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A Highly Pathogenic #Avian #H7N9 #Influenza Virus Isolated from A #Human Is Lethal in Some #Ferrets Infected via #Respiratory #Droplets (Cell Host Microbe, abstract)

Title : A Highly Pathogenic #Avian #H7N9 #Influenza Virus Isolated from A #Human Is Lethal in Some #Ferrets Infected via #Respiratory #Drop...

18 Nov 2017

#HK, Suspected #MERS #Coronavirus case reported (CHP, Nov. 18 ‘17)


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

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

Source: Centre for Health Protection (CHP), 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 (November 18) 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 – Male
  • Age – 31
  • Affected area involved - Dubai, United Arab Emirates
  • Hospital - Ruttonjee Hospital
  • Condition – Stable
  • MERS-CoV preliminary test result – Negative

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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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#Indonesia, #Sumatra: Two #pilgrims returned from Umrah suspected to be infected with #MERS #Coronavirus (Nov. 18 ‘17)


Title: #Indonesia, #Sumatra: Two #pilgrims returned from Umrah suspected to be infected with #MERS #Coronavirus.

Subject: Undiagnosed respiratory illness, two imported cases in Sumatra, Indonesia.

Source: Sriwijaya Post, full page: (LINK). Article in Bahasan, edited.

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1 Patient Died 1 Isolated in RSM Hospital

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Saturday, November 18, 2017 10:36 / SRIPOKU.COM, PALEMBANG

Two Umrah pilgrims who just returned in the country, was rushed to IGD RSMH Palembang, Friday (17/11). Both suspects cases who are brothers and sisters, is a congregation of origin of OIC.

Based on information compiled Sripo, Friday (17/11), the citizen who died initials K aged (47) who was recorded as residents of Kabuaten Ogan Ilir. When the victim K entered IGD at 15:48 and was treated with a collapse condition. Four hours later, the patient was declared dead at 19:15, Thursday (16/11).

While residents initials S (45), until the news was revealed is still being treated in a special isolation room Ruang Borang RSMH Palembang.

Both residents are known to be married, it is newly known from the Umrah worship and counted not yet 1x24 hours in the country.

Before arriving in the country, both transit in Malaysia. "We do not know the diagnosis of the patient who died," said Dr. RA Linda Andriani SpPD, a specialist doctors in RSMH Palembang that handles the patient.

He said, patients who died did enter the ER with symptoms of fever, high fever, and a little flu that is similar to the symptoms of MERS Coronavirus or bird flu. But for it can not be proven, because laboratory tests have not been done.

Indeed both patients just returned from umroh. Even the patients who died had symptoms during transit in Malaysia. However, while passing the examination of body temperature at the airport, both patients are free from contracting mers virus. Because the results of body temperature checks, the results of both non-reactive or not yet can be said infected with the virus.

"From the history of both patients coming home from the umroh from traveling in the endemic region of the mers virus, but in the meantime for patients who died we diagnosed experiencing pneumonia, because the gel is indeed like pneumonia," he said.

While for S patients, until now still in intensive care of medical personnel. Even from Sripo's monitoring, when patient S is transferred from the ER to the isolation chamber, the transfer process proceeds according to the procedure. Special ambulances are set up as well as nurses who all wear special clothing to anticipate transmission.

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Keywords: Undiagnosed Illness; Indonesia; MERS-CoV.

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17 Nov 2017

Weekly #US #Influenza #Surveillance #Report - 2017-18 Season, Wk 45 ending Nov. 11 ‘17 (@CDCgov, summary)


Title: Weekly #US #Influenza #Surveillance #Report - 2017-18 Season, Wk 45 ending Nov. 11 ‘17.

Subject: Human Influenza Viruses, A & B types, weekly epidemiological update.

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

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Weekly U.S. Influenza Surveillance Report - 2017-2018 Influenza Season Week 45 ending November 11, 2017

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Language: [ English (US) | Español ]

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All data are preliminary and may change as more reports are received.


Synopsis:

    • During week 45 (November 5-11, 2017), influenza activity is increasing in the United States.
  • Viral Surveillance:
    • The most frequently identified influenza virus type reported by public health laboratories during week 45 was influenza A.
    • The percentage of respiratory specimens testing positive for influenza in clinical laboratories is increasing.
  • Pneumonia and Influenza Mortality:
    • The proportion of deaths attributed to pneumonia and influenza (P&I) was below the system-specific epidemic threshold in the National Center for Health Statistics (NCHS) Mortality Surveillance System.
  • Influenza-associated Pediatric Deaths:
    • No influenza-associated pediatric deaths were reported.
  • Outpatient Illness Surveillance:
    • The proportion of outpatient visits for influenza-like illness (ILI) was 1.9%, which is below the national baseline of 2.2%.
    • One region reported ILI at or above their region-specific baseline level.
    • One state experienced high ILI activity; two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, and the District of Columbia, Puerto Rico, and 41 states experienced minimal ILI activity.
  • Geographic Spread of Influenza:
    • The geographic spread of influenza in Guam, Puerto Rico and nine states was reported as regional; 13 states reported local activity; the U.S. Virgin Islands and 26 states reported sporadic activity; and the District of Columbia and two states reported no activity.

(…)

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Keywords: US CDC; USA; Updates; Seasonal Influenza.

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#WestNile #fever in #Europe in 2017; updated 17 November (@ECDC_EU, summary)


Title: #WestNile #fever in #Europe in 2017; updated 17 November.

Subject: WNV activity across European Region, weekly situation report.

Source: European Centre for Disease Prevention and Control (ECDC), full page: (LINK).

Code: [     ]

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West Nile fever in Europe in 2017; updated 17 November

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17 Nov 2017


Summary

  • Between 9 and 16 November 2017, Hungary reported one human West Nile fever case in a previously affected area, with onset date end of October.


Download: |-- West Nile fever in Europe in 2017; updated 17 November - EN - [PNG-220 KB] –|


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Keywords: ECDC; Updates; European Region; WNV.

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#Guide to #revising the #influenza #pandemic #preparedness plan–#Lessons learned from the 2009 A(H1N1) pandemic (@ECDC_EU)


Title: #Guide to #revising the #influenza #pandemic #preparedness plan–#Lessons learned from the 2009 A(H1N1) pandemic.

Subject: Pandemic Influenza Preparedness Planning, plans’ revising process.

Source: European Center for Diseases Prevention and Control (ECDC), full PDF file: (LINK).

Code: [     ]

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ECDC TECHNICAL REPORT

Guide to revising the influenza pandemic preparedness plan  - Lessons learned from the 2009 A(H1N1) pandemic

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This report of the European Centre for Disease Prevention and Control (ECDC) and the WHO Regional Office for Europe was developed by experts in pandemic preparedness planning from 11 European Union Member States and staff members of the following organisations: WHO Regional Office for Europe, the European Commission, the WHO Collaborating Centre for Pandemic Influenza and Research (University of Nottingham), the US Centers for Disease Control and Prevention, and ECDC. It was coordinated and compiled by Caroline Brown (WHO), Massimo Ciotti (ECDC), Michala HegermannLindencrone (WHO), Pasi Penttinen (ECDC), René Snacken (ECDC) and Angus Nicoll (ECDC). Contributing authors Theodor Ziegler, Florence Allot, Joan O Donnell, Ehud Kaliner, André Jacobi, Radu Cojocaru, Kosim Kuirbonov, Nicholas Phin, Jonathan Nguyen Van Tam (WHO Collaborating Centre for Pandemic Influenza and Research, Helmut Walerius (European Commission) and Adrienne Rashford (WHO Regional Office for Europe). We acknowledge the valuable input from public health experts from all EU Member States and all countries of the WHO European Region.

Suggested citation: European Centre for Disease Prevention and Control. Guide to revising the influenza pandemic preparedness plan – Lessons learned from the 2009 A(H1N1) pandemic. Stockholm: ECDC; 2017.
Stockholm, November 2017

Print ISBN 978-92-9498-090-8 / doi: 10.2900/466319 TQ-04-17-829-EN-C / PDF ISBN 978-92-9498-091-5 / doi: 10.2900/096346 TQ-04-17-829-EN-N

Cover picture: © Government of Alberta, image licensed under a Creative Commons attribution 2.0 generic license (CC BY-NC-ND 2.0)

© European Centre for Disease Prevention and Control, 2017 Reproduction is authorised, provided the source is acknowledged.  For any use or reproduction of photos or other material that is not under the EU copyright, permission must be sought directly from the copyright holders. 

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Keywords: ECDC; Updates; European Region; Pandemic Influenza; Pandemic Preparedness.

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16 Nov 2017

#Zika Virus–2017 #CaseCounts in the #US as of November 15 2017 (@CDCgov, edited)


Title: #Zika Virus–2017 #CaseCounts in the #US as of November 15 2017.

Subject: Zika Virus Infection and related complications, weekly epidemiological update.

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

Code: [     ]

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Zika Virus - 2017 Case Counts in the US as of November 15 2017

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Language: [ English (US) | Español ]

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See Also


Provisional Data* as of November 15, 2017

  • Zika virus disease is a nationally notifiable condition.
  • Cases are reported to CDC by state, territorial, and local health departments using standard case definitions.
  • This webpage contains provisional data reported to ArboNET for January 1, 2017 – November 15, 2017.

US States

  • 349 symptomatic Zika virus disease cases reported
    • 344 cases in travelers returning from affected areas
    • 2 cases acquired through presumed local mosquito-borne transmission in Florida (N=1) and Texas (N=1)
    • 3 cases acquired through sexual transmission

US Territories

  • 584 symptomatic Zika virus disease cases reported
    • 0 cases in travelers returning from affected areas
    • 584 cases acquired through presumed local mosquito-borne transmission
    • 0 cases acquired through other routes

Footnotes

{*} Data are provisional and might not reflect the actual number of Zika virus disease cases due to delays in reporting.

{†} Excludes congenital disease cases. Data reported to the US Zika Pregnancy Registry for outcomes of pregnancies with laboratory evidence of possible Zika virus infection in the United States is available at Outcomes of Pregnancies with Laboratory Evidence of Possible Zika Virus Infection in the United States(https://www.cdc.gov/zika/geo/pregnancy-outcomes.html).

{‡} Sexually transmitted cases are not reported for US territories because with local transmission of Zika virus it is not possible to determine whether infection occurred due to mosquito-borne or sexual transmission.


Cases by State and Territory

Map of laboratory-confirmed symptomatic Zika virus disease cases reported to ArboNET by states and territories

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Laboratory-confirmed symptomatic Zika virus disease cases and presumptive viremic blood donors reported to ArboNET by states and territories— United States, 2017 (Provisional data as of November 15, 2017)

[States - Symptomatic disease cases* (N=349): No. (%) - Presumptive viremic blood donors† (N=15): No.  (%)]

  1. Alabama – 3 (1) – 3 (20)
  2. Alaska – 1 (<1) – 0 (0)
  3. Arizona – 1 (<1) – 0 (0)
  4. Arkansas – 0 (0) – 0 (0)
  5. California – 37 (11) – 3 (20)
  6. Colorado – 6 (2) – 0 (0)
  7. Connecticut – 0 (0) – 0 (0)
  8. Delaware – 0 (0) – 0 (0)
  9. District of Columbia – 2 (1) – 0 (0)
  10. Florida‡ – 80 (23) – 5 (33)
  11. Georgia – 2 (1) – 0 (0)
  12. Hawaii – 2 (1) – 0 (0)
  13. Idaho – 0 (0) – 0 (0)
  14. Illinois – 7 (2) – 0 (0)
  15. Indiana – 2 (1) – 0 (0)
  16. Iowa – 1 (<1) – 0 (0)
  17. Kansas – 2 (1) – 0 (0)
  18. Kentucky – 2 (1) – 0 (0)
  19. Louisiana – 1 (<1) – 0 (0)
  20. Maine – 1 (<1) – 0 (0)
  21. Maryland – 10 (3) – 0 (0)
  22. Massachusetts – 9 (3) – 0 (0)
  23. Michigan – 7 (2) - 0 (0)
  24. Minnesota – 6 (2) – 0 (0)
  25. Mississippi – 2 (1) – 0 (0)
  26. Missouri – 1 (<1) – 0 (0)
  27. Montana – 0 (0) – 0 (0)
  28. Nebraska – 1 (<1) – 0 (0)
  29. Nevada – 1 (<1) – 0 (0)
  30. New Hampshire – 0  (0) – 0 (0)
  31. New Jersey – 8 (2) – 0 (0)
  32. New Mexico – 0 (0) – 0 (0)
  33. New York – 59 (17) – 1 (7)
  34. North Carolina – 5 (2) – 0 (0)
  35. North Dakota – 0 (0) – 0 (0)
  36. Ohio – 3 (1) – 0 (0)
  37. Oklahoma – 1 (<1) – 0 (0)
  38. Oregon – 5 (1) -  0 (0)
  39. Pennsylvania – 5 (1) – 1 (7)
  40. Rhode Island – 3 (1) -  0 (0)
  41. South Carolina – 2 (1) – 0 (0)
  42. South Dakota – 0 (0) – 0 (0)
  43. Tennessee – 0 (0) – 0 (0)
  44. Texas‡ – 40 (12) -  1 (7)
  45. Utah – 4 (1) -  0 (0)
  46. Vermont – 3 (1) – 0 (0)
  47. Virginia – 6 (2) – 0 (0)
  48. Washington – 11 (3) -  0 (0)
  49. West Virginia – 1 (<1) -  1 (7)
  50. Wisconsin – 4 (1) – 0 (0)
  51. Wyoming – 2 (1) – 0 (0)


[Territories - Symptomatic disease cases* (N=584): No: (%) - Presumptive viremic blood donors† (N=6): No. (%)]

  1. American Samoa – 64 (11) – 0 (0)
  2. Puerto Rico – 476 (82) – 6 (100)
  3. U.S. Virgin Islands – 44 (7) – 0 (0)

Footnotes

{*} Includes reported confirmed and probable Zika virus disease cases per the CSTE case definitions.

{†} Presumptive viremic blood donors are people who reported no symptoms at the time of donating blood, but whose blood tested positive when screened for the presence of Zika virus RNA by the blood collection agency. Some presumptive viremic blood donors develop symptoms after their donation or may have had symptoms in the past.  These individuals may be reported as both Zika virus disease cases and presumptive viremic blood donors.

{‡} Includes 1 case in Florida and 1 case in Texas that were acquired through presumed local mosquito-borne transmission.

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Keywords: US CDC; USA; Updates; Zika Virus.

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Highly pathogenic #avian #influenza #H5N2, #Taiwan [one #poultry #outbreak] (#OIE, Nov. 16 ‘17)


Title: Highly pathogenic #avian #influenza #H5N2, #Taiwan [one #poultry #outbreak].

Subject: Avian Influenza, H5N2 subtype, poultry epizootics in Taiwan.

Source: OIE, full page: (LINK).

Code: [     ]

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Highly pathogenic avian influenza H5N2, Chinese Taipei

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Information received on 16/11/2017 from Dr Tai-Hwa Shih, Chief Veterinary Officer, Deputy Director General, Bureau of Animal and Plant Health Inspection and Quarantine Council of Agriculture Executive Yuan, Ministry of Agriculture, Taipei, Chinese Taipei

  • Summary
    • Report type     Follow-up report No. 78
    • Date of start of the event     07/01/2015
    • Date of confirmation of the event     11/01/2015
    • Report date     13/11/2017
    • Date submitted to OIE     16/11/2017
    • Reason for notification     Recurrence of a listed disease
    • Date of previous occurrence     23/07/2014
    • Manifestation of disease     Clinical disease
    • Causal agent     Highly pathogenic avian influenza virus
    • Serotype     H5N2
    • Nature of diagnosis     Clinical, Laboratory (advanced)
    • This event pertains to     a defined zone within the country
  • Summary of outbreaks    
    • Total outbreaks: 1
      • Total animals affected: Species     - Susceptible     - Cases     - Deaths     - Killed and disposed of  - Slaughtered
        • Birds     - 150     - 150     - 150     - 0     - 0
      • Outbreak statistics: Species     - Apparent morbidity rate     - Apparent mortality rate     - Apparent case fatality rate     - Proportion susceptible animals lost*
        • Birds     - 100.00%     - 100.00%     - 100.00%     - 100.00%
          • *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    
    • Samples from Tainan city were sent to the National Laboratory, Animal Health Research Institute (AHRI) for diagnosis.
    • H5N2 subtype HPAI was detected and confirmed by the AHRI.
    • Surrounding poultry farms within a 3 km radius of the site of geese carcasses are under intensified surveillance.

(...)

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Keywords: OIE; Updates; Avian Influenza; H5N2 ; Poultry; Taiwan.

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Highly pathogenic #avian #influenza #H5N8, #Italy [Three #poultry #outbreaks] (#IZSVE, Nov. 16 ‘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: 15/11/2017)  --|

|-- Maps | PDF (last update: 15/11/2017) –|


Summary

  • On 10 November, IZSLER confirmed as positive for Avian Influenza A virus subtype H5 a laying hen farm in Brescia province (Lombardy region).
    • At the time of confirmation, the farm housed 54,664 birds.
    • The farm is located at approximately 500 m from the duck farm confirmed as positive for HPAI on 3 November (67th outbreak).
    • Samples were taken after observing an increase in mortality on 9 November.
    • The outbreak was extincted on 14 November.
  • On 10 November, IZSLER confirmed as positive for Avian Influenza A virus subtype H5 a broiler farm in Brescia province (Lombardy region).
    • At the time of confirmation, 13,335 birds were present in the farm.
    • On 10 November, an increase in mortality was observed and reported to the Veterinary Services.
    • The outbreak was extincted on 14 November.
  • On 10 November, IZSLER confirmed as positive for Avian Influenza A virus subtype H5 another laying hen farm in Brescia province (Lombardy region).
    • The farm is located within 600 metres from 75th outbreak, confirmed as positive earlier on the same day.
    • The farm hosted 17,199 birds at the time of confirmation.
    • On 10 November, an increase in mortality in one shed out of two was observed, together with a slight decrease in feed intake and a marked drop in egg production.
    • On 15 November, the outbreak was extincted.
  • On 14 November, the National Reference Laboratory (NRL) for Avian Influenza and Newcastle Disease characterised as Avian Influenza A virus subtype H5N8 the viruses isolated in the last three outbreaks.

(…)

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

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#Plague #Outbreak in #Madagascar – #Summary of #Biological #Investigations, November 14 2017 (Inst. Pasteur)


Title: #Plague #Outbreak in #Madagascar – #Summary of #Biological #Investigations, November 14 2017.

Subject: Plague (Pneumonic, Bubonic) Outbreak in Madagascar, current situation.

Source: Institut Pasteur, Madagascar, full PDF file: (LINK). Article in French.

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Plague Outbreak in Madagascar – Summary of Biological Investigations, November 14 2017

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Keywords: Plague; Updates; Madagascar.

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#Nipah virus is associated with #encephalitis and serious CNS disease symptoms (@CDCgov)


Title: #Nipah virus is associated with #encephalitis and serious CNS disease symptoms.

Subject: Emerging Infectious Diseases, Henipavirus, educational materials.

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

Code: [ EDU ]

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#Nipah virus is associated with encephalitis (inflammation of the brain) and serious central nervous system disease symptoms, such as coma, seizures and inability to maintain breathing. Nipah causes relatively mild illness in pigs but can be deadly in people. More than 300 cases and 100 deaths were reported in Malaysia and Singapore during a Nipah virus outbreak in 1999. In order to stop the outbreak, more than a million pigs were euthanized, causing tremendous trade loss for Malaysia. Since this outbreak, no cases have been reported in Malaysia or Singapore. This transmission electron microscopic (TEM) image shows Nipah virus particles isolated from a patient's cerebrospinal fluid (CSF) specimen. Learn more about Nipah Virus: www.cdc.gov/vhf/nipah/ : CDC Public Health Image Library (phil.cdc.gov). #UndertheLens #biology #science #CDC #PublicHealth #health

A post shared by Centers for Disease Control (@cdcgov) on

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Keywords: US CDC; Educational Materials; Nipah Virus.

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