Date: Sat 23 June 2012
Source: Guinea Equatorial [in Spanish, trans. ProMed Mod.JG, edited]
<http://www.guineaecuatorialpress.com/noticia.php?id=2759>

After the last measles vaccination campaign that took place last April 2012, a new outbreak of the disease has been reported in some communities in Malabo district, and for this reason, the Ministry of Health initiated a new vaccination campaign [Malabo is the capital of Equatorial Guinea, located on the northern coast of Bioko Island. - ProMed Mod.CP].

Activities started last Thursday, with the cooperation of the National Vaccination Programme (PAV, according to its Spanish initials). The campaign will concentrate its activities in the most severely affected communities, such as Santa Maria III, Lampert and Sunco.

Some medical officers gathered in Madre Bisila Health Centre in order to organise local vaccination units and to deal with mothers who brought their children to the Health Centre in order to have them vaccinated. Vaccine will be dispensed throughout the next 10 days, and subsequently, the vaccination campaign will continue in the Continental region of Equatorial Guinea.

Local officials from the Ministry of Health are inviting the population, particularly mothers, to bring their children to local health centres or to bring their children to mobile vaccination units when these teams arrive to their communities.
=====================
[According to La Voz de Rusia (<http://spanish.ruvr.ru/2012_06_22/Guinea-epidemia-sarampion/>), the last major measles epidemic in the country occurred in November 2008, when more than a dozen children died in various hospitals in Equatorial Guinea. No fatalities have been reported in the current outbreak so far.

Equatorial Guinea, officially the Republic of Equatorial Guinea, is a country located in central Africa. It has 2 parts: a Continental Region (Rio Muni), including several small offshore islands including Corisco, Elobey Grande and Elobey Chico; and an insular region containing Annobon island and Bioko island (formerly Fernando Po), where the capital Malabo is situated. A map of Equatorial Guinea can be accessed at: <http://www.africa.upenn.edu/CIA_Maps/Equatorial_Guinea_19871.gif>. - ProMed Mod.CP]

[The ProMED HealthMap for Equatorial Guinea can be found at
<http://healthmap.org/r/1KlO>.]
Date: Wed 30 Dec 2009
From: Patricio Leite (translated and edited)

Three people are sick with malaria in the Madeira archipelago of Portugal. One is in intensive care for complications of the disease in the Central Hospital of Funchal; the other 2 remain hospitalized but stabilized.

These people from Madeira were working in Equatorial Guinea and returned for the Christmas holidays. There is a 4th, a Brazilian national who also may be infected and is undergoing diagnostic tests.

Although they are cases of imported malaria, it is noteworthy that the archipelago of Madeira has a sub-tropical humid climate, conducive to the development of emerging diseases which are usually more prevalent in the tropics.

For example, for about the last 3 years the presence of the vector _Aedes aegypti_ has been documented, and it is now endemic in Madeira, posing the threat of dengue in the short term. In the archipelago, including the island of Porto Santo, weather conditions have allowed the survival of _Anopheles_.

Studies indicate that the next 30 years will see the emergence of diseases in Madeira, such as dengue, yellow fever, and malaria.
-------------------------------------------
Patricio Leite, MD
Specialist in General & Family Medicine
Regional Health Administrator for Lisbon & the Tejo Valley, Ministry
of Health, Portugal
Ex-collaborator of Travel Medicine Consultation, Institute of Hygiene
& Tropical Medicine,
New University of Lisbon
Portugal
========================
[Portugal reported 41 imported malaria cases in 2008 (Source: <http://data.euro.who.int/cisid/>). The climate of Madeira in December with temperatures below 20 C do not support local transmission of _Plasmodium falciparum_. Malaria is endemic in Equatorial Guinea, and the risk of infection is high without proper prophylaxis.

The introduction of dengue fever is a possibility, as in most of southern Europe. The introduction of yellow fever is a risk because the vector is present; however, yellow fever is limited to tropical areas, and Madeira probably does not, at present, have a climate which supports sustained transmission of yellow fever. - ProMed Mod.EP]
Date: Fri, 30 Oct 2009 14:17:50 +0100 (MET)

MALABO, Oct 30, 2009 (AFP) - Heavy rain deluged a city in Equatorial Guinea, killing a woman with an electric shock as water surged through a street criss-crossed by electric cables, national radio reported Friday.   The woman died Wednesday in Bata, the economic capital of the west African country, radio said.   Storms caused widespread damage and paralysed the city centre for several hours, the radio reported.
Date: Mon 10 Nov 2008
Source: Terra, EFE News Agency report [in Spanish, trans. CopyEd.MJ, edited]
<http://actualidad.terra.es/sociedad/articulo/ninos-mueren-distintos-hospitales-epidemia-2876425.htm>

At least 10 children have died in various hospitals in Equatorial Guinea as a result of a measles epidemic declared in the country 2 weeks ago, according to EFE [News Agency] sources confirmed today [10 Nov 2008] by the Health Ministry.  Although an official of the Ministry of Health and Welfare declined to give details, medical sources contacted by EFE said the epidemic is affecting hundreds of children up to 9 years [of age] in several districts of the mainland and in Malabo, capital of the country.

Reports of the NGO 'Family Care' claim that one in 6 children born in this sub-Saharan country, which was a Spanish colony until 1968, dies before reaching 2 years, because health [services] in rural communities are limited to small first-aid clinics with minimal material.

The last known outbreak of measles in the country occurred in April 2001, when more than 100 children lost their lives because in Equatorial Guinea basic concepts of hygiene and disease prevention are still poorly understood or misinterpreted by a large portion of the population.
--------------------------
[Equatorial Guinea in sub-Saharan Africa can be located using the HealthMap/ProMED-mail interactive map at <http://healthmap.org/promed?v=1.7,10.3,6>. - ProMed Mod.CP]
Date: Mon 31 Dec 2007 From: Dan David --------------------------------------------------------------------------- Rabies was diagnosed in a 5-year-old boy from the Republic of Equatorial Guinea. The boy had been bitten in his neck by a stray dog 5 weeks before. He received treatment against tetanus but not rabies post-exposure prophylaxis. On 17 Dec 2007, the boy complained of a headache, general pain, and weakness. The day after, the boy refused to eat and drink, and showed incoordination. On 19 Dec 2007, the boy was hospitalized in the Israeli medical center "La Paz" in Bata city, with symptoms of encephalitis and hydrophobia. Rabies was suspected. On 21 Dec 2007, cerebrospinal fluid, saliva, and a skin biopsy were collected and sent to the Rabies Laboratory at the Kimron Veterinary Institute, Bet Dagan, Israel. Heminested RT-PCR [reverse transcriptase polymerase chain reaction] detected rabies virus [RNA] in saliva and skin biopsy. Molecular analysis of the PCR product showed 99 percent identity with canine rabies virus sequences from this region (Gabon). Rabies virus isolation in tissue culture and in suckling mice is ongoing. --------------------- Dan David, DVM, PhD Head, Rabies Laboratory Derech Hamacabim street, Kimron Veterinary Institute Bet Dagan 50250 Israel [Currently the World Health Organisation (WHO) 'Essential Rabies Maps' () contains no information on the incidence of rabies in Equatorial Guinea. Nonetheless it is likely that rabies is widespread in canids throughout West Africa in view of the close sequence similarity of the Equatorial Guinea sequences to the genome of a rabies virus isolated in the neighboring country of Gabon. The rapid diagnostic response of the Kimron Institute and wide dissemination of the information are welcomed. While little can be done now to aid the patient, the diagnosis should alert the healthcare authorities in the Republic of Equatorial Guinea to the need for immediate provision of post-exposure prophylaxis for persons bitten by stray dogs or wild canids, combined where feasible, with vaccination of domestic and feral dogs. The HealthMap/ProMED-mail interactive map of the Republic of Equatorial Guinea is available at - ProMed Mod.CP]
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