The Federal Office for Public Health Safety has been informed by the French authority that the first human WNV infection has been confirmed in Nice. Therefore, the French authority extends the seasonal WNV surveillance until November 15, 2017.

Italy is currently experiencing four clusters of autochthonous chikungunya cases in the cities of Anzio, Latina and Rome in the Lazio region, and the city of Guardavalle Marina in the Calabria region. Autochthonous transmission of mosquito-borne infections is not unexpected in areas where Aedes albopictus mosquitoes are established and at a time when environmental conditions are favouring mosquito abundance and activity.

The Federal Office for Public Health Safety has been informed by the Romanian authorities that two new human WNV (meningitis/meningoencephalitits) infections have been confirmed in the capital city of Bucharest.

The Federal Office for Public Health Safety has been informed by the Italian authority that four confirmed cases of malaria have been recorded in non-EU citizens in Italy (Apulia Region: Ginosa, Taranto Province).

The Federal Office for Public Health Safety has been informed by the Italian authority that two more confirmed autochthonous chikungunya cases have been recorded. The reports themselves come from Rome - Lazio Region and Reggio Emilia - Emilia Romagna Region.

186 Total notified cases

The Federal Office for Public Health Safety has been informed by the Romanian authority that, in addition to the regions already announced, a confirmed human WNV infection (meningitis/encephalitis) has occurred in the Calarasi region.

Five events of local transmission of malaria have been reported recently in the EU. Three of these events were associated with either mosquito-borne transmission around an imported case (introduced malaria) or an imported infected mosquito (airport malaria), in Greece and northern Cyprus (P. vivax), and in France (P. falciparum), and two were most likely associated with nosocomial transmission of P. falciparum, in Italy and in Greece, either mosquito-borne or iatrogenic.

Two related clusters involving autochthonous transmission of chikungunya virus have been detected in the cities of Anzio and Rome, two areas located 60 km apart in the Lazio region of Italy. Transmission of this type, in areas where Aedes albopictus mosquitoes are established and at a time when environmental conditions are suitable for increased mosquito abundance and activity, is not unexpected

The Federal Office for Public Health Safety has been informed by the Romanian authority that 6 additional confirmed human WNV (meningitis/meningoencephalitis) infections have occurred.