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24 Oct 2018 Malaria - Oman: ex India (Delhi)
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24 Oct 2018 Ebola update (118): Congo DR (NK,IT) case update, summaries, response
24 Oct 2018 Acute flaccid myelitis - North America (06): USA, increase in cases
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23 Oct 2018 Ebola update (117): Congo DR (NK,IT) case update, summaries
22 Oct 2018 Xylella, olive - Belgium ex Spain
22 Oct 2018 Prion disease update (03): USA (NY) vCJD susp, squirrel, human fatality, 2015
22 Oct 2018 Varicella update (14): USA (WA)
22 Oct 2018 Influenza (28): WHO global update
21 Oct 2018 Ebola update (116): Congo DR (NK, IT) case update, violence
21 Oct 2018 Classical swine fever - Japan (06): (GF) spread, wild boar
21 Oct 2018 Salmonellosis, st Typhimurium - UK: lamb and mutton
21 Oct 2018 Salmonellosis - USA (13): (WA) English cucumbers
21 Oct 2018 Salmonellosis, st Infantis - Canada
21 Oct 2018 African swine fever - Asia (19): China (YN) domestic swine, spread
21 Oct 2018 Dengue/DHF update (20): Asia, Africa, Europe, research
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20 Oct 2018 Buruli ulcer - Australia (03): (VI) increasing incidence
20 Oct 2018 Hantavirus - Americas (58): USA (CO)
20 Oct 2018 Poliomyelitis update (50): Nigeria (BA), cVDPV2, Pakistan (SD) follow-up
20 Oct 2018 West Nile virus (57): Europe (Greece) ECDC update
20 Oct 2018 Hand, foot & mouth disease update (10): Viet Nam, USA (CT), Australia (QL)
20 Oct 2018 Malaria - Venezuela: national epidemic
20 Oct 2018 Avian influenza (104): Bulgaria (KK) poultry, spread, OIE
20 Oct 2018 Lassa fever - West Africa (42): Nigeria
19 Oct 2018 Eastern equine encephalitis - USA (25): (MI) human, follow-up
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19 Oct 2018 Measles update (63): Americas, Europe, Africa
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19 Oct 2018 Hantavirus - Americas (57): USA (DE) ex Chile or Argentina
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19 Oct 2018 BSE, bovine - UK: (Scotland)
18 Oct 2018 Poliomyelitis update (49): global (WPV1, cVDPV), Pakistan (non-paralytic), RFI
18 Oct 2018 Bacterial canker, kiwifruit - Australia (02): (VI) conf
18 Oct 2018 Botulism, bovine - Israel: (HZ) susp
18 Oct 2018 African swine fever - Europe (52): Romania (TR) domestic swine, spread, OIE
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18 Oct 2018 Invasive mosquitoes - USA (05): (NM)
18 Oct 2018 African swine fever - Asia (18): China (SX) domestic swine, spread, OIE
18 Oct 2018 Cholera, diarrhea & dysentery update (42): Africa
18 Oct 2018 Equine influenza, equine - Ecuador: serotype not typed, 1st report, OIE
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18 Oct 2018 Acute flaccid myelitis - North America (05): USA, increase in cases
18 Oct 2018 Foot & mouth disease - Algeria (07): bovine, spread, OIE
18 Oct 2018 Salmonellosis, st Infantis - USA: chicken products, multiresistant
18 Oct 2018 Hantavirus - Americas (55): Bolivia
18 Oct 2018 Listeriosis - Europe (05): Switzerland, fatal
18 Oct 2018 Legionellosis - USA (12): (NYC) Parkchester neighborhood
17 Oct 2018 Hepatitis A - Europe (02): Austria, Sweden, Polish frozen strawberries
17 Oct 2018 Ebola update (113): Congo DR (NK, IT) case update, PHEIC not declared
17 Oct 2018 Melioidosis - South Africa: (NL) 1st human case, fatal
17 Oct 2018 Cholera, diarrhea & dysentery update (41): Americas, WHO
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17 Oct 2018 Measles update (62): Middle East, Europe, Pacific
17 Oct 2018 Undiagnosed die-off, hare - UK (02): (England) myxomatosis susp
17 Oct 2018 Crayfish plague - UK: (N. Ireland) white-clawed crayfish, OIE
17 Oct 2018 Hantavirus - Americas (54): Bolivia (LP) military camp
17 Oct 2018 Salmonellosis - USA (12): (PA) unpasteurized milk, recall
16 Oct 2018 Prion disease update (02): USA (NY) vCJD suspected, squirrel brain, human fatality, 2015
16 Oct 2018 Salmonellosis - Malaysia: (KH)
16 Oct 2018 Hepatitis A - USA (46): (KY, WV, PA)
16 Oct 2018 Ebola update (112): Congo DR (NK, IT) update, community, response, WHO, S Sudan
16 Oct 2018 MERS-CoV (43): Saudi Arabia (RI) South Korea, outbreak over
16 Oct 2018 Anthrax and plague: novel dual vaccine
16 Oct 2018 Hepatitis A - Spain (02): (VA) restaurant
16 Oct 2018 Burkholderia thailandensis - USA: (AR) wound infection, 2017
16 Oct 2018 Anthrax - Ukraine (04): (OD) bovine, RFI
16 Oct 2018 Bat lyssavirus (EBLV-1) - UK: (England) bat, 1st rep, alert
16 Oct 2018 African swine fever - Asia (17): China (LN) domestic swine, commercial farm
16 Oct 2018 Avian influenza, human (19): human-animal interface, WHO
15 Oct 2018 African swine fever - Asia (16): China (TJ) domestic swine, spread, OIE
15 Oct 2018 Undiagnosed disease, pomegranate - Pakistan: (NW)
15 Oct 2018 Ebola update (111): Congo DR (NK, IT) case update, security concerns
15 Oct 2018 Cercospora leaf spot, sugar beet - France
15 Oct 2018 Measles update (61): Middle East ex Ukraine, Europe, USA
14 Oct 2018 Listeriosis - Australia (05): fatal, cantaloupe, heavy rainfall, dust storm
14 Oct 2018 Acute flaccid myelitis - North America (04): human enterovirus D68 (NY) EV-D68
14 Oct 2018 West Nile virus (56): Europe (Germany, France)
13 Oct 2018 Ebola update (110): Congo DR (NK, IT) case update, hearse
13 Oct 2018 MERS-CoV (42): Saudi Arabia (RI) EMRO September 2018 update
13 Oct 2018 Murine typhus - USA (09): (CA) Los Angeles County, more cases, RFI
13 Oct 2018 Acute flaccid myelitis - North America (03): USA, increase in susp cases
13 Oct 2018 Monkeypox - Israel: ex Nigeria
13 Oct 2018 Ebola update (109): Congo DR (NK, IT) case update, DNA vaccine
13 Oct 2018 Avian influenza (103): China (HN) poultry, HPAI H5N6, OIE
12 Oct 2018 West Nile virus (55): Americas, USA (NC, KY) equine
12 Oct 2018 West Nile virus (54): Europe (Portugal) equine, OIE
12 Oct 2018 Brucellosis - USA (04): (WY) bovine
12 Oct 2018 Bovine tuberculosis - USA (04): (MI) bovine
12 Oct 2018 Foot & mouth disease - Colombia (02): (CE) bovine, porcine, serotype O, OIE
12 Oct 2018 Anthrax - India (11): (Nagaland Zoological Park) tiger, susp, RFI
12 Oct 2018 Undiagnosed die-off, hare - UK: (England) RFI
12 Oct 2018 MERS-CoV (41): Saudi Arabia (NJ, MK) Pakistan serosurvey
12 Oct 2018 New in IJID (10): October 2018
12 Oct 2018 Undiagnosed die-off, Asiatic lion - India (02): (GJ) canine distemper, vaccination
12 Oct 2018 Undiagnosed deaths, livestock - India: (AS)
12 Oct 2018 Bovine tuberculosis - USA (03): (MI) bovine, cervid, alert
12 Oct 2018 Undiagnosed leaf curl virus, tomato seed - Egypt
11 Oct 2018 Unidentified bait - USA: (CA) canine, poison susp
11 Oct 2018 Leaf blight, taro - Nigeria (02) comment
11 Oct 2018 Poliomyelitis update (48): Afghanistan, global, cVDPV
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11 Oct 2018 Legionellosis - USA (11): (NYC) fatal, lower Washington Heights
11 Oct 2018 Hantavirus - Americas (53): Bolivia (LP)
11 Oct 2018 Chikungunya (07): Africa (Sudan) mixed outbreak
11 Oct 2018 Murine typhus - USA (08): (CA) Los Angeles County, pets of homeless
11 Oct 2018 Ebola update (108): Congo DR (NK,IT) cases, WHO, new vaccine warehouse
11 Oct 2018 Mycobacterium bovis - UK (02): (England) prisoners, 2017-2018, comment
11 Oct 2018 Classical swine fever - Brazil (02): (CE) swine
11 Oct 2018 West Nile virus (53): Americas
10 Oct 2018 Cholera, diarrhea & dysentery update (39): Africa (South Africa ex Zimbabwe)
10 Oct 2018 Pneumonia, ovine - USA (04): (WY) wild ungulates, alert
10 Oct 2018 Acute flaccid myelitis - North America (02): (USA)
10 Oct 2018 Avian pox - New Zealand: song bird
10 Oct 2018 African swine fever - Europe (51): Ukraine, domestic swine, wild boar, update, OIE
09 Oct 2018 Rubella - Japan
09 Oct 2018 Hand, foot & mouth disease update (09): Europe (Ireland ex Mallorca, Spain)
09 Oct 2018 Murine typhus - USA (07): (CA) Los Angeles county, more cases, RFI
09 Oct 2018 African swine fever - Europe (50): wild; Czech Rep resolved, OIE; Belgium spread
09 Oct 2018 Newcastle disease, poultry - USA (15): (CA) virulent strain, more cases
09 Oct 2018 Avian influenza (102): Bulgaria (PD) poultry, H5N8, OIE
09 Oct 2018 Classical swine fever - Brazil: (CE) swine, OIE
09 Oct 2018 Mycobacterium bovis - UK: (England) prisoners, 2017-2018, RFI
09 Oct 2018 Ebola update (107): Congo DR (NK,IT) cases, int'l donations, novel PPE suit
09 Oct 2018 Fungal diseases, peanut - USA: (GA)
09 Oct 2018 West Nile virus (52): Africa (Tunisia)
08 Oct 2018 Chikungunya (06): Africa (Sudan) mixed outbreak
08 Oct 2018 Undiagnosed diseases, dragon fruit - Viet Nam: (BU)
08 Oct 2018 Murine typhus - USA (06): (CA) city of Long Beach
08 Oct 2018 African swine fever - Europe (49): Belgium (LX) wild, spread, milit camp, epidem
08 Oct 2018 Avian influenza (101): Germany, HPAI H5N8, eagle, 2016-2017
08 Oct 2018 Legionellosis - New Zealand (02): (CA) compost, potting soil, background
08 Oct 2018 Typhoid fever - India: (TN)
08 Oct 2018 Hepatitis - Pakistan: (PB) fatal
08 Oct 2018 Powassan virus encephalitis - USA (05): (NY)
08 Oct 2018 La Crosse encephalitis - USA (02): (OH)
08 Oct 2018 Leaf blight, taro - Nigeria: (KT)
07 Oct 2018 European foulbrood, apis - Europe (03): Romania (IS) OIE
07 Oct 2018 Legionellosis - New Zealand: (CA) compost, potting soil
07 Oct 2018 African swine fever - Europe (48): Hungary (BZ) wild boar, OIE
07 Oct 2018 Murine typhus - USA (05): (CA) Pasadena, RFI
07 Oct 2018 Ebola update (106): Congo DR (NK,IT), case update, knowledge attitudes, practices
07 Oct 2018 Listeriosis - USA (02): fatal, ham, recall
06 Oct 2018 Salmonellosis, st Enteritidis - UK: (Ireland) liquid egg white, alert, recall
06 Oct 2018 Murine typhus - USA (04): (CA) homeless
06 Oct 2018 African swine fever - Asia (15): China (LN) domestic swine, follow-up, OIE
06 Oct 2018 Bluetongue - Europe (04): Italy (PU, SD) ovine, serotype 3, OIE
06 Oct 2018 West Nile virus (51): Europe (Germany) ECDC update
05 Oct 2018 African swine fever - Europe (47): Belgium (LX) wild, spread, regional impact
05 Oct 2018 Poliomyelitis update (47): global (Afghanistan, Nigeria)
05 Oct 2018 Anthrax - Ukraine (03): (OD,ZT) bovine, human, OIE
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05 Oct 2018 Ebola update (105): Congo DR (NK,IT) cases, WHO, airport
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05 Oct 2018 E. coli EHEC - UK: (England) fatal
05 Oct 2018 Ricin, envelopes - USA (03): (DC)
04 Oct 2018 Salmonellosis, st Newport - USA (03): ground beef, alert, recall
04 Oct 2018 West Nile virus (50): Europe (Czech Republic)
04 Oct 2018 African swine fever - Europe (46): Moldova (RZ) wild boar, OIE
04 Oct 2018 Bluetongue - Europe (03): Italy (SD) ovine, st 3
04 Oct 2018 Ebola update (104): Congo DR (NK,IT) cases, strife, context
04 Oct 2018 Bacterial canker, kiwifruit - Australia: (VI) susp
04 Oct 2018 Measles update (60): Europe, Middle East, Africa
04 Oct 2018 Monkeypox - UK (05): ex Nigeria
03 Oct 2018 MERS-CoV (40): Saudi Arabia (RI) WHO
03 Oct 2018 St Louis encephalitis virus - USA (02): (CA)
03 Oct 2018 Ricin, envelopes - USA (02): (TX) susp
03 Oct 2018 Salmonellosis, st. Enteritidis - USA (02): egg, alert, recall
03 Oct 2018 Die-off, seal - USA (03): (ME,NH,MA) multifactorial
03 Oct 2018 Anthrax - Ukraine (02): (OD) bovine, human
03 Oct 2018 Hepatitis A - Chile (02): (BI,NB)
03 Oct 2018 Cholera, diarrhea & dysentery update (38): Asia (Yemen)
03 Oct 2018 Rabies (51): Asia (Viet Nam) Africa (Morocco) human, canine
03 Oct 2018 Ebola update (103): Congo DR (NK,IT) cases, risk, response, research
03 Oct 2018 Avian influenza, human (18): China (GD) H5N6
03 Oct 2018 Foot & mouth disease - Colombia: (BY) bovine, st O, OIE
03 Oct 2018 West Nile virus (49): Americas, USA (NY) equine
03 Oct 2018 Ricin, envelopes - USA: (DC)
02 Oct 2018 African swine fever - Europe (45): Belgium (LX) wild, spread
02 Oct 2018 Undiagnosed die-off, Asiatic lion - India: (GJ)
02 Oct 2018 Poliomyelitis update (46): (India, Papua New Guinea) trivalent vaccine, fatal
02 Oct 2018 Anthrax - Ukraine: (OD) bovine, human
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02 Oct 2018 Hepatitis A - USA (45): (KY,WV,NY)
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02 Oct 2018 Ebola update (102): Congo DR (NK,IT) cases, orphans
02 Oct 2018 Babesiosis, bovine - Croatia: (PG) OIE
01 Oct 2018 Lumpy skin disease - Europe (04): Russia (KU,OM) bovine, OIE; Kazakhstan, RFI
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01 Oct 2018 Avian influenza (100): Bulgaria (PD) poultry, H5N8, OIE
01 Oct 2018 Crimean-Congo hem. fever - Pakistan (18): (NW,SD)
01 Oct 2018 Avian influenza (99): China (GZ) poultry, HPAI H5N6, OIE
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01 Oct 2018 Ebola update (101): Congo DR (NK,IT) cases
30 Sep 2018 Equine herpesvirus - Australia: equine, research
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24 Sep 2018 Ebola update (96): Congo DR (NK,IT) case update, unrest
24 Sep 2018 Undiagnosed febrile illness - Sudan: (KA,ND) RFI

Published Date: 2018-10-24 10:29:10
Subject: PRO/AH/EDR> Malaria - Oman: ex India (Delhi)
Archive Number: 20181024.6108930

MALARIA - OMAN: ex INDIA (DELHI)
********************************
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Date: Wed 24 Oct 2018
From: Noor Al-Zubaidi <Alzubaidi.noor@gmail.com> [edited]

A 39-year old Omani returned from New Delhi, India, on 18 Oct 2018, after spending 6 months in Delhi, where his son underwent medical treatment. In Delhi he stayed in a hospital in the Gurugram district (formerly known as Gurgaon) and never left Delhi during his stay. He did not take any malaria prophylaxis and noted many mosquitoes in the area.

Fever started on [19 Oct 2018] and the man went to 2 health clinics and a hospital and was finally diagnosed with _Plasmodium falciparum_ malaria on [23 Oct 2018], on the 4th visit to a healthcare facility (hospital). On admission he had a low parasite density of 3200 _P. falciparum_ per microliter with thrombocytes of 101 declining to 70. Temperature on admission was 39.5 deg C [103.1 deg F]. The patient was started on oral artemether/lumefantrine.

--
Dr Noor Al-Zubaidi and Dr Nenad Pandak
Department of Infectious Diseases
The Royal Hospital
Muscat, Oman
<Alzubaidi.noor@gmail.com>

[ProMED thanks Drs. Al-Zuabaide and Pandak for reporting this case.

ProMED has reported an increasing number of malaria cases from Delhi during July and August 2018. This patient never left Delhi and did not use malaria prophylaxis and it can be argued that the risk of malaria in Delhi justifies the use of malaria prophylaxis for all visitors. The case also illustrates the lack of awareness of malaria in healthcare facilities, even when patients present with fever and a travel history to a malaria endemic country.

Gurgaon, officially named Gurugram is a satellite city of Delhi located in the northwestern Indian state of Haryana and is part of the National Capital Region of India. It is 32 km (20 mi) southwest of New Delhi. In 2017, a report in Hindustan Times (26 Sept 2017) reported a 5-year high number of malaria cases at 273 https://www.hindustantimes.com/gurugram/gurugram-malaria-cases-at-five-year-high/story-rA7EFxNpOaaYPOI8vXZwIO.html. - Mod.EP

HealthMap/ProMED maps available at:
Oman: http://healthmap.org/promed/p/124
National Capital Territory of Delhi, India: http://healthmap.org/promed/p/330]