Chickenpox

The British Society for Rheumatology biologic DMARD safety guidelines in inflammatory arthritis—Executive summary External link

Source country oxforduniversitypress-rheumatology Wednesday, August 22, 2018 3:07:00 AM CEST | info [other]

]. Accompanying each recommendation in this guideline, in brackets, is the strength of recommendation, quality of evidence and strength of agreement. Strength of recommendation. Using GRADE, recommendations were categorized as either strong (denoted by 1) or weak (denoted by 2), according to the balance between benefits, risks, burden and cost....

AMV llama a prevenir la varicela External link

Source country debate Wednesday, August 22, 2018 12:59:00 AM CEST | info English text... [en] [other]

Trigger words: [Chickenpox] varicela[14]; neonatal[1]; casos[5]; Varicela[1]; muerte[1];

Other categories: Encephalitis; Medicinal Products; WHO; Artificial Tissues Adverse Effects;

La Asociación Mexicana de Vacunología (AMV) reitera su llamado a la población de todas las edades para asegurarse que tengan completo su- esquema- de vacunación para prevenir enfermedades que puedan afectarlos y poner en riesgo su vida. Cada año se reportan más de 100,000 casos de varicela en México.......

Amv called to prevent chickenpox

The mexican association of Vacunología (AMV) reverse transcriptase reiterates his call to the population of all ages to ensure that they complete their - schedule - of vaccination to prevent diseases that may affect them and endanger their lives. Each year brings more than 100,000 cases of chickenpox in Mexico....

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Diphtheria

الخناق يضيق على ترامب... محاميه يسلم نفسه 2018-08-21 External link

Source country arabs48 Tuesday, August 21, 2018 11:11:00 PM CEST | info English text... [en] [other]

Trigger words: [Diphtheria] الخناق[1];

Entities: Donald Trump[1];

Other categories:

وافق مايكل كوهن، المحامي السابق للرئيس الأميركي، دونالد ترامب، على الاعتراف بالتهم الموجهة إليه، ضمن تحقيق فيدرالي في تعاملاته التجارية، وما يشتبه أنها انتهاكات محتملة لتمويل الحملة الانتخابية لترامب، وذلك مقابل اتفاق مع القضاء بحسب العديد من وسائل الإعلام....

The noose is tightening on ترامب... His lawyer turns himself in 2018-08-21

Agreed Michael Cohen, a former lawyer for the US president, Donald ترامب, on the recognition of the charges against him, within a federal investigation in trade dealings, and suspected of possible violations of the Financing of the electoral campaign of ترامب, in return for an agreement with the judiciary, according to many of the media.

Вспышка кори в Украине: в Минздраве не видят признаков эпидемии External link

Source country fakty-ua-ru Tuesday, August 21, 2018 6:47:00 PM CEST | info English text... [en] [other]

Trigger words: [Diphtheria] Вспышка[1]; вспышками[1]; рост[1]; вспышки[2]; дифтерии[1];

Entities: Виктор Ляшко[1];

Other categories: vaccines; Epidemic;

В Минздраве Украины настаивают, что в Украине нет эпидемии кори, а есть лишь вспышки заболевания. Об этом журналистам рассказал первый заместитель гендиректора Центра общественного здоровья Минздрава Виктор Ляшко. Он назвал рост заболеваемости прогнозируемым пятилетним подъемом....

The measles outbreak in ukraine: in Минздраве saw no signs of epidemic

In ukraine Минздраве insisted that no measles epidemic in ukraine, and there are only outbreaks of disease. The journalists told the first deputy director of the centre for community health of the health ministry Виктор Ляшко. He called the growing incidence of projected quinquenniums rise.

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Haemophilus influenzae Infection

RCA : deux ans de campagne de vaccination de masse au milieu des violences External link

Source country MSF-fr Tuesday, August 21, 2018 5:34:00 PM CEST | info English text... [en] [other]

Trigger words: [HaemophilusinfluenzaeInfection] Haemophilus influenzae[1]; influenzae[1]; Haemophilus[1];

Other categories: vaccines; Measles; Poliomyelitis;

Les crises successives qu’a connues la République centrafricaine (RCA) ont mis à mal un système de santé déjà très précaire, privant la population d’un accès aux soins les plus basiques. Dans ce contexte, de nombreux enfants n’ont jamais été vaccinés de manière régulière....

Rca: two years of vaccination campaign of mass amid violence

The successive crises that has known the central african republic (RCA) have undermined a health system already very precarious, depriving the population of access to the most basic care. In this context, many children have never been vaccinated regularly.

A Painting of Henrietta Lacks Is Now in The National Portrait Gallery, And It's About Time External link

Source country sciencealert Tuesday, August 21, 2018 3:29:00 AM CEST | info [other]

Trigger words: [HaemophilusinfluenzaeInfection] haemophilia[1]; influenza[1];

Entities: Kadir Nelson[2]; Henrietta Lacks[7]; Rebecca Skloot[1];

Other categories: vaccines; Blood Products; Herpes; Blood Products Adverse Effects;

Visitors to the Smithsonian National Portrait Gallery in Washington DC will now be greeted by the first-ever portrait of Henrietta Lacks, the young woman from southern Virginia whose cancer cells helped advance the course of modern medicine. The National Portrait Gallery was founded in 1962 to.......

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Measles

Número de caso de sarampo chega a 1.087 no Estado do Amazonas External link

Source country acritica Wednesday, August 22, 2018 3:38:00 AM CEST | info English text... [en] [other]

Trigger words: [Measles] Surto[2]; caso[1]; casos[9]; Sarampo[3]; surto[1]; sarampo[7];

Entities: Em Manaus[1];

Other categories: vaccines; Immunization; Poliomyelitis; Epidemic;

A Fundação de Vigilância em Saúde (FVS), órgão da Secretaria de Estado de Saúde (Susam), divulgou nesta terça-feira (21), a 22 edição do Boletim Epidemiológico do Surto de Sarampo no Amazonas. Conforme o boletim, o Estado tem 7.912 casos notificados da doença, distribuídos em 41 municípios. São 1....

Number of cases of measles reaches 1.087 in state of amazon

The foundation surveillance in health (FVS), A body of the state bureau of health (Susam) published on Tuesday (21), the 22 edition of the bulletin epidemiological the outbreak of measles in the amazon. According to the bulletin, the state has 7.912 cases notified of the disease, distributed 41 municipalities. Are 1.

Governo anuncia que vai reforçar interiorização de venezuelanos External link

Source country g1-globo Wednesday, August 22, 2018 3:26:00 AM CEST | info English text... [en] [other]

Trigger words: [Measles] epidemia[1]; sarampo[2];

Entities: Geral da Uniao[2]; Viviane Esse[1];

Other categories: Malaria; vaccines;

No Brasil, o governo federal anunciou nesta terça-feira (21) que vai intensificar o programa de interiorização de venezuelanos, que é a distribuição dos imigrantes que entram por Roraima para outros estados. “Na verdade, a gente só vai ver isso daqui para a frente....

Government announces that will strengthen internalisation of Venezuelans

In brazil, the federal government announced on Tuesday (21) to intensify the programme for the internalisation of Venezuelan people, which is the distribution of immigrants entering through Roraima to other states. “In fact, the people will only see this from now on.

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Meningitis

Evalúan quitar el refuerzo de la vacuna contra la meningitis que se aplica a chicos de once años External link

Source country clarin Wednesday, August 22, 2018 1:47:00 AM CEST | info English text... [en] [other]

Trigger words: [Meningitis] meningitis[4];

Entities: la Nacion[2];

Other categories:

El Ministerio de Salud de la Nación evalúa quitar del Calendario Nacional de Vacunación el refuerzo contra la meningitis que se aplica a chicos de once años, según sostuvieron a Clarín desde esa cartera. Según explicaron, la decisión se tomará en los próximos días....

Assess removing the strengthening of the vaccine against meningitis applies to boys eleven years

The ministry of health of the nation is removed from the national calendar of vaccination strengthening against the meningitis that applies to boys of eleven years, according to claimed to know from this portfolio. As explained, the decision shall be taken in the coming days.

Freshers are urged to make sure they are up-to-date with their meningitis and measles jabs External link

Source country dailymail Wednesday, August 22, 2018 1:33:00 AM CEST | info [other]

Trigger words: [Meningitis] meningitis[3]; meningococcal[1];

Entities: Richard Horton[1]; Andrew Wakefield[1];

Other categories: Rubella; Immunization; Vaccination; vaccines; WHO; Vaccination Adverse Effects; Rubella Vaccine; Meningitis Vaccine;

'It's never too late to protect themselves and their friends from these highly infectious and serious diseases.' MMR vaccination rates plummeted in the late 1990s after a controversial scientific paper linked the jab linked to autism. The majority of children heading to university this year were born in 1999 or 2000, when fears were highest....

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Mumps

Cochabamba: Brote de papera, los casos aumentan 200 por ciento en 8 meses External link

Source country hoybolivia Tuesday, August 21, 2018 2:22:00 PM CEST | info English text... [en] [other]

Trigger words: [Mumps] brote[1]; contagio[2]; casos[5]; rubéola[1]; Epidemiología[1]; virus[2]; sarampión[1]; vacuna[3]; Brote[1]; parotiditis[2]; caso[2]; paperas[6]; hasta[1]; inflamación[1]; Epidemiológica[3];

Entities: Ruben Castillo[2];

Other categories: Epidemic;

Quotes... Quotes in this article

Ruben Castillo dijo: “La vacuna no es 100 por ciento efectiva, especialmente, en personas mayores, por lo que, recomendamos a los padres llevar a sus hijos a recibir la vacuna triple contra la rubéola, sarampión y paperas (RSP) en los dos primeros años de vida”

. 21/08/2018 - 08:13:53 Los Tiempos.- El responsable de Vigilancia Epidemiológica del Sedes, Rubén Castillo, indicó que los casos de parotiditis, conocida también como paperas, se incrementaron hasta en 200 por ciento en relación al mismo periodo de 2017. “Esta gestión de enero a la fecha tenemos 239 casos (....

Cochabamba: outbreak of papera cases increase 200% in 8 months

. 21/08/2018 - 08:13:53 times. - responsible for epidemiological surveillance of the seats, Ruben Castillo, indicated that the cases of parotiditis, also known as paperas, rose up to 200 per cent in the same period 2017. “This management from January to date have 239 cases (.

Salud verifica si hay casos de paperas en más colegios External link

Source country correodelsur Tuesday, August 21, 2018 1:25:00 PM CEST | info English text... [en] [other]

Trigger words: [Mumps] parotiditis[2]; casos[3]; contagio[2]; Epidemiología[2]; paperas[3]; virus[2]; inflamación[1];

Entities: Ronald Pérez[1];

Other categories: Epidemic;

Este miércoles, el personal de Epidemiología del Servicio Departamental de Salud (SEDES) emitirá un informe oficial sobre los casos reportados del virus de la parotiditis, comúnmente conocido como paperas, que se registraron en colegiales. Tras el cierre hoy y mañana de un colegio privado del centro.......

Health verifica if there is cases of paperas more schools

This Wednesday, the staff of epidemiology of departmental service of health (headquarters) shall deliver an official report on the cases reported of mumps virus, commonly known as paperas, which occurred in college. Today and tomorrow after the closure of a private college of the centre....

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Pertussis

Caso di pertosse al Policlinico di Modena External link

Source country sassuolo2000 Monday, August 20, 2018 4:23:00 PM CEST | info English text... [en] [other]

Trigger words: [Pertussis] caso[2]; Caso[1]; pertosse[7];

Other categories: Respiratory Syndrome;

La pertosse è una malattia infettiva diffusa in questo periodo nella popolazione e che, quindi, può colpire anche gli operatori sanitari. Di solito per prevenire la diffusione è sufficiente una profilassi mirata e l’utilizzo di mascherine chirurgiche, durante il periodo della profilassi....

Case of whooping-cough to general hospital of modena

Pertussis is an infectious disease prevails at this period in the population and hence may also affect health workers. Usually it is sufficient to prevent the introduction of a targeted and profilassi l'utilizzo of surgical masks during the period of profilassi.

Caso di pertosse per un dipendente del Policlinico, avviata la profilassi External link

Source country modenatoday Monday, August 20, 2018 4:00:00 PM CEST | info English text... [en] [other]

Trigger words: [Pertussis] caso[2]; Caso[1]; pertosse[4];

Other categories: Respiratory Syndrome;

Nei giorni scorsi al Servizio Igiene Ospedaliera dell’Azienda Ospedaliero Universitaria di Modena è stato notificato un caso di pertosse in un operatore sanitario degli ambulatori del Padiglione Oncologico Beccaria del Policlinico di Modena, rientrato dopo un lungo periodo di assenza....

Case of whooping-cough for an employee of the general hospital, launched the prophylaxis

In the last few days serve hygiène Ospedaliera belonging to the university hospital of Modena was notified a case of whooping cough in a medical officer of the practice of general hospital oncology pavilion Beccaria di Modena returned after a long period of absence.

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Pneumococcal Infection

Vaccines Market - Global Forecast to 2023: Increasing Company Initiatives to Enhance R&D are Driving the Vaccines Market External link

Source country markets-businessinsider Tuesday, August 21, 2018 8:38:00 PM CEST | info [other]

Trigger words: [PneumococcalInfection] Pneumococcal[1]; pneumococcal[1];

Entities: Laura Wood[1];

Other categories: VZV; HPV; Dengue Fever; Malaria; Immunization; Zika Virus; HPV vaccine; Ebola Hemorrhagic Fever; vaccines; Rotavirus; Herpes Zoster; Meningitis; Poliomyelitis; AIDS-HIV; Herpes;

. DUBLIN Aug. 21, 2018 /PRNewswire/ -- Research and Markets. The report has been added to ResearchAndMarkets.com's offering. "Vaccines Market by Technology, Disease, Route, Patient, Type - Global Forecast to 2023" The vaccines market is expected to reach USD 50.42 billion by 2023 from USD 36.45 billion in 2018, at a CAGR of 6....

The vaccines market is expected to reach USD 50.42 billion by 2023 from USD 36.45 billion in 2018, at a CAGR of 6.7% External link

Source country markets-businessinsider Tuesday, August 21, 2018 4:52:00 PM CEST | info [other]

Trigger words: [PneumococcalInfection] Pneumococcal[1]; pneumococcal[4];

Entities: Sarah Smith[1];

Other categories: HPV vaccine; vaccines; HPV; Rotavirus; Herpes Zoster; Herpes;

LONDON August 21, 2018 /PRNewswire/ -- Global vaccines market projected to grow at a CAGR of 6.7% The vaccines market is expected to reach USD 50.42 billion by 2023 from USD 36.45 billion in 2018, at a CAGR of 6.7%. Rising prevalence of diseases, increasing government and nongovernment funding for.......

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Poliomyelitis

Número de caso de sarampo chega a 1.087 no Estado do Amazonas External link

Source country acritica Wednesday, August 22, 2018 3:38:00 AM CEST | info English text... [en] [other]

Trigger words: [Poliomyelitis] Surto[2]; Poliomielite[1]; surto[1]; poliomielite[1]; suspeitos[1];

Entities: Em Manaus[1];

Other categories: vaccines; Measles; Immunization; Epidemic;

A Fundação de Vigilância em Saúde (FVS), órgão da Secretaria de Estado de Saúde (Susam), divulgou nesta terça-feira (21), a 22 edição do Boletim Epidemiológico do Surto de Sarampo no Amazonas. Conforme o boletim, o Estado tem 7.912 casos notificados da doença, distribuídos em 41 municípios. São 1....

Number of cases of measles reaches 1.087 in state of amazon

The foundation surveillance in health (FVS), A body of the state bureau of health (Susam) published on Tuesday (21), the 22 edition of the bulletin epidemiological the outbreak of measles in the amazon. According to the bulletin, the state has 7.912 cases notified of the disease, distributed 41 municipalities. Are 1.

Penting! Ini Imbauan Koalisi Dokter Muslim Soal Fatwa Haram Vaksin MR External link

Source country detikcom Wednesday, August 22, 2018 3:27:00 AM CEST | info [en] [other]

Trigger words: [Poliomyelitis] polio[3];

Other categories: Vaccination; vaccines; Poliomyelitis Vaccine;

Jakarta Vaksin MR (Maesles Rubella) telah diputuskan statusnya lewat Fatwa MUI nomor 33 Tahun 2018. Vaksin tersebut haram, tetapi tetap boleh digunakan karena belum ada vaksin yang halal atau suci. Akan tetapi simpang siur soal vaksin ini masih saja ada di masyarakat....

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Rabies

Huíla: Província regista aumento de mortes por raiva External link

Source country portalangop Wednesday, August 22, 2018 3:19:00 AM CEST | info English text... [en] [other]

Trigger words: [Rabies] caso[2]; cão[1]; casos[3]; cães[1]; aumento[1]; raiva[2]; vacina[1];

Other categories: vaccines;

De acordo com o responsável, a falta de vacina anti-rábica nas unidades hospitalares é apontada como a principal causa das mortes. A fonte fez saber que nos últimos cinco anos registaram-se 5.886 mordeduras caninas na província, destas 115 resultaram em óbitos....

Huíla: province records increase in deaths from rabies

In accordance with the responsible, the lack of vaccination against rabies in hospital units was singled out as the main cause of the deaths. The source indicated that over the last five years there have been 5.886 biting off caninas in the province of 115 resulted in deaths.

The British Society for Rheumatology biologic DMARD safety guidelines in inflammatory arthritis—Executive summary External link

Source country oxforduniversitypress-rheumatology Wednesday, August 22, 2018 3:07:00 AM CEST | info [other]

]. Accompanying each recommendation in this guideline, in brackets, is the strength of recommendation, quality of evidence and strength of agreement. Strength of recommendation. Using GRADE, recommendations were categorized as either strong (denoted by 1) or weak (denoted by 2), according to the balance between benefits, risks, burden and cost....

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Rotavirus

Vaccines Market - Global Forecast to 2023: Increasing Company Initiatives to Enhance R&D are Driving the Vaccines Market External link

Source country markets-businessinsider Tuesday, August 21, 2018 8:38:00 PM CEST | info [other]

. DUBLIN Aug. 21, 2018 /PRNewswire/ -- Research and Markets. The report has been added to ResearchAndMarkets.com's offering. "Vaccines Market by Technology, Disease, Route, Patient, Type - Global Forecast to 2023" The vaccines market is expected to reach USD 50.42 billion by 2023 from USD 36.45 billion in 2018, at a CAGR of 6....

The vaccines market is expected to reach USD 50.42 billion by 2023 from USD 36.45 billion in 2018, at a CAGR of 6.7% External link

Source country markets-businessinsider Tuesday, August 21, 2018 4:52:00 PM CEST | info [other]

Trigger words: [Rotavirus] rotavirus[1];

Entities: Sarah Smith[1];

Other categories: HPV vaccine; vaccines; HPV; Herpes Zoster; Pneumococcal Infection; Herpes;

LONDON August 21, 2018 /PRNewswire/ -- Global vaccines market projected to grow at a CAGR of 6.7% The vaccines market is expected to reach USD 50.42 billion by 2023 from USD 36.45 billion in 2018, at a CAGR of 6.7%. Rising prevalence of diseases, increasing government and nongovernment funding for.......

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Rubella

Freshers are urged to make sure they are up-to-date with their meningitis and measles jabs External link

Source country dailymail Wednesday, August 22, 2018 1:33:00 AM CEST | info [other]

'It's never too late to protect themselves and their friends from these highly infectious and serious diseases.' MMR vaccination rates plummeted in the late 1990s after a controversial scientific paper linked the jab linked to autism. The majority of children heading to university this year were born in 1999 or 2000, when fears were highest....

RUG-onderzoek: 'Duizenden sterfgevallen voorkomen door vaccinaties' External link

Source country rtvnoord Tuesday, August 21, 2018 5:41:00 PM CEST | info English text... [en] [other]

Trigger words: [Rubella] rodehond[1]; rubella[1];

Other categories: vaccines;

In zijn proefschrift over de impact van het vaccinatieprogramma tussen 1953 en 1992 richt Van Wijhe zich op de zeven kernziektes van het vaccinatieprogramma: difterie, kinkhoest, tetanus, polio, mazelen, bof en rubella (rodehond). Trends. Hoe groot de impact van het vaccinatieprogramma is, is geen.......

Rug-onderzoek: "thousands of deaths prevented by vaccination '

In his thesis on the impact of the vaccination programme between 1953 and 1992 aims of Wijhe focused on the seven kernziektes of the vaccination programme: diphtheria, whooping cough, tetanus, polio, measles, mumps and rubella (rubella). Trends. How big the impact of the vaccination programme, is no......

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Tetanus

Morsi e graffi di animali: che cosa fare External link

Source country corriere Tuesday, August 21, 2018 9:05:00 AM CEST | info English text... [en] [other]

Trigger words: [Tetanus] tetano[2]; vaccinazioni[1]; vaccinazione[1]; casi[1];

Entities: Susanna Esposito[1];

Other categories: WHO;

Vacanze, viaggi e passeggiate all’aria aperta: il pericolo di morsi di animali è frequente, soprattutto per i bambini. Morsi e graffi di animali, infatti, possono causare infezioni come rabbia, tetano, malattia da graffio di gatto, tigna e scabbia - tra le più comuni - che si possono contrarre anche.......

Bit and scratches of animals: what to do

Holidays, travel and open-air passeggiate: the danger of animal bit is common, especially for children. Much hand-wringing and scores of animals can cause infection as anger, tetanus, sickness from scratch dogs, ringworm. and scabbia - one of the most common too - that people are infected.

With health funds unused, 24%-38% shortfall in medicines, medical staff External link

Source country business-standard Tuesday, August 21, 2018 7:31:00 AM CEST | info [other]

Trigger words: [Tetanus] tetanus[1]; infection[2]; vaccine[1];

Other categories: STD; vaccines;

There is a 24%-38% shortfall in the availability of medical personnel at primary health centres, sub-centres, and community health centres in 28 states/union territories of India, according to the latest audit by the Comptroller and Auditor General (CAG) of India....

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VZV

The British Society for Rheumatology biologic DMARD safety guidelines in inflammatory arthritis—Executive summary External link

Source country oxforduniversitypress-rheumatology Wednesday, August 22, 2018 3:07:00 AM CEST | info [other]

]. Accompanying each recommendation in this guideline, in brackets, is the strength of recommendation, quality of evidence and strength of agreement. Strength of recommendation. Using GRADE, recommendations were categorized as either strong (denoted by 1) or weak (denoted by 2), according to the balance between benefits, risks, burden and cost....

New Shingles vaccine in short supply External link

Source country wsaw Wednesday, August 22, 2018 1:12:00 AM CEST | info [other]

Trigger words: [VZV] Shingles[2]; shingles[3];

Entities: Paul Pritchard[1];

Other categories: Emerging disease; Herpes Zoster;

Quotes... Quotes in this article

Paul Pritchard says: "After your body fights off the chicken pox when you're younger it kind of hides out in your spinal cord and eventually, for whatever reason, it will reactivate in some people,"

Paul Pritchard says: "I have seen in my own practice symptoms last as short as a week and I've seen other people where the pain goes on for months,"

Paul Pritchard says: "You've got the two shot versus one, I think they underestimated how much people really wanted it, I think the fact that Zostavax was relatively new when it came out in 2006, it just kind of increased awareness and then yeah, through social media people just started understanding more and more about it and saying, hey I don't want to get that ugly rash that hurts really, really bad,"

Paul Pritchard says: "At other sites, at times they'll give out a number in one day and then they've be a little short for awhile, so right now I think it's just a matter of the manufacturer kind of keeping up with the demand,"

GREEN BAY, Wis. (WBAY) -- For many older adults, getting vaccinated for shingles greatly eases the fear of the painful condition. But you may be out of luck for awhile before you can get the vaccine. Doctors say 99-percent of people age 40 and over had chicken pox as a child, and the related.......

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Yellow Fever

Meet the new Aedes mosquito spreading misery around a wide swath of Southern California External link

Source country dailynews Wednesday, August 22, 2018 3:17:00 AM CEST | info [other]

Trigger words: [YellowFever] yellow fever[2]; viruses[1]; Virus[1];

Entities: Nile Virus[1];

Other categories: Zika Virus; Chikungunya; zika filter for ECDC;

Desperate and miserable, Luz Flores of San Pedro took to social media for advice on the evening of Monday, August 20. “Is anyone else getting these bites in their legs and arms? These are extremely itchy, swollen, hot and hurting … any help is much appreciated....

Brazil travel advice External link

Source country gov-uk Tuesday, August 21, 2018 5:29:00 PM CEST | info [other]

Trigger words: [YellowFever] Cases[1]; yellow fever[1]; confirmed[1]; cases[2]; fall[1]; virus[2];

Other categories: Zika Virus; zika filter for ECDC;

Safety and security section and summary - general elections are due to take place in October 2018; there is an increased risk of political and social unrest during the campaign period, particularly in the border region with Venezuela where tensions are running high over immigration; on 17 and 18.......

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