Potential Botulism: Quebec (June 8, 2007)
The Canadian Food Inspection Agency (CFIA) and Poissonnerie Lelièvre, Lelièvre et Lemoignan Ltée are warning the public not to consume clams and cod liver sold in mason jars because these products may be contaminated with Clostridium botulinum. The affected products were sold only from the Poissonnerie Lelièvre, Lelièvre et Lemoignan Ltée retail outlet, 52, rue des Vigneaults, Sainte-Thérèse-de-Gaspé, Quebec. The affected products were packed in mason jars, all sizes of these products are affected by this alert. These products do not contain any lot codes, UPC codes, or Best Before dates.
Source: Canadian Food Inspection Agency.

Third Measles Case – USA imported ex Japan: Lane County, Eugene, OR. (June 7, 2007)
Lane County Public Health has identified a third probable case of measles in the community. Two previous cases of measles have been confirmed in Lane County since the week of May 28th. The second confirmed case was possibly contagious and could have exposed the public to measles. The index case was diagnosed with measles, in May 26, 2007, after he returned from a trip to Japan.
Source: Lane County Public Health, Eugene, OR.

Measles outbreak in Japan: update (June 9, 2007)
Between 1 January and 27 May 2007, a total of 1121 measles cases from 3000 pediatric sentinels have been reported nationwide. 657 cases of them (58.6%) were reported from southern Kanto area including Saitama, Tokyo and Chiba. In 21st epidemiological week (from 21 to 27 May), 215 new cases from pediatric sentinels have been reported from 27 prefectures in Japan; 108 cases from southern Kanto area, 35 cases from northern part of Japan including Miyagi and Hokkaido. This was the highest number of cases reported per week in 2007.
Regarding adult measles (cases of 15-year-old and older), between 1 January and 27 May 2007, a total of 387 cases have been reported from 450 hospital sentinels; 139 cases from Tokyo, 45 cases from Kanagawa, 40 cases from Miyagi and 34 cases from Saitama. Since 1999, cases reported from southern Kanto area are increasing continuously. This report also indicates that the outbreak is spreading to northern part of Japan.
Source: Infectious Disease Surveillance Center, National Institute of Infectious Diseases, Tokyo, Japan

Third Plague Case: New Mexico (June 7, 2007)
The New Mexico Department of Health has confirmed a fatal case of bubonic plague in a 3-year-boy from the East Mountain area of Bernalillo County. This is the third case of plague confirmed in New Mexico this year. The first case occurred in late April in a man from San Juan County who recovered, and the second case was in a woman from Torrance County who is still hospitalized.
There were eight human cases of plague in 2006 in New Mexico with two fatalities. Five cases were from Bernalillo County and one each from Santa Fe, San Miguel, and Torrance counties. Four human plague cases occurred in New Mexico in 2005. There were no human plague cases in New Mexico in 2004.
Source: New Mexico Health Department.

Deadly Ehrlichiosis: Missouri (June 7, 2007)
Health officials warned Missourians to guard against tick bites, after the death of a child bitten by a tick in a north eastern part of the state. The child became ill after being bitten by a tick and died 23 May 2007, after 10 days of intensive medical care. Tests performed at St Louis Children's Hospital showed the child was infected with ehrlichiosis. The state health department reports a 2007 rise in tickborne diseases such as ehrlichiosis and Rocky Mountain spotted fever. Other tickborne diseases reported in Missouri in 2007 include tularemia and Lyme-like disease. So far, 16 cases of ehrlichiosis have been reported. In the past 5 years, Missouri has seen an average of 9 cases per year during the same time period. Officials said 54 cases of Rocky Mountain spotted fever have been reported so far, with an average of 22 cases per year over the past 5 years. Other tickborne diseases reported in Missouri this year include 2 cases of tularemia and 10 cases of Lyme-like disease.
Source: Missouri Department of Health and Senior Services.

The details given are for information only and may be very provisional. Where incidents are considered of national importance and are ongoing, the initial report will be updated as new information becomes available.