Alerts in South Africa
South African health authorities have reported 3 cases of rabies in the country in the first 4 months of 2024. The cases were reported in eThekwini Municipality, KZN (1) and Ngqushwa Municipality, Amathole District, EC (1). The third case was in a patient hospitalized in Gauteng province who acquired the disease in Zimbabwe after an exposure in December 2023. All cases involved children aged 2, 5 and 7 years respectively. In two cases no post-exposure medical intervention was reportedly sought, while in one case an incomplete post-exposure rabies prophylaxis regimen was received. For the latter case, it is reported that rabies immunoglobulin and a dose of vaccine were administered after exposure, but the vaccination course was not completed.
South Africa has recorded 2 positive cases of diphtheria disease. The 1st case was an adult in KwaZulu-Natal (KZN), and the 2nd case was a child in the Western Cape. Diphtheria antitoxin is in short supply globally, and the World Health Organization (WHO) is working towards securing additional supply. The infection is treated with the appropriate antibiotics and supportive care in the absence of the antitoxin