Reported Lyme Disease Cases by YearUnited States, 1982-2002

0

5,000

10,000

15,000

20,000

25,000

1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002

Year

Cas

es

Reported Cases of Lyme Disease by Year, United States, 1995-2012

*National Surveillance case definition revised in 2008 to include probable cases; details at http://www.cdc.gov/ncphi/disss/nndss/casedef/lyme_disease_2008.htm

Probable cases*

Confirmed cases

Nipah Encephalitis

Nipah Virus

Misdiagnoised as Japanese Encephalitis

ClinicalEpidemiologicLaboratory

Nipah Encephalitis

Microbial Threats to Health

Guangdong

Province, ChinaA

A

Hotel MHong Kong

B

J

H

Hospital 2

Hong Kong A

H

J

B

4 other Hong Kong

Hospitals

CD

E

Hospital 3 Hong Kong

Hospital 1 HK

Hospital 4 Hong Kong 2 family

members

C D E

34 HCWs

HCW

B Germany

Bangkok

Singapore

United States

I

IL§

M§

Vietnam

K † Ireland

K †

37 HCWs

HCW

0 HCWs

28 HCWs

156 close

contacts of HCWs

and patients

FG †

Canada

G †

F

4 family

members

10 HCWs

37 close contacts

99 HCWs (includes 17

medical students)

4 HCWs*

3 HCWs

HCW

HCW

2 family

members

Unknown number

close contacts

2 close contacts

* Health-care workers; † All guests except G and K stayed on the 9th floor of the hotel. Guest G stayed on the 14th floor, and Guest K stayed on the 11th floor; § Guests L and M (spouses) were not at Hotel M during the same time as index Guest A but were at the hotel during the same times as Guests G, H, and I, who were ill during this period.

Chain of transmission among guests at Hotel M—Hong Kong, 2003

Data as of 3/28/03

Global SARS Cases (Probable)WHO 26 September 2003

Country Cases Deaths Case fatality

Canada 251 43 15.3%

China 5327 349 6.5%

Hong Kong 1755 299 16.9%

Singapore 238 33 15.5%

Taiwan 346 37 12.5%

Thailand 9 2 22%

U.S. 75 0 0%

Vietnam 63 5 7.9%

Other 81 5 6.2%

Total 8098 774 9.6%

SARS Corona Virus

                                           Tuesday, Oct 16, 2012

The Armageddon virus: Why experts fear a disease that leaps from animals to humans could devastate mankind in the next five years

•Warning comes after man died from a Sars-like virus that had previously only been seen in bats•Earlier this month a man from Glasgow died from a tick-borne disease that is widespread in domestic and wild animals in Africa and Asia

http://www.dailymail.co.uk/science

04/21/23 gubler2

04/21/23 gubler2

52,160 cases231 deathsCFR-0.44%93 countries

Avian Influenza

What did These Epidemic Diseases have in Common?

• All were zoonotic pathogens• Jumped species• Most had Asian origin• Clinical and laboratory diagnosis problematic• Poor communication• Transmission & spread as result of

demographic and societal changes • Major economic impact