Since June 2016, 16 European countries are experiencing hepatitis A outbreaks with 1 500 reported cases involving three separate clusters that mainly affect men who have sex with men. On the occasion of World Hepatitis Day, ECDC stresses the importance of hepatitis A vaccination and safe sex practices including the use of condoms to avoid new infections. As several EU/EEA countries experience hepatitis A vaccine shortages, targeting of vaccination to groups at higher risk of infection is suggested.
An estimated 4.7 million Europeans are living with chronic hepatitis B and almost 4 million (3.9) with chronic hepatitis C infection. However, large numbers of them are not even aware of their infection as they have not yet been tested and diagnosed.
This ECDC gap analysis demonstrates that there are potentially significant gaps in diphtheria diagnostic capacity within the EU/EEA in terms of surveillance, specialised laboratory diagnostics, expertise and availability of diphtheria antitoxin (DAT). The results highlight the importance of sound surveillance systems for diphtheria and laboratory personnel training, as well as the need to ensure access to immunisation and high vaccination coverage rates.
The incidence of hepatitis E virus (HEV) infection has been steadily increasing across the countries of the European Union and European Economic Area (EU/EEA) with 21 081 cases reported in the EU/EEA over the last decade.
Since the ECDC and EFSA joint rapid outbreak assessment was published on 7 March 2017, six EU Member States (Belgium, France, Italy, Norway, Sweden and the United Kingdom) have reported 50 confirmed and 12 probable new cases associated with the multi-country outbreak of Salmonella Enteritidis phage type 8 infections (MLVA profiles 2-9-7-3-2 and 2-9-6-3-2) ongoing in the EU/EEA. In addition, twelve probable cases have been reclassified as confirmed.
The ECDC ELDSNet surveillance scheme on travel-associated Legionnaires’ disease (TALD) observed an increase in the number of cases associated with travel to Dubai in the last quarter of 2016, compared with previous years.
The ECDC ELDSNet surveillance scheme on travel-associated Legionnaires’ disease (TALD) observed an increase in the number of cases associated with travel to Dubai in the last quarter of 2016, compared with previous years.
Hepatitis and other drug-related infectious diseases will be the focus of ‘Hepatitis week’, taking place at the EU drugs agency (EMCDDA) in Lisbon from 12–16 June 2017. The initiative will bring together some 100 specialists from: EU Member States, candidate and potential candidate countries to the EU, as well as partner agencies, civil society and professional organisations.
Since the last ECDC rapid risk assessment, which was published on 24 February 2017, 10 EU Member States (Austria, Belgium, Denmark, France, Germany, Italy, the Netherlands, Portugal, Sweden and the United Kingdom (Public Health England and Health Protection Scotland) reported 387 new confirmed cases of hepatitis A, with one of the strains matching the three clusters currently circulating in the EU.
On 20 December 2016, ECDC and EFSA published a joint rapid outbreak assessment describing a cluster of six laboratory-confirmed German and Spanish cases of foodborne botulism caused by botulinum neurotoxin type E which occurred during November and December 2016. All of the six patients had consumed dried and salted roach, a fresh and brackish water fish (Rutilus rutilus).