In Hanzhong city of northwest China's Shaanxi Province, 2 more people 
have died of rabies bringing the rabies death toll in the city since 
March [2009] to 11. The 2 fatalities were both women, one aged 58 and 
the other 56, said a local government official.

The 1st death was reported on 21 Mar [2009], and number of people 
injured by dog bites in the city has since reached 6256. So far, 
approximately 335 900 pet dogs have been vaccinated in the city, said 
the local government official. The city, with more than 370 000 
registered dogs, reported 35 deaths of rabies from 1985 to 1992.

Human deaths indicated the rabies virus was very active, posing a 
great public health threat, Shi Ruihua, local agricultural bureau 
chief, said earlier this month [June 2009]. The city carried out a 
rabies prevention campaign from 23 May-1 Jun [2009], implementing 
door-to-door compulsory vaccinations of dogs and urging dog owners to 
put their pets on a leash or keep them off the streets.  Further research on a death from Rabies in a 10 year Australian child in 1990, confirmed an incubation period of about 5 years from the likely bite. Rabies vaccine is available and travellers are to be vaccinated BEFORE they travel, but the course can take 8 weeks so it is better to get started early.

CHOLERA

In this update:
Africa
[1] Diarrhea, fatal - Angola (Huila)
[2] Cholera - Zimbabwe
[3] Cholera - Nigeria (Borno, Adawama, Jigawa, Taraba)
[4] Cholera - Nigeria (Adawama)
[5] Cholera - Cameroon (North, Extreme North provinces)
[6] Cholera - Uganda (Kampala)
Asia
[7] Cholera - Papua New Guinea (Morobe)
[8] Cholera, diarrhea - India (Assam)
[9] Cholera - Tajikistan (Kublyarskiy)
[10] Shigellosis - Russia (Novosibirsk)

Africa
[1] Cholera - Uganda (Kampala)-3 people have been confirmed dead and 13 others are hospitalized at
Mulago cholera treatment centre following an outbreak in Kampala last
week.
[2] Cholera - Tanzania (Tanga)-12 people have died in a cholera epidemic in Tanzania over the past
week, with most cases recorded in the north of the country, a health
ministry spokesperson said on Monday [5 Oct 2009].

Around 600 cases were reported in the east African country during the
last 7 days, but Handeni district in the northeastern region of Tanga
was hardest hit with 511 patients, spokesperson Nsachris Mwamaja told
journalists.
[3] Cholera - Mozambique (Cabo Delgado)-5 members of the same family died of cholera on 3 consecutive days in
Nazimoja village, Montepuez district, in the northern Mozambican
province of Cabo Delgado, reports Tuesday [6 Oct 2009]'s issue of the
independent daily "O Pais."

According to a resident of that village, many people have been
suffering from the disease, which was initially shrugged off as
simple bouts of diarrhea and vomiting. However, the health
authorities have confirmed that this is cholera. The disease was also
reported in Napai, and Nacate, suburbs of the Montepuez town, where
it has killed at least 4 people.

By 28 Sep 2009, the Montepuez District Hospital had recorded 106
cases of cholera, and 3 of them were still under medical care in a
serious condition.
[4] Cholera - Cameroon (north)-A cholera outbreak in northern Cameroon has killed 15 people, state
media reported on Tuesday [6 Oct 2009]. Cameroonian authorities are
taking measures to contain the epidemic, which was brought in from
neighboring Nigeria, state radio and the official Cameroon Tribune said.

[5] Cholera - Nigeria (Taraba, Adamawa, Jigawa)-9 people died and several others were hospitalized this week
following a cholera outbreak in Nigeria's northern Taraba State,
bringing the death toll in the region to 97, an official said on
Thursday [1 Oct 2009].
[6] Cholera - Nigeria (Borno)-23 of the 600 people who recently contracted cholera in the Biu Local
Government area of Borno State are dead, the director of disease
control in the Borno State ministry of health, Abdullah Sadiq, has
said. Mr. Sadiq, who was at the cholera isolation camp situated in
Biu, last Sunday [4 Oct 2009] when NEXT visited, said some of the
patients were already treated and discharged. About 60 patients are
currently on admission, where oral therapy is being administered on them.
[7], [8] Cholera - Kenya (Eastern province)-A team from Medicines Sans Frontiers (MSF) has camped in Marsabit
South district to avert the spread of cholera, which has left 15
people dead. MSF, also known as Doctors without Borders, had
disbanded its 1st camp on 24 Sep 2009 at Moite village in
Loiyangalani division where 11 people died from the disease. The same
disease started to spread in El-Molo Bay location. In 3 days, 3
people had succumbed to cholera. At the same time, a pregnant woman
succumbed to the disease in Moite village.

-The death toll from a cholera outbreak in Mutomo District has risen
to 7, with more infections being recorded every day. The 7 died at
Mutomo Mission Hospital where they were being treated. The deaths
came as health authorities disclosed that 1134 people had been
diagnosed with the disease in the district.

Since 29 Sep 2009, Medecins Sans Frontieres, working with the
Ministry of Public Health and Sanitation have treated 47 people in El
Molo and 157 in Loyangalani for the disease.
 
[9] Cholera - Congo DR (South Kivu)-Congo (DRC) recently (released by the health department) said an
outbreak of cholera in the eastern part of South Kivu has already
7079 people infected, with 82 people dead.

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