 Together they caused 20 cases by year's end.In Syria a large outbreak began at Mayadin, Deir ez-Zor Governorate, a center of fighting in the Syrian Civil War and also spreading to neighboring districts saw 74 confirmed cases from a viral strain that had circulated undetected for about two years.Circulation of multiple genetic lines of cVDPV2 was also detected in Banadir province, Somalia, but no infected individuals were identified.