Between 10 and 13 October 2015, the National IHR Focal Point for the Kingdom of Saudi Arabia notified WHO of 4 additional cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection. The four cases are from the same compound in Riyadh city.
Contact tracing of household and healthcare contacts is ongoing for these cases.
Between 8 October and 16 October 2015, the National IHR Focal Points of Brazil and Colombia notified PAHO/WHO of cases of Zika virus infection.
In May 2015, the public health authorities of Brazil confirmed autochthonous transmission of Zika virus in the northeastern part of the country. As of 8 October, autochthonous cases of Zika virus had been detected in 14 states: Alagoas, Bahia, Ceará, Maranhão, Mato Grosso, Pará, Paraná, Paraíba, Pernambuco, Piauí, Rio de Janeiro, Rio Grande do Norte, Roraima, and São Paulo.
The Ministry of Health and Social Welfare (MOHSW) of the United Republic of Tanzania has notified WHO of new foci of cholera outbreaks in the country. As of 13 October, 13 regions have been affected, namely Dar es Salaam, Morogoro, Pwani, Kigoma, Kilimanjaro, Iringa, Dodoma, Geita, Mara, Singida, Shinyaga, Mwanza and Zanzibar. As of 19 October, the cumulative number of cases is 4,835 cases, including 68 deaths. The region of Dar es Salam accounts for 72% of all reported cases (3,460). Zanzibar has reported 140 cases.
The national task force led by the MOHSW continues to carry out activities aimed at controlling the outbreak. Water sanitation measures have been implemented alongside health education campaigns. The MOHSW, WHO, the US Centers for Disease Control (CDC) and the Field Epidemiology Program have joined forces to enhance surveillance and ensure a timely, coordinated response to alerts from the field.
On 14 October 2015, the National Health and Family Planning Commission (NHFPC) of China notified WHO of 2 additional laboratory-confirmed cases of human infection with avian influenza A (H7N9) virus.
The cases are a 55-year-old female and a 53-year-old male, with onset dates of 18 September and 21 September, respectively. Both cases had exposure to poultry and live poultry markets. No epidemiological link between the cases was reported. The cases were reported from 2 municipalities (Huzhou city and Jinhua city) in Zhejiang province.
WHO has received notification from the National IHR Focal Point of Iraq of additional laboratory-confirmed cases of cholera.
As of 8 October, a total of 1,263 laboratory-confirmed cases of Vibrio cholerae 01 Inaba were reported. These cases were reported from at least 15 governorates of the country – These are Babylon (469 cases), Baghdad (304 cases), Qadisiyyah (146 cases), Muthanna (155 cases), Basra (61 cases), Wassit (41 cases), Karbala (33 case), Najaf (32 cases), Thi-qar (6 cases), Maysan (6 cases), Diyala (2 cases), Duhok (2 cases), Erbil (2 cases), Kirkuk (2 cases), Salah al-din (1 case) and Suleimaniyah (1 case).