• An increase in non-mumps parotitis (associated with H3N2 Influenza A virus) has been identified statewide. Please test any suspect cases for both mumps and influenza and notify the health department.

• There has been an increase in pediatric invasive group A streptococcal infections.
• WI had 3 iGAS pediatric deaths in December. All cases had a viral co-infection and were healthy with no risk factors for disease complications.
• Winnebago County had 3 pediatric cases of iGAS in December with one case resulting in Rheumatic Fever.
• Consider iGAS as a possible cause of severe illness, including in children and adults with concomitant viral respiratory infections.

• The Ebola outbreak in Uganda is now under control. The CDC has recommended an end to U.S. travel-related measures, including public health monitoring of travelers who have been to Uganda recently.
• DHS will no longer receive alerts for individuals who have travelled to Uganda.
• WCHD followed 9 people that had recent travel to Uganda. None of those individuals displayed any symptoms and have been released from monitoring.

• Poliovirus was confirmed in an unvaccinated immunocompetent adult resident of New York. Vaccine derived poliovirus type 2 was isolated from the patient and identified from wastewater samples in two neighboring New York counties.
• Unvaccinated persons remain at risk for paralytic poliomyelitis if they are exposed to either wild or vaccine-derived poliovirus (VDPD); everyone should stay up to date on recommended poliovirus vaccination.
• Additional information on polio can be found here.