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The World Health Organization published its 46th situation report for the multi-country outbreak of monkeypox virus, including reports of new travel-related mpox cases due to clade Ib MPXV. 

As of January 28, 2025, the WHO confirmed new travel-related clade Ib MPXV cases had been detected in countries that had already detected travel-related cases, including China, Germany, Thailand, Great Britain and Northern Ireland, and the United States. Azerbaijan has reported its first case during this outbreak.

The outbreak of clade Ib continues predominantly in the Democratic Republic of the Congo, Burundi, and Uganda.

Outside Africa, 11 countries have detected clade Ib MPXV.

In the U. S., since May 2022, most reported mpox cases are clade II.

Additionally, mpox vaccinations are commercially available at clinics and pharmacies in the U.S.

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WHO Jan. 28, 2025
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The UK Health Security Agency (UKHSA) today announced a confirmed case of influenza A(H5N1) in a person in the West Midlands region of Enhland.

The person acquired the infection on a farm, where they had close and prolonged contact with many infected birds. The birds were infected with the DI.2 genotype, one of the viruses circulating in birds in the UK this season.

As of January 27, 2025, the individual was admitted to a High Consequence Infectious Disease unit.

Despite extensive recent surveillance, no human-to-human transmission has been demonstrated. Therefore, the UKHSA has been tracing all individuals in contact with the confirmed case of avian influenza. 

The first confirmed human case of A(H5N1) in England was in January 2022.

The UKHSA says the risk to the broader public remains very low in late January 2025.

In a press release, Minister for Public Health and Prevention Andrew Gwynne commented, "We recently added the H5 vaccine, which protects (people) against avian influenza, to our stockpile as part of our preparedness plans."

This person was infected with a different H5N1 strain circulating among mammals and birds in the United States.

The U.S. government has invested in avian influenza vaccines for people in the past few years.

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GSK plc and the University of Oxford (Oxford) today announced that they have entered a new research collaboration focused on the potential of cancer prevention through vaccination.

GSK will invest up to £50 million ($62m) over three years to support this early research.

Confirmed on January 27, 2025, the GSK-Oxford Cancer Immuno-Prevention Programme will conduct translational research, exploring precancer biology to generate key insights on how cancer develops in humans that could inform new approaches to cancer vaccination.

Professor Irene Tracey, Vice-Chancellor of the University of Oxford, commented in a press release, “This partnership represents a step forward in cancer research. By working with GSK to unite experts in clinical trials, immuno-oncology, vaccinology, and precancer research from across the University of Oxford, we aim to unlock the potential of cancer vaccines and bring hope to patients worldwide.”

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by Gerd Altmann
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Lyme
Lyme disease vaccine candidates is conducting clinical research in 2025
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The Florida Health Department recently confirmed a record number of Vibrio vulnificus (V. vibrio) cases and deaths in 2024. While infections are rare, this increase was related to hurricanes in the year's second half.

As of January 3, 2025, Florida reported 83 V. vibrio cases and 18 deaths last year. Pinellas County (Tampa Bay) led all counties with 15 cases and three deaths.

In 2023, there were 46 cases and 11 related deaths.

About 80,000 cases of vibriosis happen each year in the United States.

Vibrio is a naturally occurring bacterium in warm seawater. Brackish water is a mixture of salt and fresh water often found where rivers meet the ocean. People can get vibriosis after swallowing Vibrio or getting it in a wound.

Florida and the U.S. CDC recommend not to enter the salt water if you have fresh cuts or scrapes.

Furthermore, there are no protective V. vibrio vaccines available in 2025.

However, various travel vaccines are available to protect people when visiting Florida.

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chikungunya
Women should consider vaccination before traveling to chikungunya outbreaks
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According to the updated Annual Antrax Epidemiological Report, this rare Zoonotic disease continues to be detected in humans in Europe.

From 2018 to 2021, EU/EEA countries reported 11 confirmed cases.

However, for 2022, the Republic of Croatia reported seventeen anthrax cases (eight confirmed, nine probable), Romania reported three cases, and Spain reported two. And there were no fatalities in any of these countries.

The large outbreak of anthrax in cattle in Croatia was associated with human cases.

All confirmed cases for which information was provided presented with cutaneous anthrax (N=4) after exposure to farm animals (N=3) and were domestically acquired (N=4). 

The European Centre for Disease Prevention and Control (ECDC) stated on January 22, 2025, that spore-forming bacteria cause anthrax and is not spread from person to person. 

The most at-risk populations for developing anthrax are those who are in close contact with animals and potentially contaminated animal products and those who live in endemic areas.

The ECDC says vaccines against anthrax are available and are approved in some EU/EEA countries. Guidelines recommend vaccination for people at risk, such as veterinarians, abattoir workers, those working with animal hides or furs, laboratory workers, and armed forces members in areas with a high risk of exposure.

In addition to pre-exposure prophylaxis with vaccines, the anthrax vaccine is also recommended for post-exposure prophylaxis.

In the United States, the Food and Drug Administration approved the anthrax vaccine (Emergent BioSolutions, CYFENDUS™), recommended for most adults at risk of exposure to anthrax bacteria.

It is also recommended for unvaccinated people of all ages who have been exposed to anthrax. These people should get three doses of anthrax vaccine together with recommended antibiotic drugs.

In the U.S., anthrax vaccines are not generally available at pharmacies.

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The European Centre for Disease Prevention and Control (ECDC) recently published recommended actions for response regarding respiratory viruses and preventive vaccines during the 2025 winter season.

On January 24, 2025, the ECDC stated that primary and secondary care consultation rates have increased in several countries recently and that significant respiratory virus activity is occurring in Europe.

Seasonal influenza and respiratory syncytial virus (RSV) epidemics are ongoing.

All indicators point to widespread high influenza activity in the EU/EEA, albeit some countries are now observing slightly decreasing trends in test positivity following a peak in transmission.

In recent weeks, RSV activity decreased overall at the EU/EEA level, although the country-level picture remains mixed.

The ECDC says 'vaccination is the most effective measure to protect against more severe forms of viral respiratory diseases. Those eligible for vaccination, particularly those at higher risk of severe outcomes, are encouraged to get vaccinated.'

According to Stattista, Europe accounts for over half of international tourist arrivals worldwide, with inbound arrivals exceeding 700 million in 2023.

As of January 26, 2025, the U.S. CDC and the ECDC encourage international travelers to be updated on travel vaccines relevant to their pending trip abroad.

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cholera
Cholera outbreaks continue in 2025
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A recent study confirmed the protection provided by two doses of the Hecolin® Hepatitis E vaccine, even during an epidemic, and the reduction in the incidence of the disease.

"Our results and others helped lead to recent approval by WHO's International Coordinating Group (ICG) on Vaccine Provision of a stockpile of hepatitis E vaccines for emergencies, stated Andrew Azman, an epidemiologist at the UNIGE-HUG Centre for Emerging Viral Diseases,  MSF and JHU, who led this research published by The Lancet, in a press release on January 14, 2025.

Hepatitis E, stemming from the hepatitis E virus (HEV), is a widespread liver ailment, contributing to around 20 million cases. Its impact is notably more severe in developing nations like India and Bangladesh than in developed nations.

Hepatitis E is a viral infection that is particularly dangerous for pregnant women and people with chronic illnesses, with a mortality rate of up to 10-50%. Vertical transmission rates of the virus range from 27% to 78%.

"Symptoms of hepatitis E are similar to other diseases that cause acute jaundice, making it difficult to detect. While we don't have precise global burden estimates, some have put it at around 50,000 fatalities yearly," explains Azman.

"This (ICG) stockpile has the potential to save many lives, and we're looking forward to seeing it put into action. These results have also already contributed to the WHO recommendations on using a two-dose schedule", concluded Azman.

The Hecolin vaccine was licensed in some countries in 2011 and is typically given in three doses.

Since 2015, the World Health Organization has recommended its use in outbreak settings.

In the United States, hepatitis E is relatively underexplored, and vaccine development for this disease has not been a priority.

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