Since the previous ECDC epidemiological update was published on 30 June 2017, seven EU/EEA countries (Belgium, France, Luxembourg, the Netherlands, Norway, Sweden and the United Kingdom) have reported 96 confirmed and 34 probable new cases associated with the multi-country outbreak of Salmonella Enteritidis with MLVA profiles 2-9-7-3-2 or 2-9-6-3-2 ongoing in the EU/EEA.

On 4 October 2017, Italy reported through the Early Warning and Response System (EWRS) the detection of four Plasmodium falciparum malaria cases in the Apulia region. Cases are 21 to 37-year-old men, originally from Africa. All stated that they had been in Italy for more than three months. Dates for onset of symptoms ranged from 20 to 27 September 2017. The cases are agricultural workers in Ginosa and Castellaneta. Malaria vectors such as Anopheles labranchiae and Anopheles superpictus are present in Italy.

Since August 2017, France and Italy have reported the autochthonous transmission of chikungunya virus, respectively in the Var department, France and the Lazio region, Italy. The two events are involving strains from different origin and therefore are not related.

Since the last rapid risk assessment on this multi-country hepatitis A outbreak, 19 EU/EEA countries (Austria, Belgium, Denmark, Estonia, Finland, France, Greece, Ireland, Italy, Latvia, Luxembourg, Malta, the Netherlands, Norway, Portugal, Slovenia, Spain, Sweden and the United Kingdom-England & Wales) have reported 1 363 new outbreak-confirmed cases. Outbreak-confirmed cases are EU/EEA residents with laboratory-confirmed hepatitis A virus (HAV) genotype IA and a sequence with 99.3% homology to one of the three HAV genotype IA outbreak strains (VRD_521_2016; RIVM-HAV16-090; and V16-25801) based on overlapping fragments at the VP1-2a region.

Since August 2017, France and Italy have reported the autochthonous transmission of chikungunya virus, respectively in the Var department, France and the Lazio region, Italy. The two events are involving strains from different origin and therefore are not related.

Measles outbreaks continue to occur in a number of EU/EEA countries, with a risk of spread and sustained transmission in areas with susceptible population

Measles outbreaks continue to occur in EU/EEA countries with a risk of spread and sustained transmission in areas with susceptible populations.

On 11 August 2017, France gave notification of an autochthonous case of chikungunya virus infection detected in the Var Department in southern France through the Early Warning and Alert System (EWRS).

Epidemiological update: Measles - monitoring European outbreaks, 1 September 2017

Epidemiological update: Measles - monitoring European outbreaks, 25 August 2017