Global Health Risks - Week 20 Year 2018

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Stay healthy Perpetual Travellers and check out the below before you travel.

Brazil: Yellow Fever outbreak continues, vaccination recommended
An outbreak of yellow fever which began in 2017 continues, and has expanded into more areas. Hundreds of people have been infected, and many have died. Cases have occurred among both travellers and local residents in urban areas of Brasilia, Rio de Janeiro and Sao Paulo. Yellow fever is a potentially fatal viral illness spread via mosquito bites. Vaccination is highly recommended for all travellers who will visit an affected area. People who cannot be vaccinated should discuss the risk with their travel health practitioner and reconsider travelling to outbreak areas. Note that vaccination is required to enter some countries AFTER leaving Brazil.

Micronesia: Mumps outbreak
An outbreak of mumps is ongoing in Chuuk state. Mumps is caused by a virus that spreads from person-to-person via infected droplets. It is highly contagious and nearly all cases occur among unvaccinated people. Symptoms include fever, painful and swollen glands, pain on swallowing and in men, the testes can become inflamed. Serious complications can occur. All travellers should ensure they are fully vaccinated against mumps.

Réunion: Rise in dengue
Increase in case numbers. An outbreak of dengue fever is underway. The disease is spread by mosquitoes, and is present in both rural and urban areas. Dengue symptoms include fever, headache, muscle aches and sometimes a rash. Some people, especially those who have been infected before, get a more severe form that can lead to fatal complications. Prevent infection by avoiding mosquito bites. Although there is a vaccine against dengue, it is not recommended for travellers as it may increase the risk of severe disease.

Somalia: Cholera outbreak
Increased cases and fatalities. There is an ongoing cholera outbreak in the regions of Banadir, Hiran, Lower Juba, Lower Shabelle and Middle Shabelle. The Banadir region includes the city of Mogadishu, Somalia's capital. Cholera is endemic in Somalia and spreads via contaminated food and water. Symptoms include vomiting and profuse, watery diarrhoea which can lead to severe dehydration. Travellers staying in quality accommodation with access to safe food and water are at low risk. Pay strict attention to hygiene and consider vaccination.


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