ETIDIOH - NEW

  {Summary} Overall risk and confidence Overall risk -- National: High  -- Regional: Moderate    -- Global: Low    Confidence in available information  -- National: Moderate -- Regional: Moderate -- Global: Moderate Risk statement On 1 September 2025, WHO received an alert from the Ministry of Health of the Democratic Republic of the Congo (DRC) regarding suspected cases of Ebola virus disease (EVD) in the Bulape Health Zone , Kasai Province , DRC.  The first currently known suspected EVD case was admitted to the Bulape General Reference Hospital on 20 August 2025 and reported to have died five days later (25 August 2025). This is a 34-year-old female patient with a 34-week gestational age who presented with fever, bloody diarrhoea, followed by anal, oral, and nasal haemorrhage, vomiting , and asthenia .  She reportedly died on 25 August 2025, with a clinical picture of multiple organ failure.  Two of the contacts of this first case (a m...

  Highlights •  Most vector-borne viruses like alphaviruses are not included in routine diagnostics •  Lack of testing results in misdiagnoses and underdetection •  A new multiplexed real-time PCR assay detects all human pathogenic alphaviruses •  The new multiplex assay is more sensitive than available tests and highly specific •  The multiplex test can be applied broadly for diagnostics and molecular surveillance Abstract Background Knowledge of epidemiology, pathogenesis, and public health burden is scarce for many arthropod-borne viruses (arboviruses). Insufficient knowledge is partly due to lack of exhaustive laboratory diagnostics due to resource limitations . Among arboviruses , arthritogenic and encephalitogenic alphaviruses are globally widespread, can cause severe disease, and can co-occur regionally. Objectives We developed and validated a multiplexed real-time reverse transcription-PCR assay for the detection of all alphaviruses commonly causing...

  Abstract Background Ebola virus disease (EVD) is a severe and often fatal illness with high transmission potential and recurring outbreaks . Traditional compartmental models often neglect biologically important delays , such as the latent period before an infected individual becomes infectious, limiting their ability to capture real-world epidemic patterns. Including such delays can provide a more accurate understanding of outbreak persistence and control strategies. Methods In this study, we develop and analyze a novel deterministic SIRR model that captures the complex transmission dynamics of Ebola by explicitly combining nonlinear incidence rates with a delay differential equation framework . Unlike traditional models, this approach integrates a biologically motivated delay to represent the latent period before infectiousness, providing a more realistic depiction of disease spread. The basic reproduction number (R0) is derived using the next-generation matrix, and local stabil...

  {Summary} Time Period: September 07, 2025 - September 13, 2025 -- H5 Detection :  3 sites ( 0.7% ) -- No Detection :  401 sites ( 99.3% ) -- No samples in last week :  57 sites (...) Source: US Centers for Disease Control and Prevention,  https://www.cdc.gov/nwss/rv/wwd-h5.html ____

  ABSTRACT H10 subtype avian influenza viruses primarily circulate among wild waterfowl but can occasionally infect mammals , including humans , and recent sporadic human cases have raised significant public health concerns . In this study, we sequenced and analysed 59 H10 subtype viruses isolated from wild birds in Taiwan . Results showed that all isolates were genetically distinct from human and other mammalian H10 subtype isolates. Taiwanese isolates exhibited high genetic diversity and could be categorized into 34 distinct genotypes , with each genotype circulating only in a single migratory season and not recurring during subsequent seasons. Additional analyses revealed that certain gene pools frequently circulate in the Pacific Rim , with evidence of North American lineage genes establishing long-term populations in Eurasia and vice versa. Although no characteristics indicative of mammalian adaptation was found in the Taiwanese isolates, temporal changes in the haemagglutinin...

  {Summary} -- During current epidemiological week ( 11– 17 September 2025),  65 new confirmed human cases of infection with West Nile Virus have been reported.  -- The total number of confirmed cases , since the beginning of the epidemic season, has thus risen to 647 (it was 582 last week), of these:  - 300 were West Nile Neuroinvasive Disease (WNND): 15 in Piedmont, 39 Lombardy, 24 Veneto, 2 Friuli-Venezia Giulia, 1 Liguria, 23 Emilia-Romagna, 5 Tuscany, 83 Latium, 2 Molise, 77 Campania, 2 Apulia, 2 Basilicata, 5 Calabria, 1 Sicily, 19 Sardinia,  - 54 were asymptomatic cases detected among blood donors ,  - 284 were West Nile Fever cases (one imported from Kenya),  - 3 asymptomatic cases and  - 6 unspecified casese.  -- Among confirmed cases, there were 47 death cases : 7 in Piedmont, 5 Lombardy, 1 Emilia-Romagna, 16 Latium, 15 Campania, 2 Calabria, 1 Sardinia.  - The Case-Fatality Rate in WNND cases was 15.8% (it was 20% in 2018 and...

  ABSTRACT Cell cultures are widely used to study infectious respiratory diseases and to test therapeutics; however, they do not faithfully recapitulate the architecture and complexity of the human respiratory tract . Lung organoids have emerged as an alternative model that partially overcomes this key disadvantage. Lung organoids can be cultured in various formats that offer potential for studying highly pathogenic viruses . However, the effects of these different formats on virus infection remain unexplored, leaving their relative value unclear. In this study, we generated primary lung organoids from human donor cells and used them to derive monolayers and air-liquid interface (ALI) cultures with the goal of comparing the replication kinetics of two circulating highly pathogenic coronaviruses , severe acute respiratory syndrome coronavirus 2 ( SARS-CoV-2 ) and Middle East respiratory syndrome coronavirus ( MERS-CoV ). Infection studies revealed that organoid-derived monolayers di...

  Situation at a glance Between 1 January and 29 August 2025, the International Health Regulations National Focal Point (IHR NFP) for Bangladesh notified WHO of four confirmed fatal Nipah virus (NiV) infection cases , temporally unrelated , reported from four different districts across three separated geographical divisions (Barisal, Dhaka, and Rajshahi) in Bangladesh.  NiV infection is a zoonotic disease transmitted to humans through infected animals (such as bats or pigs ), or food contaminated with saliva, urine , and excreta of infected animals .  It can also be transmitted directly from person to person through close contact with an infected person.  Fruit bats or flying foxes (Pteropus species) are the natural hosts for the virus.  Human NiV infection is an epidemic-prone disease that can cause severe disease in humans and animals, with a high mortality rate , and outbreaks primarily occurring in South and South-East Asia .  Since the first recognized...

  Abstract Global efforts to eradicate smallpox—an Orthopoxvirus infection—began in the mid-20th century, with the last naturally occurring case reported in 1977. This was achieved through global solidarity efforts that expanded the smallpox eradication vaccination program . Approximately 50 years following the cessation of mass smallpox vaccination and in the absence of access to a sustainable boosting program , the population immunologically naïve to Orthopoxviruses has increased significantly. With increasing global movements and travels, we argue that the emergence of two back-to-back yet distinct mpox epidemics in the 21st century is a sign of humanity’s lost herd immunity to Orthopoxviruses. This needs concerted efforts to restore. Source: Viruses,  https://www.mdpi.com/1999-4915/17/9/1257 ____

  ABSTRACT Influenza A viruses continuously circulate among avian and swine species, posing a persistent threat to public health . The development of influenza candidate vaccine viruses (CVVs) plays a pivotal role in the global strategy for influenza pandemic preparedness . Safety-testing of CVVs for attenuation in ferrets represents a critical step that takes place prior to making these viruses available to vaccine manufacturers . Development of pathogenicity standards is needed to establish acceptable thresholds of disease so that CVV safety can be assessed without the need for comparison to the parental virus. To assess the capacity of diverse CVVs to cause pathogenesis in mammalian hosts , clinical and virological parameters were compiled from CVV assessments in ferrets conducted using consistent methods over approximately 20 years to identify disease parameters most reflective of attenuation compared to wild-type strains. These analyses revealed an overall reduction in ferret ...

  New human cases {1,2}:  -- From 2 July to 25 August 2025 , based on reporting date, the detection of influenza A( H5N1 ) in five humans and influenza A(H9N2) in two humans were reported officially.   Circulation of influenza viruses with zoonotic potential in animals :  - High pathogenicity avian influenza (HPAI) events in poultry and non-poultry animal species continue to be reported to the World Organisation for Animal Health (WOAH).{3}  - The Food and Agriculture Organization of the United Nations (FAO) also provides a global update on avian influenza viruses with pandemic potential.{4}  Risk assessment {5}:  - Sustained human to human transmission has not been reported from these events.  - Based on information available at the time of this risk assessment update , the overall public health risk from currently known influenza A viruses detected at the human-animal interface has not changed and remains low .  - The occurrence of sus...

  Summary Artificial intelligence (AI) is reshaping infectious disease diagnostics by supporting clinical decision making , optimising laboratory and clinical workflows, and enabling real-time disease surveillance. AI approaches improve pathogen detection, antimicrobial stewardship , and treatment monitoring , enhancing diagnostic accuracy , efficiency, and scalability. The role of AI in combating antimicrobial resistance is particularly significant, enabling rapid pathogen identification and personalised treatment . Despite progress over the past two decades, widespread AI adoption in infectious disease diagnostics faces challenges. In high-income countries, fragmented data ecosystems , incomplete datasets , and algorithmic bias hinder clinical integration. Meanwhile, low-income and middle-income countries contend with limited digital infrastructure, unstandardised data, and financial constraints, exacerbating disparities in diagnostic access. Further barriers include concerns ove...

Overall global risk and confidence * Overall risk :  Global  - Moderate     Confidence in available information : Global - Low   Overall risk statement As of mid-2025, the global public health risk from COVID-19 has changed from high to moderate , with declining deaths and hospitalizations since 2022 due to high population immunity , improved clinical management , and similar virulence .  Most SARSCoV-2 variants now belong to the JN.1 Omicron sublineages , which show immune escape but do not result in increased disease severity.  Nonetheless, surveillance gaps , reduced genomic sequencing and sharing of sequence information, and limited reporting, especially from low- and middle-income countries , undermine accurate risk assessment .  SARS-CoV-2 continues to circulate widely , as indicated by sentinel testing and wastewater surveillance , often co-circulating with influenza and RSV .  PostCOVID-19 condition is estimated to affect ...