Dengue
Mexico
More than 29 430 cases and 5 deaths have been reported since the beginning of this year. This is roughly three times more than in the same period of the previous year. The Yucatán Peninsula is again particularly affected. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.
dengue fever
Peru
Since the beginning of this year, around 188,330 suspected cases and 327 deaths have been reported nationwide. The regions most affected are Piura, Lima, Ica, Loreto, Ucayali and Lambayeque. Some 53 740 infections were confirmed last year. 84 people died. This is the largest outbreak the country has seen to date. The highest number of cases so far, around 76,000, was recorded in 2017. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023.
Dengue
Philippines
Since the beginning of this year, approximately 68,070 infections and 234 deaths have been reported nationwide. Last year, approximately 224 500 cases and around 730 deaths were recorded. This was roughly twice as much as in the same period last year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.
Measles
South Africa
The number of cases has increased nationally in the last year. Since the beginning of October, some 1090 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.
Malaria
Ethiopia
Around 1 252 000 infections have been reported nationwide this year, compared to around 13 140 in the same period last year. The Afar (N) region is particularly affected, having experienced heavy rainfall in the spring. Very good mosquito protection should always be maintained and chemoprophylaxis is recommended in affected areas. Anyone who develops symptoms during or after a stay in the affected areas should seek medical attention immediately.
Dengue
Nepal
Since the beginning of this year, about 42,500 infections and 27 deaths have been reported in Bagmati province in the Kathmandu Valley. The capital Kathmandu is particularly affected. The other cases were in Dang Deukhuri and Rupandehi districts in Lumbini province in the Terai. Protection against mosquitoes, which are mainly active during the day. The vaccine is available from February 2023.
ticks
Slovakia
In the warm season, there is a risk of tick-borne disease, and in certain parts of the country, TBE, which can lead to encephalitis. Transmission via unpasteurised dairy products (sheep and goat milk) is also possible. Take care to protect against tick attachment, avoid consuming unpasteurised milk. When in an infected area, vaccination may be recommended after an individual risk assessment.
Malaria
USA
In mid-June of this year, health authorities in the state of Texas confirmed a local infection in Cameron County. For the first time in 20 years, 6 locally acquired cases of tertian malaria have been confirmed in the state of Florida since May. Authorities in Florida are warning of mosquito-borne diseases. Tertian malaria is very rare in the United States, with 8 local cases reported in Palm Beach County (Florida) in 2003. Pay extra attention to mosquito repellent.
dengue fever
Malaysia
Around 64,500 cases have been registered since the beginning of this year, and 45 people have died. The number of cases has more than doubled compared to the same period last year. Approximately half of all cases continue to originate from Selangor State. Mosquito-borne disease is common in Malaysia, especially on the peninsula, as well as throughout Southeast Asia. Since there are no scheduled rainy seasons, there is a constant risk of transmission, which increases regionally after heavier rainy seasons. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.
Chikungunya
Paraguay
Approximately 99 760 suspected cases have been reported since the beginning of this year. 266 people died. The number of cases has increased significantly since around October last year and the number of new infections has been decreasing since the end of March this year. The capital city of Asunción and the central department continue to be particularly affected. In 2022, a total of about 2,400 suspected cases were recorded. According to press reports, a 73-year-old woman has died. Use mosquito repellent.
chikungunya
Paraguay
Approximately 99 760 suspected cases have been reported since the beginning of this year. 266 people died. The number of cases has increased significantly since around October last year and the number of new infections has been decreasing since the end of March this year. The capital city of Asunción and the central department continue to be particularly affected. In 2022, a total of about 2,400 suspected cases were recorded. According to press reports, a 73-year-old woman has died. Use mosquito repellent.
ticks
Slovakia
In the warm season, there is a risk of tick-borne diseases, including TBE in some parts of the country, which can lead to encephalitis. Transmission via unpasteurised dairy products (sheep and goat milk) is also possible. Take care to protect against tick attachment, avoid consuming unpasteurised milk. When in an infected area, vaccination may be recommended after an individual risk assessment.
Monkeypox (Mpox)
Brazil
After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 10 950 infections have been confirmed in Brazil. 16 people died. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.
Monkeypox (Mpox)
Brazil
After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 10 950 infections have been confirmed in Brazil. 16 people died. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.
chikungunya
Brazil
Since the beginning of this year, around 192 820 suspected cases have been registered nationwide and around 81 300 infections have been confirmed. 60 people died. The number of cases has increased significantly compared to the same period last year. In 2022, a total of about 265,300 suspected cases were reported. 75 people died. In 2021, around 133,600 suspected cases were reported. 12 people died. In 2020, approximately 92,720 infections and 25 deaths were reported. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread across the country. Note the mosquito repellent.
dengue fever
Brazil
Dengue is at high risk across the country. Since the beginning of this year, around 1,515,460 suspected cases have been registered nationwide and 387 people have died. In the states of Espírito Santo (O) and Paraná (S), the number of cases increased compared to the same period last year. In 2022, approximately 2,363,500 cases and approximately 930 deaths were recorded. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.
intestinal infections
Dominican Republic
Diarrhoeal disease risk nationwide. The Dominican Republic is one of the holiday countries with the highest number of cases of traveler’s diarrhea. Approximately 100 cholera infections have been reported since October 2022. Most were registered in the capital, Santo Domingo. Maintain hygiene, or consider vaccination.
dengue fever
Dominican Republic
Since the beginning of this year, around 1620 suspected cases have been registered. 2 people died. Last year, around 10,440 suspected cases were reported. 42 people died. The number of cases roughly tripled in 2022 compared to the previous year. Particularly affected are the municipalities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa. In 2021, approximately 3,750 infections and 26 deaths were registered. Note the mosquito repellent. The vaccine is available from February 2023.
chikungunya
India
Approximately 8070 cases were confirmed last year. The worst affected states are Karnataka, Maharashtra and Gujarat. In 2021, approximately 119,070 suspected cases have been reported nationwide, with 11,890 confirmed infections, mainly in the states of Rajasthan, Karnataka, Maharashtra, Kerala and Gujarat. In 2020, 43,210 suspected cases were reported nationwide, with 6,263 infections confirmed. In 2019, 81,914 cases were reported, the most suspected cases since 2015. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species).
intestinal infections
India
Diarrhoeal disease risk nationwide. Cholera can be expected regionally. Typhoid, paratyphoid and orally transmitted forms of hepatitis are endemic throughout India. Both cutaneous and intestinal forms of anthrax occur again and again in local people. Observe hygiene and vaccination protection.
dengue fever
India
An increase in infections was reported in the state of Maharashtra due to unusual rainfall in April and May. With the onset of monsoon in early July, infections are expected to increase in the north of the country. Around 140 people have fallen ill in the capital New Delhi this year, compared to 10,183 people in the whole of last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Approximately 233,250 infections and 303 deaths were recorded nationwide in 2022. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023.
encephalitis
India
In February this year, 12 cases and one death were reported in the state of Urisa. In the first 5 months of 2023, 127 cases of Japanese encephalitis (JE) were officially reported nationwide. 4 people died. In 2022, 1109 cases and 130 deaths were reported. The highest number of infections was again registered in Assam state. Perform exposure prophylaxis and vaccination if necessary!
Malaria
India
By the end of April this year, around 30,100 suspected cases had been registered nationwide and 2 people had died. The worst hit states are again Chhattisgarh and Urisa. Last year, approximately 174,000 cases and 68 deaths were reported. A very good mosquito repellent should always be followed, it is generally advisable to bring emergency medication and depending on the situation of the outbreak, chemoprophylaxis should be discussed.
safety notice
India
Travel to Jammu, Kashmir and Manipur is strongly discouraged at present. As a general rule, you should avoid demonstrations and large crowds, follow the instructions of the security forces and keep up to date with media reports during your stay (www.auswaertiges-amt.de).
Rabies
India
Deaths have already been reported in several states this year. In June, a 49-year-old woman who cared for stray dogs died in the state of Kerala (SW). In July, a 4-year-old girl died after being bitten by a dog in the same condition. In mid-April, a sixty-five-year-old man died in the capital Delhi. In March, a 5-year-old boy died in Telangana state (Z) after being bitten by a stray dog. In February, a 4-year-old child died in Hyderabad in the same condition. In late February, a five-year-old girl died in the state of Gujarat (NW). In February, a 45-year-old man died in Assam (NO) after being bitten by a dog. In the state of Karnataka (SW), 2 elderly men and a 3 year old girl died this year. India is one of the countries with the highest number of animal and human cases in the world. About 250 people died in 18 states last year. The worst affected states are Karnataka, Maharashtra and West Bengal. The main vector is the (stray) dog. Large cities are also affected. In case of suspected contact with an animal, seek medical attention immediately and ensure the use of modern tissue culture vaccines. Preventive vaccinations are recommended for all passengers.
intestinal infections
Indonesia
Diarrhoeal disease risk nationwide. Cholera epidemics are sporadically reported from West Papua and typhoid fever can be expected. Continue to maintain hygiene and typhoid vaccination.
poliomyelitis
Indonesia
Since the end of January this year, 2 vaccine-derived poliovirus type 2 (cVDPV2) infections have been confirmed in Aceh province on the island of Sumatra. Last November, a child fell ill there. This is the first polio detection in the country since 2019. In March this year, the disease was confirmed in Java province. The prevalence 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 been in the country for more than 4 weeks should be able to present a polio vaccination upon departure. Vaccinations must be given 4 weeks to one year before departure and must be documented by an internationally valid vaccination card.
bird flu
Indonesia
Since November 2003, highly pathogenic avian influenza A(H5N1) has spread across the country with local and regional outbreaks in poultry. More than 10 million animals have fallen victim to animal disease so far. Since mid-2003, 200 human cases have been reported in Indonesia, of which 168 have been fatal. The last human infections were confirmed on the island of Bali in September 2017. Almost all of those affected had direct contact with sick or dead animals. It is necessary to avoid contact with live poultry or sick people, observe hygiene.
ticks
Austria
In the warm season, there is a risk of tick-borne disease, and in much of the country, TBE, which can lead to encephalitis. Take care to protect against tick attachment. When in an infected area, vaccination may be recommended after an individual risk assessment.
Monkeypox (Mpox)
Spain
After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 7 560 confirmed infections have been reported in Spain. 3 deaths have been confirmed. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.
damn
South Africa
This year, around 1050 suspected cases have been registered, 197 infections have been confirmed and 43 people have died. In addition to Gauteng province, the Free State, Mpumalanga and Limpopo provinces are also affected. Maintain hygiene, consider vaccination if necessary.
measles
South Africa
Over the past year, the number of cases has increased across the country. Since the beginning of October, some 1110 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.
safety notice
South Africa
The electricity crisis continues with frequent and prolonged power outages. These lead to temporary power outages, including in private accommodation, shops, banks and ATMs, public lighting, traffic lights and security systems. Power outages can also affect water supply and quality and continue to limit internet and mobile communications. Petrol stations may also be temporarily affected. For safety reasons, the South African National Park Authority advises travellers to refrain from using the so-called “no entry” signs when entering Kruger National Park. Numbi gates and used alternative entry gates. It is recommended not to use the R335 via Motherwell to travel to Addo Elephant Park from Port Elizabeth (Gqeberha) and instead use the N2 via Colchester(www.auswaertiges-amt.de).
Rabies
South Africa
So far this year 6 cases have been confirmed, one in Limpopo province, 2 in KwaZulu-Natal and 3 in the Eastern Cape province. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. Since last year, a sharp increase in rabid dogs has been observed nationwide. The most common source of infection is dog bites. If you come into contact with it, consult a doctor immediately, in case of a foreseeable risk and a longer stay, preventive vaccination is recommended.
intestinal infections
Tanzania
Diarrhoeal disease risk nationwide. Localised outbreaks of cholera occur regularly. Maintain hygiene carefully, if necessary, vaccinations should be considered.
Requirement for initial vaccination
Tanzania
WHO classifies the risk of yellow fever in Tanzania as low and vaccination is generally not recommended. According to the official entry vaccination regulation (ITH 2020), yellow fever vaccination is mandatory for persons over 1 year of age when entering from endemic areas. Experience shows that regulations change frequently and the information provided by different authorities varies. The regulations are sometimes interpreted and dealt with differently at some airports (Kilimanjaro Airport in Arusha) or by individual border officials. Contrary to official information, a yellow fever vaccination is often required when entering Zanzibar. An official statement from the Zanzibar Ministry of Health was published on the website of the Federal Foreign Office.
chikungunya
Thailand
So far this year, around 485 infections have been confirmed. Compared to 2021, the number of cases doubled last year, with a total of around 1,400 infections reported from 48 provinces. In 2021, around 670 cases were registered nationwide. Use mosquito repellent.
dengue fever
Thailand
According to press reports, around 27,380 infections and 33 deaths have been reported since January this year. Trat, Nan, Chanthaburi, Rayong and Mae Hong Son provinces are particularly affected, as well as the capital Bangkok. Take care to protect yourself against daytime mosquitoes. The vaccine is available from February 2023.
Monkeypox (Mpox)
USA
After several cases were confirmed in the UK in May 2022, other countries reported infections. In the U.S., approximately 30,555 infections have been reported in all 50 states and Washington, D.C. as well as those registered in Puerto Rico. 43 people died. In early August 2022, the government declared a national health emergency. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.
Hepatitis A
USA
According to the CDC, there has been an increase in nationwide outbreaks of human-to-human transmission since 2016. Those affected are mainly homeless and addicted people. Approximately 44,900 infections and 423 deaths have now been reported from 37 countries. Most infections were reported in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Carefully observe hygiene measures and consider vaccination if necessary.
poliomyelitis
USA
At the end of June 2022, poliovirus infection derived from the type 2 vaccine (cVDPV2) was confirmed in the US for the first time since 2013. The 20-year-old was temporarily treated at a clinic in Rockland County, New York, for paralysis. Authorities say polioviruses were detected in wastewater samples in the county before the man became ill. By the end of March this year, viruses had been detected in more than 100 wastewater samples, and authorities in New York State declared a disaster in early September. Residents were asked to check their vaccination protection and top up if necessary. Always check and top up standard vaccinations before travelling abroad.
sun protection
USA
Beginning in 2021, the state of Hawaii banned the sale of so-called reef-toxic sunscreens, including products that contain oxybenzone (BP3) and octinoxate. These substances are suspected of having a harmful effect on corals and other marine life.
intestinal infections
Vietnam
Diarrhoeal disease risk nationwide, cholera is also endemic. Maintain food and drinking water hygiene.
dengue fever
Vietnam
Approximately 37,715 infections and 8 deaths have been reported since the beginning of this year. Last year, approximately 367,730 illnesses and 140 deaths were recorded. The number of cases was about 5 times higher than in 2021. Regions in the south and centre of the country, as well as Ho Chi Minh City, were particularly affected. In 2021, approximately 68,270 cases were reported, and 21 people died. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.
Rabies
Vietnam
In March, a 23-year-old woman died in Lào Cai province (N). About 18 months ago she was bitten by the family dog and 3 days after the incident the animal died. Last year, 40 deaths were confirmed by the end of August. In case of suspected contact with an animal, a doctor must be consulted immediately. Preventive vaccination is strongly recommended, especially in case of foreseeable risks and for longer stays. Consultation with a physician experienced in travel medicine should be provided well in advance of travel.
bird flu
Vietnam
In October 2022, after a gap of more than 8 years, a 5-year-old girl contracted the H5 influenza virus. She ate meat from sick chickens and ducks. Between 2003 and 2014, a total of 127 people were infected with influenza A(H5N1) and 64 deaths occurred across the country. Appropriate animal contact could be demonstrated in all affected individuals. Since 2014, numerous outbreaks in domestic poultry have been registered across the country, killing more than 129,000 animals. At the end of May this year, there was an outbreak in Quang Ngai province with about 1700 sick ducks. Vaccination of poultry is widespread in the country. Since 2014, outbreaks of influenza A(H5N6) have been repeatedly reported on poultry farms. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. Human diseases have never existed before.
Source: https://crm.de/aktuelles/