Alabama

Alabama is reporting active Ebola virus disease with major clinical significance due to severe hemorrhagic illness and high fatality risk, alongside enteric pathogens including STEC/EHEC E. coli (risk of bloody diarrhea and hemolytic uremic syndrome), Salmonella (acute gastroenteritis with potential invasive disease), and Cyclospora (prolonged diarrheal illness). The confirmed burden is highest for Ebola with 5,000 cases and 2,300 deaths, both increasing, indicating escalating transmission and mortality; salmonellosis is also increasing with 431 cases. STEC/EHEC E. coli has 12 confirmed cases with trend not reported, and cyclosporiasis is reported without quantified case counts or trend. Overall public health impact severity is high, driven by the large and worsening Ebola outbreak with substantial deaths, occurring amid concurrent circulation of multiple foodborne/enteric pathogens suggesting simultaneous pressures on clinical and public health response capacity.

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