The number of cholera cases reported in the Greater Accra Region, Ghana has increased from 3,600 to 5,000 with 45 deaths since July this year.

Cholera is an acute diarrhoeal illness caused by the bacteria Vibrio cholerae that can result in a profound and rapidly progressive dehydration and death.

Ingestion of water and food contaminated by infected human faeces is the common means of acquiring the disease.

The main symptoms are profuse painless watery diarrhoea without fever and (often) with vomiting of clear fluid.

These symptoms usually start suddenly, one to five days after ingestion of the bacteria.

The diarrhoea is frequently described as “rice water” in nature and may have a fishy odour or somewhat sweet inoffensive odour.

An untreated person with cholera may produce 10-20 litres of diarrhoea a day with fatal results.

Update! First U.S MERS case

On May 2, 2014, the first confirmed case of MERS-CoV was reported in a traveler to the United States. This is the only confirmed case in the United States. CDC is working very quickly to investigate this first U.S. case of MERS and respond to minimize the spread of this virus.

Countries With Lab-Confirmed MERS Cases

Countries in the Arabian Peninsula with Cases

  • Saudi Arabia
  • United Arab Emirates (UAE)
  • Qatar
  • Oman
  • Jordan
  • Kuwait

Countries with Travel-associated Cases

  • United Kingdom (UK)
  • France
  • Tunisia
  • Italy
  • Malaysia
  • United States of America (USA)

Chikungunya Spreading To Other Countries In The Caribbean

The Centers for Disease Control and Prevention in Atlanta said as of April 29 the following Caribbean countries reported cases of chikungunya: Anguilla, British Virgin Islands, Dominica, Dominican Republic, French Guiana, Guadeloupe, Martinique, Saint Barthelemy, Saint Kitts, Saint Martin (French), Saint Vincent and the Grenadines and Saint Maarten (Dutch).

Chikungunya is a viral disease transmitted to humans by infected mosquitoes. Chikungunya is an illness that causes fever and joint pain. Other symptoms might include headache, muscle pain, joint swelling or rash. There is no vaccine or medicine to prevent Chikungunya.

H7N9 Avian Flu in China

The World Health Organization (WHO) confirmed human cases of an avian influenza virus identified as A(H7N9) in the People’s Republic of China. All cases have occurred in neighbouring regions in eastern and south eastern China, including the travel-related cases in Hong Kong and Taiwan. Additional cases are expected.

For the latest updates on avian influenza (H7N9) virus, also referred to as H7N9 flu virus, including the total number of cases and deaths please visit the WHO’s Global Alert and Response website.

H10N8 Avian Flu in China

The National Health and Family Planning Commission of China notified the World Health Organization (WHO) of a confirmed human case of an avian influenza virus identified as H10N8 in the People’s Republic of China. The case occurred in Jiangxi province in south eastern China.

Many different influenza viruses are found in animals and do not normally infect humans. In June 2012, Chinese researchers reported the first detection of the virus in a live-bird market, in Guangdong province. The case of H10N8 flu virus is the first confirmed case of this avian influenza virus in humans.

The Chinese government is responding to this event and is working closely with the WHO. At this time, there is no evidence of ongoing human-to-human transmission.