® July 2020 Public domain image from Biodiversity Heritage Library. Holding institution: Missouri Botanical Garden, Peter H. Raven Library, Saint Louis, Missouri, USA. Missouri, Louis, Saint Library, Raven H. Peter Garden, Botanical Missouri institution: Holding Library. Heritage Biodiversity from image domain Public Watercolor on vellum. 21 in × 13 3/4 in/53.3 cm × 35 cm. cm. 35 × cm in/53.3 3/4 13 × in 21 vellum. on Watercolor (1812). Iris Germanica Iris Pierre Joseph Redouté (1759–1840). (1759–1840). Redouté Joseph Pierre Emerging Viruses Vol 26, No 7, July 2020 EMERGING INFECTIOUS DISEASES Pages 1355–1644 DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Centers for Disease Control and Prevention (CDC) Mailstop D61, Atlanta, GA 30329-4027 Official Business Penalty for Private Use $300 Return Service Requested ISSN 1080-6040 Peer-Reviewed Journal Tracking and Analyzing Disease Trends Pages 1355–1640 ® EDITOR-IN-CHIEF D. Peter Drotman ASSOCIATE EDITORS EDITORIAL BOARD Charles Ben Beard, Fort Collins, Colorado, USA Barry J. Beaty, Fort Collins, Colorado, USA Ermias Belay, Atlanta, Georgia, USA Martin J. Blaser, New York, New York, USA David M. Bell, Atlanta, Georgia, USA Andrea Boggild, Toronto, Ontario, Canada Sharon Bloom, Atlanta, Georgia, USA Christopher Braden, Atlanta, Georgia, USA Richard Bradbury, Melbourne, Australia Arturo Casadevall, New York, New York, USA Mary Brandt, Atlanta, Georgia, USA Kenneth G. Castro, Atlanta, Georgia, USA Corrie Brown, Athens, Georgia, USA Vincent Deubel, Shanghai, China Charles H. Calisher, Fort Collins, Colorado, USA Christian Drosten, Charité Berlin, Germany Benjamin J. Cowling, Hong Kong, China Anthony Fiore, Atlanta, Georgia, USA Michel Drancourt, Marseille, France Isaac Chun-Hai Fung, Statesboro, Georgia, USA Paul V. Effler, Perth, Australia Kathleen Gensheimer, College Park, Maryland, USA David O. Freedman, Birmingham, Alabama, USA Rachel Gorwitz, Atlanta, Georgia, USA Peter Gerner-Smidt, Atlanta, Georgia, USA Duane J. Gubler, Singapore Stephen Hadler, Atlanta, Georgia, USA Richard L. Guerrant, Charlottesville, Virginia, USA Matthew J. Kuehnert, Edison, New Jersey, USA Scott Halstead, Arlington, Virginia, USA Nina Marano, Atlanta, Georgia, USA David L. Heymann, London, UK Martin I. Meltzer, Atlanta, Georgia, USA Keith Klugman, Seattle, Washington, USA David Morens, Bethesda, Maryland, USA J. Glenn Morris, Jr., Gainesville, Florida, USA Takeshi Kurata, Tokyo, Japan Patrice Nordmann, Fribourg, Switzerland S.K. Lam, Kuala Lumpur, Malaysia Johann D.D. Pitout, Calgary, Alberta, Canada Stuart Levy, Boston, Massachusetts, USA Ann Powers, Fort Collins, Colorado, USA John S. Mackenzie, Perth, Australia Didier Raoult, Marseille, France John E. McGowan, Jr., Atlanta, Georgia, USA Pierre E. Rollin, Atlanta, Georgia, USA Jennifer H. McQuiston, Atlanta, Georgia, USA Frederic E. Shaw, Atlanta, Georgia, USA Tom Marrie, Halifax, Nova Scotia, Canada David H. Walker, Galveston, Texas, USA Nkuchia M. M’ikanatha, Harrisburg, Pennsylvania, USA J. Todd Weber, Atlanta, Georgia, USA Frederick A. Murphy, Bethesda, Maryland, USA J. Scott Weese, Guelph, Ontario, Canada Barbara E. Murray, Houston, Texas, USA Managing Editor Stephen M. Ostroff, Silver Spring, Maryland, USA Byron Breedlove, Atlanta, Georgia, USA Mario Raviglione, Milan, Italy and Geneva, Switzerland David Relman, Palo Alto, California, USA Copy Editors Deanna Altomara, Kristina Clark, Guenael R. Rodier, Saône-et-Loire, France Dana Dolan, Karen Foster, Thomas Gryczan, Amy Guinn, Connie Schmaljohn, Frederick, Maryland, USA Shannon O’Connor, Tony Pearson-Clarke, Jude Rutledge, Tom Schwan, Hamilton, Montana, USA P. Lynne Stockton, Deborah Wenger Rosemary Soave, New York, New York, USA Production Thomas Eheman, William Hale, Barbara Segal, P. Frederick Sparling, Chapel Hill, North Carolina, USA Reginald Tucker Robert Swanepoel, Pretoria, South Africa David E. Swayne, Athens, Georgia, USA Journal Administrator Susan Richardson Phillip Tarr, St. Louis, Missouri, USA Editorial Assistants Jane McLean Boggess, Kaylyssa Quinn Duc Vugia, Richmond, California, USA Communications/Social Media Mary Edythe Wilson, Iowa City, Iowa, USA Heidi Floyd, Sarah Logan Gregory Emerging Infectious Diseases is published monthly by the Centers for Disease Control Founding Editor and Prevention, 1600 Clifton Rd NE, Mailstop H16-2, Atlanta, GA 30329-4027, USA. Joseph E. McDade, Rome, Georgia, USA Telephone 404-639-1960; email, [email protected] The conclusions, findings, and opinions expressed by authors All material published in Emerging Infectious Diseases is in the contributing to this journal do not necessarily reflect the official public domain and may be used and reprinted without special position of the U.S. Department of Health and Human Services, permission; proper citation, however, is required. the Public Health Service, the Centers for Disease Control and Use of trade names is for identification only and does not imply Prevention, or the authors’ affiliated institutions. Use of trade names endorsement by the Public Health Service or by the U.S. Department is for identification only and does not imply endorsement by any of of Health and Human Services. the groups named above. EMERGING INFECTIOUS DISEASES is a registered service mark of the U.S. Department of Health & Human Services (HHS). Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 26, No. 7, July 2020 Emerging Viruses July 2020 Public Health Role of Academic Medical Center in Community Outbreak of Hepatitis A, San Diego County, California, USA, 2016–2018 M. Kang et al. 1374 Macrolide-Resistant Mycoplasma pneumoniae Infections in Pediatric Community-Acquired Pneumonia Y.-C. Chen et al. 1382 Research Efficient Surveillance of Plasmodium knowlesi Genetic Subpopulations, Malaysian Borneo, 2000–2018 P.C.S. Divis et al. 1392 Bat and Lyssavirus Exposure among Humans in Area that Celebrates Bat Festival, Nigeria, 2010 and 2013 N.M. Vora et al 1399 Rickettsioses as Major Etiologies of Unrecognized Acute Febrile Illness, Sabah, East Malaysia Because acute rickettsioses are common, underrecognized, and untreated etiologies of these illnesses, empirical On the Cover doxycycline treatment should be considered. M.J. Grigg et al. 1409 Pierre Joseph Redouté (1759–1840). Iris Germanica (1812). Watercolor on vellum. 21 in x 13¾ in/53.3 cm x 35 cm. Public Meningococcal W135 Disease Vaccination domain image from Biodiversity Heritage Library. Holding institution Missouri Botanical Garden, Peter H. Raven Library, St. Louis, Intent, the Netherlands, 2018–2019 Missouri, USA. M. de Vries et al. 1420 About the Cover p. 1639 Risk for Coccidioidomycosis Among Hispanic Farm Workers, California, USA, 2018 Synopses S.A. McCurdy et al. 1430 Case Manifestations and Public Health Response for Outbreak of Meningococcal W Disease, Central Australia, 2017 Atypical Manifestations of Cat-Scratch Disease, E.L. Sudbury et al. 1356 United States, 2005–2014 Transmission of Chikungunya Virus in an Urban Atypical disease is most common among children and Slum, Brazil leads to increased risk for hospitalization. R.O. Anjos et al. 1364 C.C. Nawrocki et al. 1438 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 26, No. 7, July 2020 Paradoxal Trends in Azole-Resistant Aspergillus fumigatus in a National Multicenter Surveillance Program, the Netherlands, 2013–2018 P.P.A. Lestrade et al. 1447 Nationwide Outbreak of Invasive Listeriosis Associated with Blood Sausage, Germany, July 2020 2018–2019 Laboratory-Acquired Dengue Virus Infection, S. Halbedel et al. 1456 United States, 2018 Identifying Locations with Possible T.M. Sharp et al. 1534 Undetected Imported Severe Acute Respiratory Syndrome Coronavirus 2 Cases by Using Linking Epidemiology and Whole-Genome Importation Predictions Sequencing to Investigate Salmonella Outbreak, Massachusetts, USA, 2018 P.M. De Salazar et al. 1465 E.L. Vaughn et al. 1538 High Contagiousness and Rapid Spread of Severe Acute Respiratory Syndrome Coronavirus 2 Possible Bat Origin of Severe Acute Respiratory Syndrome Coronavirus 2 S. Sanche et al. 1470 S.K.P. Lau et al. 1542 Severe Acute Respiratory Syndome Coronavirus 2–Specific Antibody Responses Heartland Virus in Humans and Ticks, Illinois, in Coronavirus Disease Patients USA, 2018–2019 N.M.A. Okba et al. 1478 H.C. Tuten et al. 1548 Burden and Cost of Hospitalization for Respiratory Approach to Cataract Surgery in an Ebola Virus Syncytial Virus in Young Children, Singapore Disease Survivor with Prior Ocular Viral Persistence J.R. Wells et al. 1553 C.C. Tam et al. 1489 Sub-Saharan Africa and Eurasia Ancestry of Human Adenovirus Type 55 Distribution, Regional Reassortant Highly Pathogenic Avian Influenza Persistence, and Genetic Variability A(H5N8) Virus, Europe, December 2019 J. Hang et al. 1497 E. Świętoń et al. 1557 Clinical Management of Argentine Hemorrhagic Policy Review Fever using Ribavirin and Favipiravir, Belgium, 2020 Policy Decisions and Use of Information Technology to Fight Coronavirus Disease, I. Veliziotis et al. 1562 Taiwan Early Introduction of Severe Acute Respiratory C. Lin et al. 1506 Syndrome Coronavius 2 into Europe S.J. Olsen et al. 1567 Dispatches Surveillance and Testing for Middle East Serologic Evidence of Severe Fever with Respiratory Syndrome Coronavirus, Saudi Arabia, Thrombocytopenia Syndrome Virus and Related March 2016–March 2019 Viruses in Pakistan A. Alzahrani et al. 1571 A Zohaib et al. 1513 Community Responses during Early Phase of Survey of Parental Use of Antimicrobial Drugs for COVID-19 Epidemic, Hong Kong Common