For 2016, two countries reported a total of six cases of Crimean-Congo haemorrhagic fever (CCHF). For the first time, Spain reported two confirmed autochthonous cases. Bulgaria reported the remaining four cases (CCHF is endemic in the Balkan region).
Cases of salmonellosis and campylobacteriosis have remained stable over the past five years, although listeriosis is on the rise. In 2017, there was an average of 100 food- and waterborne outbreaks per week.
A multi-country outbreak of 12 listeriosis cases caused by Listeria monocytogenes sequence type (ST) 8 has been identified through whole genome sequencing (WGS) analysis in three EU/EEA countries: Denmark (6 cases), Germany (5) and France (1).
Ready-to-eat salmon products, such as cold-smoked and marinated salmon, are the likely source of an outbreak of listeriosis that has affected Denmark, Germany and France since 2015.
This issue of the ECDC Communicable Disease Threats Report (CDTR) covers the period 2-8 September 2018 and includes updates on poliomyelitis, Middle East respiratory syndrome coronavirus (MERS-CoV), influenza A(H5N6), listeriosis, West Nile virus, Ebola virus disease and cholera.
The present report is concerned with the events in Spain surrounding two cases of infection with Crimean-Congo Haemorrhagic Fever (CCHF) virus that emerged in the Autonomous Community of Castilla y León in August 2016.