Date: Tue 22 Oct 2019
Source: Diario Palentino [In Spanish, trans., edited]
<https://www.diariopalentino.es/Noticia/Z7B9CADBC-C16C-3158-3AF336FC6C10F5DE/201910/54-afectados-por-la-tularemia-en-la-provincia>

The Epidemiological Surveillance Network confirmed today [22 Oct 2019] 2 new cases of tularemia in the basic health area of Saldana and Jardinillos [Palencia, Castile and Leon], in addition to the 23 patients who are under investigation with symptoms similar to those of the disease. With these new positive environmental exposure cases without requiring hospitalization, the overall figure rises to 54 affected in the province, according to data provided by the Junta of Castile and Leon.

The Basic Health Zone of Paredes de Nava with 16 cases reported; Villarramiel with 9 cases, and Villada with 5 cases are the foci of greater incidence of the disease transmitted by voles. In addition, the health area of rural Palencia has reported 5 cases, while Eras del Bosque and Jardinillos, in the capital, have reported 2 case.
===================
[The manifestations of tularemia are not stated and it would not be surprising if oropharyngeal tularemia is occurring as this outbreak, given its size, may be waterborne.

Outbreaks of water-transmitted tularemia include 64 cases in Dagestan, Russia associated with a flood-plain swamp (1), 49 cases in Tuscany, Italy linked to an unchlorinated water system (2), an outbreak in the Smolensk province of Russia also attributed to contamination of a water supply (3), improperly prepared water for washing in the Czech Republic (4), and a Swedish outbreak associated with a contaminated well used for drinking water (5). Additionally, during the period 1936 to 1963, there were approximately 30 outbreaks of water-borne tularemia reported from the then Soviet Union (6).

References
----------
1. Tikhenko NI, Efremenko VI, Omarieva E, et al. [Outbreak of tularemia in the Republic of Dagestan]. Zh Mikrobiol Epidemiol Immunobiol. 2001; (6 Suppl):68-72; abstract available at
<https://www.ncbi.nlm.nih.gov/pubmed/?term=12718181>.
2. Greco D, Allegrini G, Tizzi T, et al. A waterborne tularemia outbreak. Eur J Epidemiol 1987; 3:35-8; abstract available at
<https://www.ncbi.nlm.nih.gov/pubmed/?term=3582597>.
3. Rogutskii SV, Khramtsov MM, Avchinikov AV, et al. [An epidemiological investigation of a tularemia outbreak in Smolensk Province]. Zh Mikro Epidemiol Immunobiol 1997; 2:33-7; abstract
available at <https://www.ncbi.nlm.nih.gov/pubmed/?term=9245138>.
4. Pazdiora P, Moravkova I, Nocarova D, et al. [A water-borne epidemic of tularemia in Chlumcany]. Epidemiol Mikrobiol Imunol. 2002; 51:23-5; abstract available at
<https://www.ncbi.nlm.nih.gov/pubmed/?term=11881296>.
5. Tarnvik A, Sandstrom G, and Sjostedt A. Infrequent manifestations of tularemia in Sweden. Scand J Inf Dis. 1997; 29:443-46; abstract
available at <https://www.ncbi.nlm.nih.gov/pubmed/?term=9435029>. [& ProMED post, Tularemia - Sweden
http://promedmail.org/post/20030817.2059]
6. Pollitzer, R. History and incidence of tularemia in Soviet Union -- a review. Institute for Contemporary Russian Studies, Fordham University, Bronx, New York, 1967. - ProMED Mod.LL]

[HealthMap/ProMED-mail map of Castile and Leon, Spain:
<http://healthmap.org/promed/p/16299>]
Date: Mon, 14 Oct 2019 16:33:26 +0200 (METDST)
By Daniel BOSQUE

Barcelona, Oct 14, 2019 (AFP) - "I feel fury and a sense of powerlessness," said Joan Guich, a 19-year-old student protesting in Barcelona after Spain's Supreme Court jailed nine Catalan leaders jailed over a failed independence bid.   "They have been convicted for an ideology which I agree with."   Within minutes of the ruling demonstrators had poured onto the streets of the Catalan capital, waving flags and blocking traffic over the conviction of the separatist leaders who organised a 2017 referendum banned by Madrid.   "We have to mobilise and stick up for them ... in a way that has an impact, closing airports, stations, but always avoiding violence," Guich said. "Or at least, it won't be us that provokes it."

Workers rallied outside their offices, university students walked out of classes and regional lawmakers demonstrated inside Catalonia's parliament, where most of the defendants had held a senior role.   "Today is going to be historic, you can feel it in the atmosphere. Serious things are happening, we can't stay home," said Oscar Quiles, a 47-year-old real estate entrepreneur.   News of the verdict reached him as he arrived at the office and he immediately called his mother to join him at a protest in Plaza Cataluna in the centre of Barcelona.   By noon the square was packed with thousands of demonstrators, many waving yellow, red and blue Catalan separatist flags or banners reading "We would do it again" and "Freedom for political prisoners".   The protesters then set off walking towards Barcelona's airport, Spain's second busiest, in the hope of blocking it, just as pro-democracy activists have done recently in Hong Kong.

- 'Weeks of mobilisation' -
Tension gripped Barcelona on Monday morning ahead of the ruling, with a heavy police presence outside the courts, the airport and the city's main train station, as a helicopter flew overhead.    Democratic Tsunami, a group advocating more active forms of civil disobedience, had urged demonstrators to hit the streets as soon as the verdicts were announced.   "Tomorrow everyone ready! When the verdict is out, the response will be immediate," said the group in a message to its roughly 150,000 followers on mobile messaging service Telegram.   Juli Cuellar, a 44-year-old office worker, said he believed the verdict was politically motivated.    "Now all we have left is a life of civil and institutional disobedience," he told AFP, predicting "weeks of mobilisation".   The Catalan National Assembly (ANC) and Omnium Cultural, the region's two biggest grassroots pro-independence groups, have also called supporters to attend an evening rally. They have organised some of the largest separatist protests in recent years.   Several more protests are scheduled over the next few days across Catalonia, as well as a general strike on Friday.

- 'Felt like crying' -
Democratic Tsunami, the group that called the gathering in Plaza Cataluna, only emerged in recent weeks. It says it does not depend on Catalan separatist parties or civil associations for support.   Its leaders remain unknown, keeping in touch with each other through encrypted messaging apps such as Wire.   But supporters tend to be kept in the dark until the last minute.   "We don't know exactly what we have to do," said Arnau Font, a 22-year-old shop assistant who took the week off to protest.   "We have to get involved. Right now I feel really powerless in light of the verdicts," he told AFP.    "When I found out, I felt like crying."   The uncertainty was over a few minutes later when a Telegram message arrived urging everyone to "go to the airport", a 15-kilometre (nine-mile) walk from the city centre.    "The time has come to make our voice felt around the world. The goal: stop the activity of Barcelona's airport," it said.   Spain's airport operator Aena said no flights were disrupted, but many passengers got stuck in traffic jams leading to the airport.
Date: Mon, 30 Sep 2019 13:52:34 +0200 (METDST)

Madrid, Sept 30, 2019 (AFP) - Hundreds of hotels in Spain are facing imminent closure over the collapse of British travel giant Thomas Cook, the head of the Spanish hotel federation warned on Monday.    "There are 500 hotels which are going to close immediately due to the collapse of Thomas Cook and the situation could get worse if the government doesn't take immediate action," Juan Molas, head of Spain's Confederation of Hotels and Tourist Accommodation, told business daily Cinco Dias.

And the sum in unpaid bills left by the demise of the tour operator would be much higher than the initial estimate of 200 million euros ($220 million), said Molas, whose organisation represents 15,000 businesses.    "It will be much more. The amount for only eight chains is close to 100 million."    Of those hotels facing immediate closure, 100 were exclusively dependent on Thomas Cook, he said, while the rest counted on the firm for between 30 and 70 percent of their clients.    One hotel in Fuerteventura, the second largest of the Canary Islands, had recently undergone a 20-million-euro upgrade and was now faced with 700 rooms "which are going to be empty from October 7" and 200 employees it would be forced to dismiss.    Worst hit are those in the Canaries and the Balearic Islands, where 40 percent of hotels are affected. 

The industry has put together an emergency plan to be presented to Tourism Minister Reyes Maroto at the next Spanish tourism board meeting on October 7 which will also address the urgent question of air links with the Canary Islands.   Industry experts fear the impact there could be even more devastating than elsewhere as the resort is very popular as a winter destination among tourists from northern Europe.    "The busy season is starting and Thomas Cook had 30 percent of air capacity," Molas said, indicating the disappearance of the package holidaymaker could affect some 1.3 million airline seats, with Tenerife and Lanzarote particularly badly hit.    He urged the government to contact RyanAir, one of the few carriers that flies there, to urge the budget airline "to reconsider" plans to close four bases in Spain, three of them in the Canaries, saying it was "critical" that the airline maintain its flights.
Date: Thu 12 Sep 2019, 10:57 AM
Source: The Olive Press [edited]
<https://www.theolivepress.es/spain-news/2019/09/12/outbreak-of-deadly-listeria-virus-confirmed-in-spain-killing-three-people-and-affecting-hundreds-more-in-mallorca/>

An outbreak of the deadly [infection due to the bacterium] _Listeria_ has been confirmed in Mallorca.

A patient is recovering in a private clinic in Palma as samples of the bacterium are being tested in Madrid to confirm if it is the same strain as the recent outbreak in Andalucia. It seems likely to have originated from the same lethal strain since the patient affected [in Mallorca] had come from Granada.

So far 3 people have died and 7 women have aborted babies out of the 200 people confirmed to have been affected.

The dangerous bacterium spreads through food and can cause severe illnesses including sepsis, meningitis and other life-long problems.  [Byline: Jacque Talbot]
========================
[_Listeria_ have been identified in 3 meat products and in needles used to inject lard into the meat before it is cooked at a meat processing facility in Seville implicated in this outbreak (after cooking, the meat is usually served cold and in thin slices). Proper cooking of the meat at the processing facility should have killed _Listeria_, which suggests either that the meat, may have been improperly cooked or that contamination may have occurred after cooking. The prior news report said that _Listeria_ was isolated from an oven cart used at the processing facility in Seville; if the meat was placed on this cart after cooking, it could explain how the meat became contaminated despite having been previously cooked. The meat processing facility has been closed, and all its products have now been recalled, but because it can take up to 70 days after exposure to _Listeria_ for symptoms of listeriosis to develop, more cases can be expected.

Genotyping clinical isolates of _L. monocytogenes_ will help identify clusters of cases that have a common source, and genotyping the isolates from the food and environmental surfaces at the meat processing facility will help confirm the source, if genotypes match. We await further developments in the investigation of this outbreak.

Palma, with a population of 409 661 residents, the capital and resort city of the autonomous community of the Balearic Islands in Spain, is located on the south coast of Mallorca  (<https://en.wikipedia.org/wiki/Palma_de_Mallorca>).

Mallorca is the largest island in the Balearic Islands, located approximately 300 km [186 mi] off the eastern coast of Spain in the western Mediterranean (<https://en.wikipedia.org/wiki/Mallorca>). The autonomous community of Andalucia is located in southern Spain, with the Atlantic Ocean to the west and the Mediterranean Sea to the east (<https://en.wikipedia.org/wiki/Seville>).

A map of Spain showing the locations of Andalucia and Mallorca can be found at
<https://www.mapshop.com/spain-wall-map-in-spanish/?gclid=EAIaIQobChMIqu7U7K3L5AIVgv_jBx3CAQz_EAQYAyABEgIWb_D_BwE>. - ProMED Mod.ML]

[HealthMap/ProMED map available at:
Mallorca, Balearic Islands, Spain:
<http://healthmap.org/promed/p/8735>]
Date: Tue 3 Sep 2019
Source: Food Safety News [edited]
<https://www.foodsafetynews.com/2019/09/four-ill-in-spain-with-botulism-linked-to-tuna/>

Four people are part of a foodborne botulism outbreak in Spain after eating DIA brand tuna. A batch of canned tuna in sunflower oil of the brand DIA has been removed from sale. The Spanish Agency for Food Safety and Nutrition (AESAN) said those who became ill ate a homemade salad that included the tuna. Spanish media reported one of the patients was still in hospital.

The foodborne outbreak was suspected to be caused by the tuna or grated carrots from Spain with distribution including Andorra, according to a Rapid Alert System for Food and Feed (RASFF) notice.

AESAN became aware on 9 Aug 2019, through the Spanish rapid information exchange system (SCIRI), of a notification from health authorities in Castilla y Leon of a food poisoning outbreak caused by botulinum toxin linked to consumption of canned tuna in a homemade "Russian" salad. Products have been analysed, and the presence of botulinum toxin was confirmed in late August 2019 in the consumed can of tuna.

Distribuidora Internacional de Alimentacion (DIA) is a Spanish multinational company specializing in distribution of food, household, and personal care products. The company has more than 6000 stores in Spain, Portugal, Brazil, and Argentina. Tuna was distributed through DIA platforms to the communities of Asturias, Castilla y Leon, Cataluna, Aragon, La Rioja, Murcia, Navarra, Castilla - La Mancha, and Valencia.

Canned tuna in sunflower oil 900-gram with lot code 19/154 023 02587 and expiration date of December 2022 made by Frinsa del Noroeste S.A. is affected. This batch of tuna manufactured by Frinsa was removed from all stores on 10 Aug 2019 by DIA, according to a company statement. The firm asked any customers who had the item to return it to their nearest store.

Botulism is a rare but life-threatening condition caused by toxins produced by _Clostridium botulinum_ bacteria. In foodborne botulism, symptoms generally begin 18-36 hours after eating contaminated food. However, they can start as soon as 6 hours after or up to 10 days later. Botulism can cause symptoms including general weakness, dizziness, double vision, and trouble with speaking or swallowing. Difficulty in breathing, weakness of other muscles, abdominal distension, and constipation may also occur. People experiencing these problems should seek immediate medical attention. Symptoms result from muscle paralysis caused by the toxin.
======================
[Seafood-associated botulism is usually type E. Canned tuna is an uncommon source but has been reported (Johnston RW, Feldman J, Sullivan R: Botulism from canned tuna fish. Public Health Rep. 1963; 78: 561-4).

The following was extracted from ProMED-mail Botulism, smoked fish - Finland ex Canada http://promedmail.org/post/20060721.2000: "_Clostridium botulinum_ type E is naturally highly prevalent in aquatic environments and fish, leading to a high risk of contamination. The hot-smoking processes are usually too low to eliminate botulinum spores. Growth and toxin production from spores in vacuum-packed smoked fish products with anaerobic atmosphere and limited preservative factors is likely during extended storage at temperatures above 3 deg C (37.4 deg F). Therefore, the most important factors controlling _C. botulinum_ growth and toxin production are efficient heat treatments, restricted shelf life, and continuous storage below 3 deg C (37.4 deg F)." - ProMED Mod.LL]

[HealthMap/ProMED-mail map:
Spain: <http://healthmap.org/promed/p/43>]
More ...