Rapid risk assessment: Oseltamivir-resistant influenza A(H1N1)2009 cluster in Australia
Oseltamivir-resistant influenza A Australia has reported a cluster of oseltamivir-resistant influenza A(H1N1)2009 cases in the state of New South Wales. The cases had no known link to oseltamivir exposure and individuals were not immunosuppressed, but they were closely linked geographically. Samples from the cluster do not currently exhibit any resistance to zanamivir.Although the cluster has remained localised, it cannot be assumed that the variant virus will not spread. At present, the risk of this cluster becoming more widespread and having public health implications remains low.However, if spread does occur, implications for the treatment of influenza patients will need to be considered. Regardless of the outcome, constant antiviral resistance monitoring is vital in Europe and globally.Since the A(H1N1)2009 virus antigen is included in the recommended seasonal flu vaccine for the coming season this potential for emergence of oseltamivir resistance is yet another reason why EU citizens, for whom vaccination is recommended by Member States, should accept the offer.
Rapid Risk Assessment: Outbreak of pneumonic plague in Madagascar: recent introduction in the Seychelles
Madagascar has been experiencing an outbreak of plague since 23 August 2017, and 560 cases and 57 deaths (case fatality rate 10.1%) have been reported as of 12 October 2017.Read more
Rapid risk assessment: Outbreak of plague in Madagascar, 2017
Since 23 August 2017 Madagascar has been experiencing an outbreak of plague, and as of 3 October 2017, 194 cases and 30 deaths (case fatality rate 15.5%) have been reported.
Rapid risk assessment: Clusters of autochthonous chikungunya cases in Italy, first update
Italy is currently experiencing four clusters of autochthonous chikungunya cases in the cities of Anzio, Latina and Rome in the Lazio region, and the city of Guardavalle Marina in the Calabria region.Read more