An EU-wide survey estimated that 4.2 million healthcare-associated infections occur every year in European long-term care facilities, compared to an estimated 3.5 million occurring in European acute care hospitals, and that on any given day, over 116 400 residents have at least one active healthcare-associated infection.
From diagnosis of HIV to successful viral suppression: this new ECDC report summarises key findings concerning the Continuum of HIV Care in Europe based on data reported by countries in Europe and Central Asia. In the 37 countries reporting data, an estimated 1.2 million people are living with HIV, 898 000 of whom (75%) have been diagnosed; 88% of these are estimated to be virally suppressed.
During the first 2 months of 2017 we have seen 1524 cases of measles reported from 14 EU/EEA countries. Measles does not only affect children but also older age groups. In 2014 over half of the cases were in adults over 20 years old, in 2015 and 2016 this age group accounted for approximately one third of all cases. Closing immunisation gaps in adolescents and adults who have not received vaccination in the past as well as strengthening routine childhood immunisation programmes will be vital to prevent future outbreaks and reach the elimination goal.
In EU, measles cases have been reported in Austria, Belgium, Bulgaria, Czech Republic, Denmark, France, Germany, Hungary, Iceland, Italy, Portugal, Spain and Sweden as well as in Romania, where 4 793 cases had been reported as of 14 April 2017.
Between 6 and 12 April 2017, Brazil has reported 138 additional cases of yellow fever, including 19 confirmed. The additional confirmed cases have been reported in Minas Gerais and Espírito Santo. Between week 13 and week 14 of 2017, Peru has reported three additional cases of yellow fever, including one confirmed.
ECDC has published a third update to assess the risk of transmission within the EU of a multidrug-resistant tuberculosis (MDR TB) strain initially detected by Switzerland in seven asylum seekers from the Horn of Africa. Recommendations are given to help improve the understanding and the public health impact of this cluster for the EU.
The ECDC surveillance scheme (ELDSNet) for travel-associated Legionnaires’ disease (TALD)  has observed an increase in the number of cases associated with travel to Dubai, United Arab Emirates (UAE) since the beginning of the last quarter of 2016 compared with the two previous years
Between 23 March and 5 April 2017, Brazil has reported 90 additional confirmed cases and has discarded 459 suspected cases of yellow fever.
In Europe, measles cases have been reported in Austria, Belgium, Bulgaria, Denmark, France, Germany, Hungary, Iceland, Italy, Portugal, Spain and Sweden as well as in Romania, where 4 025 cases have been reported as of 31 March 2017.
This is the main finding of a recent article based on data from The Streptococcus pneumoniae Invasive Disease network (SpIDnet). SpIDnet is an ECDC funded enhanced active surveillance network for invasive pneumococcal disease providing comparable surveillance data on the disease and effects of vaccination. This network allows the collection of surveillance data using a common methodology an approach that enables a more robust analysis than could be achieved with data from one country.
The Zika epidemic remains a significant concern for public health. The latest update of ECDC’s rapid risk assessment on the Zika epidemic includes an assessment of the level of risk for travellers based on an adaptation of the WHO interim guidance on the Zika virus country classification scheme and the recent epidemiological and scientific information.
A measles outbreak in Romania has been ongoing since February 2016 and cases continue to be reported despite ongoing response measures that have been implemented at national level through reinforced vaccination activities. Between September 2016 to 24 March 2017, Romania reported 3 911 cases.
In 2016, a number of EU/EEA countries reported measles outbreaks, and an increase in the number of cases continues to be observed in 2017. Some of the previous and ongoing measles outbreaks in other EU countries have been epidemiologically linked to the current outbreak in Romania. However, additional knowledge (e.g. genotypic characterisation of the virus) is needed to carry out a successful epidemiological investigation.
Between 16 and 29 March 2017, national public health authorities in Brazil have reported 232 additional cases of yellow fever, 72 of which were confirmed.
Between 6 January and 16 March 2017, Brazil has reported 1 357 cases (933 suspected and 424 confirmed), including 249 deaths (112 suspected and 137 confirmed). The case-fatality rate is 18.3% among all cases and 32.3% among confirmed cases.