Global & Disaster Medicine

Archive for April, 2019

CDC: Measles in the United States, January 1–April 26, 2019

Patel M, Lee AD, Redd SB, et al. Increase in Measles Cases — United States, January 1–April 26, 2019. MMWR Morb Mortal Wkly Rep. ePub: 29 April 2019. DOI: icon.

The figure is a map of the United States indicating the number of reported measles cases for each state during January 1–April 26, 2019.

The figure is a histogram, an epidemiologic curve showing the number of reported measles cases by week of rash onset during January 1–April 26, 2019.

Selected characteristics of patients with reported measles — United States, January 1–April 26, 2019*Return to your place in the text
Characteristic No. (%)
Total 704 (100)
Age group
<6 mos 25 (4)
6–11 mos 68 (10)
12–15 mos 76 (11)
16 mos–4 yrs 167 (24)
5–19 yrs 203 (29)
20–49 yrs 138 (20)
≥50 yrs 27 (4)
Vaccination status
Vaccinated 76 (11)
Unvaccinated 503 (71)
Unknown 125 (18)
Hospitalizations 66 (9)
Pneumonia 24 (3)
Encephalitis 0 —
Death 0 —
U.S. resident 689 (98)
Internationally imported measles cases
Total 44 (6)
Vaccination status
Vaccinated 4 (9)
Unvaccinated/Unknown 40 (91)
U.S. resident 34 (77)
Source countries
Philippines 14 (32)
Ukraine 8 (18)
Israel 5 (11)
Thailand 3 (7)
Vietnam 2 (5)
Germany 2 (5)
Other 10 (23)

* Data are preliminary as of April 26, 2019.

The Democratic Republic of the Congo (DRC) recorded 27 new cases of Ebola, setting a new single-day record for this 9-month outbreak. The ministry also recorded 26 deaths—also the highest daily total to date

4/29/1991: A devastating cyclone hits Bangladesh, killing more than 135,000 people.


Wahhabism and the Sri Lankan attacks


“……Birthed in Saudi Arabia, Wahhabism’s stern intolerance denigrates not only those who don’t believe in Islam but other Muslim sects as well.

While Saudi Arabia insists the faith does not call for violence, critics have long blamed the kingdom’s mass export of its austere creed for fueling extremism and terrorism abroad……”


Cyclone Kenneth slams into northern Mozambique on Sunday, flooding has prompted evacuations and complicating efforts by rescuers. Five killed so far.


CDC: Annual snapshot of foodborne illnesses

The figure is a histogram showing the number of infections diagnosed by culture or culture-independent diagnostic tests, by pathogen, year, and culture status, during 2015–2018, using data from CDC’s Foodborne Diseases Active Surveillance Network.

Tack DM, Marder EP, Griffin PM, et al. Preliminary Incidence and Trends of Infections with Pathogens Transmitted Commonly Through Food — Foodborne Diseases Active Surveillance Network, 10 U.S. Sites, 2015–2018. MMWR Morb Mortal Wkly Rep 2019;68:369–373. DOI:

Thailand: First case of human rabies this year

The Thaiger

“……A 32 year old man in Surin province has become the first person to die of Rabies this year.

The Disease Control Department director-general Dr Suwannachai Wattanayingcharoenchai says the man who was bitten by a stray dog last November but never sought an anti-Rabies vaccination.

The man developed fever and had difficulty swallowing….”

4/28/1996: A killing spree ending in the deaths of 35 men, women and children in Port Arthur, Tasmania, Australia.


4/28/1995: A gas explosion beneath a busy city street in Taegu, South Korea, kills more than 100 people on this day in 1995.


“……an underground railroad was being constructed beneath the city streets. Metal sheets were put down in place of asphalt to cover holes in certain sections of downtown roads during the construction.

At about 7:30 a.m., during a busy rush hour, a large explosion rumbled beneath the streets, blasting the metal sheets high into the air. Flames shot out from underground, some 150 feet high, throughout a 300-yard area. Cars were transformed into fireballs and one was reported to have been thrown 30 feet into the air. Some pedestrians in the area were enveloped by fire; others further away were blown to the ground. Flaming debris hit people up to half of a mile away. The final death toll was 110, with hundreds injured……”


CDC: Influenza activity continues to decrease in the United States.


national levels of ILI and ARI

INFLUENZA Virus Isolated

Click on image to launch interactive tool


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