Naples and Caserta provinces are extensively affected by the illegal dumping of hazardous and urban wastes, which were periodically set to fire. Several studies were made on the possible health impact of this illegal waste management. The aim of the study was to detect dioxins levels in breast milk of volunteer primiparae and to assess the possible source of dioxins in the affected areas. The authors determined dioxins levels in breast milk from 100 primiparae from the study area and collected anamnestic information on donors. We determined dioxins levels in breast milk from 100 primiparae from the study area and collected anamnestic information on donors. As a measure of environmental risk of dioxins (EDR) we used the interpolated values of dioxins concentration in buffalo milk samples collected in the study area. Correlations between the EDR, age of the mother, smoking habit, cheese consumption, occupation in activity at risk, presence of plants for the disposal of toxic waste or illegal burning of solid waste near the residence of the donor and dioxin level in breast milk were investigated. The dioxin level in breast milk is significantly correlated to the EDR, the age of the sampled women and the presence of illegal burning of solid waste.

Foot and mouth disease (FMD) is a highly contagious disease of cloven-hoofed animals, including cattle, pigs, sheep, goats, and certain wildlife species. The disease can cause massive economic losses when introduced into countries that were free from the infection, generating negative effects due to reduced animal productivity and restrictions on international livestock trade. Following 15 years of FMD absence, Tunisia and Algeria experienced an incursion of the disease in 2014. The epidemiological situation and disease control measures in operation for FMD in the North African region are not homogeneous. The FMD virus detected in Tunisia and Algeria during the epidemic in 2014 showed 99% identity with a strain isolated in Libya in 2013. Morocco was not affected by the 2014 epidemic but it started a preventive vaccination campaign for cattle in August of that year. The relatively short distance between the North African continent and southern Europe may facilitate the introduction of pathogens, including FMD virus. The history of infectious diseases demonstrates that the Mediterranean Sea is not a sufficient barrier to viral infections. Considering the geography and the FMD situation in North African countries, strong and coordinated intervention strategies are required, including economic, political and disease control aspects, to prevent the spread of FMD to other countries in North Africa or to other regions, e.g. southern Europe. Regional platforms such as the Mediterranean Animal Health Network (REMESA) could play a crucial role in coordinating and managing animal health crises, such as the 2014 FMD epidemic.

Rabies is a major zoonosis that affects the central nervous system of warm-blooded mammals. The disease is present worldwide, except for some islands. Africa and Asia record over 95% of the fatal cases of rabies worldwide, and therefore the greatest risk to human life from rabies occurs in these regions. Mass vaccination of dogs is the most appropriate way to control and eliminate the disease at the animal source, in order to interrupt the infectious cycle of the disease from animals to humans. Rabies is endemic in the North African region, and countries should be encouraged to develop programmes for eliminating human rabies through the implementation of sustained campaigns to immunise dogs and by providing post-exposure prophylaxis (PEP) to people who have been exposed to suspected rabid dogs. In Tunisia, the national strategy against rabies was started in 1981 and it has been upgraded since. Following the launch of the annual vaccination programme in 1993, there was a significant improvement in the health status for rabies in Tunisia, with a decrease in the number of cases in animals and humans. Since 2011, an increase in cases of rabies in dogs and humans has been observed, due to lower vaccination coverage, mismanagement of waste and an increase in the stray dog population. The political will at international, regional and national levels is the cornerstone of the strategy to eliminate the disease. In the framework of the regional approach in the Maghreb, additional efforts and political willingness are necessary at the national level to better control and eventually eliminate rabies.

Gastroenteritis Outbreak at Holiday Resort, Central Italy

Sheep pox is a highly contagious disease causing significant economic losses on livestock farms, especially among young animals. Epidemiological analysis of retrospective data on sheep pox surveillance over ten years revealed the endemicity of the disease in Tunisia. Temporally, the prevalence of infected farms increased during the last five years analysed (2013-2017), despite control measures for the disease, which are based essentially on vaccination. Analysis of the seasonality of infection showed that most outbreaks occurred in autumn and winter. The geographical distribution and spatial analyses classified the governorate of Sidi Bouzid as the area most affected by sheep pox during the period of study. It was observed that vaccination coverage decreased below the recommended value (80%) in the last four years (2013)(2014)(2015)(2016).