Communicable disease threats report, 16-22 November 2014, week 47

Surveillance report
Publication series: Communicable Disease Threats Report (CDTR)
Time period covered: 16 - 22 November 2014

​The ECDC communicable disease threats report is a weekly bulletin intended for epidemiologists and health professionals in the area of communicable disease prevention and control. Summarising information gathered by ECDC through its epidemic intelligence activities regarding communicable disease threats of concern to
the European Union, it also provides updates on the global situation and changes in the epidemiology of communicable diseases with potential to affect Europe, including diseases that are the focus of eradication efforts.

Executive summary

During November 2014, three EU countries – Germany, the Netherlands and the UK - reported outbreaks of highly pathogenic avian influenza A(H5N8) in commercial poultry farms.
ECDC published a rapid risk assessment on 21 November 2014.

Ebola virus disease – West Africa
An outbreak of Ebola virus disease (EVD) has been ongoing in West Africa since December 2013, mainly affecting Guinea, Liberia, Sierra Leone. The overall situation of the Ebola outbreak in the affected countries remains critical. Since December 2013 and as of 16 November 2014, WHO has reported 15 145 confirmed, probable and suspected cases of Ebola virus disease (EVD) in six affected countries (Guinea, Liberia, Mali, Sierra Leone, Spain and the United States of America) and two previously affected countries (Nigeria and Senegal). There have been 5 420 reported deaths.
A total of six cases of EVD, including five deaths, have been so far reported in Mali. The most recent cases are not related to the country’s first EVD case, who died in Kayes on 24 October.
ECDC published an update to its rapid risk assessment on 17 October 2014.

On 14 November, the Temporary Recommendations in relation to the Public Health Event of International Concern (PHEIC), were extended for a further three months. During the past week, 12 new cases of wild poliovirus type 1 (WPV1) were reported: 10 in Pakistan and two in Afghanistan.
ECDC published a Public Health Development on the decision to extend the PHEIC on 21 Nov 2014.

West Nile fever
Since week 43, no new human cases of West Nile fever have been reported in the EU. ECDC will close its seasonal monitoring of West Nile virus transmission for 2014.
ECDC published an Epi Update on the West Nile fever 2014 season on 24 November.