Dengue
India
By the end of May of this year, the highest number of cases in the last five years had been reported in the Delhi metropolitan area. In the first three months of this year, approximately 12,050 cases were reported nationwide, and six people died. Last year, approximately 233,520 cases were recorded. Around 300 people died. The states of Kerala, Karnataka, and Tamil Nadu were particularly affected. In 2023, approximately 289,235 cases and 485 deaths were reported. Very good protection against daytime mosquitoes is recommended, and vaccination is also recommended.
Dengue
Kiribati
At the end of April of this year, authorities reported an outbreak on the Tarawa atoll. So far, approximately 55 infections have been confirmed, and there have been around 165 additional suspected cases. Due to heavy rainfall, an increase in the number of cases cannot be ruled out. Very good protection against daytime mosquitoes is recommended, and vaccination may also be advisable.
Poliomyelitis
Papua New Guinea
In March of this year, vaccine-derived poliovirus type 2 (cVDPV2) was detected in an environmental sample in Lae City (Morobe Province). Subsequent routine testing in the same region identified the virus in stool samples from two healthy children. In May, the virus was detected in additional environmental samples in Morobe and the National Capital District. The last human infections were reported in 2018. Due to the emergence of cVDPV2, the country was classified by the WHO as a country with a potential risk of international spread of the pathogen. As a result, all persons (locals and tourists) who have stayed in the country for more than four weeks should be able to show proof of polio vaccination upon departure. The vaccination must be administered between four weeks and one year before departure and documented in an internationally valid vaccination certificate. Ensure vaccination status.
Yellow Fever
Peru
Since the beginning of this year, 38 infections have been reported in the Amazon region, including the Amazonas, Huánuco, and San Martin regions, and 13 people have died. Last year, 19 infections were confirmed nationwide by the end of October, and nine people have died. A yellow fever vaccination is recommended for travel to certain regions of Peru. Travelers are required to be vaccinated when traveling to the Amazon region, and proof of vaccination will be checked.
Dengue
Philippines
By mid-May of this year, the number of cases in Cavite province had more than tripled. In Quezon City (Metro Manila region), approximately 2,380 cases have been registered this year, and 12 people have died. Since the beginning of this year, the number of cases in Iloilo province has increased by approximately 80% compared to the same period last year. In the province of Negros Occidental, infections have approximately tripled. Approximately 95,000 infections have been recorded nationwide since the beginning of this year. Last year, up to the beginning of October, approximately 269,470 cases and 702 deaths were reported nationwide. In 2023, approximately 195,600 infections and 657 deaths were reported. Very good protection against daytime mosquitoes is essential, and vaccination is also recommended.
Malaria
Zimbabwe
There is a risk of infection in large parts of the country. Since the beginning of April this year, the number of cases has increased significantly compared to the previous year, with the province of Mashonaland West (North) being particularly affected. Very good mosquito protection is always recommended; depending on the outbreak situation and travel route, carrying emergency medication or chemoprophylaxis is recommended.
Intestinal infections
Egypt
Risk of diarrheal diseases nationwide. In recent years, there have been repeated cases of infections with enterohemorrhagic Escherichia coli (EHEC) among returning travelers, especially from Hurghada. Hepatitis A is also very common. Consumption of raw salads and undercooked foods should be avoided. Tap water should not be drunk. Observe food hygiene and vaccinations.
Safety Notice
Egypt
Travel to the northern Sinai Peninsula, the Egyptian-Israeli border region (except Taba), and remote areas of the Sahara is advised. Unaccompanied, individual excursions and overland travel in the southern Sinai Peninsula are discouraged (www.auswaertiges-amt.de).
Dengue
Australia
Approximately 900 infections have been reported since the beginning of this year, most of them in the states of Western Australia, New South Wales, Victoria, and Queensland. Last year, approximately 2,370 cases were reported nationwide. The states of Western Australia, New South Wales, and Victoria were again particularly affected. It is important to ensure that you have very good protection against daytime mosquitoes; vaccination may be advisable if necessary.
Japanese Encephalitis
Australia
Two infections have been reported in the state of Victoria since December of last year. In mid-January of this year, a man became ill in the state of Queensland. By the end of March, another infection and a possible death were reported. Since February, two deaths and three further infections have been reported in the state of New South Wales. A case was also recorded in the Australian Capital Territory (ACT). Carefully follow mosquito protection measures and consider vaccination if necessary.
Pertussis
Australia
By the end of April of this year, approximately 12,825 cases had been reported. Last year, approximately 57,145 cases were reported nationwide, most of them in the states of Queensland and New South Wales. One baby died. These are the highest number of cases since 1991. A total of approximately 2,440 cases were recorded nationwide in 2023. Standard vaccinations should always be checked and updated if necessary before traveling abroad.
Ross River Fever
Australia
Since the beginning of this year, approximately 1,180 cases have been reported. Nationwide, approximately 3,340 cases were reported last year. The state of Queensland is particularly affected. Be sure to use mosquito repellent.
Chikungunya
Brazil
Since the beginning of this year, approximately 132,860 suspected cases have been reported nationwide. 71 people have died. The state of Mato Grosso is the worst affected. Last year, approximately 422,615 suspected cases and 213 deaths were reported nationwide. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread nationwide. Very good mosquito protection is essential, and vaccination may also be advisable.
Dengue
Brazil
There is a high risk of dengue throughout the country. Since the beginning of this year, approximately 2,453,200 suspected cases have been reported nationwide. 940 people have died. The state of São Paulo is particularly affected, and authorities there have declared a medical emergency. Last year, approximately 10,232,875 suspected cases and 6,103 confirmed deaths were registered nationwide. Compared to the previous year, the number of cases has more than tripled. Very good protection against daytime mosquitoes is essential, and vaccination is recommended.
Yellow Fever
Brazil
In February of this year, a teenager from the municipality of Breves (Pará state) died. Since the beginning of March, 44 infections and 7 deaths have been confirmed in the state of Pará. In the state of São Paulo, 55 infections have been confirmed this year, with 31 deaths. In the state of Minas Gerais, 5 people have died and 5 others have become ill. In the state of Tocantins, a worker from Peru died in mid-February. The Ministry of Health warned tourists of an increase in the number of cases and advised them to get vaccinated. Last year, 8 human infections were confirmed nationwide. There were 4 deaths. Vaccination is recommended for stays in Brazil.
Oropouche Fever
Brazil
Since the beginning of this year, approximately 10,080 infections have been reported. One person has died. The most cases were recorded in the state of Espirito Santo (SW). Last year, the number of confirmed infections nationwide rose to approximately 13,780, and 4 people have died. In 2023, 832 cases were confirmed nationwide, most of them originating from the state of Amazonas (northwest). The virus is transmitted by midges and predominantly nocturnal mosquitoes. The disease leads to an acute febrile syndrome including joint and limb pain and vomiting. Observe mosquito protection.
Rabies
Brazil
Worldwide, most infections are transmitted by (stray) dogs; in Brazil, transmission also occurs through contact with bats and marmosets. According to the Ministry of Health, 108 cases were confirmed nationwide between 2005 and 2024, most of them originating in the northeast. The risk of rabies should always be part of travel medical advice, also considering the limited availability of suitable vaccines and immunoglobulin in the country. Prophylactic vaccination is recommended, especially for longer stays.
Intestinal Infections
Dominican Republic
Risk of diarrheal diseases nationwide. The Dominican Republic is one of the holiday destinations with the highest number of cases of traveler’s diarrhea. Since October 2022, approximately 110 cholera infections have been reported. One person has died. The majority were recorded in the capital, Santo Domingo. Observe hygiene and consider vaccination.
Dengue
Dominican Republic
Since the beginning of this year, approximately 660 suspected cases have been registered. Last year, approximately 10,250 cases were registered. 12 people died. In 2023, approximately 27,970 suspected cases were registered. 62 people died. Very good protection against daytime mosquitoes is recommended, and vaccination is also recommended.
Entry Requirements
Dominican Republic
The Dominican government has completely sealed the border with Haiti since September 15, 2023, until further notice. Travel by land, air, or sea between the two countries is currently not possible (www.auswaertiges-amt.de).
Malaria
Dominican Republic
By the end of January this year, 1,190 cases had been reported. Approximately 1,035 infections were confirmed last year, with the number of cases roughly tripled compared to the previous year. Extremely good mosquito protection is always recommended, and carrying emergency medication may be advisable in many parts of the country.
Chikungunya
India
In the first three months, approximately 30,880 suspected cases and 1,741 confirmed infections were registered nationwide. The state of Maharashtra is the worst affected. Last year, approximately 240,180 suspected cases were reported nationwide, and 17,930 infections were confirmed. Take precautions against day-active vector mosquitoes (Aedes species), and vaccination may also be advisable.
Intestinal Infections
India
Risk of diarrheal diseases nationwide. Cholera is to be expected regionally. Typhoid, paratyphoid, and the orally transmitted forms of hepatitis are endemic throughout India. Anthrax, both cutaneous and intestinal, is a recurring infection among locals. Ensure hygiene and vaccinations are maintained.
Dengue
India
By the end of May of this year, the highest number of cases in the last five years had been reported in the Delhi metropolitan area. In the first three months of this year, approximately 12,050 cases were reported nationwide, and six people died. Last year, approximately 233,520 cases were recorded. Around 300 people died. The states of Kerala, Karnataka, and Tamil Nadu were particularly affected. In 2023, approximately 289,235 cases and 485 deaths were reported. Very good protection against daytime mosquitoes is important, and vaccination is recommended.
Japanese Encephalitis
India
Since the beginning of this year, 65 cases and one death have been reported nationwide. At the end of November 2024, the first infection since 2011 was reported in the west of the capital, New Delhi. Last year, approximately 1,465 cases of Japanese Encephalitis (JE) were registered nationwide. 105 people died. Most infections were again recorded in the state of Assam (NE). In 2023, 1,097 cases and 56 deaths were officially reported nationwide. Administer exposure prophylaxis and possibly get vaccinated!
Malaria
India
Since January of this year, approximately 29,210 cases and two deaths have been recorded nationwide. Most infections again come from the states of Odisha, Chhattisgarh, and Jharkhand. Last year, approximately 257,385 cases were reported nationwide. 62 people died. Very good mosquito protection should always be observed, carrying emergency medication is usually advisable, and, depending on the outbreak, chemoprophylaxis should also be discussed.
Safety Notice
India
Travel to Jammu and Kashmir, Punjab, and the Indian territories bordering Pakistan west of the former National Highway N 15, including the cities of Jaisalmer, Bikaner, and Ganganagar, is advised. Travel to Manipur is currently strongly discouraged. Demonstrations and large gatherings should generally be avoided, instructions from security forces should be followed, and current media reports should be followed during any stay (www.auswaertiges-amt.de).
Rabies
India
India is one of the countries in the world with the highest number of cases in animals and humans. In the state of Kerala (S), the number of stray dog bites has more than doubled since 2017, and the number of rabies-related deaths has roughly tripled. This year, eight deaths and one case of illness have already been recorded. The main vector is the (stray) dog. Large cities are also affected. In case of suspicious animal contact, seek immediate medical attention and ensure the use of modern tissue culture vaccines. Preventive vaccination is recommended for all travelers.
Intestinal Infections
Indonesia
Risk of diarrheal diseases nationwide. Cholera outbreaks are sporadically reported in West Papua, and typhoid fever is to be expected. Continue to observe hygiene and vaccination against typhoid fever.
Dengue
Indonesia
Significantly fewer infections were recorded in the first quarter of this year compared to the same period last year. By the end of April, approximately 42,655 infections and 173 deaths were reported. By mid-October of last year, approximately 203,921 infections had been confirmed nationwide. 1,210 people have died. It is important to ensure very good protection against daytime mosquitoes, and vaccination is recommended.
Entry Regulations
Indonesia
Due to the increasing number of monkeypox cases worldwide, the authorities have adjusted their entry regulations. As of August 29, 2024, travelers must complete the electronic health questionnaire at the Ministry of Health (https://sshp.kemkes.go.id/) before entry (departure). This will provide them with a QR code that must be presented at check-in and upon entry.
Polio
Indonesia
Last year, seven infections with vaccine-derived poliovirus type 2 (cVDPV2) were reported. In 2023, a total of six infections were confirmed on the islands of Sumatra and Java. A child was already infected on the island of Sumatra in November 2022. This is the first case of polio detected in the country since 2019. The emergence of VDPV makes the country a country with a potential risk of international spread of the pathogen. As a result, all persons (locals and tourists) who have stayed in the country for more than four weeks should be able to show proof of polio vaccination upon departure. The vaccination must be administered between four weeks and one year before departure and documented in an internationally valid vaccination certificate.
Safety Notice
Indonesia
Non-essential travel to five of the six provinces of the Indonesian part of the island of New Guinea (Papua, West Papua, Pegunungan Papua, Central Papua, and South Papua) is discouraged. Some volcanoes in various parts of Indonesia have shown increased activity recently. The Indonesian government’s overview page provides information on the hazard levels and current activities of the 127 volcanoes. It is generally recommended to avoid the respective danger zones and to inquire about the current hazard levels in advance. Large crowds should generally be avoided and the instructions of security forces should be followed. Current media reports should also be followed during your stay (www.auswaertiges-amt.de).
Ticks
Austria
During the warmer months, there is a risk of tick-borne diseases, including TBE nationwide, which can lead to encephalitis. Take precautions against tick bites. If you are staying in an infected area, vaccination may be recommended after an individual risk assessment.
Safety Notice
South Africa
The South African National Park Service is making every effort to ensure the safety of tourists in and around Kruger National Park and has set up the following helpline for travelers to the Mpumalanga province: +27-(0)6630 0 0991. When traveling to Addo Elephant Park from Port Elizabeth (Gqeberha), it is recommended to avoid using the R335 via Motherwell and instead use the N2 via Colchester. Demonstrations and large gatherings should generally be avoided, and instructions from security forces should be followed. Current media coverage should be followed during any stay (www.auswaertiges-amt.de).
Rabies
South Africa
Eight deaths were recorded last year. 12 human cases were confirmed in 2023, and 13 in 2022. The provinces of Limpopo, KwaZulu-Natal, and the Eastern Cape were particularly affected. A sharp increase in rabid dogs has been observed nationwide since 2022. Rabies occurs in animals nationwide, affecting jackals, mongooses, cows, unvaccinated dogs, and cats, among others. At the beginning of June, the first infection was confirmed in a South African fur seal (Arctocephalus pusillus) in Cape Town. By the end of July 2024, 14 more cases had been registered. According to the Cape Town City Council, eight people have since been bitten, and all have been urged to seek treatment. Residents should keep themselves and their dogs away from seals throughout the coastal region of the Cape Peninsula. The most common source of infection for humans is dog bites. In case of contact, seek immediate medical attention. Preventive vaccination is recommended if the risk is foreseeable and the stay is extended.
Intestinal infections
Tanzania
Risk of diarrheal diseases nationwide. Localized cholera outbreaks occur regularly. Since September 2023, there have been outbreaks in 23 regions. Observe hygiene carefully; vaccination may be considered.
Entry Requirements
Tanzania
Effective October 1, 2024, all visitors to Zanzibar (except residents with Tanzanian residency permits) must purchase mandatory entry insurance from the Zanzibar Insurance Corporation (ZIC) for the duration of their stay (up to 92 days). This insurance can only be purchased through ZIC. Other international travel insurance policies are not accepted. Policies can be purchased starting September 1, 2024. The current cost is USD 44 per person. Further information is available on the Visit Zanzibar website (https://visitzanzibar.go.tz/). Entry may be denied if proof of proper insurance is not provided.
Entry Vaccination Requirements
Tanzania
The WHO considers the risk of yellow fever infection in Tanzania to be low, and vaccination is not generally recommended. According to the official entry vaccination requirements (ITH 2020), a yellow fever vaccination is required for persons older than 1 year upon entry from endemic areas. Experience has shown that regulations change frequently, and the information provided by various authorities differs. The regulations are sometimes interpreted and applied differently at some airports (Kilimanjaro Airport in Arusha) or by individual border officials. Contrary to official information, a yellow fever vaccination is often required upon entry to Zanzibar. An official statement from the Zanzibar Ministry of Health is published on the website of the Federal Foreign Office.
Security Notice
Tanzania
Non-essential travel to the southern part of the Mtwara region (immediate border region with Mozambique) as well as to the islands and coastal region south of Kisiju is discouraged (www.auswaertiges-amt.de).
Intestinal Infections
Thailand
Risk of diarrheal diseases nationwide, with smaller cholera outbreaks also expected locally. Observe hygiene.
Dengue
Thailand
Since the beginning of this year, approximately 11,000 infections and 10 deaths have been reported. Last year, approximately 102,930 cases and 175 deaths were recorded. In 2023, approximately 159,220 infections and 179 deaths were reported. The provinces of Trat, Nan, Chanthaburi, Rayong, and Mae Hong Son, as well as the capital Bangkok, were particularly affected. It is important to ensure good protection against daytime mosquitoes, and vaccination is recommended.
Melioidosis
Thailand
In the northeast of the country, 147 confirmed infections and 5 deaths have been reported this year. Percutaneous transmission through small skin wounds can lead to severe illness and sepsis, especially in the elderly and immunocompromised. Maintain wound hygiene and avoid contamination of broken skin with soil and surface water.
Measles
USA
Since the beginning of this year, approximately 730 infections and two deaths have been confirmed in the state of Texas, and approximately 80 in the neighboring state of New Mexico. One adult has died. A total of approximately 1,090 cases have been registered in 33 states. In 2024, 285 cases were recorded nationwide. Before traveling abroad, standard vaccinations should always be checked and updated if necessary.
Pertussis
USA
According to press reports, approximately 165 cases and two deaths have already been confirmed in the state of Louisiana this year. 154 cases were reported there last year. Approximately 35,000 cases were reported nationwide last year, the highest number of cases since 2013. Ten people have died. This year, approximately 11,735 infections have been confirmed by the end of May. Before traveling abroad, standard vaccinations should always be checked and updated if necessary.
Sun Protection
USA
Since the beginning of 2021, the sale of so-called reef-toxic sunscreens has been banned in the state of Hawaii. These include products containing oxybenzone (BP3) and octinoxate. These substances are suspected of having harmful effects on corals and other marine life.
Avian Flu
USA
In January of this year, a child in San Francisco, California, was confirmed to be infected with influenza A(H5N1). The source of the infection is currently unknown. In mid-February, a woman in Wyoming became ill for the first time. Last year, 70 human cases were reported. Most cases presented with mild symptoms, such as conjunctivitis and mild flu-like symptoms. Those affected had contact with infected dairy cattle. Contact with poultry or infected wild birds resulted in one death in the state of Louisiana, a patient over 65 years old. In the US, the outbreak began in birds in 2022, and since then, approximately 1,390 poultry farms (commercial and private) in 50 states have been affected. In 2024, influenza A(H5N1) was first confirmed in dairy cows, affecting approximately 1,000 animals in 17 states.
Intestinal infections
Vietnam
Risk of diarrheal diseases nationwide; cholera is also endemic. Observe food and drinking water hygiene.
Dengue
Vietnam
According to press reports, the number of cases in Ho Chi Minh City has more than doubled this year. Since the beginning of this year, approximately 20,835 infections and five deaths have been reported nationwide. Last year, approximately 138,345 cases and 26 deaths were recorded nationwide. It is important to ensure that you have good protection against daytime mosquitoes, and vaccination is recommended.
Import Regulations
Vietnam
As of January 1, 2025, the import, possession, and use of all electronic cigarettes (including vaporizers, tobacco heaters, etc.) and related equipment are prohibited. Fines of up to 3 billion VND (approximately 115,000 euros) or up to 15 years’ imprisonment are possible (www.auswaertiges-amt.de).
Rabies
Vietnam
By the beginning of May, more than 20 infections had been registered nationwide. Last year, more than 80 deaths were reported nationwide. The provinces of Binh Thuan, Dak Lak, Nghe An, and Gia Lai were particularly affected. A total of 82 people died from rabies infection in 2023. In case of suspected animal contact, medical attention should be sought immediately. Preventive vaccination is strongly recommended, especially in cases of foreseeable risk and for longer stays. Consultation with a doctor experienced in travel medicine should be sought well in advance of travel.
Avian Flu
Vietnam
In March of last year, an infection with influenza A(H9N2) was reported for the first time in Vietnam. In April of this year, an 8-year-old girl from Tay Ninh province contracted meningitis. This is the first infection with influenza A(H5N1) this year. After a gap of more than 8 years, a 5-year-old girl contracted an influenza H5 virus in October 2022. She had consumed meat from infected chickens and ducks. In 2024, an 18-year-old man became ill and a 21-year-old student died. Between 2003 and 2014, a total of 128 people nationwide contracted influenza A(H5N1), resulting in 65 deaths. Corresponding animal contacts were documented for all affected individuals. Since 2014, numerous outbreaks have been recorded in domestic poultry nationwide, resulting in the culling of more than 129,000 birds. At the end of May 2023, an outbreak occurred in Quang Ngai Province, affecting approximately 1,700 infected ducks. Poultry vaccination is widespread in the country. Since 2014, repeated outbreaks of influenza A(H5N6) have been reported in poultry farms. Since the beginning of 2021, three outbreaks have been reported in two provinces. There have been no human cases to date.
zdroj/source: https://crm.de/aktuelles/