In 2019, the hajj will take place between 9 and 14 August. The risk for EU/EEA citizens to become infected with communicable diseases during the 2019 hajj is considered low, thanks to the vaccination requirements for travelling to Makkah (Mecca) and the Saudi Arabian preparedness plans that address the management of health hazards during and after hajj.
Since April 2016, Denmark, France, the Netherlands, Spain, Sweden and United Kingdom (Wales) have reported severe enterovirus infections associated with a variety of different strains. This rapid risk assessment considers the risk for EU/EEA countries related to severe enterovirus infections.
ECDC has published a rapid risk assessment due to a localised outbreak of neurological symptoms associated with enterovirus A71 (EV-A71) in Catalonia, Spain.
Most EV infections, including EV-A71, result in asymptomatic infection. Most symptomatic EV-A71 infections manifest as a self-limiting hand, foot and mouth disease and only a very small proportion of patients develop severe and life-threatening disease. The current outbreak is notable in terms of its magnitude and the severity of symptoms of the reported cases.
This risk assessment was triggered by two cases of paralytic poliomyelitis in children, caused by circulating vaccine-derived poliovirus type 1 (cVDPV1) in Ukraine during June and July 2015.
In November, France and the United Kingdom both reported sporadic cases of neurological disease involving enterovirus 68 (EV-D68) detection. As a result, ECDC has updated its rapid risk assessment on EV-D68, first triggered by reports from North America. To date, European acute flaccid paralysis (AFP)/enhanced enterovirus surveillance has not detected unusual clusters or unexpected trends.
Since mid-August 2014 local health authorities in the USA have notified the US Centers for Disease Control and Prevention (CDC) of 691 laboratory-confirmed enterovirus 68 (EV-D68) infections.
The EU/EEA countries have a moderate risk of transmission of the Enterovirus D-68 (EV-D68), although no increase of acute respiratory infections or hospital admissions has been reported so far this year, according to a new risk assessment published today by ECDC. The report also indicates that the likelihood for cases to be detected in EU/EEA is low because most countries do not routinely screen for EV-D68, and the disease is not notifiable.
This rapid risk assessment examines the implications of the temporary recommendations for EU Member States and assesses whether the developments leading to the declaration of a PHEIC represent an increased risk of WPV importation to Member States of the European Union.
The confirmed circulation of wild-type poliovirus (WPV) in Israel and the outbreak of poliomyelitis in Syria mean that there is a high risk the disease will be reintroduced into the EU/EEA.
Following the announcement by WHO of a cluster of cases of acute flaccid paralysis in Syria, ECDC conducted a risk assessment and concludes that this does pose a risk that polio might be imported to the EU. The Risk Assessment includes number of recommendations for EU Member States.