Monthly travel health news about disease outbreaks around the world, from our Lead Nurse JO THOMPSON.
Flooding in Pakistan Advice for Travellers:
- Pakistan has been affected by severe flooding after the heaviest monsoon rains in a decade.
- The risk of mosquito-borne diseases is likely to increase. Malaria and dengue are already widespread in Pakistan and are likely to become more common. Rigorous mosquito bite avoidance is essential at all times. Antimalarial Chemoprophylaxis is recommended for those travelling to flooded areas of the country.
- Food and water precautions should be taken at all times. Potentially severe infections like typhoid, cholera and Hepatitis A are likely to become more common and vaccinations should be considered on risk assessment for those travelling to high-risk areas.
- All travellers to Pakistan should be up to date with the routine scheduled vaccines. Polio is present in Pakistan and all travellers should have this updated if it has been more than 10 years since their last dose. Travellers staying for more than 4 weeks should be made aware of the polio vaccination exit requirements – that a Polio vaccine booster is advised if they have not had one in the previous 12 months. An International Certificate of Vaccination may be required on exit for these travellers. (Travax)
- More information can be found here.
Typhoon in the Philippines- Advice for Travellers:
- Super typhoon Noru, known locally as Karding, hit the Philippines on Sunday, 25th September.
- This has caused some flooding which can cause problems as mentioned above with food and water precautions.
- You should follow the advice of the local authorities and monitor local news reports for the latest developments.
Yellow Fever Outbreak in Africa:
- Yellow fever is a viral haemorrhagic disease, transmitted to humans by day time biting mosquitoes. There are risks of yellow fever in the tropics including various countries in Africa.
- Between 1 January 2022 and 26 August 2022, 12 countries in Africa have reported either confirmed or probable cases. These include Nigeria and Ghana that have both had significant outbreaks. Other outbreak countries include Cameroon, Central Africa Republic, Chad, Cote d’Ivoire, DRC, Gabon, Niger, Uganda and Kenya.
- Low vaccine uptake has left many susceptible and is a risk factor for continuing transmission.
- If you are travelling to an at risk country, please ensure that you have your yellow fever vaccine and certificate. (NaTHNac)
Measles in Africa:
- There are reports of an outbreak of measles in countries in Africa. There have been a number of deaths in Congo, DRC, Liberia, Cameroon and Zimbabwe. Other countries affected are Mali, Ethiopia, Guinea, Central African Republic, Mozambique and Zambia.
- Measles is a highly infectious viral infection spread via airborne or droplet transmission. Symptoms include fever, rash and cough. It can be life-threatening in some people.
- Measles is common in young children but all ages are at risk if they have not been fully vaccinated or had a prior measles infection.
- Travellers – please ensure that you have had 2 MMR vaccines (normally as a child) or a prior measles infection to be fully protected (Travax)
- More information can be found here.
Ebola outbreak in Uganda and DRC:
- As of 25 September 2022, a total of 36 cases (18 confirmed and 18 probable) of Ebola, including 23 deaths (five confirmed and 18 probable) have been reported in Uganda.
- On 23 August 2022, the World Health Organization (WHO) announced that authorities in the Democratic Republic of the Congo (DRC) declared a resurgence of Ebola virus disease (EVD), following confirmation of one case in the country’s eastern province of North Kivu.
- This is the 14th outbreak of Ebola in DRC since 1976.
- Ebola is a viral disease that is a type of hemorrhagic fever disease. It is spread through contact with blood and body fluids of a person or animal with the infection.
- The risk to travellers is extremely low (Fit for Travel and ReliefWeb)
- More information can be found here about Ebola