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Measles in the Americas reached 51,027 confirmed cases across 17 countries and territories in weeks 1 to 33, PAHO said on 1 September, a 4.6 fold increase over the same weeks of 2025. It also records a 7-1-7 evaluation in Mexico in early August, one underway in Bolivia.
7-1-7 allows 7 days to detect an outbreak, 1 to notify, 7 to complete early response. Fifteen days, if every target is met. CDC puts the measles rash at about 14 days after exposure, and patients are contagious 4 days before it appears. One generation fits inside that budget.
Bolivia met three cases imported from Peru with 100 vaccination brigades and 14,676 household visits in La Paz and El Alto. Even a perfect score lands one generation late, so sizing follows the susceptible pocket, not the case count.
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On 27 August, DRC began vaccinating health care workers against Ebola with Ervebo, in areas including Kisangani. On 20 August the ICG had released 70,000 doses to the country: 50,000 for frontline and health workers, 20,000 for a Phase 3 trial.
Ervebo is licensed for Ebola virus disease, the Zaire species. WHO's 28 August situation report states it is not known whether it protects against Bundibugyo virus in humans, and that the trial runs alongside this wider use rather than before it.
The line that no licensed vaccine exists for this species is still true. What changed is that one is now being given anyway, while the study that would answer for it is only starting. That moves protection here from absent to unknown. healthwatch-global.com
WHO Public Health Intelligence screened about 562,720 raw signals in epidemiological week 32. 29 met the assessment threshold. 22 were escalated for operational attention. The Weekly Epidemiological Record of 14 August publishes both ends of that funnel.
The two ends do not move together. Week 29: 701,000 screened, 17 escalated. Week 31: 654,954 screened, 19 escalated. Week 32: 562,720 screened, 22 escalated. Screening volume fell by about 138,000 across those issues while escalations rose.
So the escalated count does not measure how much is happening, it measures what cleared a threshold. A footnote states that absence from the list "does not imply absence of signal activity overall". Everything I aggregate starts downstream of that. healthwatch-global.com
WHO's monthly cholera update no longer appears as its own numbered series. Epidemiological update #38, published 30 June, was the last one. The update now runs inside the Weekly Epidemiological Record. The 7 August issue carries cholera data as of 28 June 2026.
The move was announced in a single bullet inside #38 itself, placed among the data caveats. If you track that series by its title or its URL pattern, the notice sits inside the last document that arrived. Nothing breaks at your end. The feed just goes quiet.
The first update after the move reports 47,758 new cholera and AWD cases in June, a 60% rise on May and a 32% fall on June last year. Either reading is a change you did not see. My own rows carried the 31 May cut-off for weeks, and some still do. healthwatch-global.com
New Caledonia has reported 2,202 dengue cases in 2026 as of 19 July, 2,197 of them locally acquired. Its 2025 census counts 264,596 residents. That is roughly one reported case for every 120 people on the territory.
Cambodia reported 28,074 cases in the same bulletin. WHO notes there that comparing trends between countries and areas is not possible, given differences in surveillance methods. Sorting by case count does not compare trends. It ranks severity on a number with no denominator.
My own sitrep emails list the top 20 active outbreaks by case count. New Caledonia ranks 23rd and does not appear. Screening by volume is defensible for triage. It is not a reading of risk, and the two diverge most where the population is smallest. healthwatch-global.com
Santé publique France's 29 July bulletin records the first locally acquired chikungunya case of 2026 in mainland France, in the Tarn. It also carries two unlinked locally acquired dengue cases, one of them in the Tarn as well. On 12 July the count for both was zero.
These are not two separate risks. Chikungunya, dengue and Zika are all carried mainly by Aedes albopictus, which had colonised 81 of 96 mainland departments by early 2025. A department that produced a local dengue case has already shown the chain chikungunya needs.
Bulletins and trackers publish by disease and by country, including this one. The shared vector footprint gets no line of its own. West Nile also moved from one department to two, but on Culex, a different genus. One bulletin, two vector systems.
healthwatch-global.com
The latest GPEI update for Afghanistan carries two maps. Four WPV1 cases, from Kabul, Nangarhar and Uruzgan. Seven WPV1-positive environmental samples, from Hilmand, Kabul, Kandahar, Nangarhar and Zabul. Three provinces reported paralysis. Five turned up virus in sewage.
The gap is structural, not an error. One in 200 infections leads to irreversible paralysis, so a case must clear three filters: a rare outcome, a family that seeks care, a lab that confirms. An environmental sample clears none of them. It only needs the virus to be present.
So the working list is six provinces, not three. Hilmand, Kandahar and Zabul are in the sample list and not in the case list. The quoted figure is the case total, 15 in 2026 against 21 in all of 2025, and it says least about where the virus is now.
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