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LATEST POSTS ON PROMED-MAIL

 * 22 Sep 2024 Rabies (79): Tunisia (BJ) animal
 * 22 Sep 2024 Gastroenteritis - Egypt: (AN) waterborne, RFI
 * 22 Sep 2024 Pertussis - USA (04): (NE, AK) increasing case numbers
 * 22 Sep 2024 Influenza (12): USA (MN) H3N2v, swine origin
 * 21 Sep 2024 Bluetongue - Europe (13): Italy (st 8) livestock, camel, Norway,
   UK (st 3) livestock, RFI
 * 21 Sep 2024 Lumpy skin disease - Thailand (02): (CM) cattle, buffalo, WOAH
 * 21 Sep 2024 Avian influenza (108): Czech Republic (SK) poultry, HPAI H5N1,
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 * 21 Sep 2024 Food poisoning - Taiwan: terbufos pesticide, fatal
 * 21 Sep 2024 Hepatitis B - South Sudan: (WH) increasing incidence, MOH
 * 21 Sep 2024 Poliomyelitis (22): Pakistan (BA) update
 * 21 Sep 2024 Dengue/DHF update (84): Trinidad and Tobago, additional cases,
   fatal
 * 21 Sep 2024 Streptococcus, group B - China (02): (HK) ST283, invasive,
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 * 21 Sep 2024 Melioidosis - China (02): (HK) new cases
 * 20 Sep 2024 Lumpy skin disease - South Korea (04): cattle, domestic, WOAH
 * 20 Sep 2024 Q fever - Montenegro (02): (DA) additional cases
 * 20 Sep 2024 Baylisascariasis - USA: (CA) Los Angeles
 * 20 Sep 2024 Dengue/DHF update (83): Sudan (KH) increasing incidence, health
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 * 19 Sep 2024 Dengue/DHF update (82): USA (CA) local cluster
 * 19 Sep 2024 Cholera, diarrhea & dysentery update (53): Nigeria (AD) fatal
 * 19 Sep 2024 Lumpy skin disease - South Korea (03): (KG) cattle, 4th outbreak
 * 19 Sep 2024 Crimean-Congo hem. fever - Asia (23): Israel, cattle, 1st report
 * 19 Sep 2024 Dengue/DHF update (81): Bangladesh
 * 19 Sep 2024 Anthrax - Uganda (02): (UU) fatal
 * 19 Sep 2024 Mpox update (54): India (KL) ex UAE
 * 19 Sep 2024 Cholera, diarrhea & dysentery update (52): Sudan, new cases,
   fatal, MOH update
 * 19 Sep 2024 Eastern equine encephalitis - North America (16): USA (NH) human
 * 19 Sep 2024 Bluetongue - Europe (12): Sweden (GT) 1st rep, UK (EX) spread
 * 19 Sep 2024 Pertussis - Guam
 * 19 Sep 2024 Avian influenza (107): Israel (HZ) poultry, HPAI
 * 19 Sep 2024 Oropouche virus - Cuba: Guillain-Barre syndrome
 * 18 Sep 2024 Avian influenza, human - China (10): (GD) H9N2, RFI
 * 18 Sep 2024 New World screwworm - Honduras: cattle, horse
 * 18 Sep 2024 Dengue/DHF update (80): USA (CA) locally acquired
 * 18 Sep 2024 Undiagnosed deaths - India (03): (BR) children, RFI
 * 18 Sep 2024 Dengue/DHF update (79): Sri Lanka
 * 18 Sep 2024 Leptospirosis - India (04): (KL) update
 * 18 Sep 2024 Foodborne illness - Myanmar: (NY) flooding, donated food,
   Bacillus cereus susp.
 * 18 Sep 2024 Fort Sherman virus - Peru: (LB) human case, 2020
 * 18 Sep 2024 Ink disease & brown rot, sweet chestnut - Greece
 * 18 Sep 2024 Chikungunya, dengue and Zika viruses: India (MH)
 * 17 Sep 2024 Foodborne illness - Viet Nam (23): (HG, GL) students, susp., RFI
 * 17 Sep 2024 Dengue/DHF update (78): Trinidad and Tobago
 * 17 Sep 2024 Q fever - Montenegro: (DA)
 * 17 Sep 2024 Cholera, diarrhea & dysentery update (51): Iraq (AR) new cases,
   Lebanon, environ. water sampling
 * 17 Sep 2024 Avian influenza, human - USA (09): (MO) H5N1, link to dairy
   cattle, symptomatic contacts
 * 17 Sep 2024 Streptococcus, group B - China: (HK) ST283, invasive, freshwater
   fish source, fatal
 * 17 Sep 2024 Eastern equine encephalitis - North America (15): Canada (ON)
   human, fatal
 * 17 Sep 2024 Crimean-Congo hem. fever - Asia (22): Pakistan (BA, PB)
 * 17 Sep 2024 Brucellosis - USA: (WY) cattle
 * 17 Sep 2024 Dieback, pear - China: new bacterial pathogen
 * 17 Sep 2024 Measles - Mozambique: (CD) conf.
 * 17 Sep 2024 Mpox update (53): Pakistan (SD) RFI
 * 17 Sep 2024 Usutu virus - Denmark (03): wild bird, 1st rep
 * 17 Sep 2024 Nipah virus - India (03): (KL) fatal
 * 15 Sep 2024 African swine fever - Asia (58): Philippines (ZS) domestic,
   spread
 * 15 Sep 2024 Measles - Malawi: alert
 * 15 Sep 2024 Cholera, diarrhea & dysentery update (50): Bulgaria ex India
 * 15 Sep 2024 Salmonellosis, st Heidelberg - UK (England): ex Egypt, tourist
   hotel
 * 15 Sep 2024 Avian influenza, human - USA (08): (MO) H5N1, link to dairy
   cattle
 * 14 Sep 2024 COVID-19 update (39): S. Korea, US, India (RJ), subvariant XEC,
   WHO SE Asia, long COVID
 * 14 Sep 2024 Foodborne illness - Viet Nam (22): (HT) mushroom susp., RFI
 * 14 Sep 2024 Zika virus (17): India (MH)
 * 14 Sep 2024 Meningitis, meningococcal - Nigeria (04): update
 * 14 Sep 2024 Japanese encephalitis - Nepal (02)
 * 14 Sep 2024 Measles - USA (37): (KY)
 * 14 Sep 2024 Dengue and Oropouche viruses - Dominican Republic
 * 14 Sep 2024 Cholera, diarrhea & dysentery update (49): Sudan
 * 14 Sep 2024 Lumpy skin disease - Algeria (12): (TO) cattle, spread, control
 * 14 Sep 2024 Mpox update (52): Morocco (MS) 1st case, MOH
 * 14 Sep 2024 Measles - UK (05): (England) more cases, pediatric fatality, poor
   vaccine uptake
 * 14 Sep 2024 Myiasis - Nicaragua: New World screwworm (C. hominivorax) human,
   1st rep
 * 14 Sep 2024 Oropouche virus - Brazil (09): (BA) fatal
 * 13 Sep 2024 Botulism - France (02): (CN) pesto, source conf.
 * 13 Sep 2024 Chikungunya (04) - France (RE)
 * 13 Sep 2024 Salmonellosis, st Typhimurium - Sweden: unknown source
 * 13 Sep 2024 Crimean-Congo hem. fever - Asia (21): Iraq (DA) new cases
 * 13 Sep 2024 Cholera, diarrhea & dysentery update (48): Iraq (AR) children,
   increasing incidence
 * 13 Sep 2024 African swine fever - Europe (03): Italy, spread
 * 13 Sep 2024 Oropouche virus - Americas (05): PAHO/WHO
 * 13 Sep 2024 Dengue/DHF update (77): Sudan (KH) increasing incidence, fatal
 * 13 Sep 2024 Mpox update (51): India (HR)
 * 13 Sep 2024 Dengue/DHF update (76): Nepal, situation update
 * 13 Sep 2024 Mpox update (50): Cote d'Ivoire
 * 12 Sep 2024 Anthrax - Kazakhstan (02): (AA) human
 * 12 Sep 2024 Measles - USA (36): (TN) international traveler
 * 12 Sep 2024 Hepatitis A - UK: (Scotland) children
 * 12 Sep 2024 Plague - Madagascar: (FI) fatal
 * 12 Sep 2024 Cholera, diarrhea & dysentery update (47): Niger (TH) outbreak
 * 12 Sep 2024 Usutu virus - Germany (02): (SH) wild birds
 * 11 Sep 2024 Rabies (78): Americas, human, bat, cat, raccoon, fox, cow
 * 11 Sep 2024 African swine fever - Asia (57): India (MZ) domestic
 * 11 Sep 2024 Malaria - Sudan (02): (KH) increasing incidence, fatal
 * 11 Sep 2024 Lumpy skin disease - Algeria (11): (ET) cattle, fatal
 * 11 Sep 2024 E. coli EHEC - Japan: (CH) O157, ground beef, restaurant
 * 11 Sep 2024 Fowl typhoid - Mexico: (JA, HI) backyard poultry
 * 11 Sep 2024 Botulism - France: (CN) pesto
 * 10 Sep 2024 Undiagnosed deaths - India (02): (GJ) RFI
 * 10 Sep 2024 Anthrax - Bosnia & Herzegovina (01): (SR) sheep
 * 10 Sep 2024 African swine fever - Asia (56): Philippines, domestic, spread
 * 10 Sep 2024 Avian influenza (106): Bhutan (CK) HPAI H5N1, bird, WOAH
 * 10 Sep 2024 Leishmaniasis, visceral - India: (UP)
 * 10 Sep 2024 Dengue/DHF update (75): Bangladesh
 * 10 Sep 2024 Foodborne illness - Morocco (03): (TC) couscous, RFI
 * 10 Sep 2024 Eastern equine encephalitis - North America (14): USA (MA) human
 * 10 Sep 2024 Epizootic hemorrhagic disease - USA: (MI) deer
 * 10 Sep 2024 Coccidioidomycosis - USA (03): (CA) music festival participants,
   more cases, alert
 * 10 Sep 2024 Rabies (77): Canada (ON) human case, bat exposure
 * 10 Sep 2024 Acidovorax citrulli blotch, cucurbits - Russia: 1st rep
 * 10 Sep 2024 Dengue/DHF update (74): USA (CA) locally acquired
 * 09 Sep 2024 Avian infectious bronchitis - China: (HK) bird, WOAH
 * 09 Sep 2024 Wetland virus - China: northeast regions, new tickborne infection
 * 09 Sep 2024 Foodborne illness - Cambodia (04): (RO) raw beef susp, RFI
 * 09 Sep 2024 Schistosomiasis - South Africa: (LP)
 * 09 Sep 2024 Measles - Thailand: southern border provinces, fatal
 * 09 Sep 2024 Eastern equine encephalitis - North America (13): USA, emu, horse
 * 09 Sep 2024 Dengue/DHF update (73): Trinidad and Tobago
 * 09 Sep 2024 Malaria, penguin - USA: (TX) zoo colony, fatal
 * 09 Sep 2024 Banana bunchy top virus - Tanzania
 * 09 Sep 2024 Bluetongue - Europe (11): Czech Republic, st pending, UK, spread
 * 08 Sep 2024 Mpox update (49): Pakistan, discarded condom study, global
   spread, African region
 * 08 Sep 2024 Botulism - USA (12): (NJ) unknown source, RFI
 * 08 Sep 2024 Rabies (76): Viet Nam (DN) pet dog bite
 * 08 Sep 2024 Japanese encephalitis - Nepal
 * 07 Sep 2024 Lumpy skin disease - Taiwan (02) cattle, WOAH
 * 07 Sep 2024 Leptospirosis - Thailand (02): flooding, fatal
 * 07 Sep 2024 Malaria - South Sudan: (WH) fatal
 * 07 Sep 2024 Mpox update (48): Guinea (NZ) epidemic
 * 07 Sep 2024 Food-related toxin - Côte d'Ivoire: (VB) family meal, RFI
 * 07 Sep 2024 Salmonellosis, st Enteritidis - USA: CDC, eggs
 * 07 Sep 2024 Cholera, diarrhea & dysentery update (46): Sudan, new cases,
   fatal, MOH, Nigeria (ED) conf
 * 07 Sep 2024 Eastern equine encephalitis, West Nile virus - USA (02): (MA)
   human
 * 06 Sep 2024 Anthrax - Kazakhstan (01): (AA, QS) human, cattle
 * 06 Sep 2024 Bluetongue - Europe (10): Denmark (st 3), Norway (st pending), UK
   vaccination
 * 06 Sep 2024 Avian influenza (105): Poland (LB) poultry, HPAI H5N1, WOAH
 * 06 Sep 2024 Undiagnosed death, illnesses - Viet Nam: (TY) students, RFI
 * 06 Sep 2024 Avian influenza, human - USA (07): (MO) H5, source unknown
 * 06 Sep 2024 Legionellosis - France (01): (LP) hospital
 * 06 Sep 2024 Legionellosis - USA (04): (NY) assisted living facility, fatal
 * 06 Sep 2024 Rabies (75): Timor-Leste (OE) dog, goat, WOAH
 * 06 Sep 2024 Tularemia - Spain: (CL) human, vole reservoir
 * 06 Sep 2024 Botulism - USA (11): (OH) prison brew
 * 06 Sep 2024 E. coli, enterotoxigenic - Japan: (KS) O169
 * 06 Sep 2024 Foodborne illness - Morocco (02): (CS)
 * 06 Sep 2024 Eastern equine encephalitis - North America (12): Canada, USA,
   horse
 * 05 Sep 2024 Influenza (11): Viet Nam (SL) H1N1v, swine origin, fatal
 * 05 Sep 2024 Eastern equine encephalitis - North America (11): USA (NH) human,
   susp., RFI
 * 05 Sep 2024 Dengue/DHF update (72): India (KA) update
 * 05 Sep 2024 Mpox update (47): Jordan, contacts under quarantine, MOH
 * 05 Sep 2024 Rabies (74): (KS) wolf, human exp
 * 05 Sep 2024 Oropouche virus - Americas (04): PAHO/WHO
 * 05 Sep 2024 African swine fever - Asia (55): Bhutan (PR) domestic, WOAH
 * 05 Sep 2024 Legionellosis - Japan (01): (NN) indoor swimming/wave pool
 * 05 Sep 2024 Anthrax - USA (03): (WY) cattle, moose
 * 04 Sep 2024 Avian influenza (104): Israel (HZ) poultry, HPAI H5N1, WOAH
 * 04 Sep 2024 Fireblight, pear - Spain: (LO)
 * 04 Sep 2024 Lumpy skin disease - Thailand: (NA) cattle, WOAH
 * 04 Sep 2024 Cholera, diarrhea & dysentery update (45): Taiwan, increase
 * 04 Sep 2024 Measles - Viet Nam (07): (HC) increased cases, vaccination
   campaign
 * 04 Sep 2024 Avian influenza, human - Cambodia (12): H5N1, WHO summary
 * 04 Sep 2024 Undiagnosed deaths - Nigeria (07): (JI) cholera susp., update
 * 04 Sep 2024 Mpox update (46): Burundi, surge, hospitalization
 * 04 Sep 2024 Hemorrhagic septicemia - Nigeria: (TA, AD) cattle, fatal
 * 04 Sep 2024 Lumpy skin disease - South Korea (02): (KG) cattle, 2nd outbreak
 * 04 Sep 2024 Meningococcal disease - Peru: (LO)
 * 04 Sep 2024 New in IJID (09): September 2024
 * 04 Sep 2024 Human circovirus 1 - Switzerland: chronic hepatitis,
   immunosuppressed host
 * 04 Sep 2024 Salmonellosis - Japan: (HG) festival, ice cream source
 * 04 Sep 2024 Chikungunya (03): France (RE)
 * 03 Sep 2024 Mpox update (45): Jordan, 1st case, MOH
 * 03 Sep 2024 Malaria - Ethiopia: increasing incidence, fatal, WHO
 * 03 Sep 2024 Cholera, diarrhea & dysentery update (44): Iraq (SL), Sudan (RN)
   fatal, MOH
 * 03 Sep 2024 Dengue/DHF update (71): Bangladesh, India (TN)
 * 03 Sep 2024 Chandipura virus - India (06): (GJ, RJ) WHO
 * 03 Sep 2024 Cryptosporidiosis - USA (02): (MT, KY, OH) swimming pools
 * 02 Sep 2024 African swine fever - Asia (54): Philippines (BT) domestic,
   spread
 * 02 Sep 2024 COVID-19 update (38): vaccine boosters, Canada (QC), China (HK),
   global, South Korea, WHO
 * 02 Sep 2024 Lead poisoning - Russia: (TL) pet food, dog, cat
 * 02 Sep 2024 Tick-borne encephalitis - Norway
 * 02 Sep 2024 Pertussis - Spain, USA
 * 02 Sep 2024 Rabies (73): Brazil (PI) human fatality, marmoset bite source
 * 02 Sep 2024 Hepatitis A - USA (15): (HI) Honolulu, infected food handler
 * 02 Sep 2024 Western equine encephalitis - Americas (22): Argentina, Uruguay,
   Brazil, 2023-2024
 * 02 Sep 2024 Anthrax - Zimbabwe (02): wildlife die-off
 * 02 Sep 2024 Rabies (72): North America (USA) dog, raccoon, fox, bat, bobcat,
   human exp
 * 01 Sep 2024 Bluetongue - Europe (09): Switzerland (st 3) sheep
 * 01 Sep 2024 Legionellosis - Slovakia (01): possible increase in cases
 * 01 Sep 2024 Dengue/DHF update (70): Trinidad & Tobago
 * 31 Aug 2024 Avian influenza (103): USA, poultry, cat, cattle
 * 31 Aug 2024 Lumpy skin disease - Taiwan: beef exports from Kinmen suspended
 * 31 Aug 2024 Salmonellosis - USA (10): live poultry, multiple serotypes
 * 31 Aug 2024 Legionellosis - USA (03): (MO) hotel, alert
 * 31 Aug 2024 Measles - USA (35): (MN) outbreak in unvaccinated Somali
   community
 * 31 Aug 2024 Invasive mosquito - USA (02): (OR)
 * 30 Aug 2024 Bluetongue - Europe (08): update, livestock, UK (st 3),
   Luxembourg (st 3), Switzerland (st 8)
 * 30 Aug 2024 Anthrax - France (01): (AR) cattle
 * 30 Aug 2024 Vector borne diseases - India (03): (MP) rise in cases
 * 30 Aug 2024 Avian influenza (102): USA, vaccine development, cattle
 * 30 Aug 2024 Cholera, diarrhea & dysentery update (43): France (MT)
 * 30 Aug 2024 E. coli EHEC - USA (12): (OR) O157, fatal, unknown source
 * 30 Aug 2024 Bacillus cereus - Lebanon: (BA) genital infection
 * 30 Aug 2024 Impetigo - Sudan: (NO) alert, MOH
 * 30 Aug 2024 Measles - Viet Nam (06): (HC) vaccination, children 6-8 months
 * 30 Aug 2024 Crimean-Congo hem. fever - Asia (20): Iraq (NI) susp.
 * 29 Aug 2024 Foodborne illness - Viet Nam (21): (PT) suspected, RFI
 * 29 Aug 2024 Oropouche virus - Spain: ex Cuba
 * 29 Aug 2024 Mpox update (44): Spain (CE) ex Morocco, conf., tourist
 * 29 Aug 2024 Diphtheria - Nigeria (03): (KD) fatal
 * 29 Aug 2024 Cholera, diarrhea & dysentery update (42): Lebanon, vaccination
   campaign
 * 29 Aug 2024 Mpox update (43): Cote d'Ivoire, epidemic update
 * 29 Aug 2024 Listeriosis - USA (05): sliced deli meats, CDC, more
   cases/fatalities, liverwurst source
 * 29 Aug 2024 Murine typhus - USA (03): (CA)
 * 28 Aug 2024 Rabies (71): Tunisia (SL, NB) animal
 * 28 Aug 2024 African swine fever - Asia (53): Philippines, domestic, spread
 * 28 Aug 2024 Classical swine fever - Taiwan: (TP) recognition as CSF-free
   country
 * 28 Aug 2024 Methanol poisoning - Thailand: fatal, investigation widened
 * 28 Aug 2024 Measles - Viet Nam (05): (HC) epidemic declaration
 * 28 Aug 2024 IsrRAPXV zoonotic bat poxvirus - Israel: 1st rep in human
 * 28 Aug 2024 E. coli EHEC - Canada (02): (AB) childcare center
 * 28 Aug 2024 Trichinellosis - Argentina (04): (MZ) pork products, fatal
 * 28 Aug 2024 Pertussis - Honduras: (CM) infant, fatal
 * 28 Aug 2024 West Nile virus - Europe (03)
 * 28 Aug 2024 Late blight, potato - North America: Canada, USA
 * 28 Aug 2024 Amebic meningoencephalitis, primary - Taiwan: indoor surfing
   center, 2023
 * 27 Aug 2024 Zika virus (16): India (MH) travel alert
 * 27 Aug 2024 Foodborne illness: Cameroon (ER) fatal
 * 27 Aug 2024 Eastern equine encephalitis - North America (10): USA (NH) human,
   fatal
 * 27 Aug 2024 Crimean-Congo hem. fever - Europe (03): Portugal
 * 27 Aug 2024 Cryptosporidiosis - UK (02): (England) lamb petting zoo, 2023
 * 27 Aug 2024 Mpox update (42): Africa CDC, coordination
 * 27 Aug 2024 Oropouche virus - USA (02): ex Cuba
 * 27 Aug 2024 Lactococcus lactis subsp. cremoris - India: unpasteurized milk
 * 27 Aug 2024 Undiagnosed deaths - Nigeria (06): (JI) cholera susp, RFI
 * 27 Aug 2024 Cholera, diarrhea & dysentery update (41): Sudan, epidemic
   declared, fatal
 * 27 Aug 2024 Mpox update (41): Malawi, Kenya, Nigeria, Gabon, Tanzania
 * 27 Aug 2024 Avian influenza (101): India (OR) poultry, HPAI H5N1
 * 27 Aug 2024 Rabies (70): Tunisia (ZA, MN) animal
 * 27 Aug 2024 Citrus yellow vein clearing virus - Italy: 1st rep
 * 26 Aug 2024 Crimean-Congo hemorrhagic fever - Asia (19): Pakistan (BA)
 * 26 Aug 2024 Japanese encephalitis & other - India (07): (AS)
 * 26 Aug 2024 Undiagnosed diseases, fruit trees - Türkiye: (AL)
 * 26 Aug 2024 Tomato brown rugose fruit virus - Australia: (SA)
 * 25 Aug 2024 Influenza (10): USA (OH, PA) H1N1v, H1N2v, swine origin, seasonal
   influenza vaccine efficacy in seniors
 * 25 Aug 2024 Anthrax - Bulgaria (02): (RG) sheep, WOAH
 * 25 Aug 2024 Mpox update (40): Africa, Kenya, vaccination, humanitarian,
   Burundi, surge cases, children
 * 25 Aug 2024 Legionellosis - Italy (02): (LM) fatal, ongoing outbreak, RFI
 * 25 Aug 2024 Nipah virus - India (02): (KL)
 * 25 Aug 2024 Cholera, diarrhea & dysentery update (40): Iraq (SL) susp, MOH
 * 25 Aug 2024 Argentine hemorrhagic fever - Argentina (03): (SF)
 * 24 Aug 2024 Leptospirosis - India (03): (KL) fatal
 * 24 Aug 2024 Foodborne illness - Jordan (04): (IR) hummus & falafel, RFI
 * 23 Aug 2024 Avian influenza (100): USA, slaughter testing, cattle
 * 23 Aug 2024 Measles - Viet Nam (04): (HC) increase
 * 23 Aug 2024 Eastern equine encephalitis - North America (09): USA (ME, CT)
   turkey, deer
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Published Date: 2024-09-22 11:40:28 HST
Subject: PRO/AH/EDR> Rabies (79): Tunisia (BJ) animal
Archive Number: 20240922.8718923

RABIES (79): TUNISIA (BEJA) ANIMAL
**********************************
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[1] Date: Wed 18 Sep 2024
Source: Tunisie Numérique [in Arabic, trans. Mod.SF, abridged, edited]
https://urls.fr/WBhxSC


Beja: 13 cases of rabies in animals
------------------------------------
According to veterinarian Sofia Awadi, director of hygiene and environment in
the municipality of Beja, 13 cases of rabies have been recorded in animals
throughout the governorate, explaining that the municipality is working to
eliminate the sites where stray dogs and cats gather, calling on citizens not to
throw waste in the area around the containers.

She stressed the need for citizens to take the initiative to vaccinate their
animals, in a statement to Tunisie Numérique reporter in the region.

She pointed out that the municipality, in coordination with the local security
guards and mun... icipal police, is carrying out culling operations for stray
dogs, saying that vaccinations are no longer sufficient, which necessitated
resorting to culling.

--
Communicated by:
ProMED
via
ProMED-MENA

******
[2] Date: Wed 11 Sep 2024
Source: Ultra Tunisia [in Arabic, trans. Mod.SF, abridged, edited]
https://urls.fr/oT5LzX


In a statement to Diwan FM radio, the dean of veterinarians called on all
citizens to be cautious and vigilant in light of the high number of rabies
infections in animals, and the death of a number of horses, cows, sheep, wolves
and other mammals, he said.

It is noteworthy that the Tunisian Ministry of Agriculture had announced the
launch of the national campaign for rabies vaccination in Tunisia starting from
the beginning of September 2024 to continue until the end of October 2024 in all
Tunisian states, and reminded in a previous statement that this campaign is free
and compulsory within the framework of the national program to combat rabies.

During a press conference held on Wednesday, 11 Sep 2024, the General
Directorate of Veterinary Services at the Tunisian Ministry of Agriculture
revealed that about 61 645 dogs and cats have been vaccinated as part of the
national campaign to combat rabies, and the veterinarian at the General
Directorate of Veterinary Services, Hani Haj Omar, confirmed during the press
conference that Tunisia has recorded 277 outbreaks this year [2024].

He noted that, for the 1st time, Tunisia recorded special cases, such as the
appearance of 3 rabies infections in the golden wolf, given that dogs account
for 68% of infections, according to the official Tunisian News Agency.

Official authorities in Tunisia have previously confirmed that the
epidemiological situation of rabies is "serious" and announced that 9 rabies
deaths have been recorded since the beginning of 2024, pointing out that the
main cause of most human deaths after rabies infection is due to not receiving
the post exposure treatment or not receiving it in time or interrupting it, in
addition to the fact that the aggressor animal is usually a stray animal,
according to a joint statement issued by the Ministries of Interior, Health and
Agriculture on Friday, 16 Aug 2024.

On Monday, 19 Aug 2024, the Tunisian Ministry of Health announced the activation
of a crisis committee to contain and prevent rabies in Tunisia and take the most
important urgent measures to prevent further deaths from the disease. The
ministry also set up 9 new rabies vaccination points in the emergency
departments of hospitals in Tunis and the states of Kairouan and Sfax, all of
which started working during the past May and June [2024].

It is noteworthy that the cases of deaths and injuries from rabies in Tunisia
witnessed a steady rise in 2024, despite warnings issued by various health
authorities in the country for years to take the necessary preventive measures
and prevent the further spread of this disease.

--
Communicated by:
ProMED
via
ProMED-MENA

["In Tunisia, rabies is a notifiable disease with a national surveillance system
in place [2]. The National Rabies Control Program (NRCP) was implemented in
1982, by a collaboration of the Ministry of Interior, the Ministry of
Agriculture and the Ministry of Health. This program focused on implementing dog
mass vaccination, providing PEP to people who was exposed to suspected rabid
dogs and maintaining epidemiological surveillance activities in order to detect
all suspect cases [11]."

"Dog vaccination campaigns have been carried out on a yearly basis since 1993
[2]. It was free of charge for dog owners. Similarly, PEP was provided for free
in the public sector and was consistently available in accordance with a
Tunisian law published in March 2003 [11]. PEP consists of wound washing,
vaccine, and in some cases rabies immunoglobulin (RIG). Following the national
strategy, a significant improvement in rabies health status in Tunisia was noted
with a decrease in animals and humans' cases [2]."

"The Tunisian revolution took place in January 2011 and many democratic gains
were achieved. However, these political dynamics had impacted the performance of
the health care system in a negative way which is common at moments of crisis or
instability [3]. A significant upsurge in cases of rabies in dogs and humans was
reported in many governorates and the epidemiological situation became alarming
[12]. Instability and insecurity caused by the manifestations led to a decline
in dog vaccination coverage and adverse consequences on the disease surveillance
[2]. Veterinarians were unable to collect samples and a variation in reporting
cases was noted [12]. Indeed, A drastic decrease in the number of submitted
samples was observed (282 samples analyzed in 2011 compared to 415 in 2009)
[13]."

"A mismanagement of stray dogs has also been noted since 2011. Stray dog
proliferation and the inaccessibility to such population may have influenced the
vaccination coverage and limit the result of the control program. The NRCP
strategy to control stray dogs was based on slaughter aiming to reduce the risk
of infection to humans. This controversial practice was debated after the
revolution, between the government and the civil society resulting in its
suspension and growth in stray dog population. Controlling the stray dog
population is a municipality responsibility. However, the lack of resources and
personnel may be a barrier to appropriately facing their responsibilities [14].
The overall coverage vaccination varies from a region to another."
(https://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-021-06700-9)

Additional information regarding rabies situation in both human and animal
health sectors in can be found in the see also posts below. - Mod.SF

ProMED map:
Tunisia: https://promedmail.org/promed-post?place=8718923,71]


SEE ALSO

Rabies (74): (KS) wolf, human exp 20240905.8718598
Rabies (71): Tunisia (SL, NB) animal 20240829.8718442
Rabies (70): Tunisia (ZA, MN) animal 20240827.8718402
Rabies (68): Tunisia, alarming rise, fatal 20240816.8718209
Rabies (62): Tunisia, alarming rise, fatal 20240802.8717917
Rabies (39): Tunisia, alarming rise, fatal 20240426.8716171
Rabies (10): Tunisia (KR) fatal 20240204.8714662
2023
----
Rabies (41): Africa (Tunisia) human 20231018.8712691
2021
----
Rabies (16): Eurasia (Thailand, Pakistan) Africa (Tunisia) human, animal
20210610.8438528
Rabies (13): Eurasia, Africa (Tunisia) dog, cat, fox, human exp 20210528.8388429
.................................................mo/jh/sf/may/gmm/may/jh  Read
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