Stay healthy Perpetual Travellers and check out the below before you travel. Here are the Health Risks for Week 21:
Congo (DRC): Ebola in Equateur Province
An Ebola outbreak was declared in Bikoro, Equateur Province, as well as the provincial capital city of Mbandaka. Ebola is spread by contact with the blood or other bodily fluids (especially vomit and diarrhoea) of infected or dead people. Healthcare workers, household members and people participating in traditional funeral practices (touching the body) are at high risk. International SOS is monitoring the situation closely. Defer non-essential travel to the Bikoro/Ikoko-Impenge, Ingende, Iboko and Mbandaka until outbreak control measures have been definitively established. In addition, avoid direct contact with sick people. Do not participate in traditional funerals.
India: Nipah virus cases in Kerala
Suspected cases in several districts of Kerala. Nipah virus activity has been reported for the first time in Kerala state. Many people have been hospitalised and some have died. As a precautionary measure, the state government has advised "if travellers wish to be extra cautious, they may avoid Kozhikkode and Malappuram till further advisory". This is a change from 22 May which also included Wayanad and Kannur districts. International SOS is monitoring the situation closely. Nipah is a potentially fatal viral disease. People get infected through direct contact with infected bats, animals or other people, or through consuming fruit / unpasteurised fruit juice which has been contaminated by bats. There is no specific treatment and no vaccine for Nipah virus. Prevent illness by avoiding contact with sick people, infected animals (particularly bats) and selecting safe food.
Réunion: Rise in dengue
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.