 days after the bite.
  • If it is not treated, the infection can spread to the lungs and cause pneumonia.
  • In rare but serious cases, a person with plague pneumonia can spread the infection directly to others by coughing the plague bacteria into the air (more information).
  • The current outbreak is unusual in that most cases are plague pneumonia.
  • Plague can be treated with antibiotics; however, without prompt treatment, plague can cause serious illness or death.

How can travelers protect themselves?

  • Based on available information, the risk to travelers appears to be very low; however, travelers have been infected, and one died.
  • Travelers to Madagascar should use insect repellent to prevent flea bites and avoid close contact with sick or dead animals.
  • Travelers should also avoid close contact with ill people, especially those with cough or pneumonia.
  • No vaccine is available to prevent plague.
  • Plague can be prevented with antibiotics.
  • Travelers who have had close contact with people with plague pneumonia or other high-risk exposures should immediately notify a health care provider.
  • They may need to take antibiotics to prevent plague.
  • During or after travel to Madagascar, travelers should be alert for symptoms of plague, and if they appear, seek medical care and inform the provider about their travel to Madagascar.
  • Learn more about plague, how to prevent it, and what to do if you think you are infected at CDC’s plague page for travelers.

Traveler Information

Clinician Information

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{*} The most affected districts and cities include:

  • Antananarivo (the capital city and its suburbs),
  • Toamasina, and
  • the rural district of Faratsiho.

Cases have also been reported in:

  • Ambalavo,
  • Ambatondrazaka,
  • Ambohidratrimo,
  • Ambohimahasoa,
  • Ampanihy,
  • Amparafaravola,
  • Andramasina,
  • Anjozorobe,
  • Ankazobe,
  • Anosibe An'ala,
  • Anta-Atsimondrano,
  • Anta-Avaradrano,
  • Antanifotsy,
  • Anta-Renivohitra,
  • Antsirabe I,
  • Arivonimamo,
  • Fandriana,
  • Faratsiho,
  • Fenerive Est,
  • Fianarantsoa I,
  • Lalangina,
  • Maevatanana,
  • Mahabo,
  • Mahajanga I,
  • Miarinarivo,
  • Moramanga,
  • Soavinandriana,
  • Toamasina I,
  • Toamasina II,
  • Toliara I,
  • Tsiroanomandidy,
  • Vohibato, and
  • Vohémar.

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Keywords: US CDC; Updates; Travel Warning; Madagascar; Plague.

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#Influenza [#H1N1pmd09, #H3N2, B]–#Update No. 300, based on data up to 01 October 2017 (@WHO, summary)


Title: #Influenza [#H1N1pmd09, #H3N2, B]–#Update No. 300, based on data up to 01 October 2017.

Subject: Human Influenza Viruses, A & B types, global surveillance report.

Source: World Health Organization (WHO), full page: (LINK). Summary.

Code: [     ]

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Influenza - Update No. 300, based on data up to 01 October 2017

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|-- Open map in new window jpg, 448kb –|


Summary

    • Influenza activity remained at low levels in the temperate zone of the northern hemisphere.
    • Declining levels of influenza activity were reported in the temperate zone of the southern hemisphere and in some countries of South and South East Asia.
    • In Central America and the Caribbean, low influenza activity was reported in a few countries.
    • Worldwide, influenza A(H3N2) and B viruses accounted for the majority of influenza detections.
  • In temperate South America, influenza and respiratory syncytial virus (RSV) activity continued a downward trend throughout most of the sub-region.
  • In Southern Africa, influenza activity continued to decrease in South Africa, with influenza B viruses most frequently detected.
  • In Oceania, seasonal influenza activity started to decline, with influenza A(H3N2) predominant, followed by B viruses.
  • In tropical South America, influenza and RSV activity remained at low levels overall.
  • In the Caribbean and Central American countries, respiratory illness indicators and influenza activity remained low in general but RSV activity remained high in several countries.
  • In Southern Asia, decreasing levels of influenza activity were reported in India and Bhutan, with A(H1N1)pdm09 most frequently detected.
  • In South East Asia, influenza activity appeared to decrease in general, with some exceptions. Influenza activity increased in Cambodia and remained high in Lao PDR, with influenza A(H3N2) viruses predominantly detected.
  • In Western Asia, influenza activity continued to increase in Oman, with influenza A(H1N1)pdm09 and A(H3N2) viruses co-circulating. Increased influenza A detections were reported in Bahrain in recent weeks.
  • In East Asia, influenza activity remained low in general.
  • In Western Africa, influenza detections continued to be reported, with all seasonal influenza subtypes present in the region. In Middle Africa, elevated ILI activity was reported in Cameroon. In Eastern Africa, influenza detections and ILI activity increased sharply in Réunion Island (French Overseas Department), with influenza B viruses predominant.
  • In Northern Africa, little to no influenza virus detections was reported.
  • In Central Asia, there were no updated reports on virus detections or respiratory illness indicators.
  • In Europe, little to no influenza activity was reported.
  • In North America, overall influenza virus activity remained low with detections of predominantly influenza A(H3N2) and B viruses in the past few weeks.

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National Influenza Centres (NICs) and other national influenza laboratories from 85 countries, areas or territories reported data to FluNet for the time period from 18 September 2017 to 01 October 2017 (data as of 2017-10-13 03:40:32 UTC).

The WHO GISRS laboratories tested more than 56528 specimens during that time period. 3496 were positive for influenza viruses, of which 2566 (73.4%) were typed as influenza A and 930 (26.6%) as influenza B.

Of the sub-typed influenza A viruses, 260 (15.1%) were influenza A(H1N1)pdm09 and 1460 (84.9%) were influenza A(H3N2).

Of the characterized B viruses, 192 (81%) belonged to the B-Yamagata lineage and 45 (19%) to the B-Victoria lineage.

The vaccine recommendation for the 2018 southern hemisphere influenza season was made and can be consulted at this link below:

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Detailed influenza update: |—Download PDF pdf, 605kb –|

Seasonal update: |-- Seasonal influenza reviews –|

|—AMRO | EURO | WPRO –|

|-- Influenza at the Human-Animal Interface (HAI) --|

|-- Disease outbreak news –|

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Keywords: WHO; Updates; Worldwide; Seasonal Influenza.

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