Army Public Health Weekly Update, 11 June 2021

Date Published: 6/11/2021
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​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 .

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Table of Contents


    Army Public Health Center releases 6th edition of Health of the Force

    The U.S. Army Public Health Center released the sixth annual Health of the Force report June 1. The report focuses on Active Component Soldiers and presents Army-wide and installation-level data for more than 20 medical, wellness, and environmental indicators. The report analyzes calendar year 2019 data, so impacts from the pandemic are not assessed in this iteration. However, the report includes tips to maintain social health and reduce loneliness during times of isolation and discusses the use of modeling as a tool in the fight against COVID-19. While trends in metric data remain consistent with previous year findings, the report includes 30 new spotlight vignette topics to provide context using health and readiness data, best practices, and emerging health issues, said the report's program manager, Dr. Lisa Ruth, APHC Population Health Reporting Program. Some vignette topics include: reducing excessive alcohol use, how a lack of sexual orientation data hampers the health of the Force, impacts of tobacco use on physical performance, transforming healthy food options on Army installations, and awareness of climate hazards in the U.S. The 2020 Health of the Force is the first edition to include metrics stratified by race and ethnicity with the goal of identifying potential health disparities and providing leaders with the data to support policies or programs aimed at reducing these disparities throughout the Force, said Ruth. Decisions on the optimal way to include race and ethnicity data were made in consultation with APHC's Diversity, Equity, and Inclusion Advisory Council and are based on Office of Management and Budget guidelines. External Link


    Jon Stewart to host opening and closing ceremonies for the DoD 2021 Warrior Games

    7 June- Comedian, actor and filmmaker Jon Stewart will be the host of the opening and closing ceremonies during the upcoming 2021 Department of Defense Warrior Games taking place Sept. 12 to 22 at ESPN Wide World of Sports Complex at Walt Disney World Resort near Orlando, Florida. Stewart will mark his fifth time participating in the annual event, which celebrates the resiliency and dedication of wounded, ill and injured active-duty and veteran U.S. military service members and enhances their recovery and rehabilitation by providing them exposure to adaptive sports. "The Warrior Games is a truly inspiring event that shows just how resilient these warriors are, and how they refuse to let their worst day define who they want to be," said Stewart. "Serving as the host of the opening and closing ceremonies is an honor that I cherish, but being able to hear from and spend time with each of them, and their families, is what this is all about, and I'm looking forward to seeing these athletes in action in September." Participation in the Warrior Games represents the culmination of a service member's involvement in an adaptive sports program and demonstrates the incredible potential of wounded warriors through competitive sports. External Link

    Men's health focus on the mental, physical & emotional health aspects

    8 June- As the nation bears through another year under COVID-19 pandemic, we reminded that mental, physical and emotional health are all aspects. Again this June, the Defense Health Agency focuses on men's overall health centered on screenings and other evaluations; and lifestyle choices, including tobacco and alcohol use. But according to the Centers for Disease Control and Prevention's most recent National Health Interview Survey , men are far more likely than women to go two years or longer without seeing a physician or other health care professional. Experts don't necessarily think men are healthier than women. Rather, men may be avoiding making medical appointments. "I think a lot of us may have that tough man syndrome, the overall machismo mentality that whatever it is, I can power through it," said Air Force Maj. (Dr.) Matthew Hawks, assistant professor in the Department of Family Medicine at Uniformed Services University of the Health Sciences in Bethesda, Maryland. But regular appointments have proven vital for the prevention, detection, and early treatment of illness and disease. So what are men waiting for? Whether making a virtual or in-person appointment, here are some tips for preparing to talk with a health care provider. External Link

    Panel Discusses Impact of COVID-19 on Behavioral Health

    26 May- ...Panel members included health-care providers, spiritual leaders and support services personnel from throughout the WRNMMC community. All agreed that the year and a half people have faced the COVID-19 pandemic has been challenging on multiple fronts, affecting the mental health of many individuals. "The Mental Health Awareness Panel affords beneficiaries and clinicians the opportunities to generate discussions on how Behavioral Health [services] have addressed the increase in mental health concerns across Tricare beneficiaries during the pandemic," Army Maj. Darlene Lazard explained. Lazard, deputy director for Behavioral Health at WRNMMC, coordinated the event. "Unfortunately, we have had an increase in sexual assault reporting, and an increase in sexual harassment concerns [since the pandemic began]," said Evarlean Rumph, command sexual assault response coordinator at WRNMMC. Behavioral health providers state extreme stress, uncertainties because of job loss, reduced working hours and other concerns, fear, quarantine, social isolations and movement restrictions, all have raised concern for increases in assault and abuse. "Mental health services are always offered during our intake briefing to all of our clients. [Many] feel mental health services add a positive impact on their healing process," Rumph said. Navy Lt. Cmdr. Michael Polito, a child and adolescent psychologist at WRNMMC, said similar to other services at the medical center, his department has seen "a trend in flux of needs" among beneficiaries. "We usually see a lot of acute cases within our service, but there's been much more of a stress on families as they hunkered down together and tried to navigate the world of virtual learning." He also noted virtual learning came with stressors because schools weren't prepared for it and there were "hiccups." Families had to deal with time management issues, and in some cases, kids' grades dropped because of the change to virtual from in-person learning. DVIDS External Link 

    Researchers find key senses impact readiness, survival

    8 June- Proper hearing in an operational environment is vital to mission success. The loss of this key sense can not only impact unit readiness, but also result in negative consequences for the individual. "Sound localization is a critical component of situational awareness, or to put it in layman's terms, knowing what is going on around you," said Robert Williams, an engineer with the Defense Health Agency's Hearing Center of Excellence, at Aberdeen Proving Grounds, Maryland. Recently, military researchers conducted a series of studies to learn more about how hearing can impact situational awareness. They found that service members who could not locate the source of a sound not only had diminished performance, but experienced a higher number of fatalities in the test scenarios. Service members who took part in the research used programmable headsets during paintball and field exercises to simulate varying levels of hearing loss and how it can affect sound localization. These studies were conducted by Walter Reed National Military Medical Center in Bethesda, Maryland; and Naval Surface Warfare Center Dahlgren Division in Virginia. "Sounds can be used to draw our attention to certain things, which can then be verified by our eyes," said Williams. "Your eyes can see in front of you, but they don't work as well in the dark, or when obscured by smoke, fog, dust, or other obstacles. But you can hear in the dark, or through fog, and the ability to hear can alert us to hazards or other things that we need to be aware of." According to Dr. Felix Barker, DHA Vision Center of Excellence, director of rehabilitation and reintegration, vision and hearing are our two most important remote sensing capabilities, and essential to the warfighter. "When they don't work optimally in a threat situation, this can make the service member effectively "blind or deaf" to the threat," said Barker. "Both senses are also highly interactive. Hearing produces initial awareness of the threat, even when it is coming from behind you. Hearing then helps define the target location so that the threat can be acquired visually, engaged and destroyed." For those with hearing loss, Williams explained that the ability to localize sounds may also be diminished. "This could occur because they may not be able to hear a sound at all, or because our brains use certain frequencies of sound to determine their location. If we lose the ability to hear these frequencies, we may still be able to hear a sound, but not be able to localize it." Another factor influencing sound localization is certain types of hearing protection devices, which can cause localization errors and affect situational awareness. External Link

    Soldiers still missing sleep, avoiding healthy foods

    6 June- A June report on Army health finds just 37% of soldiers are getting seven or more hours of sleep, 25% of soldiers are using tobacco products, and less than half of soldiers are eating enough fruits and vegetables.  Still, the 2020 Health of the Force report is upbeat. The sixth annual report on the health and wellness of the force finds generally improving fitness. Based largely on 2019 data, it does not evaluate the impact of COVID-19 on the Army. However, it predicts there may be some positive long-term health effects from improved air quality in buildings and some negative effects from deferred treatment of underlying health conditions.  In 2019, injuries were the leading reason soldiers were on limited duty status. Fifty-five percent of soldiers experienced a new injury in 2019, with 72% being musculoskeletal injuries from cumulative overuse, the report says. Behavioral health was the second leading cause of limited duty. "Although fewer Soldiers received a profile for behavioral health conditions than for injuries, the average number of limited duty days for a behavioral health profile was higher than the corresponding average for an injury profile," it says.  Pregnancy, vision, and skin or dermatology issues were the other leading reasons for missing duty.  In a sign of how sleep is connected to health, the report finds that among Army Special Operations Command soldiers, those who slept less than eight hours a night were 1.2 to 2.4 times more likely to experience musculoskeletal injuries. "Poor sleep quality has also been linked to a lower likelihood of meeting aerobic and resistance training recommendations," while soldiers who get seven or more hours of sleep "are more likely to have lower body fat and higher aerobic endurance." AUSA External Link 


    A lag in Covid-19 vaccinations among adolescents could delay US return to normalcy, experts warn

    7 June- While the US sees Covid-19 vaccination rates growing among some populations, experts warn that lags among other groups -- including adolescents -- could hurt a further return to normalcy. Medical experts have warned that as more adults become vaccinated, the virus will continue to plague children, who now account for about 25% of cases, simply because they have not been inoculated. "As we've gotten more and more of our seniors vaccinated, more and more people with pre-existing conditions, more and more people who may be healthy and younger, the question becomes how do we protect our children?" epidemiologist Dr. Abdul El-Sayed said on CNN Sunday. A study by the US Centers for Disease Control and Prevention (CDC) examined more than 200 adolescents between the ages of 12 and 17 who were likely hospitalized primarily for Covid-19 in the first three months of 2021. The report said while there were no deaths, nearly a third were admitted to intensive care units and roughly 5% required invasive mechanical ventilation. CNN External Link

    Artificial intelligence to help scientists increase efficacy rates of sleep disorder treatments

    9 June- According to the University of Copenhagen, Artificial Intelligence Systems are now used to increase the efficacy of sleep disorder treatments. Sleep disorders, including difficulty sleeping, narcolepsy, and sleep apnea are only some of the most common problems that many people suffer from. They sometimes take a toll on their mental and physical health. However, various forms of sleep disorders remain undiagnosed, and sometimes, treatments do not work as effectively as researchers hope. As a resolution, the Department of Computer Science at the University of Copenhagen decided to collaborate with the Danish Center for Sleep Medicine found in the Danish hospital, Rigs Hospital. This collaboration aims to develop an Artificial Intelligence System algorithm that could improve sleep disorder diagnosis and treatments, and better understand the disorders. Tech Times External Link

    Brain cancer immunotherapeutic granted fast-track status

    8 June- VBI Vaccines Inc. announced that the U.S. Food and Drug Administration (FDA) granted Fast Track Designation for VBI-1901, a cancer vaccine immunotherapeutic candidate for treating recurrent glioblastoma (GBM) patients with first tumor recurrence. VBI-1901 is a novel cancer vaccine immunotherapeutic candidate developed using enveloped virus-like particle technology to target two highly immunogenic cytomegalovirus antigens, gB, and pp65. An FDA Fast Track Designation expedites the review of new therapies to treat serious conditions and fill an unmet medical need. And underscores the significant need for new therapies for recurrent GBM patients. Glioblastoma is the most common malignant brain and other CNS tumors accounting for about 47% of all cases. GBM also referred to as a grade IV astrocytoma, is a fast-growing and aggressive brain tumor. It invades the nearby brain tissue but generally does not spread to distant organs. Francisco Diaz-Mitoma, M.D., Ph.D., VBI's Chief Medical Officer, stated in a press statement, "Building on the encouraging data seen to-date, including updated tumor responses and improvement in overall survival compared to historical controls ... we look forward to working closely with the FDA as we progress this cancer vaccine immunotherapeutic candidate with the hope of improving outcomes for adults with recurrent GBM." Precision Vaccinations External Link

    Ebola vaccine regimen gains WHO recommendation

    8 June- Johnson & Johnson (J&J) announced it 'welcomes the recommendation by the World Health Organization (WHO) Strategic Advisory Group of Experts on Immunization for the Janssen Ebola vaccine regimen, Zabdeno® (Ad26.ZEBOV) and Mvabea® (MVA-BN-Filo). The Janssen Ebola vaccine therapy consists of two components; Zabdeno is given first, and Mvabea is administered approximately 8-weeks later as a booster. This therapy can be deployed during Ebola outbreaks for individuals at risk of exposure and preventively, before outbreaks, for national and international first responders. J&J stated on June 4, 2021, 'this recommendation is an important milestone for our Ebola vaccine and our mission to help prevent and control Ebola outbreaks. It follows Marketing Authorization by the European Commission in July 2020 and WHO Prequalification in April 2021.' 'We are now focused on securing national registrations for the vaccine in Ebola-affected countries in Africa.' Precision Vaccinations External Link

    Pfizer to test COVID-19 vaccine in larger group of children below 12

    8 June- Pfizer Inc. (PFE.N) said on Tuesday it will begin testing its COVID-19 vaccine in a larger group of children under age 12 after selecting a lower dose of the shot in an earlier stage of the trial. The study will enroll up to 4,500 children at more than 90 clinical sites in the United States, Finland, Poland and Spain, the company said. Based on safety, tolerability and the immune response generated by 144 children in a phase I study of the two-dose shot, Pfizer said it will test a dose of 10 micrograms in children between 5 and 11 years of age, and 3 micrograms for the age group of 6 months to 5. A Pfizer spokesperson said the company expects data from 5- to 11-year-olds in September and would likely ask regulators for emergency use authorization later that month. Data for children 2 to 5 years old could arrive soon after that, he said. Pfizer expects to have data from the 6-month to 2-year-old age group sometime in October or November. The vaccine - made by Pfizer and German partner BioNTech SA - has been authorized for use in children as young as 12 in Europe, the United States and Canada. They receive the same dose as adults: 30 micrograms. Nearly 7 million teens have received at least one dose of the vaccine in the United States, according to the U.S. Centers for Disease Control and Prevention. Reuters External Link

    Pregnant women should avoid NSAIDs after 20 weeks

    8 June- Health Canada announced on June 8, 2021, it has completed a safety review confirming that the use of non-steroid anti-inflammatory drugs (NSAIDs) such as acetylsalicylic acid (aspirin), ibuprofen, naproxen, diclofenac, and celecoxib, starting from approximately 20 weeks of pregnancy or later, may cause rare but serious kidney problems in an unborn baby. These problems can lead to low amniotic fluid levels and possible complications, such as impaired lung maturation and loss of joint movement (limb contractures) in the newborn baby. As a result of its findings, Health Canada advises that pregnant women not use NSAIDs from approximately 20 to 28 weeks of pregnancy unless advised to do so by their healthcare professional. If a healthcare professional decides that the use of NSAIDs between 20 and 28 weeks of pregnancy is necessary, Health Canada recommends that they use the lowest effective dose for the shortest duration possible and that they consider monitoring amniotic fluid levels via ultrasound if treatment extends beyond 48 hours. These new recommendations do not apply to the use of low-dose (81 mg) aspirin, pediatric-only formulations (i.e., those only indicated for children less than 12 years of age), or NSAIDs administered directly to the eye. Precision Vaccinations External Link 

    Teens' coronavirus hospitalization rates 3 times higher than flu: CDC study

    5 June- While teens appear to face a low risk of hospitalization due to COVID-19, a study suggests the rate of hospital visits due to the virus is actually three times greater compared to flu-related hospitalizations. Findings out Friday from the Centers for Disease Control and Prevention (CDC) in a Morbidity and Mortality Weekly Report (MMWR) stemmed from FluSurv-NET data, a surveillance system across 13 states, to compare COVID-19 and flu-related hospitalizations among kids aged 12-17 from October to April, or most of the typical flu season. Rates were compared across three flu seasons starting in 2017. "Cumulative COVID-19–associated hospitalization rates during October 1, 2020–April 24, 2021, were 2.5–3.0 times higher than seasonal influenza-associated hospitalization rates during three recent influenza seasons," CDC researchers wrote. Fox News External Link

    U.S. Approves first new Alzheimer's drug in 20 years

    8 June- The first new treatment for Alzheimer's disease for nearly 20 years has been approved by regulators in the United States, paving the way for its use in the UK. Aducanumab targets the underlying cause of Alzheimer's, the most common form of dementia, rather than its symptoms. Charities have welcomed the news of a new therapy for the condition. But scientists are divided over its potential impact because of uncertainty over the trial results. At least 100,000 people in the UK with a mild form of the disease could be suitable for the drug if it were to be approved by the UK regulator. In March 2019, late-stage international trials of aducanumab, involving about 3,000 patients, were halted when analysis showed the drug, given as a monthly infusion, was not better at slowing the deterioration of memory and thinking problems than a dummy drug. BBC News External Link


    CDC: Weekly U.S. Influenza Surveillance Report

    2020-2021 Influenza Season for Week 21, ending May 29, 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 21. CDC External Link


    Ground coriander brands recalled for Salmonella contamination

    5 June- Oxnard, CA-based Olde Thompson LLC. has recalled Olde Thompson and Sun Harvest Organic Ground Coriander in a 1.5oz glass jar with flip-top closure, Lot # 23632 and 23631, for possible salmonella contamination. To date, no illnesses have been reported.  Anyone with the recalled product, should not consume it. Dispose of the recalled product and its container.

    The recalled product is identified and distributed as follows:

    - Olde Thompson Organic Ground Coriander 1.5oz. in a glass jar with a flip-top lid.
    Sun Harvest Organic Coriander 1.5oz in a glass jar with flip-top lid.

    - UPC code: 400000290942

    - Sold at Homegoods, Jungle Jim's International Market, and Smart and Final in AZ, CA, Ga, NJ, IN, and OH between May 26 and June 4, 2021.

    The recall affects 626 units of Olde Thompson Organic Ground Coriander 1.5oz in a glass jar and 150 units of Sun Harvest Organic Ground Coriander 1.5oz in a glass jar.  Lot # (s): 23632, 23631 located on the bottom of the jar. Food Safety News External Link

    Publisher's Platform: These raw breaded chicken products seem to be a problem

    6 June- This week the CDC, public health and regulatory officials in several states, and the U.S. Department of Agriculture's Food Safety and Inspection Service (USDA-FSIS) announced a multistate outbreak of Salmonella Enteritidis infections linked to raw frozen breaded stuffed chicken products. As of June 2, 2021, a total of 17 people infected with the outbreak strain of Salmonella Enteritidis have been reported from six states. Illnesses started on dates ranging from Feb. 21, 2021 to May 7, 2021. Food Safety News External Link


    Safety tips for the 101 critical days of summer

    3 June- As the restrictions of COVID-19 begin to relax, there will be an increase in families and friends out enjoying the sunshine and warm weather, swimming, boating, playing, and traveling. "Please be aware of the risks associated with your summer activities and take steps to mitigate that risk," said Catherine Hall, chief of Occupational Safety for the Defense Health Agency. "Always have a well-thought-out plan; that old adage of 'fail to plan, plan to fail' has merit." Harris added, "Success does not always happen by accident, but accidents do happen due to that failure to have a plan." The 101 Critical Days of Summer begin on Memorial Day weekend and end after Labor Day. With all those fun summer activities, the following safety tips are offered to make your vacation journey a safe and happy one. Safety outdoors:

    - Hydrate. Hydrate. Hydrate.

    - Always carry water with you and drink frequently.

    - If you feel thirsty, you are already dehydrated.

    - Always wear sunscreen outside and frequently reapply.

    - Hats and sunglasses are a good idea each time you go outside.

     - Know your own limits when it comes to activity. External Link


    Ebola in Guinea update: Countdown to end of outbreak

    6 June- To date, no new cases or deaths from Ebola virus disease (EVD) have been reported in Guinea and the 42-day countdown that was started on 8 May 2021 to declare the end of Guinea's EVD outbreak gets closer. Cumulatively 23 cases, 12 deaths (CFR: 52.1%), and 10 recoveries of EVD have been reported. This includes five health care workers. A total of 10,873 persons have been vaccinated against EVD in Guinea since the beginning of the outbreak. Guinea continues with Viral Hemorrhagic Fever (VHF) surveillance and on 17 May 2021, the Ministry of Health (MoH) declared an outbreak of Lassa fever in Yamou prefecture, NZérékoré region. A fatal case of Lassa fever was confirmed and no new case has been reported to date. Outbreak News Today External Link


    WHO: Iraq COVID-19 Update

    In Iraq, from 3 January 2020 to 1:08pm CEST, 9 June 2021, there have been 1,233,240 confirmed cases of COVID-19 with 16,589 deaths, reported to WHO. As of 8 June 2021, a total of 613,840 vaccine doses have been administered. WHO External Link


    Turkey records 13 Crimean-Congo Hemorrhagic Fever deaths year to date

    7 June- The Turkish Ministry of Health reports 13 human fatalities due to the tick-borne disease, Crimean-Congo Hemorrhagic Fever (CCHF), according to a Daily Sabah report. This is out of 243 human cases reported during the first five months of the year. The Health Ministry has guidelines in place for health care staff tackling cases, while a monitoring system tracks patients and ensures proper isolation. The Ministry of Agriculture and Forestry also runs programs to eradicate the tick population in provinces where clusters of cases are reported. The government also conducts awareness campaigns in rural areas where cases are more common to inform citizens about the disease, how to protect themselves from CCHF and other measures they can take. Crimean-Congo hemorrhagic fever is a widespread disease caused by a tick-borne virus (Nairovirus) of the Bunyaviridae family. The CCHF virus causes severe viral hemorrhagic fever outbreaks, with a case fatality rate of 10–40%. Animals become infected by the bite of infected ticks and the virus remains in their bloodstream for about one week after infection, allowing the tick-animal-tick cycle to continue when another tick bites. Although a number of tick genera are capable of becoming infected with CCHF virus, ticks of the genus Hyalomma are the principal vector. The CCHF virus is transmitted to people either by tick bites or through contact with infected animal blood or tissues during and immediately after slaughter. The majority of cases have occurred in people involved in the livestock industry, such as agricultural workers, slaughterhouse workers and veterinarians. Human-to-human transmission is possible. Outbreak News Today External Link


    H1N2v influenza case reported in Taiwan

    7 June- The Taiwan Center for Disease Control has reported a human H1N2v influenza case in a 5-year-old girl living in the central area. She had mild illness (fever, runny nose and cough) and didn't require hospitalization and was engaged in livestock breeding at home. H1N2 is a low-pathogenic influenza virus that exists in pigs. It rarely spreads among people, but there are occasional reports of human infection. A total of 30 confirmed cases of H1N2v influenza worldwide from 2012 to 2021 are distributed in the Americas, with the United States reporting the most cases, followed by Brazil. Most cases have a history of pig exposure or have been exposed to a contaminated environment. When an influenza virus that normally circulates in swine is detected in a person, it is called a variant influenza virus and is labeled with a 'v'. Influenza viruses such as H1N1(v) and other related variants are not unusual in swine and can be directly transmitted from swine to people and from people to swine. When humans are in close proximity to live swine, such as in barns and livestock exhibits at fairs, movement of these viruses can occur back and forth between humans and animals. The illnesses resulting from H1N1(v) infection are similar to seasonal influenza. Symptoms include fever, muscle aches, decreased energy, coughing, runny nose, and sore throat. Outbreak News Today External Link

    Indonesia: Suspected anthrax cases released from hospital

    7 June- The Indonesian weekly magazine, Tempo,co, reports that the six suspected anthrax cases reported in the village in Tulungagung, East Java have been released from the hospital after treatment. It is believed that they contracted anthrax from their livestock after dozens of cattle were found dead from the bacterial disease. Since the first case was reported on Wednesday, health authorities have found no new cases yet at the Sidomulyo Village in East Java. Based on the samples collected by the veterinary center on the livestock and village residents confirmed that anthrax bacteria was found in the cattle but are still studying the skin samples from the residents. The team expects a report will be produced on June 10. Anthrax is a serious infectious disease caused by gram-positive, rod-shaped bacteria known as Bacillus anthracis. Anthrax can be found naturally in soil and commonly affects domestic and wild animals around the world. Although it is rare, people can get sick with anthrax if they come in contact with infected animals or contaminated animal products. Cutaneous  anthrax occurs when the spore (or possibly the bacterium) enters a cut or abrasion on the skin. It starts out as a raised bump that looks like an insect bite. It then develops into a blackened lesion called an eschar that may form a scab. Lymph glands in the area may swell plus edema may be present. This form of anthrax responds well to antibiotics. If untreated, deaths can occur if the infection goes systemic. 95% of cases of anthrax are cutaneous. Outbreak News Today External Link


    U.S.: New York- 4th Rabid raccoon confirmed in Niagara County

    6 June- On Friday, The Niagara County Department of Health (NCDOH) confirmed a rabid raccoon on County Line Road, Town of Somerset.  This is the fourth confirmed rabid raccoon in Niagara County this spring. On June 3, a farmer killed the raccoon that entered his barn, as it was acting odd and in proximity to his cattle. NCDOH submitted the animal for testing to NYSDOH Wadsworth Center, Griffin Laboratory. There was no known contact with the cattle but arrangements are being made to isolate the cattle at the farm for an observation period. Animal rabies continues to be a serious public health concern in Niagara County. Rabies is a viral disease that nearly always results in death of the animal that is not adequately protected with a rabies vaccination. Outbreak News Today External Link


    Brazil: Nearly 30 percent of target population vaccinated with the first dose against COVID-19

    6 June- According to the Brazil Ministry of Health, the first dose of the Covid-19 vaccine has already reached 29.8% of the eligible population in Brazil. There are 47.6 million Brazilians vaccinated with the first dose, out of the 160 million with a vaccinable profile in the National Plan for the Operationalization of Vaccination against Covid-19 (PNO). Among those vaccinated with the first dose, 22.7 million have already received the second dose of the vaccine. Brazil reached an important milestone that demonstrates progress in the national vaccination campaign against Covid-19: the Ministry of Health surpassed 100 million doses distributed throughout Brazil. This week, over 6.5 million doses are sent to states and the Federal District from last Wednesday. Outbreak News Today External Link