Communicable disease threats report, 23-29 November 2014, week 48

Surveillance report
Publication series: Communicable Disease Threats Report (CDTR)
Time period covered: 23-29 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

This issue covers the period of 23-29 November 2014 and includes updates on:

Influenza - Europe
Sporadic influenza virus detections are being reported in an increasing number of countries, however there is no indication that the influenza season has started in the region, which is normal for this time of the year.

Measles - EU
Since the last monthly update, one new measles outbreak has been reported in Slovenia. During 2014, seven EU Member States have reported measles outbreaks. The target year for measles elimination in Europe is 2015. However, the current situation suggests that endemic measles transmission continues in many EU Member States and the 2015 objective is not attainable.

Ebola virus disease – West Africa
On 25 November 2014, WHO confirmed two additional cases of EVD in Bamako, Mali. On 26 November 2014, WHO reported 15 935 cases, including 5 689 deaths, 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) up to the end of 23 November.

An outbreak of Ebola virus disease has been ongoing in West Africa since December 2013.

Plague outbreak - Madagascar
As of the 24 November 2014, 138 cases including 47 deaths (CFR 34%) have been reported. Sixteen districts in seven regions are affected. Two cases including one death have been reported in two densely populated neighbourhoods of the capital, Antananarivo.

An outbreak of plague has been evolving in the country since 31 August 2014 when the first case was notified by the Ministry of Health in a male child from Soamahatamana village in the district of Tsiroanomandidy. The child died on 3 September.