Peer-Reviewed Journal Tracking and Analyzing Disease Trends pages 773–948 EDITOR-IN-CHIEF D. Peter Drotman Associate Editors EDITORIAL BOARD Paul Arguin, Atlanta, Georgia, USA Dennis Alexander, Addlestone, Surrey, UK Charles Ben Beard, Ft. Collins, Colorado, USA Timothy Barrett, Atlanta, Georgia, USA Ermias Belay, Atlanta, Georgia, USA Barry J. Beaty, Ft. Collins, Colorado, USA David Bell, Atlanta, Georgia, USA Martin J. Blaser, New York, New York, USA Sharon Bloom, Atlanta, GA, USA Christopher Braden, Atlanta, Georgia, USA Mary Brandt, Atlanta, Georgia, USA Arturo Casadevall, New York, New York, USA Corrie Brown, Athens, Georgia, USA Kenneth C. Castro, Atlanta, Georgia, USA Michel Drancourt, Marseille, France Louisa Chapman, Atlanta, Georgia, USA Paul V. Effler, Perth, Australia Thomas Cleary, Houston, Texas, USA David Freedman, Birmingham, Alabama, USA Vincent Deubel, Shanghai, China Peter Gerner-Smidt, Atlanta, Georgia, USA Ed Eitzen, Washington, DC, USA Stephen Hadler, Atlanta, Georgia, USA Daniel Feikin, Baltimore, Maryland, USA Matthew Kuehnert, Atlanta, Georgia, USA Anthony Fiore, Atlanta, Georgia, USA Nina Marano, Atlanta, Georgia, USA Isaac Chun-Hai Fung, Statesboro, Georgia, USA Martin I. Meltzer, Atlanta, Georgia, USA Kathleen Gensheimer, College Park, MD, USA David Morens, Bethesda, Maryland, USA Duane J. Gubler, Singapore J. Glenn Morris, Gainesville, Florida, USA Richard L. Guerrant, Charlottesville, Virginia, USA Patrice Nordmann, Fribourg, Switzerland Scott Halstead, Arlington, Virginia, USA Didier Raoult, Marseille, France Katrina Hedberg, Portland, Oregon, USA Pierre Rollin, Atlanta, Georgia, USA David L. Heymann, London, UK Frank Sorvillo, Los Angeles, California, USA Charles King, Cleveland, Ohio, USA David Walker, Galveston, Texas, USA Keith Klugman, Seattle, Washington, USA Takeshi Kurata, Tokyo, Japan Senior Associate Editor, Emeritus S.K. Lam, Kuala Lumpur, Malaysia Brian W.J. Mahy, Bury St. Edmunds, Suffolk, UK Stuart Levy, Boston, Massachusetts, USA Managing Editor John S. MacKenzie, Perth, Australia Byron Breedlove, Atlanta, Georgia, USA Marian McDonald, Atlanta, Georgia, USA John E. McGowan, Jr., Atlanta, Georgia, USA Copy Editors Claudia Chesley, Karen Foster, Thomas Gryczan, Jennifer H. McQuiston, Atlanta, Georgia, USA Jean Michaels Jones, Shannon O’Connor, Rhonda Ray, Jude Rutledge, Tom Marrie, Halifax, Nova Scotia, Canada Carol Snarey, P. Lynne Stockton Nkuchia M. M’ikanatha, Harrisburg, Pennsylvania, USA Philip P. Mortimer, London, UK Production William Hale, Aaron Moore, Barbara Segal, Frederick A. Murphy, Bethesda, Maryland, USA Reginald Tucker Barbara E. Murray, Houston, Texas, USA Editorial Assistants Jared Friedberg, Kristine Phillips P. Keith Murray, Geelong, Australia Stephen M. Ostroff, Silver Spring, MD, USA Communications/Social Media Sarah Logan Gregory Ann Powers, Fort Collins, Colorado, USA Gabriel Rabinovich, Buenos Aires, Argentina Founding Editor Joseph E. McDade, Rome, Georgia, USA Mario Raviglione, Geneva, Switzerland David Relman, Palo Alto, California, USA Emerging Infectious Diseases is published monthly by the Centers for Disease Control and Connie Schmaljohn, Frederick, Maryland, USA Prevention, 1600 Clifton Road, Mailstop D61, Atlanta, GA 30329-4027, USA. Telephone Tom Schwan, Hamilton, Montana, USA 404-639-1960, fax 404-639-1954, email [email protected]. Ira Schwartz, Valhalla, New York, USA The conclusions, findings, and opinions expressed by authors contributing Bonnie Smoak, Bethesda, Maryland, USA to this journal do not necessarily reflect the official position of the U.S. Depart- Rosemary Soave, New York, New York, USA ment of Health and Human Services, the Public Health Service, the Centers for P. Frederick Sparling, Chapel Hill, North Carolina, USA Disease Control and Prevention, or the authors’ affiliated institutions. Use of Robert Swanepoel, Pretoria, South Africa trade names is for identification only and does not imply endorsement by any of the groups named above. Phillip Tarr, St. Louis, Missouri, USA All material published in Emerging Infectious Diseases is in the public Timothy Tucker, Cape Town, South Africa domain and may be used and reprinted without special permission; proper Elaine Tuomanen, Memphis, Tennessee, USA citation, however, is required. John Ward, Atlanta, Georgia, USA Use of trade names is for identification only and does not imply endorsement by the Public Health Service or by the U.S. Department of Health J. Todd Weber, Atlanta, Georgia, USA and Human Services. Mary E. Wilson, Cambridge, Massachusetts, USA EMERGING INFECTIOUS DISEASES™ is a trademark of the US ∞ Emerging Infectious Diseases is printed on acid-free paper that meets the Department of Health and Human Services. requirements of ANSI/NISO 239.48-1992 (Permanence of Paper) Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 22, No. 5, May 2016 May 2016 Synopsis Rickettsia parkeri Rickettsiosis, Arizona, USA ................................ 780 K.L. Herrick et al. The bacterium was probably transmitted by Amblyomma triste, a tick species only recently recognized in the United States. Research Plasmodium falciparum K76T pfcrt Gene Mutations and Parasite Population Structure, Haiti, 2006–2009 .................................. 786 M. Charles et al. Low genetic diversity and low levels of chloroquine resistance among parasites suggest exogenous origin of reported cases. Outbreak of Middle East Respiratory Syndrome at Tertiary Care Hospital, Jeddah, Saudi Arabia, 2014 ...................... 794 D.L. Hastings et al. On the Cover Infection probably was transmitted in the emergency department, inpatient areas, and Claude Monet (1840–1926), Chrysanthemums, 1897 dialysis unit. Oil on Canvas, 51 3/16 in x 39 in / 130 cm x 99 cm. Public domain digital image (copyright expired). Private Collection. (Painting on public display at the Expansion of Shiga Toxin– Cleveland Museum of Art, Cleveland, Ohio, and the Royal Academy of Arts, Producing Escherichia coli by London, during 2015–2016.) Use of Bovine Antibiotic About the Cover p. 941 Growth Promoters ....................... 802 J.-C. Kim et al. Perspective These growth promoters facilitate transfer of Shiga toxin–encoding phages in E. coli. An Operational Framework for Insecticide Resistance Acute Human Inkoo and Chatanga Management Planning ................. 773 Virus Infections, Finland ............. 810 E. Chanda et al. N. Putkuri et al. Country-wide planning and coordination can Most cases appeared to be subclinical, but improve sustainability of vectorborne a few patients, usually children, required disease control. hospitalization. p. 781 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 22, No. 5, May 2016 Differences in Genotype, Clinical Features, and Inflammatory Potential ofBorrelia May 2016 burgdorferi sensu stricto Strains from Europe and and Expanded Geographic Distribution the United States ......................... 818 and Clinical Characteristics of T. Cerar et al. Ehrlichia ewingii Infections, Strains from the United States are more virulent United States ............................... 862 and have greater inflammatory potential. R.M. Harris et al. This bacterium should be considered as an Projecting Month of Birth for etiologic agent of tickborne illness that might be At-Risk Infants after Zika Virus missed by serologic testing Disease Outbreaks ...................... 828 J. Reefhuis et al. Dispatches A modifiable spreadsheet tool will enable health officials to plan for these births. 866 Molecular Characterization of Canine Rabies Virus, Genetic Characterization of Mali, 2006–2013 Archived Bunyaviruses and A. Traoré et al. Their Potential for Emergence p. 822 in Australia .................................. 833 871 Fatal Monocytic Ehrlichiosis in B. Huang et al. Woman, Mexico, 2013 Genetic relationships between bunyaviruses C.G. Sosa-Gutierrez et al. from Australia and pathogenic bunyaviruses from elsewhere indicate emergence potential. 875 Increased Rotavirus Prevalence in Diarrheal Plasmodium falciparum Outbreak Precipitated by In Vitro Resistance to Localized Flooding, Monodesethylamodiaquine, Solomon Islands, 2014 Dakar, Senegal, 2014 .................. 841 F.K. Jones et al. B. Fall et al. 880 Rickettsia sibirica In vitro and in vivo surveillance of all mongolitimonae Infection, artemisinin-based combination therapy partners France, 2010–2014 is warranted. p. 867 E. Angelakis et al. Astrovirus MLB2, a New Gastroenteric Virus Associated 883 Q Fever, Scrub Typhus, with Meningitis and and Rickettsial Diseases in Disseminated Infection ............... 846 Children, Kenya, 2011–2012 S. Cordey et al. A.N. Maina et al. This virus is an unrecognized 887 Molecular Characterization of cause of meningitis and disseminated Chikungunya Virus, infection, particularly among Philippines, 2011–2013 immunocompromised patients. A.K. Sy et al. 891 Severe Sepsis and Septic Shock Associated with Chikungunya Virus Infection, Spectrum of Viral Pathogens Guadeloupe, 2014 in Blood of Malaria-Free A. Rollé et al. Ill Travelers Returning to Canada ...................... 854 895 Clinical, Virologic, and R. Kariyawasam et al. Epidemiologic Characteristics Over a 2-year period, common and emerging of Dengue Outbreak, viruses were documented in >20% of Dar es Salaam, Tanzania, 2014 these travelers. F. Vairo et al. Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 22, No. 5, May 2016 921 Community-Associated MRSA Infection in Remote May 2016 Amazon Basin Area, Peru 900 Fatal Septicemia Linked to 922 Exposure to Bat-Associated Transmission