Army Public Health Weekly Update, 02 July 2021

Date Published: 7/2/2021
Skip Navigation LinksAPHC Home / News / Army Public Health Weekly Update / Army Public Health Weekly Update, 02 July 2021

NOTICE: There will be no Army Public Health Weekly Update next week. Publication will resume on 16 July 2021.

​The Army Public Health Update is a collection of articles taken from public sources to offer awareness of current health issues and the media coverage given to them. The articles do not necessarily represent U.S. Army Medical Command opinions, views, policy, or guidance, and should not be construed or interpreted as being endorsed by the U.S. Army Medical Command.

The Army Public Health Weekly Update does not analyze the information as to its strategic or tactical impact on the U.S. Army and is not a medical intelligence product. Medical intelligence is available from the National Center for Medical Intelligence External Link .

Please contact us at < >:

- If you'd like to unsubscribe

- If you need to update your subscription email

- If you have any comments or questions

Table of Contents


    Army releases new transgender policy, but can it prevent discrimination?

    26 June- The Army announced new service-level policy Thursday that allows transgender soldiers to serve openly — in accordance with Defense Department guidance announced in March — while receiving medical care and setting entry standards for prospective recruits diagnosed with gender dysphoria. Some advocates, however, remain concerned that the force may not be willing to protect transgender soldiers from discrimination after a field-grade chaplain officer received only a local reprimand this week for calling transgender troops a "a MedBoard for Mental Wellness waiting to happen" and "a waste of military resources and funding" in public Facebook comments. The new directive, a modified version of a similar policy first announced in 2016, and then rescinded via a Tweet from former president Donald Trump, says a soldier's "gender identity will no longer be a basis for involuntary separation or military discharge, denied reenlistment or continuation of service, or subjected to adverse action or mistreatment," according to an Army release. For a soldier already in uniform, the transition begins with a gender dysphoria diagnosis from their primary care provider and follow-up appointments with a specialist, explained Col. Deidra Briggs-Anthony, assistant deputy of health affairs for manpower and reserve affairs. The Army is asking commanders to treat gender dysphoria as any other illness or injury by coordinating with their soldiers and their medical providers to establish and support a treatment plan, said Briggs-Anthony during a media roundtable. Army Medicine News External Link


    1st Area medical laboratory Soldiers participate in Exercise African Lion

    25 June- The Aberdeen Proving Ground, Maryland-based 1st Area Medical Laboratory participated in Exercise African Lion in the Kingdom of Morocco June 7 – 18. Deploying to African Lion for the first time, Soldiers from the one-of-a-kind Army command supported the annual joint, all domain U.S. Africa Command exercise. Sgt. Hector J. Gama and Spc. Nikolas Bejar from 1st AML's Alpha Team worked to reduce the health risks caused by COVID-19 and provided preventive medicine support. Serving together with the 172nd Medical Attachment from the Fort Bragg, N.C.-based 44th Medical Brigade, Gama and Bejar also worked with the Moroccan and British forces in Agadir, Morocco, and traveled to Kenitra and Marrakesh, Morocco, during the exercise. According to Bejar, a Miami native who has been in the Army for two years, African Lion gave him the opportunity to travel more than 2,000 miles through different Moroccan cities and to experience different cultures. Gama said the exercise was a great opportunity to hone his life-saving skills. "The highlight of the exercise was the ability to refine my capabilities as a preventive medicine specialist by providing real life support," said Gama, a three-year U.S. Army veteran from Ontario, California. More than 7,000 NATO and regional troops took part in the exercise designed to enhance interoperability and counter regional instability. AFRICOM Commander Gen. Stephen J. Townsend said learning how to operate in a COVID-19 environment was a priority during the exercise. "COVID-19 has not changed our focus on engaging with our Africa partners. Due to last year's cancellation of African Lion, we had a head start in planning this year's exercise," said Townsend. "We understand how important this training is to our forces and our partners and how to better operate in a degraded COVID environment." DVIDS External Link

    DHA spearheads effort for working dog research collaboration

    25 June- SERIES: This is the First in a series of articles focused on the Defense Health Agency's role in Military Working Dog care. Military Working Dogs provide a critical force protection capability and are an important force multiplier for the combatant commander. The Defense Health Agency's Veterinary Service is at the forefront of the effort to develop and foster working dog knowledge sharing and research collaboration within the Department of Defense, federal and state government agencies, and civilian research and academia communities of interest. Research efforts to evaluate and optimize the health, readiness, and performance of working dogs, including MWDs, is vital to saving the lives of service members and civilians. To disseminate this research and share ideas, more than 220 people attended the third annual Working Dog Research Forum March 31-April 1, representing working dog research, veterinary care, and employment from the DOD, federal and state governments, civilian academia, laboratories, and agencies. The forum explored a variety of issues associated with working dogs in the military and civilian sector and their experiences, physical performance, protection, and medical management if wounded on the battlefield. External Link

    Goodbye, coffee? Service members might soon be fueled by a jolt to the brain

    26 June- Joe, mud, java. There are many names for the steamy brown sludge we robotically pour into mugs adorned with clever caffeine-centric quotes. But now, thanks to a study performed by the Air Force Research Lab, coffee will perhaps someday be replaced ... with a jolt to the brain. Forty active-duty military personnel from Wright-Patterson Air Force Base participated in the study, one funded by NASA, in an attempt to analyze the efficacy of Transcutaneous Cervical Vagus Nerve Stimulation in treating migraines and the impacts of sleeplessness. "One possible way to enhance alertness could be by (non invasively) stimulating an area of the brain called the locus coeruleus," the study said. To do so, the study looked at how a noninvasive electrical neuromodulation device, which has also been used to treat drug-resistant epilepsy and depression, could influence the military's exhaustion-fueled abuse of energy drinks and coffee. "Fatigue is a serious and unavoidable problem for many professions such as medicine, transportation, and the military," reads the study. "In general, it is a serious public health risk. Fatigue induced by sustained wakefulness can cause slower reaction times, a reduced ability to multitask, and increases in lapses of attention that can lead to costly, even deadly mistakes." Military Times External Link

    Medical advances since Gulf War boil down to increased lives saved

    25 June- Tactical casualty care – an application of the lessons learned based on data collected during the Vietnam War and analyzed with computers in the 1990s – evolved since being initially published in 1996, noted Alan Hawk, manager of historical collections for the Defense Health Agency's National Museum of Health and Medicine. Hawk noted that this resulted in the development of improved hemorrhage control techniques and even early versions of telemedicine, allowing for medical consultations by physicians far from the point of care. He also included rapid vaccine development, from a concept developed by the Defense Advanced Research Projects Agency (DARPA), to develop defenses against novel biological warfare agents. But other tools have been less tech-oriented and just as effective in saving lives. Former Army Col. (Dr.) Leopoldo "Lee" Cancio and Dale Smith, a longtime author and a professor of military medicine and history at the Uniformed Services University of the Health Sciences in Bethesda, Maryland, mentioned advanced forms of battlefield gauze, clotting agents, and combat application tourniquets ("CAT," or "ratchet" tourniquets) as key ingredients in the rucksacks of not just medics, but all ground troops. "In 2001, we were using a strap-and-buckle tourniquet," Smith said, which were about 80% efficient - meaning that, above the elbow or above the knee, blood vessels are "big enough that 20% leakage is going to kill you. So, in theater, some surgeons and some medics built a ratchet tourniquet." He described it as "a loop - you can put it on over your own arm and tighten it down. They are more than 98% efficient." Exsanguination (bleeding to death) is the most common cause of potentially survivable death for wounded warfighters, according to the Army. To be blunt about it, Smith added, once you've already lost a limb, it's about saving your life. "Today, the ratchet tourniquet is in everybody's kit bag, you can put it on yourself, you can put it on your buddy, and you can stop bleeding in less than 10 minutes," he said. "That's what I mean by survivability. You would've died in 2000 with this injury, but now you're alive and we've got a decent prosthetic device. It's not as nice as (the limb) you were born with, and there's a whole lot of psycho-social issues to being an amputee and a whole lot of learning to do." External Link

    PTSD: Seeking out mental health care is the first step to wellness

    28 June- Service members, family members and veterans who suffer from posttraumatic stress disorder (PTSD) may repeatedly re-experience their ordeal as nightmares, flashbacks or frightening thoughts, especially when exposed to events that remind them of their original trauma, according to the Centers for Disease Control and Prevention. They also may experience overanxious watchfulness or a tendency to withdraw or avoid situations and people that remind them of their traumatic experience, CDC said. About 93,346 service members received care for PTSD in the MHS between fiscal year 2016 and fiscal year 2020, according to the Military Health System (MHS) Management Analysis and Reporting Tool (M2). "Of that group, 19,114 were diagnosed prior to any deployment, and 74,232 were diagnosed during or following deployment," said Holly O'Reilly, a clinical psychologist and acting section chief for Implementation Clinical Care at the Psychological Health Center of Excellence in Silver Spring, Maryland. Data available from the MHS Data Repository show that in 2019, approximately 1.8% of active-duty service members had a PTSD diagnosis, O'Reilly said. The Department of Defense patient-centered medical home (PCMH) initiative includes mandatory annual screening for PTSD (among other mental health conditions) for all beneficiaries of the MHS. External Link


    Covid: Masks upgrade cuts infection risk, research finds

    28 June- The quality of face masks healthcare workers wear makes a huge difference to their risk of coronavirus infection, Cambridge University Hospitals NHS Foundation Trust research has found. Wearing a high grade mask known as an FFP3 can provide up to 100% protection. By contrast, there is a far greater chance of staff wearing standard issue surgical masks catching the virus. Professional bodies have long campaigned for staff to be given better personal protective equipment. The data was gathered during a programme of regular testing for Covid at the trust. The results are published in a pre-print paper that has not been peer-reviewed. For most of last year, the hospital followed national guidance which specifies that healthcare workers should wear surgical masks, except in a few limited situations. Though fluid resistant, these masks are relatively flimsy and loose-fitting and are not meant to screen out infectious aerosols - tiny virus particles that can linger in the air and are now widely accepted as a source of coronavirus infection. The study found that staff caring for Covid patients on "red" wards faced a risk that was up to 47 times higher than those on "green" or non-Covid wards. BBC External Link

    Heart inflammation after COVID-19 shots higher than expected in study of U.S. military

    29 June- Members of the U.S. military who were vaccinated against COVID-19 showed higher-than-expected rates of heart inflammation, although the condition was still extremely rare, according to a study released on Tuesday. The study found that 23 previously healthy males with an average age of 25 complained of chest pain within four days of receiving a COVID-19 shot. The incident rate was higher than some previous estimates would have anticipated, it said. All the patients, who at the time of the study's publication had recovered or were recovering from myocarditis - an inflammation of the heart muscle - had received shots made by either Pfizer Inc (PFE.N) and BioNTech SE (22UAy.DE) or Moderna Inc (MRNA.O). Reuters External Link

    How the first cruise of the Covid era got ready to safely set sail

    26 June- On Saturday, the cruise ship, owned by the Royal Caribbean Group, will become the first to sail from a U.S. port since the US Centers for Disease Control and Prevention brought the industry to a halt more than 15 months ago with a no-sail order that was ultimately extended a number of times. It is scheduled to sail from Fort Lauderdale on a seven-night trip that will take it around the Caribbean, with ports of call in Mexico and the Bahamas. CNN Chief Medical Correspondent Dr. Sanjay Gupta got an exclusive early look at the procedures and safety features in place to make cruising in the Covid era possible. The question is, will they be enough to keep passengers and crew coronavirus-free? For die-hard cruise fans, this event, after several false starts, has been a long time coming. For the more skeptical, the event is tempting fate to once again reveal that cruise ships are floating petri dishes for one infectious disease or another. It will be a long while before the world forgets the high-profile saga of the Diamond Princess, which saw more than 700 coronavirus infections on board, and others like it -- a situation made worse and more dramatic by nationwide lockdowns and travel bans that left some ships literally racing toward any welcoming port. CNN External Link

    HPV vaccine safety concerns must be addressed

    29 June- The JAMA Pediatrics published on June 28, 2021, a new article regarding the human papillomavirus (HPV) vaccine uptake in the USA. The HPV vaccine has been found effective at preventing several squamous cell carcinomas, yet the population-level uptake of HPV vaccines remains low. Several factors contribute to HPV vaccine hesitancy and refusal; of note, safety concerns rank consistently high as a reason for HPV non-vaccination for adolescents by their parent or guardian. Considering recent evidence of slowing routine HPV vaccination uptake, addressing safety concerns about vaccines should be of utmost public health importance. Second, the findings of this study suggest that disinformation campaigns aimed at hampering vaccine trust. There has been a substantial rise of vaccine misinformation in the USA, culminating in public mistrust in vaccines during the COVID-19 pandemic. 'While our findings point to a need for widespread dissemination of educational programs within the general population, it is also crucial that public health agencies work with social media companies to develop campaigns to combat misinformation online.' Precision Vaccinations External Link

    Kids' hospitalization rates for Type 2 diabetes more than doubled during pandemic, study shows

    28 June- Kids' hospitalization rates for new Type 2 diabetes more than doubled amid the coronavirus pandemic, according to data analyzed at a Louisiana hospital. Research presented by Dr. Daniel Hsia, associate professor at the Pennington Biomedical Research Center, drew from a retrospective analysis of admissions at Our Lady of the Lake Children's Hospital in Baton Rouge, La. The study compared the rate of kids presenting to the hospital with Type 2 diabetes from March-December 2020, over the same period a year prior. Findings revealed an increased hospitalization rate of 0.62% (17 cases out of 2,729 hospitalizations) in 2020 for onset of Type 2 diabetes, compared to 0.27% (8 cases out of 2,964 hospitalizations) in 2019. Some 23 of 25 cases involved African American patients, and 19 patients were male, according to a release posted by the American Diabetes Association. Fox News External Link

    Mixing Covid jabs has good immune response, study finds

    28 June- A mix-and-match approach to Covid vaccines - using different brands for first and second doses - appears to give good protection against the pandemic virus, a UK study has found. The Com-COVID trial looked at the efficacy of either two doses of Pfizer, two of AstraZeneca, or one of them followed by the other. All combinations worked well, priming the immune system. This knowledge could offer flexibility for vaccine rollout, say experts. The trial results also hint that people who have already received two doses of AstraZeneca vaccine could have a stronger immune response if they were given a different jab as a booster if recommended in the autumn. The UK's deputy chief medical officer, Prof Jonathan Van-Tam, said there was no reason to change the current successful same dose vaccine schedules in the UK, however, given vaccines were in good supply and saving lives. But he says it might be something to look at in the future: "Mixing doses could provide us with even greater flexibility for a booster programme, while also supporting countries who have further to go with their vaccine rollouts, and who may be experiencing supply difficulties." BBC External Link

    New COVID-19 Delta Variant: What you need to know to stay safe

    28 June- A new and increasingly dangerous variant of the SARS-CoV-2 virus is rapidly sweeping across the globe. This new variant appears to spread faster, cause more severe disease and is more likely to result in hospitalization. Also, younger people appear to be more susceptible to the new strain, known as the Delta variant, according to the Centers for Disease Control and Prevention (CDC). But the good news is that the existing vaccines now available to everyone over the age of 12 have proven to be highly effective in preventing the Delta variant as well as other versions of COVID-19. "We know that vaccines work," said retired Navy Capt. (Dr.) Margaret Ryan, medical director of the Defense Health Agency's Immunization Healthcare Division, Pacific Region Vaccine safety Hum in San Diego. Currently, there are three vaccines authorized for use by the Food and Drug Administration for COVID-19: The Pfizer and Moderna mRNA vaccines require two doses, and J&J/Janssen is a one-dose vaccine. The Delta variant is spreading quickly and will likely soon become the dominant strain within the United States. It's a wake-up call for those people who think that they don't need to get a vaccine because they've successfully avoided the COVID-19 disease so far. It may be very difficult to escape the new Delta variant in the coming months without getting the shot, doctors say. The Delta variant currently accounts for 20.6 percent of sequenced cases in the U.S., and that number is expected to multiply, especially in regions and among populations with low COVID-19 vaccination rates. The number of sequenced cases of the Delta variant has roughly doubled every two weeks, Dr. Anthony Fauci, chief medical advisor to President Joe Biden, told a June 22 White House media briefing. Fauci is director of the National Institute of Allergy and Infectious Disease at the National Institutes of Health. The mRNA vaccines made by Pfizer and Moderna have been described as having at least 88 percent efficacy against the Delta variant of SARS-CoV-2, Ryan said. External Link


    CDC: Weekly U.S. Influenza Surveillance Report

    2020-2021 Influenza Season for Week 24, ending June 19, 2021:

    Influenza-Associated Hospitalizations- The Influenza Hospitalization Surveillance Network (FluSurv-NET) conducts population-based surveillance for laboratory-confirmed influenza-related hospitalizations in select counties in 14 states and represents approximately 9% of the U.S. population. As in previous seasons, patients admitted for laboratory-confirmed influenza-related hospitalization after April 30, 2021, will not be included in FluSurv-NET. Data on patients admitted through April 30, 2021, will continue to be updated as additional information is received.

    Influenza-Associated Pediatric Mortality- No influenza-associated pediatric deaths were reported to CDC during week 24. CDC External Link


    Flock Party Quack Snacks recalled over Salmonella concerns

    29 June- Manna Pro Products LLC of St. Louis, Missouri, is recalling Flock Party Quack Snacks poultry treats because of a potential Salmonella contamination. Salmonella can affect animals eating the product and there a risk to human health from handling contaminated products, especially if the consumer has not thoroughly washed their hands after having contact with the recalled products or any surfaces exposed to the products. The company was informed by the state of West Virginia of a positive Salmonella spp. result in a routine surveillance sample of Flock Party Quack Snacks. This product was distributed beginning Feb. 2 at retail stores throughout the United States. Food Safety News External Link

    Kharkov, Ukraine: Dozens sickened after consuming sushi

    27 June- The Kharkiv Regional Center for Disease Control and Prevention (computer translated) has reported 89 people, including 19 children, have been hospitalized for food poisoning. Two patients, registered on June 22, are residents of Lugansk, who were on a business trip in the city of Kharkov and ate sushi in the Yakitoria restaurant. It is noted that according to the results of bacteriological examination of patients, 42 people, incl. two employees of the institution, the culture of the genus Salmonella is highlighted. Pathogenic staphylococcus was found in six workers, pathogenic E. coli was isolated in one, and opportunistic pathogens were isolated in six more. The likely cause of the outbreak was the consumption of low-quality sushi, which were manufactured and sold without complying with the requirements of sanitary legislation. The circumstances that contributed to the outbreak and the source of the infection are being established. Anti-epidemic measures and laboratory studies are ongoing. Outbreak News Today External Link

    Merkley & Sons Packing Co. recalls ground beef over E. coli concerns

    29 June- Merkley & Sons Packing Co. of Jasper, Indiana is recalling certain ground beef products because of possible E. coli contamination. The recall is the result of routine sampling of the production 60- 1 lb. packages of 80% lean fresh ground beef. Test results indicated possible E. coli contamination...Customers who have purchased "Ground Beef, 80% Lean" between June 7 and June 24 in 1 lb. or 5 lb. packages may return the product to the retail purchase location for a full refund or exchange. Anyone who has eaten any of the implicated products and developed symptoms of E. coli infection should seek medical attention and tell their doctor about their possible exposure to the bacteria. Specific tests are required to diagnose the infections, which can mimic other illnesses. The symptoms of E. coli infections vary for each person but often include severe stomach cramps and diarrhea, which are often bloody. Some patients may also have a fever. Most patients recover within five to seven days. Others can develop severe or life-threatening symptoms and complications, according to the Centers for Disease Control and Prevention (CDC). Food Safety News External Link


    How to get rid of mosquitoes, and other tips for dealing with these pesky insects

    29 June- After a long pandemic winter, the arrival of balmy weather and mass vaccinations has sent Americans flocking outdoors. Backyard barbecues are in full swing. Campgrounds are packed. Postponed vacations to tropical locales have been rebooked. But although the coronavirus pandemic may feel as though it's easing, there's another disease risk that experts are urging people not to forget about this summer: mosquitoes. "We just got through with a pandemic, but we have mosquito endemics every year," said David Brown, technical adviser for the American Mosquito Control Association. The Centers for Disease Control and Prevention considers the mosquito "one of the world's most deadly animals." Aside from bites, which can leave unsightly, itchy red welts, more than 1 million people worldwide die of mosquito-borne diseases annually. West Nile virus is the No. 1 cause of mosquito-borne disease in the continental United States, and mosquitoes in some states and overseas territories also have been responsible for outbreaks of dengueZika and chikungunya, among others, according to the CDC. Warm temperatures combined with heavy rainfall and humidity create the ideal conditions for mosquitoes to thrive, experts said. And if more people are spending time in such environments without effective protection against the pesky insects, "we could have the perfect storm," Brown said. Here's what you need to know about mosquitoes, how to reduce your chances of getting bitten this summer and tips for properly treating bites that do happen. Washington Post External Link


    Angola sees more than 5000 malaria deaths through May, a 'critical and challenging' situation

    27 June- Angola Health Minister Silvia Lutucuta told media Thursday that the country has seen at least 5,573 deaths from malaria through the end of May. The minister noted that some 2 million malaria cases have been reported primarily in Luanda, Lunda Norte, Malanje, Huambo, Uige, Benguela, Bie and Huila provinces. Children under five years of age and pregnant women are facing the highest mortality. Lutucuta said Angola is facing a "critical and challenging" situation in relation to malaria. Outbreak News Today External Link


    Pakistan: Measles deaths mount in Jacobabad

    28 June- In the past month and a half, the city of Jacobabad, in northern Sindh province, has seen a surge of measles deaths in children. According to a Ary News report, an additional child, a 3-year-old boy, died from measles, bringing the total death toll of children by measles to 50. "Measles is a dangerous and deadly disease for children. Vaccination is the only safety for children against it," health officials said. Measles is a very contagious disease caused by a virus. It spreads through the air when an infected person coughs or sneezes. In fact, the measles virus can stay in the air for up to two hours after an infected person was there. People may be infected by simply being in a room where an infected person once was. It is so contagious that if one person has it, up to 90% of the people around him or her will also become infected if they are not protected. Outbreak News Today External Link


    Greece to allow vaccinated people in restaurants without masks

    29 June- Greece will allow people fully vaccinated against the coronavirus inside restaurants without masks, the government said on Tuesday, as part of measures to boost inoculation rates. The country has been easing restrictions as COVID-19 infections fall, but concerns are rising over the more contagious Delta variant. Face masks have been mandatory in all indoor public spaces. "The first target is to facilitate the vaccination project. To bring as many people as possible (to vaccination centers)," state minister George Gerapetritis told reporters. From July 15, vaccinated spectators will be allowed at sports venues for the first time but they will have to wear masks. Mask wearing will still be required in theatres and cinemas. More than 30.2% of Greece's eligible population have been fully vaccinated so far and 43.1% have had at least one dose. The government aims to get to a 70% rate by the autumn. People who are not fully vaccinated can still enter restaurants, theatres and cinemas but will need to show a negative rapid test, authorities said. Restaurant and cafe owners can decide to accept only fully vaccinated customers using 85% of their space capacity or accept also unvaccinated clients using only 50% of their capacity, Gerapetritis added. Earlier this week, the government said it would offer young people a 150 euro ($178.49) cash card and a free month of phone data to get vaccinated. Reuters External Link

    Monkeypox cases rise to three in North Wales

    25 June- In a follow-up on the monkeypox cases reported in North Wales, Public Health Wales now reports a third case of the viral infection in another member of the same household, according to local media. Public Health Wales and Public Health England have confirmed they are monitoring three cases of imported Monkeypox identified in North Wales. The first case was acquired overseas, and all three cases are members of the same household. All cases were admitted to a hospital in England, where two currently remain. The index case has made a full recovery, does not present an infection risk and has been discharged, it is confirmed. Richard Firth, Consultant in Health Protection at Public Health Wales, said: "Confirmed cases of Monkeypox are a rare event in the UK, and the risk to the general public is very low. Monkeypox is a zoonotic disease indigenous to Central Africa. In humans, the disease is similar to smallpox, though milder. Outbreak News Today External Link


    Philippines: Dog rabies cases up 39% in Negros Occidental

    28 June- Officials with the Negros Occidental Provincial Veterinary Office (PVO), cases of dogs with rabies is up 39 percent from the same period last year. From January to May of this year, 13 rabies cases were recorded from eight localities. This compares with six cases reported during the same period last year. The town of Cauayan and the cities of Victorias and Himamaylan saw the most cases. The Provincial Veterinary Office (PVO) says 47 percent of dogs in the province have been vaccinated against rabies, prompting officials appeal to call on dog owners to have their pets vaccinated against rabies annually. Outbreak News Today External Link


    U.S.: San Diego- Health officials look for anyone who touched rabid bat at Zoo Safari Park

    27 June- The County of San Diego Health and Human Services Agency is looking for anybody that may have come into contact with a live bat that tested positive for rabies and was found at the San Diego Zoo Safari Park on June 25, 2021. The bat was found alive on Friday in the Mombasa Island Pavilion and was collected by a trained park employee. No human contact with the bat has been reported at this time. If you or someone in your family or group had contact with the bat, you are urged to contact the County of San Diego Health and Human Services Agency as soon as possible at (619) 692-8499. If you did not have direct contact with the bat, such as touching or holding the animal, you are not at risk for rabies. The bat was not one of the park's collection animals. It was delivered to the County on June 25 and testing confirmed the animal to be positive for rabies. There has been one other rabid bat found in San Diego County so far this year. Outbreak News Today External Link


    Paraguay: Dengue trend is decreasing

    26 June- Although the trend is positively decreasing, notifications of suspicion of the disease continue to be registered throughout the national territory, the Paraguay Ministry of Health reports. This is the insist on the public not lowering their guard in the control and elimination of mosquito breeding sites, especially after the rains. The Arbovirosis surveillance, in its weekly report, indicates that, in the last four weeks, 760 notifications of suspicious cases of Dengue were registered, equivalent to an average of 190 per week. Citizens are urged to continue with the daily tasks of control and elimination of mosquito breeding sites in the home and work environment, as well as in recreational spaces. It is important to use a mosquito net to sleep and repellent during outdoor activities, as protection measures. Likewise, it is requested to pay attention to the warning signs of the disease: high fever, abdominal pain or bleeding, signs that should alert you to the need for immediate medical consultation. After the rains, it is essential to dispose of the accumulated water in containers, to maintain daily control in the homes and to eliminate potential mosquito breeding sites. Those useless objects that cannot be disposed of, such as household appliances, tires or others, should be placed under a roof or covered, in order to avoid the accumulation of water, in addition, cover the tanks and drums that are used as a reservoir of water for consumption. Outbreak News Today External Link