The outbreak reached 1000 cases and is now spreading across 21 health zones. March was the worst month in terms of number of cases since the beginning of the outbreak.

ECDC has identified a microbiological link between an outbreak of nine Listeria monocytogenes ST1247 cases in Denmark and nine additional cases reported between 2014 and 2018 in Estonia (2 cases) Finland (2), France (1) and Sweden (4).

The Carnival season will last from 1 to 9 March 2019. In Rio de Janeiro, Brazil, 1 million participants are expected, including many travellers from Europe

Since the beginning of the outbreak and as of 23 January 2019, according to the Ministry of Health of the Democratic Republic of the Congo, there have been 715 Ebola virus disease cases (666 confirmed, 49 probable), including 443 deaths (394 in confirmed and 49 in probable cases).

In 2019, World Youth Day (WYD) will take place between 22 and 27 January 2019 in Panama City, Panama with an expected half a million participants. During mass gathering events, the most common health risks are related to vaccine-preventable diseases, gastrointestinal illnesses and vector-borne diseases in favourable climate conditions.

During the 2018 transmission season, 1503 human cases and 285 outbreaks among equids were reported in the European Union.

Since the joint ECDC-EFSA rapid outbreak assessment ’Multi-country outbreak of Salmonella Enteritidis infections linked to Polish eggs’ published on 12 December 2017, 15 EU/EEA countries (Belgium, Czech Republic, Denmark, France, Hungary, Iceland, Ireland, Italy, Luxembourg, Netherlands, Norway, Poland, Slovenia, Sweden and United Kingdom) have reported 336 confirmed, 94 probable and 3 new historical-confirmed cases associated with this ongoing multi-country outbreak of Salmonella Enteritidis in the EU/EEA. In the same period, seven historical probable cases were reclassified as excluded.

Since May 2018 and as of 10 November 2018, there have been 329 Ebola virus disease cases (294 confirmed, 35 probable), including 205 deaths (170 of which were confirmed cases).

Since May 2018 and as of 24 October 2018, there have been 251 Ebola virus disease cases (216 confirmed, 35 probable), including 162 deaths (127 of which were confirmed cases).

Since the last epidemiological update on 31 August 2018, European countries have reported 530 new West Nile virus (WNV) cases and 52 deaths. The number of WNV infections reported so far exceeds the total number of infections in the previous five years.