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Bluetongue, Print Bulgaria Close
Information received on 17/11/2014 from Pr. Nikola T. Belev, OIE Delegate, OIE Regional Representation for Eastern Europe, Ministry of Agriculture and Food , SOFIA, Bulgaria Summary
Report type Follow-up report No. 10
Date of start of the event 04/07/2014 Date of pre-confirmation of the 04/07/2014 event Report date 16/11/2014
Date submitted to OIE 17/11/2014
Reason for notification Reoccurrence of a listed disease
Date of previous occurrence 27/03/2008
Manifestation of disease Clinical disease
Causal agent Bluetongue virus
Serotype 4
Nature of diagnosis Clinical, Laboratory (basic)
This event pertains to the whole country Immediate notification (15/07/2014) Follow-up report No. 1 (07/08/2014) Follow-up report No. 2 (08/08/2014) Follow-up report No. 3 (01/09/2014) Follow-up report No. 4 (08/09/2014) Follow-up report No. 5 (24/09/2014) Follow-up report No. 6 (10/10/2014) Related reports Follow-up report No. 7 (24/10/2014) Follow-up report No. 8 (27/10/2014) Follow-up report No. 9 (28/10/2014) Follow-up report No. 10 (16/11/2014) Follow-up report No. 11 (18/11/2014) Follow-up report No. 12 (20/11/2014) Follow-up report No. 13 (21/11/2014) New outbreaks (60) Outbreak 1 Dushantsi, Pirdop, Sofia, SOFIJA
Date of start of the outbreak 16/09/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 912 56 16 0 0 Outbreak 2 Koprivshtitsa, Koprivshtitsa, Sofia, SOFIJA
Date of start of the outbreak 16/09/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 2200 65 47 0 0 Outbreak 3 Verinsko, Ihtiman, Sofia, SOFIJA
Date of start of the outbreak 29/09/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 90 28 15 0 0 Outbreak 4 Gylybovtsi, Slivnitsa, Sofia, SOFIJA
Date of start of the outbreak 29/09/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
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Affected animals Sheep 223 25 16 0 0 Outbreak 5 Tsatsarovtsi, Dragoman, Sofia, SOFIJA
Date of start of the outbreak 01/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 80 5 1 0 0 Outbreak 6 Raduil, Samokov, Sofia, SOFIJA
Date of start of the outbreak 02/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 565 65 14 0 0 Outbreak 7 Vakarel, Ihtiman, Sofia, SOFIJA
Date of start of the outbreak 02/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 110 25 9 0 0 Outbreak 8 Gara Elin Pelin, Elin Pelin, Sofia, SOFIJA
Date of start of the outbreak 02/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 125 10 4 0 0 Outbreak 9 Maritsa, Samokov, Sofia, SOFIJA
Date of start of the outbreak 02/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 375 36 12 0 0 Outbreak 10 Elin Pelin, Elin Pelin, Sofia, SOFIJA
Date of start of the outbreak 02/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 298 10 8 0 0 Outbreak 11 Kostenets, Kostenets, Sofia, SOFIJA
Date of start of the outbreak 03/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 597 35 15 0 0 Outbreak 12 Dragotintsi, Slivnitsa, Sofia, SOFIJA
Date of start of the outbreak 03/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 88 3 1 0 0 Outbreak 13 Gorna Vasilitsa, Kostenets, Sofia, SOFIJA
Date of start of the outbreak 03/10/2014
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Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 297 5 1 0 0 Outbreak 14 Aldomirovtsi, Slivnitsa, Sofia, SOFIJA
Date of start of the outbreak 03/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Sheep 446 6 1 0 0 Outbreak 15 Banya, Razlog, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 313 0 0 0 0 Goats 186 0 0 0 0 Sheep 488 1 0 0 0 Outbreak 16 Blatska, Hadzhidimovo, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Cattle 73 0 0 0 0 Affected animals Goats 30 0 0 0 0 Sheep 160 45 3 0 0 Outbreak 17 Drenovitsa, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 237 0 0 0 0 Sheep 248 23 12 0 0 Outbreak 18 Kolibite, Strumyani, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Cattle 45 0 0 0 0 Affected animals Goats 86 0 0 0 0 Sheep 152 7 2 0 0 Outbreak 19 Dolna ribnitsa, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 714 0 0 0 0 Sheep 702 15 2 0 0 Outbreak 20 Gorno kraishte, Belitsa, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
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Cattle 275 0 0 0 0 Affected animals Sheep 805 10 0 0 0 Outbreak 21 Elenovo, Blagoevgrad, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 14 0 0 0 0 Sheep 83 10 5 0 0 Outbreak 22 Rupite, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 86 0 0 0 0 Goats 51 0 0 0 0 Sheep 596 8 1 0 0 Outbreak 23 Novo Hodzhovo, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 153 0 0 0 0 Goats 54 0 0 0 0 Sheep 312 12 4 0 0 Outbreak 24 Lilyanovo, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 185 0 0 0 0 Goats 38 0 0 0 0 Sheep 45 9 3 0 0 Outbreak 25 Pravo byrdo, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 192 0 0 0 0 Sheep 800 5 1 0 0 Outbreak 26 Buchino, Blagoevgrad, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 17 0 0 0 0 Goats 89 0 0 0 0 Sheep 350 20 13 0 0 Outbreak 27 Borovichene, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals
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Goats 259 0 0 0 0 Sheep 317 5 1 0 0 Outbreak 28 Mikrevo, Strumyani, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 358 0 0 0 0 Goats 320 0 0 0 0 Sheep 296 11 3 0 0 Outbreak 29 Vishlene, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 508 0 0 0 0 Sheep 346 15 5 0 0 Outbreak 30 Churicheni, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 182 0 0 0 0 Goats 712 0 0 0 0 Sheep 2686 105 55 0 0 Outbreak 31 Volno, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 103 0 0 0 0 Sheep 237 5 1 0 0 Outbreak 32 Razdol, Strumyani, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 76 0 0 0 0 Goats 103 0 0 0 0 Sheep 315 13 3 0 0 Outbreak 33 Lebnitsa, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 113 0 0 0 0 Sheep 314 12 6 0 0 Outbreak 34 Kornitsa, Gotse Delchev, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Cattle 332 0 0 0 0 Goats 250 0 0 0 0
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Sheep 1126 360 107 0 0 Outbreak 35 Starchevo, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 34 0 0 0 0 Sheep 559 3 2 0 0 Outbreak 36 Baskaltsi, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 32 0 0 0 0 Goats 437 0 0 0 0 Sheep 559 10 5 0 0 Outbreak 37 Kamenitsa, Strumyani, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 65 0 0 0 0 Goats 53 0 0 0 0 Sheep 87 8 3 0 0 Outbreak 38 Kladentsi, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 27 0 0 0 0 Goats 165 0 0 0 0 Sheep 715 15 5 0 0 Outbreak 39 Gostun, Bansko, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 103 0 0 0 0 Goats 25 0 0 0 0 Sheep 165 43 18 0 0 Outbreak 40 Kapatovo, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 54 0 0 0 0 Goats 2 0 0 0 0 Sheep 672 5 3 0 0 Outbreak 41 Ryzhdak, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Cattle 121 0 0 0 0
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Goats 114 0 0 0 0 Affected animals Sheep 40 5 2 0 0 Outbreak 42 Levunovo, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 679 0 0 0 0 Goats 121 0 0 0 0 Sheep 278 14 4 0 0 Outbreak 43 Polenitsa, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 215 0 0 0 0 Goats 87 0 0 0 0 Sheep 195 9 3 0 0 Outbreak 44 Sandanski, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 1356 0 0 0 0 Goats 354 0 0 0 0 Sheep 458 19 5 0 0 Outbreak 45 Hvostyane, Gyrmen, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 107 0 0 0 0 Goats 64 0 0 0 0 Sheep 527 1 0 0 0 Outbreak 46 Dolene, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 14 0 0 0 0 Sheep 180 15 5 0 0 Outbreak 47 Zelen dol, Blagoevgrad, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 19 0 0 0 0 Goats 38 0 0 0 0 Sheep 159 15 4 0 0 Outbreak 48 Rupite, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
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Cattle 86 0 0 0 0 Affected animals Goats 51 0 0 0 0 Sheep 596 8 1 0 0 Outbreak 49 Goreme, Strumyani, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 321 0 0 0 0 Goats 93 0 0 0 0 Sheep 186 12 4 0 0 Outbreak 50 Sklave, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 07/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 234 0 0 0 0 Goats 118 0 0 0 0 Sheep 216 10 2 0 0 Outbreak 51 Banichan, Gotse Delchev, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 10/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 60 0 0 0 0 Goats 50 0 0 0 0 Sheep 310 58 34 0 0 Outbreak 52 Ribnik, Petrich, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 16/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered Affected animals Goats 99 0 0 0 0 Sheep 123 2 1 0 0 Outbreak 53 Petrovo, sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 16/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 82 0 0 0 0 Goats 1216 0 0 0 0 Sheep 680 8 5 0 0 Outbreak 54 Chereshnitsa, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 16/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 335 0 0 0 0 Goats 32 0 0 0 0 Sheep 105 15 3 0 0 Outbreak 55 Krystiltsi, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 16/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
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Species Susceptible Cases Deaths Destroyed Slaughtered Cattle 183 0 0 0 0 Affected animals Goats 93 0 0 0 0 Sheep 440 25 6 0 0 Outbreak 56 Laskarevo, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 16/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 402 0 0 0 0 Goats 112 0 0 0 0 Sheep 1413 21 7 0 0 Outbreak 57 Hyrsovo, Sandanski, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 16/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 235 0 0 0 0 Goats 101 0 0 0 0 Sheep 480 18 4 0 0 Outbreak 58 Stara Kresna, Kresna, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 16/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 25 0 0 0 0 Goats 50 0 0 0 0 Sheep 150 8 6 0 0 Outbreak 59 Izgrev, Blagoevgrad, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 20/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 77 0 0 0 0 Goats 40 0 0 0 0 Sheep 422 40 30 0 0 Outbreak 60 Dolno draglishte, Razlog, Blagoevgrad, BLAGOEVGARD
Date of start of the outbreak 22/10/2014
Outbreak status Continuing (or date resolved not provided)
Epidemiological unit Farm
Species Susceptible Cases Deaths Destroyed Slaughtered
Affected animals Cattle 84 0 0 0 0 Goats 28 0 0 0 0 Sheep 372 2 1 0 0 Summary of Total outbreaks: 60 outbreaks Species Susceptible Cases Deaths Destroyed Slaughtered Total animals Sheep 26871 1454 550 0 0 affected Cattle 6997 0 0 0 0 Goats 7650 0 0 0 0 Apparent morbidity Apparent mortality Apparent case fatality Proportion susceptible animals Species rate rate rate lost* Outbreak statistics Sheep 5.41% 2.05% 37.83% 2.05% Cattle 0.00% 0.00% ** 0.00% Goats 0.00% 0.00% ** 0.00% *Removed from the susceptible population through death, destruction and/or slaughter
Epidemiology
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Source of the outbreak(s) or origin of infection Unknown or inconclusive
Control measures
Control of arthropods Movement control inside the country Measures applied Disinfection of infected premises/establishment(s) Vaccination prohibited No treatment of affected animals Measures to be applied No other measures
Future Reporting
The event is continuing. Weekly follow-up reports will be submitted.
Map of outbreak locations
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