ETIDIOH - NEW

  10 December 2025 Situation at a glance Seasonal influenza (‘the flu’) is an acute respiratory infection caused by influenza viruses that circulate globally and year-round.  It can cause illness ranging from mild to severe , sometimes resulting in hospitalization or death.  Seasonal influenza activity has increased globally in recent months, with an increased proportion of seasonal influenza A(H3N2) viruses being detected.  This rise coincides with the onset of winter in the northern hemisphere and an increase in acute respiratory infections caused by influenza and other respiratory viruses typically observed at this time of year.  Although global activity remains within expected seasonal ranges , early increases and higher activity than typical at this time of year have been observed in some regions.  Seasonal influenza viruses, including A(H3N2) viruses, continually evolve over time.  Since August 2025, there has been a rapid increase of A(H3N2) J.2...

{Greylag Goose} {Mallards} A Greylag Goose, two Mallards  in Aqmola Region. Source:  Link:  https://wahis.woah.org/#/in-review/7093 ____

  The outbreak affecting captive birds was in an establishment with 4 laying hens , 1 cock and 1 runner duck located in Harju county, Viimsi parish . The outbreak was confirmed on the 9th of December 2025 based on analysis performed tracheal and brain samples at the National Centre for Laboratory Research and Risk Assessment, and in accordance with the case definition. Measures were only applied in the outbreak establishment. Based on a risk assessment, no restricted zone was established around the affected establishment in accordance with Article 21(3)(g). The establishment concerned kept only 6 captive birds and they had no direct or indirect contact with poultry or other establishments keeping captive birds . In the establishment, all captive birds were already dead. No culling was necessary. Preliminary cleaning and disinfection was applied. Source:  Link:  https://wahis.woah.org/#/in-review/7092 ____

  A Common Teal in Jeollanam-do Region. Source:  Link:  https://wahis.woah.org/#/in-review/7034 ____

  {England, Kent} Laying flock with around 31K birds. Samples taken were positive for HPAI H5N1. Birds presented clinical signs prior to testing. {England, Suffolk} Backyard flock. Samples taken were positive for HPAI H5N1. Birds presented clinical signs of AI prior to testing. Source:  Link:  https://wahis.woah.org/#/in-review/7081 ____

  {Summary} Highlights     • All clades of the monkeypox virus (MPXV) continue to circulate.  - When mpox outbreaks are not rapidly contained and human-to-human transmission is not interrupted, there is a risk of sustained community transmission .   • In October 2025, 44 countries , across all WHO regions, reported a total of 2501 new confirmed mpox cases , including 12 deaths (case fatality ratio [CFR] 0.5%).  - About 75% of these cases were reported in the African Region .  - All regions, apart from the South-East Asia Region observed a decline in confirmed cases in October, compared to September 2025.      • Twenty-one countries in Africa have reported active transmission of mpox in the last six weeks (12 October – 23 November 2025), with 1734 confirmed cases , including 10 deaths (CFR 0.6%) reported during this period.  - Countries reporting the highest number of cases in this period are the Democratic Republic of the Congo...

  Latest update The UK Health Security Agency (UKHSA) has identified a new recombinant mpox virus in England in an individual who had recently travelled to Asia .   -- Genomic sequencing showed that the mpox genome contained elements of clade Ib and IIb mpox .  -- This is not unexpected as both clades are circulating , but highlights the continued potential for mpox virus to evolve and the importance of continued genomic surveillance.     -- UKHSA continues to assess the significance of the strain.   Dr Katy Sinka, Head of Sexually Transmitted Infections at UKHSA, said:    '' Our genomic testing has enabled us to detect this new mpox strain . It’s normal for viruses to evolve, and further analysis will help us understand more about how mpox is changing.   '' Although mpox infection is mild for many, it can be severe . Getting vaccinated is a proven effective way to protect yourself against severe disease, so please make su...

{Excerpt} Country 2024 (cases - deaths) - 2025 (cases - deaths) - Total (cases - deaths) 1) Australia - 1 - 0 - 0 - 0 - 1 - 0   2) Azerbaijan - ... - ... - 0 - 0 - 8 - 5  3) Bangladesh - ... - ... -  3 - 0 - 11 - 1  4) Cambodia - 10 - 2 - 17 - 8 - 89 - 51  5) Canada - 1 - 0 - 0 - 0 - 2 - 1  6) Chile - ... - ... - 0 - 0 - 1 - 0  7) China - 1 - 0 - 1 - 0 - 57 - 32  8) Djibouti - ... - ... - 0 - 0 - 1 - 0  9) Ecuador - ... - ... - 0 - 0 - 1 - 0  10) Egypt - ... - ... - 0 - 0 - 359 - 120  11) India - ... - ... - 2 - 2 - 3 - 3  12) Indonesia - ... - ... - 0 - 0 - 200 - 168  13) Iraq - ... - ... - 0 - 0 - 3 - 2  14) Lao People's Democratic Republic - ... - ... - 0 - 0 - 3 - 2  15) Mexico - ... - ... - 1 - 1 - 1 - 1  16) Myanmar - ... - ... - 0 - 0 - 1 - 0  17) Nepal - ... - ... - 0 - 0 - 1 - 1  18) Nigeria - ... - ... - 0 - 0 - 1 - 1  19) Pakistan - ... - ... - 0 - 0 - 3 - 1  20) Spain - ... - ...

  Situation at a glance The purpose of this report is to raise awareness about the local transmission of clade Ib monkeypox virus (MPXV) among men who have sex with men (MSM) in countries previously unaffected or to date reporting only cases linked to travel.  This report summarizes recent epidemiological developments , response activities, and the associated global public health risk .  The second declaration of a public health emergency of international concern (PHEIC) for mpox was lifted on 5 September 2025.  As both MPXV clades I and II and their subclades continue to circulate globally, leading to substantial outbreaks in African countries , WHO continues to advise emergency preparedness and response activities .  Multiple modes of transmission underlie ongoing virus circulation , with sexual contact remaining the primary amplifier of transmission in most settings.  Since 5 September 2025, several countries across four of six WHO regions have confirmed...

  5 December 2025 Situation at a glance On 15 November 2025, WHO was notified of the 71st confirmed human case with influenza A(H5) since early 2024 in the United States of America — the first human case reported in the United States of America since February 2025 .  On 20 November, U.S. Centers for Disease Control and Prevention (CDC) laboratory sequencing verified the virus as influenza A(H5N5), representing the first globally reported human case caused by an influenza A(H5N5) virus.  The investigation by health authorities in the United States of America is ongoing.  Contact tracing identified no further cases amongst contacts, and there is currently no evidence of human-to-human transmission .  Due to the constantly evolving nature of influenza viruses , WHO continues to stress the importance of global surveillance to detect and monitor virological (including genomics), epidemiological and clinical changes associated with emerging or circulating influenza vi...

  {Summary} Time Period: November 23, 2025 - November 29, 2025 -- H5 Detection :  2 site(s) ( 0.6% ) -- No Detection :  352 site(s) ( 99.4% ) -- No samples in last week :  102 site(s) (...) Source:   Link:  https://www.cdc.gov/nwss/rv/wwd-h5.html ____