- 05 Dec 2018 Histoplasmosis - USA: (LA) scout camp attendees
- 05 Dec 2018 Pythiosis - USA (02): (VA) equine, Chincoteague pony deaths
- 05 Dec 2018 Ebola Update (145): DR Congo (NK, IT) cases, response, life in DRC
- 05 Dec 2018 MERS-CoV (48): Saudi Arabia (MK) animal reservoir, camel, spread, OIE
- 05 Dec 2018 Chronic wasting disease, cervid - USA (21): (MT)
- 05 Dec 2018 Brucellosis - Croatia: (SM) melitensis, bovine, OIE
- 05 Dec 2018 Anthrax, wildlife - Zimbabwe: (Mana Pools Natl Park) impala, susp
- 05 Dec 2018 Rabbit hemorrhagic disease - New Zealand (05): (OT) RHDV2, rabbit
- 05 Dec 2018 Hantavirus - Americas (65): Argentina (CH) fatal, susp
- 05 Dec 2018 Rat bite fever - USA (02): (CT) clarification
- 04 Dec 2018 Ebola update (144): Congo DR (NK, IT) cases, summary, concerns
- 04 Dec 2018 Koi herpesvirus disease - Italy: (PM) OIE
- 04 Dec 2018 Influenza (31): Canada (AB) India (MH,TN) seasonal
- 04 Dec 2018 African swine fever - Asia (34): China (SA,BJ) domest swine (HL) farmed wild boar
- 04 Dec 2018 Adenovirus (07): USA (MD) fatal, university students, update
- 04 Dec 2018 Chronic wasting disease, cervid - USA (20): (MO)
- 04 Dec 2018 Crimean-Congo hem. fever - India (04): (KL) ex UAE
- 03 Dec 2018 Avian influenza (112): Iran (TE) HPAI, poultry, H5N8, OIE
- 03 Dec 2018 Foot & mouth disease - Israel (11): (HZ) bovine, st O, wild boar conf, OIE
- 03 Dec 2018 Hepatitis A - USA (60): (KY, WV, FL)
- 03 Dec 2018 Botulism - Brazil (02): (PR) sandwich, children
- 03 Dec 2018 Malaria - Dominican Republic (03): autochthonous & imported
- 02 Dec 2018 Rat bite fever - USA: (CT)
- 02 Dec 2018 Herpesvirus, elephant - USA: (OR) fatality
- 02 Dec 2018 Measles update (74): WHO, PAHO, South America, USA, Southeast Asia
- 02 Dec 2018 Carbon monoxide poisoning - USA (02): (IL)
- 02 Dec 2018 Varicella update (17): USA (NC) USA-Mexico border
- 02 Dec 2018 Ebola update (143): Congo DR (NK, IT) cases, response
- 02 Dec 2018 Syphilis - Japan (02): rising incidence, heterosexual women & men, urban
- 01 Dec 2018 Foot & mouth disease - Malawi (02): (CT) bovine, not typed, OIE
- 01 Dec 2018 Anthrax - Zimbabwe (04): (MI) bovine, human
- 01 Dec 2018 Anthrax - Malawi (02): (MA) hippopotami
- 01 Dec 2018 Schistosomiasis - USA: (UT) canine
- 01 Dec 2018 African swine fever - Europe (63): epidemiology, EFSA, control, EU
- 01 Dec 2018 Foot & mouth disease - Israel (10): (HZ) bovine, st O, spread, wild boar susp
- 01 Dec 2018 Leishmaniasis - Bolivia: (LP)
- 01 Dec 2018 Measles update (73): WHO, Europe, Pacific, Middle East, USA, South America
- 01 Dec 2018 Salmonellosis, st Concord - USA: tahini, alert, recall
- 01 Dec 2018 Legionellosis - USA (15): (WI) nosocomial
- 01 Dec 2018 Scabies - USA (02): (HI) hospital outbreak
- 30 Nov 2018 Obituary: Abdelali Benkirane, ProMED-MENA/EAFR/FRA Animal Health Moderator
- 30 Nov 2018 Hand, foot & mouth disease update (15): Netherlands (St. Eustatius)
- 30 Nov 2018 Malaria - Congo DR: (NK)
- 30 Nov 2018 African swine fever - Asia (33): China, domestic swine, spread, control, FAO
- 30 Nov 2018 Anthrax - Malawi: (MA) hippopotami, OIE
- 30 Nov 2018 Undiagnosed die-off, whale - New Zealand: strandings
- 30 Nov 2018 Invasive tick - USA (18)
- 30 Nov 2018 Acute flaccid myelitis - North America (10): USA (NE)
- 30 Nov 2018 Influenza (30): WHO global update
- 30 Nov 2018 Ebola update (142): Congo DR (NK, IT) cases, summary, WHO, suspect, response
- 30 Nov 2018 Yellow fever - Africa (24): South Sudan (Gbudwe) WHO
- 30 Nov 2018 Rabbit hemorrhagic disease - UK (02): (England) pet rabbit deaths
- 30 Nov 2018 Undiagnosed disease, livestock - Sudan: (ED) capripox disease susp, RFI
- 29 Nov 2018 Hantavirus - Americas (64): Chile (CO, NB)
- 29 Nov 2018 Poliomyelitis update (57): global (Afghanistan, Niger)
- 29 Nov 2018 New in IJID (12): December 2018
- 29 Nov 2018 Rubella - Japan (03): cases, vaccine
- 28 Nov 2018 Bovine tuberculosis - USA (08): (MI) cervids, alert
- 28 Nov 2018 Acinetobacter - USA (02): (NJ) fatal, neonatal ICU
- 28 Nov 2018 African swine fever - Europe (62): Belgium (LX) wild boar, control
- 28 Nov 2018 Ebola update (141): Congo DR (NK, IT) cases, summary, WHO, challenges, response
- 28 Nov 2018 Adenovirus - USA (06): (MD) fatal, university students, update
- 28 Nov 2018 Foot & mouth disease - China (14): (XJ) st O, porcine, spread
- 28 Nov 2018 Measles update (72): Middle East, Africa, Southeast Asia
- 27 Nov 2018 Hepatitis A - USA (59): (KY, WV, OH)
- 27 Nov 2018 Yellow fever - Africa (23): Nigeria
- 27 Nov 2018 Anthrax - Namibia (05): (KU) livestock, human
- 27 Nov 2018 Ebola update (140): Congo DR (NK, IT) cases, summary, preparedness
- 27 Nov 2018 Tick-borne pathogens - USA
- 27 Nov 2018 Vaccinia virus - Brazil: equine
- 27 Nov 2018 Schistosomiasis - Myanmar (04): (RA)
- 27 Nov 2018 Yellow fever - fractional vaccine dosing, Nigeria, Netherlands ex Gambia/Senegal
- 26 Nov 2018 Syphilis - USA (09): (AZ) rising incidence, women, congenital
- 26 Nov 2018 Scrub typhus - India (05): (WB) fatal, susp.
- 26 Nov 2018 Barley virus G - Australia: 1st rep (VI)
- 26 Nov 2018 Rabies (57): Asia (Lebanon) human, animal
- 26 Nov 2018 Avian influenza (111): China (YN,JS) poultry, HPAI H5N6, OIE
- 26 Nov 2018 African swine fever - Asia (32): China (BJ) domestic swine, spread, OIE
- 26 Nov 2018 Coral reef kills - Caribbean: (St Maarten)
- 26 Nov 2018 Avian influenza, human (23): China (JS) H5N6
- 26 Nov 2018 West Nile virus (67): Europe, ECDC update
- 25 Nov 2018 Asian greening, citrus - Argentina: (ER) alert
- 25 Nov 2018 Poliomyelitis update (56): Global, (Papua New Guinea, DR Congo, Nigeria) cVDPV
- 25 Nov 2018 Zika virus (11): India
- 25 Nov 2018 MERS-CoV (47): Saudi Arabia (RI, QS) WHO
- 25 Nov 2018 Measles update (71): Europe, Americas, Southeast Asia, Pacific
- 25 Nov 2018 Non-tuberculous mycobacteria - USA: (FL) tattoo, 2015
- 24 Nov 2018 Ebola update (139): Congo DR (NK, IT) cases, WHO, news, control
- 24 Nov 2018 Hantavirus - Americas (63): Chile (LI)
- 24 Nov 2018 Lassa Fever - West Africa (46): Nigeria
- 24 Nov 2018 Salmonellosis, st Enteritidis - Sweden
- 24 Nov 2018 Foot & mouth disease - Israel (09): (HZ) bovine, st O, spread, OIE
- 24 Nov 2018 Trypanosomiasis - Netherlands: ex Malawi
- 24 Nov 2018 Sarcoptic mange, bear - USA (02): (VA)
- 23 Nov 2018 Dengue/DHF update (22): Asia, Africa, Europe, Australia, vaccine, serotypes
- 23 Nov 2018 Ebola update (138): Congo DR (NK, IT) cases, response, vaccine RFI
- 23 Nov 2018 Yellow fever - Africa (22): Nigeria (ED), Netherlands ex Gambia/Senegal
- 23 Nov 2018 Bovine tuberculosis - USA (07): (WI) bovine
- 23 Nov 2018 Peste des petits ruminants - Israel: (HZ) ovine, OIE
- 23 Nov 2018 Sarcoptic mange, fox - USA: (CA)
- 23 Nov 2018 Cyst nematodes, potato - India
- 22 Nov 2018 Adenovirus - USA (05): (MD) university
- 22 Nov 2018 E. coli EHEC - USA, Canada: O157, romaine lettuce
- 22 Nov 2018 Legionellosis - USA (14): (NC) casino
- 22 Nov 2018 Angiostrongylus cantonensis - USA (07): (LA)
- 22 Nov 2018 Listeriosis - USA (03): ready-to-eat pork patties, WGS, recall
- 22 Nov 2018 Tick-bite fever - Nepal: (KT) erythema migrans-like lesion, high-grade fever
- 22 Nov 2018 Brucellosis - USA (07): (WY) bovine
- 21 Nov 2018 Bluetongue - Turkey: (AA) ovine, st 8 & 4, OIE
- 21 Nov 2018 Anthrax - Kyrgyzstan (05): (DA) bovine, human susp
- 21 Nov 2018 Malaria, autochthonous P. vivax - Greece
- 21 Nov 2018 African swine fever - Asia (31): China (SH,SC) domestic swine, spread, OIE
- 21 Nov 2018 Pertussis (10): USA, Canada
- 21 Nov 2018 Hepatitis A - USA (58): (NM)
- 21 Nov 2018 Bovine tuberculosis - Canada (02): (BC) bovine
- 20 Nov 2018 Ebola update (137): Congo DR (NK, IT) cases, summary, response
- 20 Nov 2018 E. coli EHEC - USA (28): O157, romaine lettuce
- 20 Nov 2018 Chronic wasting disease, cervid - USA (19): (MT)
- 20 Nov 2018 Adenovirus - USA (04): (NJ) case numbers, update
- 20 Nov 2018 Anthrax - Australia (07): (VI) ovine
- 20 Nov 2018 Kyasanur Forest disease - India (11): (GA)
- 20 Nov 2018 Hepatitis E - Bangladesh (02): (CG)
- 20 Nov 2018 Banana bunchy top virus - South Africa: (NL)
- 19 Nov 2018 Greening disease, citrus - Thailand: antibiotic use
- 19 Nov 2018 Norovirus - USA (06): (CA)
- 19 Nov 2018 Hepatitis A - USA (57): (PA,WV)
- 19 Nov 2018 Ebola update (136): Congo DR (NK,IT) cases, response
- 19 Nov 2018 Foot & mouth disease - Nigeria: (YO) ex Cameroon and Chad, bovine, camel susp
- 19 Nov 2018 Hepatitis E - China (02): (HK) human, rat virus, 1st and 2nd reps
- 19 Nov 2018 Smoke inhalation - USA: (CA) wildfire, alert
- 19 Nov 2018 Foot & mouth disease - Russia (03): (SR) precautionary vaccine, RFI
- 19 Nov 2018 Clostridium perfringens foodborne illness - USA: (NC) church barbecue
- 19 Nov 2018 Salmonellosis, st Reading - USA (04): raw turkey products, recall
- 19 Nov 2018 Salmonellosis, st Newport - USA (05): ground beef, alert, recall
- 19 Nov 2018 Syphilis - Australia (03): (SA) increasing, congenital, indigenous people
- 19 Nov 2018 African swine fever - Europe (61): Belgium (LX) wild boar, scientific advice
- 19 Nov 2018 Rabies (56): Americas (Costa Rica, Colombia) bat, human, equine, bovine
- 18 Nov 2018 Anthrax - Zambia (06): (MU) hippopotamus, susp
- 18 Nov 2018 Anthrax - Namibia (04): (KU) livestock, human
- 18 Nov 2018 Tularemia - Germany: (BY) rabbit hunters
- 18 Nov 2018 Varicella update (16): USA (NC)
- 18 Nov 2018 Ebola update (135): Congo DR (NK,IT) cases, security
- 18 Nov 2018 Infant botulism - USA (03): (TX) honey pacifiers
- 18 Nov 2018 Classical swine fever - Japan (07): (GF) spread, wild, domestic
- 17 Nov 2018 African swine fever - Asia (30): China (JL) wild boar, regional impact
- 17 Nov 2018 Ebola update (134): Congo DR (NK, IT) cases, challenges
- 17 Nov 2018 African swine fever - Europe (60): Ukraine, domestic, wild boar, OIE
- 17 Nov 2018 Vitamin D toxicity - USA: canine, pet food recall
- 17 Nov 2018 West Nile virus (66): Americas (USA) equine
- 16 Nov 2018 African swine fever - Asia (29): China (CN) domestic, spread
- 16 Nov 2018 African swine fever - Asia (28): China (JL) 1st rep in wild boar, RFI
- 16 Nov 2018 Poliomyelitis update (55): global (WPV, cVDPV)
- 16 Nov 2018 Ebola update (133): Congo DR (NK,IT) cases, international
- 16 Nov 2018 Mumps update (08): Malaysia (SL) Ireland (GY)
- 16 Nov 2018 Taenia ovis - New Zealand: (BP) ovine, canine role
- 16 Nov 2018 Brucellosis - USA (06): (WY) bovine
- 16 Nov 2018 Acute flaccid myelitis - North America (09): USA
- 16 Nov 2018 Crimean-Congo hem. fever - East Africa (11): Uganda (RK)
- 15 Nov 2018 Newcastle disease - Sweden (02): (VG) poultry, epidemiology, genotype
- 15 Nov 2018 Ebola update (132): Congo DR (NK,IT) cases, vaccine, plans
- 15 Nov 2018 Crayfish plague - Ireland: (WH) white-clawed crayfish
- 15 Nov 2018 Myxomatosis - Portugal (02): (EV) hare, OIE
- 15 Nov 2018 Ross River virus - Australia (02): (NS)
- 15 Nov 2018 Measles update (70): Europe, Pacific, Americas
- 14 Nov 2018 Hepatitis A - USA (56): (WV,TN)
- 14 Nov 2018 American foulbrood, apis - New Zealand: (WK) control initiatives
- 14 Nov 2018 Bluetongue - Tunisia: (SZ,MS) ovine serotype 2, OIE
- 14 Nov 2018 E. coli EHEC - Canada (08): (BC) unpasteurized cheese, alert, recall
- 14 Nov 2018 Ebola update (131): Congo DR (NK,IT) cases, trial, prospects
- 13 Nov 2018 Lassa fever - West Africa (45): Nigeria
- 13 Nov 2018 Tularemia - Liechtenstein: (RU) hare, OIE
- 13 Nov 2018 Anthrax - Namibia (03): (KU,KE Bwabwata Natl Park) bovine, caprine, wildlife, OIE
- 13 Nov 2018 Rabies, human - UK: (England) ex Morocco, ex feline
- 13 Nov 2018 Scab disease, apple - Iraq: (DA)
- 12 Nov 2018 Ebola update (130): Congo DR (NK, IT) cases, control
- 12 Nov 2018 Japanese encephalitis & other - India (22): (MP)
- 12 Nov 2018 Myxomatosis - Portugal: hare, 1st rep
- 12 Nov 2018 Yellow fever - Africa (21): Nigeria, fake and back-dated cards
- 12 Nov 2018 African swine fever - Europe (59): Belgium (LX) wild boar, genotype
- 12 Nov 2018 Anthrax - Uganda (10): livestock, human, 2017-2018
- 12 Nov 2018 Measles update (69): South East Asia, Pacific, Middle East, Americas, Europe
- 12 Nov 2018 Invasive mosquitoes - USA (06): (CA)
- 11 Nov 2018 Giberella ear rot, maize - Canada, USA
- 11 Nov 2018 Histoplasmosis - Congo DR: (CC) var. duboisii, bat guano, 2011-2014
- 11 Nov 2018 Chikungunya (08): Americas, Africa, Asia, Europe, observations, research
- 11 Nov 2018 Acute flaccid myelitis - Japan: human enterovirus D68
- 10 Nov 2018 African swine fever - Asia (27): Japan ex China, contaminated food
- 10 Nov 2018 Equine infectious anemia - USA (09): (CO) equine
- 10 Nov 2018 Equine infectious anemia - Canada (06): (AB) equine
- 10 Nov 2018 Hand, foot & mouth disease update (14): Ireland, China (Hong Kong)
- 10 Nov 2018 Avian influenza, human (22): USA (NY) feline, H7N2, serological evidence
- 10 Nov 2018 Acute flaccid myelitis - North America (08): USA
- 10 Nov 2018 Ebola update (129): Congo DR (NK, IT) cases, summary, testing
- 10 Nov 2018 Crimean-Congo hem. fever - Pakistan (20): 2015-2018
- 09 Nov 2018 Dengue/DHF update (21): Americas
- 09 Nov 2018 Bovine ephemeral fever & lumpy skin disease - Oman: (JA)
- 09 Nov 2018 Chronic wasting disease, cervid - Canada (02): (SK)
- 09 Nov 2018 African swine fever - Asia (26): China (JX, FJ) domestic swine, spread, OIE
- 09 Nov 2018 Undiagnosed deaths, livestock, wildlife - Kenya: (TT)
- 09 Nov 2018 Leptospirosis - USA (04): (CA) sea lion, environmental links
- 09 Nov 2018 Cutaneous & renal glomerular vasculopathy, canine - UK (06): (England) risk factors
- 09 Nov 2018 New in IJID (11): November 2018
- 09 Nov 2018 Ebola update (128): Congo DR (NK, IT) cases, approach
- 09 Nov 2018 Salmonellosis, st Reading - USA (03): raw turkey products
- 09 Nov 2018 Varicella update (15): Yemen (HJ) susp, RFI
- 09 Nov 2018 E. coli EHEC - Europe: O80:H2, hybrid invasive pathogen, antimicrobial resistance
- 09 Nov 2018 Legionellosis - USA (13): (NYC) fatal, lower Washington Heights
- 09 Nov 2018 Necrotizing enterocolitis - South Africa: (GT) fatal, NICU outbreak
- 09 Nov 2018 Rabies (55): Americas (USA) bat, human
- 08 Nov 2018 Meningitis, meningococcal - New Zealand: emergence of serogroup W
- 08 Nov 2018 MERS-CoV (46): Saudi Arabia (RI, QS)
- 08 Nov 2018 Poliomyelitis update (54): Pakistan (BA) Afghanistan, global
- 08 Nov 2018 Cholera, diarrhea & dysentery update (46): Asia (Yemen) WHO
- 08 Nov 2018 Hepatitis A - USA (55): (OH, PA, MI)
- 08 Nov 2018 African swine fever - Asia (25): China (HU), domestic swine, OIE, epidemiology
- 08 Nov 2018 Macaque malaria - Malaysia: human, deforestation
- 08 Nov 2018 Salmonellosis, st Agbeni - USA (03): cake mix, CDC, alert, recall
- 08 Nov 2018 Ebola update (127): Congo DR (NK, IT) cases, summary, Uganda vaccination
- 08 Nov 2018 Adenovirus - USA (03): (NJ) 2nd location, update
- 08 Nov 2018 Avian influenza, human (21): China (GX) H5N6, H7N9 transmission
- 08 Nov 2018 West Nile virus (65): Europe, Greece, ECDC update
- 08 Nov 2018 Japanese encephalitis & other - India (21): (AS)
- 08 Nov 2018 Japanese encephalitis - Indonesia: (BA,SW)
- 08 Nov 2018 Little cherry & X diseases, cherry - USA: (WA)
- 07 Nov 2018 Pesticide poisoning - France (02): (PL) farmworkers, chemical ban
- 07 Nov 2018 Avian influenza (110): USA (MN) poultry, LPAI
- 07 Nov 2018 Bovine tuberculosis - USA (06): (WI) bovine
- 07 Nov 2018 Equine infectious anemia - USA (08): (GA) equine
- 07 Nov 2018 Hepatitis A - Canada (02): (ON)
- 07 Nov 2018 Shigellosis, st sonnei - USA: (VT) retirement community, multidrug resistant
- 07 Nov 2018 Domoic acid, crab viscera - USA (CA): alert
- 07 Nov 2018 Chronic wasting disease, cervid - USA (18): (MT)
- 07 Nov 2018 West Nile virus (64): Americas (USA) equine
- 07 Nov 2018 Eastern equine encephalitis - USA (26): human transplants
- 07 Nov 2018 Undiagnosed die-off, fish - Saudi Arabia: carp, RFI, corr. Iraq
- 07 Nov 2018 Hepatitis A - USA (54): (NC) fatal
- 07 Nov 2018 Malaria - Iran: near eradication
- 07 Nov 2018 Ebola update (126): Congo DR (NK, IT) cases, fear, summary
- 06 Nov 2018 Measles update (68): USA, South America, Middle East, Pacific
- 06 Nov 2018 Neonatal sepsis - Afghanistan: (PJ) fatal, NICU, RFI
- 06 Nov 2018 African swine fever - Europe (58): Romania (DJ, AG) domestic swine, spread, OIE
- 06 Nov 2018 Yellow fever - Africa (20): Ethiopia (SN), Nigeria (GO)
- 06 Nov 2018 Q fever - Australia: (NS) drought conditions, vaccination
- 06 Nov 2018 Undiagnosed die-off, fish - Saudi Arabia: carp, RFI
- 06 Nov 2018 Ebola update (125): Congo DR (NK, IT) cases, vaccine, WHO, CDC, response
- 06 Nov 2018 Cholera, diarrhea & dysentery update (45): Africa
- 06 Nov 2018 Salmonellosis, st Agbeni - USA (02): cake mix, alert, recall
- 06 Nov 2018 E. coli EHEC - Denmark: O26
- 06 Nov 2018 Measles update (67): Middle East, USA, Europe, South America
Published Date: 2018-12-05 23:15:04
Subject: PRO/EDR> Histoplasmosis - USA: (LA) scout camp attendees
Archive Number: 20181205.6182707
Subject: PRO/EDR> Histoplasmosis - USA: (LA) scout camp attendees
Archive Number: 20181205.6182707
HISTOPLASMOSIS - USA: (LOUISIANA) SCOUT CAMP ATTENDEES
******************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Tue 4 Dec 2018
Source: WAFB [edited]
http://www.wafb.com/2018/12/05/cdc-department-health-investigating-disease-outbreak-la-camp-boy-scouts-hospitalized/
The Istrouma Area Council of Boy Scouts of America, along with the Louisiana Department of Health (LDH), has closed a campsite on Avondale Scout Reservation to investigate cases of a disease that hospitalized 2 campers, sparking the involvement of the Centers for Disease Control and Prevention (CDC). Louisiana State Epidemiologist Raoult Ratard, speaking for the LDH, tells WAFB at least 15 campers may have been exposed to histoplasmosis, a disease spread through exposure to soil contaminated with bat or bird droppings.
Histoplasmosis is not contagious; it cannot be transmitted from an infected person or animal to another person, and infection does not always result in illness. Symptoms, when present, usually begin 3 to 17 days after exposure and range from mild conditions requiring no treatment to severe systemic illness that is frequently fatal when untreated, according to a report provided by the LDH. The illness is typically flulike, with symptoms such as fever, cough, fatigue, chills, headache, chest pain, and body aches.
"We are aware of reports from Avondale Scout Reservation that some participants were experiencing possible respiratory illness. All of those impacted have received medical attention and 2 participants remain in medical care. Our thoughts are with those who became ill and we pray for their speedy recovery. We will continue to support them however we can," said Gary Mertz, scout executive/CEO for Istrouma Area Council, Boy Scouts of America. A spokesman for the CDC confirmed they were alerted to a case of histoplasmosis by the LDH and are in communication with the department.
Ratard described the incident as isolated, saying investigators had located a tree frequented by birds where they believe the campers may have been exposed to the disease. Ratard did not predict there to be a greater risk to the public related because of this outbreak, but offered a warning for community members to avoid disturbing risk areas, like holes in trees and piles of leaves where animal droppings carrying the disease may be out of site. According to Ratard, those areas may become wet because of rainfall, hiding the droppings from plain sight when they dry.
In Louisiana's history, only 8 hospitalizations due to histoplasmosis have been confirmed between 1999 and 2014 in the region encompassing Ascension, East Baton Rouge, East Feliciana, West Baton Rouge, West Feliciana, Iberville, and Pointe Coupee parishes, according to information provided by the LDH. Avondale Scout Reservation will remain open as originally scheduled, as supported by the LDH.
[Byline: Kevin Foster]
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[_Histoplasma capsulatum_, a dimorphic fungus, is found worldwide in soil enriched by bird or bat droppings. Fungal spores become airborne during activities that disturb the contaminated soil, such as spelunking, mining, construction, excavation, demolition, roofing, chimney cleaning, farming, or gardening, which can lead to clusters of cases of histoplasmosis that follow inhalation of the aerosolized spores. The spores can travel distances downstream from the source in currents of air. Because contaminated soil can be potentially infectious for years, appropriate measures should be taken before starting work where dirt has been contaminated by bat or bird droppings to protect the health of persons in and around the area (https://idph.iowa.gov/cade/disease-information/histoplasmosis).
Birds cannot be infected by the fungus and do not transmit the disease; however, bats can become infected by _H. capsulatum_ and may harbor the fungus in their gut (https://academic.oup.com/jtm/article/15/2/133/1801173).
In the USA, histoplasmosis is endemic in the Ohio, Missouri, and Mississippi river valleys, where it is caused by _H. capsulatum_ var. _capsulatum_. In Africa, histoplasmosis occurs most commonly in west and central Africa, particularly where it is caused by the _duboisii_ variety, which has yeast cells that average about twice the size of _H. capsulatum_ var. _capsulatum_ (http://www.reviberoammicol.com/1997-14/155159.pdf).
Most individuals with histoplasmosis are asymptomatic. The symptoms of histoplasmosis are nonspecific and similar to pneumonia from any cause. However, the pulmonary infection can disseminate throughout the body, and immunocompromised individuals, e.g., patients with HIV/AIDS, may develop a severe form of histoplasmosis called progressive disseminated disease. _H. capsulatum _ var. _duboisii_ commonly involves the skin, bones, and lymph nodes.
Histoplasmosis cannot be transmitted from person to person or from animals to people. Antifungal drugs are used to manage severe cases of acute histoplasmosis and all cases of chronic pulmonary or disseminated disease. For treatment guidelines, see Clinical practice guidelines for the management of patients with histoplasmosis: 2007 update by the Infectious Diseases Society of America. Clin Infect Dis 2007;45:807-825. Available at http://cid.oxfordjournals.org/content/45/7/807.full.
More information on histoplasmosis can be found at https://www.cdc.gov/fungal/diseases/histoplasmosis/.
Avondale Scout Reservation is located on LA Highway 10, 3 miles [4.8 km] east of Clinton, Louisiana, in East Feliciana Parish and has more than 1665 acres of evergreen and hardwood forest, fields, lakes, and abundant wildlife (https://www.iacbsa.org/avondalesr). A map of the reservation can be found at https://www.iacbsa.org/files/10860/Avondale-Reservation, and a map of Louisiana showing the location of Avondale Scout Reservation can be found at https://www.google.com/maps/place/Avondale+Scout+Reservation. - Mod.ML
HealthMap/ProMED-mail map:
Louisiana, United States: http://healthmap.org/promed/p/221]
******************************************************
A ProMED-mail post
http://www.promedmail.org
ProMED-mail is a program of the
International Society for Infectious Diseases
http://www.isid.org
Date: Tue 4 Dec 2018
Source: WAFB [edited]
http://www.wafb.com/2018/12/05/cdc-department-health-investigating-disease-outbreak-la-camp-boy-scouts-hospitalized/
The Istrouma Area Council of Boy Scouts of America, along with the Louisiana Department of Health (LDH), has closed a campsite on Avondale Scout Reservation to investigate cases of a disease that hospitalized 2 campers, sparking the involvement of the Centers for Disease Control and Prevention (CDC). Louisiana State Epidemiologist Raoult Ratard, speaking for the LDH, tells WAFB at least 15 campers may have been exposed to histoplasmosis, a disease spread through exposure to soil contaminated with bat or bird droppings.
Histoplasmosis is not contagious; it cannot be transmitted from an infected person or animal to another person, and infection does not always result in illness. Symptoms, when present, usually begin 3 to 17 days after exposure and range from mild conditions requiring no treatment to severe systemic illness that is frequently fatal when untreated, according to a report provided by the LDH. The illness is typically flulike, with symptoms such as fever, cough, fatigue, chills, headache, chest pain, and body aches.
"We are aware of reports from Avondale Scout Reservation that some participants were experiencing possible respiratory illness. All of those impacted have received medical attention and 2 participants remain in medical care. Our thoughts are with those who became ill and we pray for their speedy recovery. We will continue to support them however we can," said Gary Mertz, scout executive/CEO for Istrouma Area Council, Boy Scouts of America. A spokesman for the CDC confirmed they were alerted to a case of histoplasmosis by the LDH and are in communication with the department.
Ratard described the incident as isolated, saying investigators had located a tree frequented by birds where they believe the campers may have been exposed to the disease. Ratard did not predict there to be a greater risk to the public related because of this outbreak, but offered a warning for community members to avoid disturbing risk areas, like holes in trees and piles of leaves where animal droppings carrying the disease may be out of site. According to Ratard, those areas may become wet because of rainfall, hiding the droppings from plain sight when they dry.
In Louisiana's history, only 8 hospitalizations due to histoplasmosis have been confirmed between 1999 and 2014 in the region encompassing Ascension, East Baton Rouge, East Feliciana, West Baton Rouge, West Feliciana, Iberville, and Pointe Coupee parishes, according to information provided by the LDH. Avondale Scout Reservation will remain open as originally scheduled, as supported by the LDH.
[Byline: Kevin Foster]
--
Communicated by:
ProMED-mail from HealthMap Alerts
<promed@promedmail.org>
[_Histoplasma capsulatum_, a dimorphic fungus, is found worldwide in soil enriched by bird or bat droppings. Fungal spores become airborne during activities that disturb the contaminated soil, such as spelunking, mining, construction, excavation, demolition, roofing, chimney cleaning, farming, or gardening, which can lead to clusters of cases of histoplasmosis that follow inhalation of the aerosolized spores. The spores can travel distances downstream from the source in currents of air. Because contaminated soil can be potentially infectious for years, appropriate measures should be taken before starting work where dirt has been contaminated by bat or bird droppings to protect the health of persons in and around the area (https://idph.iowa.gov/cade/disease-information/histoplasmosis).
Birds cannot be infected by the fungus and do not transmit the disease; however, bats can become infected by _H. capsulatum_ and may harbor the fungus in their gut (https://academic.oup.com/jtm/article/15/2/133/1801173).
In the USA, histoplasmosis is endemic in the Ohio, Missouri, and Mississippi river valleys, where it is caused by _H. capsulatum_ var. _capsulatum_. In Africa, histoplasmosis occurs most commonly in west and central Africa, particularly where it is caused by the _duboisii_ variety, which has yeast cells that average about twice the size of _H. capsulatum_ var. _capsulatum_ (http://www.reviberoammicol.com/1997-14/155159.pdf).
Most individuals with histoplasmosis are asymptomatic. The symptoms of histoplasmosis are nonspecific and similar to pneumonia from any cause. However, the pulmonary infection can disseminate throughout the body, and immunocompromised individuals, e.g., patients with HIV/AIDS, may develop a severe form of histoplasmosis called progressive disseminated disease. _H. capsulatum _ var. _duboisii_ commonly involves the skin, bones, and lymph nodes.
Histoplasmosis cannot be transmitted from person to person or from animals to people. Antifungal drugs are used to manage severe cases of acute histoplasmosis and all cases of chronic pulmonary or disseminated disease. For treatment guidelines, see Clinical practice guidelines for the management of patients with histoplasmosis: 2007 update by the Infectious Diseases Society of America. Clin Infect Dis 2007;45:807-825. Available at http://cid.oxfordjournals.org/content/45/7/807.full.
More information on histoplasmosis can be found at https://www.cdc.gov/fungal/diseases/histoplasmosis/.
Avondale Scout Reservation is located on LA Highway 10, 3 miles [4.8 km] east of Clinton, Louisiana, in East Feliciana Parish and has more than 1665 acres of evergreen and hardwood forest, fields, lakes, and abundant wildlife (https://www.iacbsa.org/avondalesr). A map of the reservation can be found at https://www.iacbsa.org/files/10860/Avondale-Reservation, and a map of Louisiana showing the location of Avondale Scout Reservation can be found at https://www.google.com/maps/place/Avondale+Scout+Reservation. - Mod.ML
HealthMap/ProMED-mail map:
Louisiana, United States: http://healthmap.org/promed/p/221]
See Also
Histoplasmosis - Congo DR: (CC) var. duboisii, bat guano, 2011-2014 20181111.61392632017
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Histoplasmosis - Dominican Republic: (ST) tunnel cleaners, 2015 20171208.5491922
Histoplasmosis - Brazil: (DF) firefighters, bat cave 20170613.5102803
2015
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Histoplasmosis - Dominican Republic (02): (ST) tunnel cleaners, update 20150924.3668692
Histoplasmosis - Dominican Republic: (ST) tunnel cleaners 20150918.3654521
2014
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Histoplasmosis - Canada: (QC) house renovation 20140104.2150895
2013
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Histoplasmosis - USA: (MT) expanded range 20131026.2020454
Histoplasmosis - USA: (IL) prison 20130920.1958172
Histoplasmosis, researchers - UK: ex Uganda, 2011 20130311.1581417
2012
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Histoplasmosis - USA (02): travelers, comment 20120922.1304707
Histoplasmosis - USA: (NE) day camp attendees 20120920.1303165
Histoplasmosis - South Africa: (GT) 20120727.1217158
2011
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Histoplasmosis, researchers - UK: ex Uganda, alert 20110908.2738
2008
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Histoplasmosis, travelers - USA ex El Salvador (02): background 20081222.4030
Histoplasmosis, travelers - USA ex El Salvador 20081219.3994
2007
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Histoplasmosis - Taiwan: 1st indigenous case 20070118.0230
2006
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Histoplasmosis, researchers - Italy ex Ecuador: alert 20060825.2399
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