Current incidence of the disease overview and mandatory vaccination by country 6.4.2023

14. 4. 2023

Equatorial Guinea

Marburg Virus: In mid-February, 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, 14 infections have been confirmed and 10 affected people have died. 20 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: 04.04.2023

 

Argentina

Dengue: Since the beginning of this year, around 8,500 infections have been confirmed and 2 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: 06.04.2023

 

Bangladesh

Nipah virus: 14 cases have been reported since January, including 11 deaths. The number of cases is the highest since 2016. Transmission to humans occurs through consumption of raw date juice contaminated with bat saliva or urine. Most cases occur during the harvest season between December and April. The disease manifests itself with flu-like symptoms with high fever and muscle pain and a general feeling of illness. Observe food hygiene.

last update: 14.03.2023

 

Bolivia

Dengue: Approximately 17,370 cases and 50 deaths have been confirmed since the beginning of this year. Particularly affected is the department of Santa Cruz (O). Last year, approximately 14 660 suspected cases were reported. 9 people died. In 2021, approximately 8,950 cases were registered. 2 people died. Take care to protect yourself against daytime mosquitoes. The vaccine is available from February 2023.

last update: 06.04.2023

 

Ecuador

Dengue: Approximately 3580 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: 06.04.2023

 

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 595 people have died since then. There were approximately 37,600 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: 28.03.2023

 

Cambodia

Dengue: With around 600 infections in the first 5 weeks of the year, the number of cases has more than doubled compared to the same period last year. Last year, about 12 600 people fell ill. 19 deaths were registered. In 2021, about 1,500 cases were reported. 4 people died. In 2019, the number of cases was above average, with around 66,500 suspected cases recorded. According to press reports, there were 30 dead. The disease occurs regularly in the country and is more common in the rainy season between May and October. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.

last update: 03.03.2023

 

Colombia

Dengue: Approximately 19,020 suspected cases and 2 deaths have been recorded since the beginning of the year, approximately 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: 28.03.2023

 

Laos

Dengue: The disease occurs nationwide. In the first 7 weeks of the year, around 360 infections were registered, compared to only around 25 in the same period last year. Last year, more than 32,350 cases and 28 deaths were registered. 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: 4.4.2023

 

Lebanon

Cholera: the first infection since 1993 was confirmed in early October 2022, affecting a person who fled Syria. Since then, around 7,320 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: 11.04.2023

 

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 56,090 people have fallen ill since March last year and around 1,710 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: 4.4.2023

 

Mexico

Dengue: More than 7,220 cases and one death have been reported since the beginning of the 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: 17.03.2023

 

Panama

Malaria: According to press reports, more than 1,900 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: 21.03.2023

 

Paraguay

Chikungunya: Approximately 103,710 suspected cases have been reported since the beginning of this year. 60 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. Wear mosquito repellent.

last update: 06.04.2023

 

Peru

Dengue: Approximately 22,845 cases and 26 deaths have been reported since the beginning of the year. This is roughly twice as much as in the same period of the previous year. Some 53 740 infections were confirmed last year. 84 people died. Authorities issued a nationwide public health alert in April 2022. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023.

last update: 28.03.2023

 

Philippines

Dengue: More than 17,130 infections and 55 deaths have been reported since the beginning of the year. Last year, around 224,500 cases and 730 deaths were registered nationwide. 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: 4.4.2023

 

South Africa

Measles: the number of cases has increased nationally in the last year. Some 910 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: 06.04.2023

 

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 910 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: 06.04.2023

 

South Africa – North East

Measles: the number of cases has increased nationally in the last year. Some 910 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: 06.04.2023

 

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

 

Thailand

Dengue: More than 3,850 infections and one death have been reported since January. The capital Bangkok and the central Thailand region are particularly affected. Take care to protect yourself against daytime mosquitoes. The vaccine is available from February 2023.

last update: 07.03.2023

 

Thailand

Smog: Air pollution has been very high in the north of the country, in the tourist hotspot of Chiang Mai and in the capital Bangkok since March 2023. Due to the burning of crop residues in the fields, pollution, especially fine dust, regularly increases at this time of year. Young children, the elderly and people with chronic respiratory diseases are particularly at risk. It is recommended that they stay indoors during peak exertion, avoid physical exertion and wear breathing masks if necessary. Travellers should pay close attention to the local media.

last update: 06.04.2023

 

Vanuatu

Leptospirosis: 40 infections and 5 deaths have been confirmed since the beginning of the 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: 28.03.2023

 

Venezuela

Dengue: With approximately 2,445 cases since the beginning of the year, the number of cases has roughly tripled compared to the previous year. 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: 28.03.2023

 

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 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.

last update: 21.03.2023

 

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