News Scan for Oct 29, 2021

New case in Salmonella outbreak, while probe into another one ends

Yesterday, the Centers for Disease Control and Prevention (CDC) added 1 case and 3 hospitalizations to a multistate Salmonella outbreak—now at 21 cases—tied to salami sticks sold at Trader Joe’s and Wegmans, and earlier this week the agency declared its investigation into a Salmonella outbreak tied to Italian-style meats over after 40 cases in 17 states.

The salami outbreak involved eight states, with California (8 cases), Illinois (3), Michigan (3), and Minnesota (3) hit hardest. Six of the 21 patients have required hospitalization, but no deaths have been recorded. The outbreak strain is Salmonella I 4,[5],12:i:-.

Sick people range in age from 2 to 75 years, with a median age of 12. Seventeen patients (81%) are children, and 13 (62%) are female. Among 15 people interviewed, all reported eating salami sticks, and 14 said they ate or possibly ate Citterio brand Premium Italian-Style Salame Sticks. Illness-onset dates range from Sep 18 to Oct 3.

The CDC first reported the Italian meat outbreak on Aug 24, and it involved Salmonella Infantis and Salmonella Typhimurium serotypes. In an Oct 26 update, the CDC said the outbreak is over and added 4 new cases since the Aug 24 notice, bringing the total to 40 cases and 12 hospitalizations in 17 states. Illness-onset dates range from May 9 to Aug 16. Patients ranged in age from 1 to 91 years, with a median age of 41, and 51% were male.

As a result of outbreak investigations, on Aug 27, Fratelli Beretta recalled trays of its Uncured Antipasto products.
Oct 28 CDC salami update
Oct 26 CDC Italian meat update


Tedros to be appointed to 2nd term as WHO director-general next May

The World Health Organization (WHO) today announced that Tedros Adhanom Ghebreyesus, PhD, will be appointed to a second 5-year term as director-general after no countries nominated another candidate. He will be formally installed in May 2022 at the World Health Assembly (WHA75).

The election process began when WHO member states were invited in April to submit proposals for candidates for the director-general position. The deadline for submission of proposals was Sep 23. The WHO said that all 28 nations that submitted a recommendation proposed that Tedros serve a second term, which will begin Aug 16, 2022.

According to WHO procedure, Tedros will be screened by the WHO Executive Board in January before being officially nominated for a second term, and his nomination would then be submitted to WHA75 for a final vote.

Tedros, an Ethiopian microbiologist, was first elected WHO director-general in May 2017, becoming the first African to hold the post. He succeeded Margaret Chan, MD, MPH, who also served two 5-year terms and was the first Chinese citizen to hold the post.
Oct 29 WHO news release
May 23, 2017, CIDRAP News story on Tedros’s first election


Another person in China contracts H5N6 avian flu

China has reported yet another H5N6 avian flu case, this one involving a 52-year-old man from Guangdong province who worked at a farmers market that housed live poultry, Hong Kong’s Centre for Health Protection (CHP) said today.

The man, from the city of Dongguan, developed symptoms on Oct 20 and was admitted to a hospital the same day. He is currently in critical condition. Guangdong province is in the south, and Dongguan is not far from Hong Kong.

The man’s case is China’s 26th H5N6 infection of the year, and the CHP reported the most recent one just 2 days ago. Since 2014, the country has confirmed 50 cases, many of them fatal.

H5N6 is known to circulate in poultry, primarily in Asian countries. So far human cases have been reported in China and Laos only. The CHP again urged the public to maintain strict personal, food, and environmental hygiene both locally and during travel.
Oct 29 CHP report


Five African nations report polio cases, with Nigeria confirming 42

Nigeria has confirmed 42 vaccine-derived polio cases, Guinea-Bissau reported 3—its first confirmed cases—and Cameroon, Madagascar, and Senegal recorded 1 each, according to the weekly update today from the Global Polio Eradication Initiative (GPEI).

All of Nigeria’s cases involve circulating vaccine-derived poliovirus type 2 (cVDPV2). Nine were in Kebbi state; 8 in Jigawa; 4 each in Gombe and Kano; 3 each in Bauchi and Katsina; 2 each in Borno, Sokoto, and Taraba; and 1 each in Bayelsa, Edo, the Federal Capital Territory, Kaduna, and Nasarawa. The country has now reported 266 cVDPV2 cases in 2021, compared with 8 in all of 2020.

Two of Guinea-Bissau’s cVDPV2 cases were in Bissau and one in Biombo. All are linked to the Jigawa outbreak in Nigeria.

Cameroon’s cVDPV2 case is its first of the year. It had 7 cVDPV2 cases in 2020. Madagascar’s case was caused by circulating vaccine-derived poliovirus type 1 (cVDPV1) and brings the country’s 2021 total to 10 cases. Senegal’s cVDPV2 case brings its 2021 total to 16 cases.
Oct 29 GPEI update

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