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New cases and deaths attributable to Ebola virus disease (EVD) continue to be reported by the Ministries of Health in the three West African countries of Guinea, Liberia, and Sierra Leone. A laboratory-confirmed case of Crimean Congo Haemorrhagic Fever (CCHF) in a UK traveller who was bitten by a tick while on holiday in Bulgaria has been reported. A major outbreak of chikungunya virus infection has been ongoing in the Caribbean since December 2013. 17 autochthonous malaria cases have been reported from Aswan governorate in South Egypt since May [2014]. Egypt suffered from a malaria epidemic from 1942-1944, when around one million people were infected and 200.000 died.
The French Ministry of Health has just alerted health professionals about the transmission of schistosomiasis in Corsica. An outbreak of African sleeping sickness (African trypanosomiasis) has been reported in Rufunsa District in Lusaka Province. The CDC announced the 1st case of Middle East respiratory syndrome coronavirus infection (MERS) diagnosed in a Saudi Arabian traveler visisting the US.
As of 23 April, the Ministry of Health of Guinea has reported a cumulative total of 218 clinical cases of Ebola Virus Disease, including 141 deaths (case fatality rate 65%). Since April 2012, 370 laboratory-confirmed cases, including 113 deaths, of acute respiratory disease caused by Middle East respiratory syndrome coronavirus (MERS-CoV), have been reported by national health authorities.
GuineaAs of 14 April, Guinea has reported a cumulative total of 168 clinically compatible cases of Ebola virus disease (EVD), including 108 deaths.
The Ministry of Health of Guinea has reported a cumulative total of 143 clinically compatible cases of Ebola virus disease (EVD), of which 54 are laboratory confirmed by PCR.
The CDC and the Minnesota Department of Health have confirmed a diagnosis of Lassa fever in a person returning to the United States from West Africa.
There are now 49 confirmed cases of zika virus infections in the Cook Islands and as many as 630 people are believed to have been infected from the mosquito-born disease. A total number of 28 cases of hepatitis A infection has been reported over the last few months in Norway.
The number of cases of the currently ongoing Ebola outbreak in Guinea (see posting from 26. The mysterious febrile illness circulating since Februrary in the South-Eastern provinces bordering Liberia and Sierra Leone (Guekedou, Macenta, Nzerekorem, and Kissidougou) has now been confirmed to be an outbreak of Ebola. One confirmed and 40 suspected cases of Zika virus infections have been reported on Easter Island. According to the Department of Health of the Philippines, 1.163 cases of measles and a number of measles deaths were reported in the country from January 1 through January 11, 2014.
Since the first report in September 2012, Middle Eastern Respiratory Syndrom Coronavirus (MERS-CoV) has sickened 183 people and killed 80, most of them in Saudi Arabia. On Bali Island, the first cases of rabies in humans and dogs were confirmed in 2008 on Bukit Peninsula. The private IST Medical Scheme Clinic in Dar es Salaam reports an increase in dengue fever cases in Dar es Salaam city. Tests at two wastewater treatment plants in northern China revealed the presence of multi-drug-resistant, New Delhi Metallo-beta-lactamase (NDM-1) producing bacteria. The Peruvian Ministry of Health reported 2 confirmed cases (a 28-year-old man and a 25-year-old woman) of Hanta virus infection currently treated in the Santa Rosa Hospital in Lima. New Caledonia:The government of New Caledonia reported the 1st indigenous infection with the Zika virus. Influenza A(H7N9) is one of a subgroup of influenza viruses that normally circulate among birds.
An outbreak of chikungunya in the Caribbean region was reported from the French part of the island of Saint Martin on 5.
Recently the first laboratory confirmed case of Chikungunya virus infection has been reported from the American region (see posting from 13.
A previously healthy 53-year-old man consulted at the Saarland University Medical Center on 22 Nov 2013 after returning from travel to Thailand. The WHO recently confirmed that a previously reported and unknown illness in Tanzania’s Kigoma Region ( map) is hepatitis E. One case of locally acquired Dengue fever has been reported from the department Bouches du Rhone ( map) in the South of France in November 2013. The Food and Drug Administration of the Philippines has warned the public against a counterfeit rabies vaccine that is being sold in the country. Following a confirmed outbreak in French Polynesia, 2 cases of Zika fever have been reported in New Caledonia. Since the first report in September 2012, a total of 160 cases of MERS-CoV infection have been confirmed (including 68 fatal cases). A group of 10 travelers from Israel were infected with schistosomiasis after a single, brief freshwater exposure at Nyinambuga Crater Lake in Uganda [Kabarole District], where the altitude is 1630 meters. Researchers have identified a fifth dengue subtype, the first new subtype in 50 years, a finding that could add another challenge to vaccine development, according to findings presented at a dengue meeting under way in Bangkok. Just published: Malaria tropica in travelers is almost exclusively diagnosed within two months after returning from an endemic country. The WHO has been informed of an additional laboratory-confirmed case of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in Qatar.
The WHO has confirmed 10 polio cases in north-east Syria, the first confirmed outbreak in the country in 14 years, and warned that the disease could spread across the region. I am a gifted Spiritualist Psychic Palmist Astrologist Tarot Card Reader ,Have You Tried to get Help before without getting any Results? Be extremely wary of sellers who do not want to use the messaging center, or meet in person.
If this image violates your copyright, please contact us and we will get back to you as soon as we receive your feedback. Promoting Positive EnergyThe cleansing from this meditation includes freeing your body of stress, anxiety, depression, and loneliness. Crystal ReadingsThe crystal has always been a very powerful tool for spiritual and psychic readings. Buddha Counsel where clarity renews vision and purpose for individuals and couples, I will help you open your hearts and minds and create fulfilling relationships and joy in life . Palm Readings The palm will tell things about yourself, personality, and things thats is going on with you.
Being the most severe in recorded history - both in the number of cases and fatalities - a total of 1201 suspected cases with 672 deaths have been reported as of 23.
Martin in December last year, the epidemic has quickly expanded throughout the region ( Map). Background: CCHF is a primarily zoonotic virus infecting a wide range of domestic and wild animals. June 2014: cumulatively the total number of cases and deaths attributable to Ebola virus disease in Guinea is 351 (210 laboratory-confirmed, 83 probable, and 58 suspected) including 226 deaths.
In 1942 the vector Anopheles gambiae was found in Egypt from the Sudanese border all the way up to 200 miles (300 km) south of Cairo in the Nile valley, but was pushed back by a larvicidal campaign which eradicated A. May Iran reported its first two cases of MERS-CoV (Middle East respiratory syndrome coronavirus). May 2014, the Ministry of Health (MOH) of Guinea has reported a cumulative total of 231 clinical cases of Ebola virus disease, including 155 deaths. To date, 191 patients have been tested for ebolavirus infection and 115 cases have been laboratory confirmed, including 72 deaths. To date, all cases have either occurred in the Middle East, have had direct links to a primary case infected in the Middle East, or have returned from this area.
Last month health authorities first thought they were dealing with dengue fever but the laboratory test results confirmed zika virus as the causative agent. In almost half of this unusually high number of cases, the patients were found to have infected with hepatitis A virus while traveling abroad. March 2014) has increased to 122 and 78 deaths since the declaration of this deadly epidemic. Easter Island, or Isla de Pascua, more than 2,000 miles from the Chilean coast is governed by Chile’s Valparaiso Region. The median age of the patients was ~50 years and 65% of the patients had an underlying chronic health condition. New confirmed cases were reported from the French part of Saint Martin (52), the Dutch part of the island (Sint Maarten, 5), Martinique (326), Saint Barthelemy (21) and Guadeloupe (81). The researchers found significant levels of NDM-1 producing bacteria in the effluent released to the environment and even higher levels in dewatered sludge applied to soils. In 2013, the Nigeria Ministry of Health replaced old cards with a new type in an attempt to prevent the sale of fake cards (see posting from 27.
One of the worst outbreaks in the last 20 years has recently occurred aboard the `Explorer of the Seas? where nearly 700 people got infected while cruising in the Carribean.
In addition a 3rd probable case has been reported from Cuzco: a 26-year-old man who is hospitalized at the intensive care unit of the Cuzco Regional Hospital. Hanta viruses in the Americas cause `Hanta pulmonary syndrome? (HPS) characterized by severe respiratory symptoms. December 2013, 648 laboratory-confirmed human cases of avian influenza A(H5N1) virus infection have been officially reported to the WHO from 15 countries around the world.
In February 2013 human infections were reported from the Chinese east coast for the first time (see posting from 4.

During his 3-week round trip (31 Oct-20 Nov 2013), including visits to Phuket, Krabi, Ko Jum, and Ko Lanta, he developed joint pain and swelling on his left ankle and foot on 12 Nov 2013 after several mosquito bites, followed by a maculopapular rash on his rear and front trunk that spread to the face and the upper as well as lower extremities over the next 4 days before fading. December 2013, WHO was notified of 2 laboratory confirmed cases of locally acquired chikungunya disease in the French part of the Caribbean isle of Saint Martin (map).
Southern France has an established population of Aedes albopictus mosquitoes, a competent vector for dengue and chikungunya viruses. The FDA and Novartis Healthcare (Philippines) have determined that there is an illegally imported and unregistered Purified Chick Embryo Cell (Rabipur) Rabies Vaccine being offered for sale in vaccination clinics, drug establishments and outlets, and internet websites. Zika fever is a viral illness clinically similar to Dengue fever and is spread though mosquito bites.
The median age of the patients was 50 years, 64,5% were male and 65% of the patients had an underlying chronic health condition.
This outbreak proves that even at high altitude, Schistosoma mansoni may exist, despite previous studies claiming that there is protection from this disease at above 1400 meters. The subtype was identified during screening tests on virus samples that were collected during an outbreak in Malaysia in 2007. The patient is a 23-year-old man who was identified as a close contact of a previously laboratory-confirmed case as part of the epidemiological investigation. Officials are awaiting laboratory results on another 12 cases that presented with polio-like symptoms. Whether your confusion or uncertainty lies in love, relationships, career, or life in general, our readings offer honest, objective insight provided by concentrated aura meditation and cleansing. Filled with positive spiritual energy, the crystal is able to transfer this positivity into your life. Here, you'll learn how to clear your mind and receive chakra balancing, which is the art of aligning the spiritual energy sources of your body's seven chakras. Tarot cards will tell you about yourself, and other people in your life such as will you love, career, finances, health, and family. These numbers include laboratory-confirmed, probable, and suspect cases and deaths of EVD.As of 6 July 2014, the cumulative number of cases attributed to EVD in the three countries stands at 844, including 518 deaths.
Domestic ruminant animals, such as cattle, sheep and goats, are viraemic for around one week after becoming infected. There has been no change in the number of cases confirmed by ebolavirus PCR (127 cases) since the last update of 2 May 2014, but 1 additional death has been reported among confirmed cases (82 deaths).
The outbreak has been linked to an increase in the Tse-tse fly population mainly in the areas that border the Game Management Areas (GMAs). April 2014, the patient traveled by plane from Riyadh, Saudi Arabia to London, England then from London to Chicago, Illinois. Twenty-six (26) health care workers (HCW) have been affected (18 confirmed), with 16 deaths (12 confirmed). The date of onset of the most recently identified suspected clinical cases in Conakry and Guekedou was 10 April. 2014 at the Center for Tropical and Travel Medicine of the Academic Medical Center in Amsterdam. New cases have been reported from Conakry, Guekedou and Macenta; 23 patients are currently in isolation units.
It is an extremely rare case for France, where the disease was officially eradicated in 2001. It is highly likely that the virus was imported from French Polynesia, where the disease is currently causing an larger outbreak (see posting from 24.
The remaining half got infected in Norway, which worries the health authorities, who are currently investigating whether there may be a common source of infection. Countries reporting cases in travelers returning from the Philippines include Australia, Canada, Japan, New Zealand, the United Kingdom, and United States.
Over the last year more and more evidence cumulated that camels are playing a role in the spread of the disease. Four additional cases were notified in Anguilla and one imported case was recorded in French Guyana. The 3 patients participated in a tourist group trip (of 8 people) to the city of Iquitos, including a guided visit to the Amazonian region of the Mamon River in the Punchana district of Maynas province. Various Hanta viruses have been identified in North and South America and are transmitted to humans by inhalation of aerosolized dried rodent excreta. April 2013 below): The first cases were reported between February and May 2013 (n=133), then two cases were reported in July and August, and since October 2013 a second wave of human cases has been recorded (n=74 thus far). This is the first time that autochthonous transmission of the virus has been documented in the Americas.
Accompanying symptoms were malaise, fever, and shivering, of which the latter 2 appeared only for one day.Initially, the 1st serum sample collected 10 days after disease onset gave a positive result in the dengue IgM antibody tests (IFA and rapid test), although tests for dengue IgG antibody (IFA and rapid test) and dengue NS 1 antigen (ELISA and rapid test) were negative.
Between August 20 and October 29, the region’s Buhigwe District experienced 690 acute febrile illness cases with no deaths. The other part of the isle is a country that is part of the Kingdom of the Netherlands (Sint Maarten). Given the frequency of dengue cases imported into France (168 imported dengue cases in 17 departments in 2013), the risk of secondary cases is real. A complaint sample of the vaccine was collected at Tabuk City in Kalinga, and it was verified that the sample was counterfeit. The islands in French Polynesia affected by the Zika virus outbreak this year (2013) are: Tahiti, Moorea, Raiatea, Tahaa, Bora Bora, Nuku Hiva, and Arutua.
The findings were presented by Nikos Vasilakis, PhD, lead author of the study and a virologist from the University of Texas Medical Branch (UTMB) in Galveston. She is committed to walking with you every step of the way on your unique journey toward personal enlightenment. Both positive and negative energies are moving through you, and our psychic can help you balance them.
Additionally an autochthonous case of Chikungunya has been reported in Florida ( Reference). At least 22 fatalities have been reported so far.Most of the areas previously involved continue to report increasing number of cases, and the situation is particularly severe in the island of Hispaniola island (Haiti and the Dominican Republic).
In terms of isolation, 33 patients are currently hospitalized (8 in Conakry, 9 in Gueckedou, 15 in Telimele, and 1 in Boffa). Studies are needed to determine the Anopheles species responsible for the present transmission in Aswan as well as active case detection to identify clinical cases and gametocyte carriers for treatment. The source of the virus remains unknown but the pattern of transmission points towards an animal reservoir (see posting from 3. The virus has probably been imported by tourists from other vacation islands in the region where Zika virus is currently casing local outbreaks (New Caledonia, French Polynesia, Tahiti; see posting from 24. It has been found that a large percentage of camels in the Middle East have antibodies against MERS in their blood, while other animals, such as goats and sheep, do not.
In 2010 more than 60 cases had been seen at the IST Medical Scheme Clinic; before 2010, cases were only sporadically diagnosed in Tanzania.
Therefore the increasing and rapid spread of mobile genetic elements that determine acquired resistance to carbapenems and all other beta-lactams in Enterobacteriaceae is of great concern. The route of this tourist circuit included a 2-night stay in a hostel that consisted of 24 bungalow-rooms with wooden walls and a thatched straw roof. Some of the South American Hanta viruses may be transmitted between humans in a nosocomial setting.
Whenever influenza viruses are circulating in poultry, sporadic infections or small clusters of human cases are possible, especially in people exposed to infected household poultry or contaminated environments. As yet, there is limited information about the scope of the disease the virus causes and about the source of exposure. Since then, new chikungunya cases have been reported from several islands in the Caribbean. September 2013 she suffered from fever up to 40 degree celsius and nausea, followed by a maculopapular rash.
It is a strain of Asian genotype, and therefore different from the one which caused the 2006 outbreak in Reunion Island and then spread throughout the Indian Ocean. However, the isolated positive result for dengue IgM antibodies prompted to investigate a probable flavivirus etiology through a serological approach.
Most patients presented with vomiting, loss of appetite, generalized body weakness, abdominal pain, high fever and headache. However, till now only two cases of autochthonous dengue transmission have been reported from the South of France in the past ( Eurosurveillance 2010). There was a major outbreak of Zika virus infections on Yap and nearby islands of the Federated Republic of Micronesia in 2007. The researchers' analysis suggested that the virus was different from the current four subtypes, and their sequencing tests found that it was phylogenetically distinct. I have decided to offer my services via the internet after many of my clients pushed me to do so . We know you'll love the cozy, warm atmosphere we offer and are certain you'll be comforted by the positive spiritual energy that abounds in our workspace. Imported cases in travelers returning from the Carribean region are currently frequently seen in European countries and the number is very likely to increase. CCHF is endemic in Africa, the Balkans, the Middle East and in Asia south of the 50° parallel north, the geographic limit of the genus Hyalomma, the principal tick vector ( view map). El Salvador in Central America is still under adeclared national emergency with thousands of suspected cases.

The number of contacts currently being followed-up countrywide is 1011.LiberiaOne suspected case from nearby Kailahun (Sierra Leone) died in Foya (Liberia).
March 2014 below) in the Middle East, from which humans sporadically become infected through zoonotic transmission.
The results of testing on these patients at the Institut Pasteur laboratory in Dakar, Senegal, are expected shortly. There has been no increase in the number of affected health care workers (HCW) from the 14 reported previously, including 8 deaths; 11 of the affected HCWs are laboratory confirmed cases.
A suspected case of Ebola in a Canadian traveler who just returned from Liberia and was hospitalized in Saskatoon, Canada turned out to be not Ebola ( Reference). Now new evidence of MERV-CoV infections in camels from Sudan and Ethiopia suggests that Africa, too, harbors the pathogen ( Reference). However, the sale of fake yellow fever vaccination cards to individuals who did not receive the vaccine continues to present a serious public health problem inside and outside Nigeria.
The other 26 cases reported so far have been imported from French Polynesia, where a outbreak is currently taking place. Currently the National Reference Centre for Arboviruses (IRBA, Marseille, France) investigates the endemic situation of Chikungunya in the Carribean region:- St. Serological tests for Japanese encephalitis virus, West Nile virus, Yellow fever virus, tick-borne encephalitis virus, and Zika virus were performed by the WHO Collaborating Centre for Arbovirus and Haemorrhagic Fever Reference and Research (WHOCC), Hamburg, Germany. Chikungunya disease was detected during an investigation following the notification of 5 cases with joint pains and fever on 18. New Caledonia has had an outbreak of Chikungunya virus infections this year (September 2013), and the mosquito vectors involved in that outbreak are competent vectors of Zika virus. Tests on monkeys found that the virus provoked different antibodies than for the other four subtypes. They said there are so many psychic healers that cannot help people the way I do so after being asked so many times I finally decided to offer my services to you. Buddha counsel is alternative counseling that offers fresh insight and applies innovative solutions to remedy life and relationship blocks. CCHF outbreaks constitute a threat to public health services because of its epidemic potential, the high case fatality rate (10-40%), the potential for nosocomial outbreaks and the difficulties in treatment and prevention. Several other countries have recently reported imported chikungunya infection in patients with travel history to the affected areas: Barbados, Bonaire, Brazil, Canada, Cayman islands, Chile, Cuba, France (including Tahiti), Grenada, Italy, Mexico, the Netherlands, Nicaragua, Paraguay, Panama, Peru, Spain, Switzerland, Trinidad and Tobago, Turks and Caicos Islands and many states in the USA. April 2014, the patient began to experience respiratory symptoms, including shortness of breath, coughing, and fever. The date of onset of the most recent clinical case, a suspected case, is 23 April while the date of isolation of the most recent confirmed case is 22 April.
Human-to-human transmission to close contacts and in hospital settings has occurred, but there is no evidence of sustained transmission among humans. Rabies has been diagnosed in about 20 patients in France since 1970, all of whom caught it abroad. January a 46-years old man and on 25 January a 7-years old boy died of rabies after suffering dog bites. Since this first report, cases involving New Delhi metallo-beta-lactamase (NDM)-producing Enterobacteriaceae have been reported from every continent except Antarctica.
The disease is of concern because most patients have been severely ill and the case fatality rate is considered to be around 33%.
August 2013) from Japan [with sites visited on the following dates in August 2013]:19-21 Ueda21-24 Fuefuki24-25 Hiroshima25-28 Kyoto28-31 TokyoShe reported several mosquito bites while grape picking in Fuefuki. IFAs gave positive results for Zika virus IgG and IgM antibodies, demonstrating an acute or recent Zika virus infection of the patient. Globally, from September 2012 to date, WHO has been informed of a total of 145 laboratory-confirmed cases of infection with MERS-CoV, including 62 deaths.
Costa Rica reported a confirmed case, but it is not clear if it is imported or autochthonous. Eleven (11) contacts (5 health-care workers and 6 community relatives) were identified and are being followed up.Sierra Leone6.
Overall, the epidemiological situation in Guinea has improved significantly over the last few weeks.
Although medical care in the Indian subcontinent was associated with many early reports, recent cases have been described involving persons who traveled to endemic regions but were not hospitalized. YF virus is endemic in Nigeria, and an unvaccinated, viremic individual with a fake card who becomes infected in Nigeria could carry YF virus to localities where vector mosquitoes are present and initiate an outbreak of this serious disease. The total number of Zika virus infection cases in French Polynesia has increased from 333 confirmed cases and 6630 suspected cases on 9. Information to date does not support sustained human-to-human transmission.What is the risk of international spread of H7N9 virus by travellers?There is no indication that international spread of this virus in humans or animals has occurred.
She flew nonstop from Frankfurt (International Airport) to Tokyo (Narita International Airport) and [back the same way].
In contrast, IFAs gave negative results for the other flaviviruses tested as well as for chikungunya virus. June 2014: 8 new cases (2 confirmed and 6 suspected) and 1 new death were reported from Kailahun This brings the total number of Ebola infections to 89 (33 confirmed, 3 probable, and 53 suspected) including 7 deaths. 34 cases of imported Lassa fever have been diagnosed in Europe, the United States, Israel and Japan. The plasmid-carrying NDM is highly transmissible to other bacteria, and bacteria carrying NDM can colonize the gastrointestinal systems of humans for prolonged periods.
Recently it was reported that a man carrying a fake yellow fever vaccination card was arrested at immigration at the Idi-Iroko border post.
Until the virus adapts itself for efficient human-to-human transmission, the risk of international spread of H7N9 virus by travellers is very low. The naive population, the presence of an effective vector in the region, and the movement of people in and between islands are factors that make it likely the outbreak will continue to spread geographically and increase in numbers. The presence of ZIKV-specific neutralizing antibodies was confirmed by a virus neutralization assay, and an IgM titer decrease in IFA was demonstrated in the 2nd serum sample collected 31 days after disease onset. This case illustrates the importance of malaria suspicion as a cause of illness in immigrants from malaria-endemic countries.
Because of the patient's symptoms and travel history, he was tested for MERS-CoV, which was laboratory confirmed on 2.
Three days after presentation at our clinic, one patient developed a confused state and diplopia due to paralysis of the abducens nerve.
If colonization or infection of returning travelers, medical tourists or repatriated patients is suspected isolation and early detection is the only way to prevent nosocomial spread.
Since the dengue outbreak is ongoing, clinicians and travel medicine clinics should remain vigilant regarding imported dengue and chikungunya cases from the Caribbean.
Initially, the 1st serum sample collected 7 days after disease onset gave a positive result in the dengue virus (DENV) IgM and IgG antibody tests (IFA [indirect fluorescent antibody] and rapid test), as well as for DENV NS1 antigen (ELISA and rapid test) demonstrating an acute DENV infection of the patient. This is the 1st laboratory confirmed case of ZIKV reported in Germany and Europe and the 2nd case reported from Thailand. Even when these immigrants did not travel for a long time, malaria should be considered in patients with typical symptoms. CSF analysis showed an increased opening pressure, pleiocytosis and increased protein, but no increased eosinophil count.
The emergence of these `super bugs? over the recent years is alarming and considered a serious threat to public health all over the world.
Thus, differential diagnosis in febrile returning travelers from the south of Thailand (Phuket, Krabi, Ko Jum, and Ko Lanta) should include Zika virus infection. Symptoms of Zika fever may include fever, headache, red eyes, rash, muscle aches, and joint pains.
After one week in hospital the patient was discharged with a characterization of restitutio ad integrum [total recovery]. December 2013, two confirmed, 4 probable and 20 suspected cases of chikungunya infection have been reported.
A follow-up serum sample was collected in December 2013, because this acute case of dengue fever imported from Japan was considered very unusual. This is the first time that locally acquired transmission of chikungunya has been detected in the American Region. This 2nd serum sample collected 110 days after disease onset revealed a significant DENV IgG titer decrease (IFA) and negative results for DENV NS1 antigen (ELISA and rapid test) and DENV IgM (IFA and rapid test), respectively.This is the 1st laboratory confirmed case of DENV infection imported from Japan to Germany.
With this clinical syndrome of eosinophilic meningo-encephalitis, a parasitic infection with Angiostrongylus sp.
Most likely, according to the patient's activities and DENV incubation period, the infection was acquired in Japan.
Concerning the differential diagnosis and the serological cross reaction with Dengue fever please see posting from 27. Thus, differential diagnosis in febrile returning travelers from Japan (Honshu) in late summer [2013] should include dengue fever. In addition, the autochthonous transmission of DENV in Japan should be further investigated to take adequate prevention measures early. Both had been exposed by food consumption (salads, vegetables, shrimp, fish) in the Philippines.

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