Current incidence of the disease overview and mandatory vaccination by country 4.5.2023

4. 5. 2023

Equatorial Guinea

Marburg Virus: In mid-February this year, authorities confirmed the first outbreak in the country and cases have now appeared in the provinces of Kié-Ntem, Litoral and Centre Sur. Since the beginning of January, 17 infections have been confirmed and 12 affected people have died. 23 other deaths were classified as suspicious cases. The greatest risk of infection is contact with body fluids (blood, urine, faeces) during patient care.The ear is a reservoir of the virus. Transmission occurs through direct contact with infected animals, but infections have also been described after visiting so-called “animal hospitals”. of bat caves. The risk of infection for (tourist) travellers is low. The land borders between Equatorial Guinea and Gabon and Cameroon are currently closed.

last update: 25. 4. 2023

 

Argentina

Dengue: Since the beginning of this year, around 38,000 infections have been confirmed and 27 people have died. Last year, 750 people fell ill. Take care to protect yourself against daytime mosquitoes. The vaccine is available from February 2023.

last update: 25. 4. 2023

 

Costa Rica

Malaria: Since the beginning of April, there has been an outbreak of tropical malaria in Limón (O) province, where 139 cases have been reported so far. The cantons of Pococí and Limón are particularly affected. A very good mosquito repellent should always be followed and chemoprophylaxis may be useful in affected areas. Anyone who develops symptoms during or after a stay in the affected areas should seek medical attention immediately.

last update: 2.5.2023

 

Ecuador

Dengue: Approximately 5225 suspected cases have been reported since the beginning of this year, with 2 deaths. Due to seasonal rainfall, the coastal region is particularly affected. In 2022, 16,020 cases were confirmed. 13 people died. In 2021, approximately 20,319 infections and 19 deaths were registered. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.

last update: 13. 4. 2023

 

Guadeloupe

Dengue: The number of cases has increased significantly since last October. This year, 880 suspected cases have already been registered, compared to 790 the previous year. The municipality of Saint-François in the east of the island is particularly affected. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 21. 4. 2023

 

Haiti

Intestinal infections: nationwide risk of diarrhoeal diseases. The island of Hispaniola, along with Haiti and the Dominican Republic, is one of the travel destinations with the highest incidence of gastrointestinal infections. For the first time since February 2019, cholera infection was again confirmed in early October 2022. Around 650 people have died since then. There were approximately 38,100 suspected cases. The greater Port-au-Prince area is particularly affected. During the major epidemic between 2010 and early 2019, approximately 850,000 people became ill and approximately 9,790 people died. Maintain food and drinking water hygiene. If necessary, consider vaccination.

last update: 21. 4. 2023

 

India

Encephalitis: 12 cases and one death have been reported in the state of Urisa this February. In the first 3 months of 2023, 65 cases of Japanese encephalitis (JE) were officially reported nationwide. 2 people died. In 2022, 1105 cases and 130 deaths were reported. The highest number of infections was again registered in Assam state. Perform exposure prophylaxis and vaccination if necessary!

last update: 13. 4. 2023

 

India – Northeast

Encephalitis: 12 cases and one death have been reported in the state of Urisa this February. In the first 3 months of 2023, 65 cases of Japanese encephalitis (JE) were officially reported nationwide. 2 people died. In 2022, 1105 cases and 130 deaths were reported. The highest number of infections was again registered in Assam state. Perform exposure prophylaxis and vaccination if necessary!

last update: 13. 4. 2023

 

Colombia

Dengue: Around 28,310 suspected cases and 16 deaths have been recorded since the beginning of this year, about twice as many as in the same period last year. Last year, around 69 500 suspected cases were reported and around 47 370 infections were confirmed. 48 people died. In 2021, around 53,335 suspected cases were registered, 43 people died. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.

last update: 28.4.2023

 

Laos

Dengue: The disease occurs nationwide. Since the beginning of this year, around 730 people have been recorded as infected, compared to around 115 in the same period last year. Last year, more than 32,350 cases and 28 deaths were recorded. About half of the cases come from the capital Vientiane, and the provinces of Saravan, Attapeu and Luang Namtha are also particularly affected. In 2021, a total of about 1330 infections were registered. At least 7,970 cases and 13 deaths have been reported in 2020. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.

last update: 18. 4. 2023

 

Lebanon

Cholera: the first infection since 1993 was confirmed in early October 2022, affecting a person who fled Syria. Since then, around 7,530 infections have been reported and 23 people have died. The northwest of the country is particularly affected. Maintain food and drinking water hygiene, consider vaccination if necessary.

last update: 2.5.2023

 

Malawi

Intestinal infections: nationwide risk of diarrhoeal diseases, especially in the summer rainy season (October-March) with local outbreaks of cholera. Across the country, around 58,200 people have fallen ill since March last year and around 1,740 deaths have been recorded. This is the worst outbreak in Malawi to date. The regions around Lake Malawi are particularly affected. Observe hygiene and vaccination protection.

last update: 2.5.2023

 

Mexico

Dengue: Approximately 12,800 cases and 3 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. Some 59 500 suspected cases were recorded last year. 53 people died. The number of confirmed infections and deaths in the country roughly doubled compared to the previous year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 28.4.2023

 

New Caledonia

Leptospirosis: Popular with 2 tropical cyclones and heavy rains, 102 infections have already been confirmed this year, 2 people have died. The pathogen is shed by mammals (rats and dogs) and can enter humans through minor skin wounds. In moist environments (water, mud), leptospires can survive in the environment for long periods of time. Adequate contact with wet habitats and inland waters should be avoided.

last update: 21. 4. 2023

 

Panama

Malaria: According to press reports, around 3330 cases have already been reported this year. Most cases come from endemic areas in the East. Last year, around 5,700 infections were confirmed. A man died. In 2021, it was only about half. A very good mosquito repellent should always be followed, it is generally advisable to take emergency medication and depending on the outbreak situation and route of travel, chemoprophylaxis should be discussed.

last update: 25. 4. 2023

 

Paraguay

Chikungunya: Approximately 133,780 suspected cases have been reported since the beginning of this year. 115 people died. The number of cases has been increasing significantly since around October last 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.

last update: 28.4.2023

 

Peru

Dengue: Approximately 47,660 suspected cases and 49 deaths have been reported nationwide since the beginning of this year. The number of cases is expected to increase in the regions of Lima (W) and Callao (W), including the cities of the same name, as a result of the heavy rains. Some 53 740 infections were confirmed last year. 84 people died. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023.

last update: 21. 4. 2023

 

Philippines

Dengue: Around 30,000 infections and 96 deaths have been reported nationwide since the beginning of this year. 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.

last update: 18. 4. 2023

 

South Africa

Measles: the number of cases has increased nationally in the last year. Some 960 laboratory-confirmed infections have been reported since early October, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and supplement standard vaccination protection before travelling abroad.

last update: 25. 4. 2023

 

South Africa

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are 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.

Last update: 4.4.2023

 

South Africa – Centre

Measles: the number of cases has increased nationally in the last year. Some 960 laboratory-confirmed infections have been reported since early October, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.

last update: 25. 4. 2023

 

South Africa – North East

Measles: the number of cases has increased nationally in the last year. Some 960 laboratory-confirmed infections have been reported since early October, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.

last update: 25. 4. 2023

 

South Africa – North East

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are 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.

Last update: 4.4.2023

 

South Africa – South

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are 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.

last update: 4.4.2023

 

South Africa – East

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are 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.

Last update: 4.4.2023

 

Vanuatu

Leptospirosis: Approximately 60 infections and 6 deaths have been confirmed since the beginning of this year. As a result of the two cyclones that hit the country within a week, the number of cases rose again in March. The islands of Espiritu Santo and Efate are particularly affected. Leptospires enter the environment through the urine of infected mammals (rats, dogs). Transmission to humans occurs by direct or indirect contact with urine through small skin or mucous membrane injuries. In moist environments (water, mud), leptospires can survive in the environment for long periods of time. Corresponding contacts should be avoided.

last update: 25. 4. 2023

 

Venezuela

Dengue: With approximately 2,910 cases since the beginning of this year, the number of cases has roughly tripled compared to the previous year. 5 people died. About 11,410 cases were reported last year. 18 people died. In 2021, about 5,930 suspected cases and 8 deaths were registered. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023.

last update: 13. 4. 2023

 

Vietnam

Rabies: a 23-year-old woman died in Lào Cai province (N) in March. 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 suspicious 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.

last update: 21.3.2023

 

Source: https://www.crm.de/aktuell/index.html

Dear clients, Adacel/Adacel Polio/Boostrix Polio vaccines will be stocked in May. Due to high demand, there was an outage at the manufacturer.