by broucek.milos | Oct 1, 2024 | Vaccination updates
Yellow fever
Bolivia
Since the end of April this year, 3 people have died and two others have become ill in the La Paz department. These are the first cases in the region in 3 years. 2 infections have been registered in the Santa Cruz department. Vaccination is recommended when traveling to the lowlands east of the Andes. Yellow fever vaccination is mandatory when entering from endemic areas.
West Nile fever
Germany
In mid-August, an infection was confirmed in a woman from Saxony when testing a blood donation sample. At the beginning of September, 2 more infections were reported, one each in Saxony and Berlin. In September, an infection was also detected for the first time in Lower Saxony when testing a blood donation sample. This year, the virus was detected in 42 birds and 54 horses. Most of the cases come from Berlin and Brandenburg. In 2018, the first locally acquired infections in Germany were registered in birds and horses, and in late summer 2019, 5 people fell ill in eastern Germany for the first time. In 2022, 17 infections were recorded in humans, and in 2023, there were 7. The virus mainly infects birds, but can also spread to humans, horses and other mammals. Be careful of mosquitoes.
West Nile fever
Greece
Since the beginning of July this year, 189 cases have been registered in several regions. 17 people have died. The infection occurs sporadically in Greece, especially in the northern regions. Be careful of mosquitoes.
West Nile fever
Italy
Since the beginning of July, 287 infections and 10 deaths have been reported, affecting the regions of Lombardy, Emilia-Romagna, Veneto, Friuli-Venezia Giulia and Apulia. The infection occurs sporadically in Italy, especially in the northern regions. Be careful of mosquitoes.
Dengue
Spain
At the beginning of September, 5 locally acquired infections were registered in the province of Tarragona (Catalonia). These are the first this year. Be careful of the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Dengue
USA
In the state of Florida, 37 local infections were reported by mid-September this year. The counties affected are Miami-Dade, Monroe, Hillsborough, Orange, Pasco, Manatee and Palm Beach. Health authorities in Los Angeles County (California) have recorded three local infections since the beginning of September. Be careful of the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Intestinal infections
Egypt
Risk of diarrhea nationwide. In recent years, there have been repeated cases of infections with enterohemorrhagic Escherichia coli (EHEC) in returning travelers, especially from Hurghada. Hepatitis A is also very common. Raw salads and insufficiently cooked food should be avoided. Tap water should not be drunk. Pay attention to food hygiene and vaccinations.
Safety note
Egypt
Travel to the north of the Sinai Peninsula, the Egyptian-Israeli border area (with the exception of Taba) and remote areas of the Sahara is warned against. Unaccompanied, individual excursions and overland trips in the south of the Sinai Peninsula are not recommended (www.auswaertiges-amt.de).
Dengue
Australia
Since the beginning of this year, 1,640 cases have been reported nationwide. The states of Western Australia, New South Wales and Victoria are once again particularly affected. Pay attention to protection against day-active mosquitoes. A vaccination has been available since February 2023.
Pertussis
Australia
By the beginning of September, around 23,935 cases had already been reported nationwide, most of them in the states of Queensland and New South Wales. These are the highest number of cases since 2016. Last year, a total of around 2,440 cases were recorded nationwide. Before staying abroad, standard vaccinations should always be checked and supplemented if necessary.
Ross River fever
Australia
Around 3,100 cases were reported nationwide this year. The state of Queensland is particularly affected. Pay attention to mosquito protection.
Chikungunya
Brazil
This year, around 386,300 suspected cases and 170 deaths were reported. In the state of Minas Gerais, the authorities declared a health emergency at the end of January this year due to the epidemiological situation. Last year, around 256,930 suspected cases were registered nationwide, and around 146,250 infections were confirmed. 106 people died. Compared to the same period last year, the number of cases has increased significantly. In 2022, a total of around 265,300 suspected cases were reported. 75 people died. In mid-2014, health authorities reported the first local infections. Since then, the infection has spread nationwide. Be sure to protect yourself from mosquitoes.
Dengue
Brazil
There is a high risk of dengue throughout the country. Since the beginning of this year, around 9,569,470 suspected cases and 5,303 confirmed deaths have been registered nationwide. Compared to the same period last year, the number of cases has more than tripled. The authorities in 7 of the 27 states (Acre, Goiás, Minas Gerais, Espírito Santo, Rio de Janeiro, Santa Catarina and the Federal District) have declared a health emergency due to the epidemiological situation. Last year, around 3,028,600 suspected cases were registered nationwide and 1,094 people died. In 2022, around 2,363,500 cases of illness and around 930 deaths were recorded. Be sure to protect yourself from mosquitoes that are mainly active during the day. A vaccination has been available since February 2023.
Yellow fever
Brazil
This year, 3 infections have been confirmed in humans. One case of illness and one death have been reported in the state of São Paulo, and one person has died in the state of Amazonas. Vaccination is recommended for stays in Brazil.
Oropouche fever
Brazil
Since the beginning of this year, around 3,230 infections have been confirmed in the state of Amazonas. At the end of February, one case of illness was reported in the city of Rio de Janeiro. Since the beginning of February, further cases have been reported in the states of Rondonia, Acre, Para, Roraima and Tocantins. Outside the Amazon region, the following states are affected: Bahia, Espírito Santo, Santa Catarina, Minas Gerais, Mato Grosso, Mato Grosso do Sul, Sao Paulo, Rio de Janeiro, Piaui, Pernambuco, Ceará and Maranhao. In March, a 24-year-old woman died in the state of Bahia. Nationwide, the number of cases has risen to around 7,930, 2 people have died. 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.
Intestinal infections
Dominican Republic
Risk of diarrhea nationwide. The Dominican Republic is one of the holiday destinations with the highest number of cases of travel diarrhea. Since October 2022, around 110 cholera infections have been reported. One person has died. The majority were registered in the capital, Santo Domingo. Pay attention to hygiene, consider vaccination if necessary.
Dengue
Dominican Republic
Since the beginning of this year, around 9,150 cases have been registered. 9 people have died. Last year, around 25,470 suspected cases were registered. 23 people have died. In 2022, around 10,440 suspected cases were reported. 42 people have died. The number of cases has roughly tripled in 2022 compared to the previous year. The municipalities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa were particularly affected. In 2021, around 3,750 infections and 26 deaths were registered. Be careful of mosquito protection. A vaccination has been available since February 2023.
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).
West Nile fever
Greece
Since the beginning of July this year, 189 cases have been registered in several regions. 17 people have died. The infection occurs sporadically in Greece, especially in the northern regions. Be careful of mosquito protection.
Chandipura virus (CHPV)
India
Since the beginning of June this year, health authorities in the states of Gujarat, Madhya Pradesh, Rajasthan and Maharashtra have registered an increase in cases of encephalitis (Acute Encephalitis Syndrome, AES). In the state of Gujarat, 61 infections with the Chandipura virus (CHPV) have been confirmed since the beginning of June. 3 more confirmed cases come from the state of Rajasthan. The virus is transmitted by mosquitoes and sand flies.
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 occurs repeatedly in both the cutaneous and intestinal form among locals. Pay attention to hygiene and vaccination protection.
Dengue
India
Around 32,100 cases were registered nationwide by the end of June this year. 32 people have died. The states of Kerala, Karnataka and Tamil Nadu are particularly affected. Last year, around 234,430 cases and 91 deaths were reported. In 2022, around 233,250 infections and 303 deaths were recorded. Pay attention to protection against day-active vector mosquitoes (Aedes species). A vaccination has been available since February 2023.
Japanese encephalitis
India
According to press reports, around 425 people have fallen ill and 32 have died in the state of Assam (NO) since the beginning of April. In the first 8 months of this year, around 790 cases of Japanese encephalitis (JE) were registered nationwide. 60 people have died. Most infections were again registered in the state of Assam (NO). In 2023, 1,097 cases and 56 deaths were officially reported nationwide. Carry out exposure prophylaxis and possibly vaccination!
Malaria
India
Since January of this year, around 113,720 cases have been reported nationwide. 22 people have died. Most infections come from the states of Chhattisgarh and Jharkhand. Last year, around 223,960 cases were registered and 72 people died. Very good mosquito protection should always be observed, it is usually advisable to take emergency medication with you and, depending on the outbreak, chemoprophylaxis should also be discussed.
Safety advice
India
Travel to Jammu and Kashmir and Manipur is currently strongly discouraged. Demonstrations and large gatherings of people should generally be avoided and the instructions of the security forces should be followed. In addition, current media reports should be followed during a stay (www.auswaertiges-amt.de).
Rabies
India
In the state of Tamil Nadu, 22 people have died of rabies this year. In March of this year, one case of the disease and 3 deaths were reported in the state of Manipur (NE). Last year, deaths were reported in several states. In September 2023, the first death since 2017 was reported in the state of Goa. India is one of the countries with the highest number of cases in animals and humans worldwide. A total of around 310 people died in 2022. The main carrier is the (stray) dog. The big cities are also affected. If you have suspicious contact with animals, see a doctor immediately and make sure that modern tissue culture vaccines are used. A preventive vaccination is recommended for all travelers.
Zika virus
India
Since June this year, 100 infections and 5 deaths have been confirmed in the city of Pune (state of Maharashtra, W). The virus is found in large parts of the country. Be careful with mosquito protection.
Intestinal infections
Indonesia
Risk of diarrhea nationwide. Cholera outbreaks are reported sporadically from West Papua, and typhoid is to be expected. Continue to observe hygiene and vaccination against typhoid.
Dengue
Indonesia
The number of cases has risen sharply compared to the previous year. By the beginning of May, around 322,275 infections and 455 deaths had been reported nationwide. The health authorities in the province of Bali have warned tourists of an increase in the number of cases and, according to press reports, they and locals are being recommended to get vaccinated. Be sure to protect yourself from the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Entry requirements
Indonesia
Due to the increasing number of monkeypox cases worldwide, the authorities have adjusted the entry requirements. Since August 29, 2024, travelers must fill out the electronic health questionnaire at the Ministry of Health (https://sshp.kemkes.go.id/) before entering the country (departure) and receive a QR code that must be presented at check-in and upon entry.
Poliomyelitis
Indonesia
This year, 7 infections with vaccine-derived poliovirus type 2 (cVDPV2) were reported. Last year, a total of 6 infections with infections were confirmed on the islands of Sumatra and Java. A child had already fallen ill 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 the pathogen spreading internationally. As a result, all people (locals and tourists) who have stayed in the country for more than 4 weeks should be able to show that they have been vaccinated against polio when they leave the country. The vaccination must take place between 4 weeks and one year before departure and must be documented in an internationally valid vaccination certificate.
Safety note
Indonesia
Non-essential travel to five of the six provinces of the Indonesian part of the island of New Guinea (Papua, Papua Barat, Papua Pegunungan, Papua Tengah and Papua Selatan) is not recommended. Large crowds should generally be avoided and the instructions of the security forces should be followed. In addition, current media reports should be followed during a stay (www.auswaertiges-amt.de).
Dengue
Maldives
The number of new infections has risen sharply since the end of March this year, and by the end of July around 2,675 people had fallen ill. The number of cases is now significantly higher than the comparable figures for the last 2 years. A total of around 3,420 cases were reported in 2023. Take precautions against the predominantly daytime carrier mosquitoes. A vaccination has been available since February 2023.
Safety notice
Austria
The flood situation caused by extreme rainfall is gradually easing. There are still major traffic disruptions, especially in Lower Austria. Prohibitions, signs and warnings as well as the instructions of the Austrian authorities should be followed and the regional weather and traffic information observed (www.auswaertiges-amt.de).
West Nile fever
Austria
33 cases have been reported since the end of July this year. The area around Vienna, northern Burgenland and the Weinviertel are affected. The infection occurs sporadically in Austria. The virus is transmitted from one host to the next by mosquitoes. It mainly infects birds, but can also spread to humans, horses and other mammals. Take precautions against mosquitoes.
Ticks
Austria
During the warm season there is a risk of tick-borne diseases, in large parts of the country also of TBE, which can lead to encephalitis. Be careful to protect yourself against tick bites. If you are staying in an infected area, vaccination may be recommended after an individual risk assessment.
Dengue
Spain
At the beginning of September, 5 locally acquired infections were registered in the province of Tarragona (Catalonia). These are the first this year. Be careful to protect yourself against the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Crimean-Congo hemorrhagic fever
Spain
This year, one infection was acquired in the province of Salamanca (Castile and León region) and one in the province of Toledo (Castile-La Mancha region). Between 2013 and 2022, a total of 12 infections were reported, and 4 patients died. The regions of Castile and León and Extremadura in the northwest of the country are affected. The pathogen is usually transmitted by ticks, but occasionally from person to person. Exposure prophylaxis (e.g. repellents, covering clothing) and early tick removal are recommended.
West Nile fever
Spain
This year, 24 infections were reported in the Andalusia region, most of them in the province of Seville. 7 infections were recorded in the Extremadura region. The virus is transmitted from one host to the next by mosquitoes. It mainly infects birds, but can also spread to humans, horses and other mammals. Be sure to use mosquito repellent.
Safety notice
South Africa
Given the significant social differences in the country and not least due to the worsening electricity supply crisis, protests and demonstrations may occur. Violent clashes and traffic disruptions cannot be ruled out. For example, there have already been repeated violent actions in the Emalahleni area (on the main connecting road between Johannesburg and tourist destinations in the east of the country, such as the Blyde River Canyon and the Kruger National Park). The electricity crisis with frequent and prolonged power cuts continues. These lead to temporary power outages, including in private accommodation, shops, banks and ATMs, public lighting, traffic lights and security systems. The power outages can also affect the water supply and quality and continue to lead to restrictions in internet connections and mobile communications. Gas stations can also be temporarily affected. For safety reasons, the Western Cape government’s tourism security unit recommends that travelers do not hike alone and only in groups. There have recently been several robberies of tourists, particularly on the hiking trails around Table Mountain (Devil’s Peak, Lion’s Head and Signal Hill) in Cape Town. For safety reasons, the South African National Parks Authority recommends that travelers refrain from using the so-called Numbi Gate when entering the Kruger National Park and use alternative entrance gates. It is recommended that travelers avoid using the R335 via Motherwell to get to Addo Elephant Park from Port Elizabeth (Gqeberha) and instead use the N2 via Colchester. Demonstrations and large gatherings of people should generally be avoided and the instructions of the security forces followed. In addition, current media reports should be followed during a stay (www.auswaertiges-amt.de).
Rabies
South Africa
Since the beginning of this year, 3 deaths have been registered. Last year, 11 cases were confirmed in humans, and in 2022 there were 13. The provinces of Limpopo, KwaZulu-Natal and 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, an infection in a South African fur seal (Arctocephalus pusillus) was confirmed for the first time in Cape Town. By the end of July, 14 more cases had been registered. According to the Cape Town City Council, 8 people have now also been bitten, all of whom have been asked to seek treatment. The population should keep themselves and their dogs away from the seals in the entire coastal region of the Cape Peninsula. The most common source of infection for humans is dog bites. If there is contact with such animals, seek medical attention immediately; preventive vaccination is recommended if there is a foreseeable risk and the stay is longer.
Intestinal infections
Tanzania
Risk of diarrheal diseases nationwide. Localized outbreaks of cholera occur regularly. There have been outbreaks in 21 regions since September last year. Pay careful attention to hygiene, and consider vaccination if necessary.
Entry requirements
Tanzania
With effect from October 1, 2024, all visitors to Zanzibar (except residents with Tanzanian residency permits) must take out mandatory entry insurance from the Zanzibar Insurance Corporation (ZIC) for the duration of their stay (up to 92 days). This insurance can only be taken out with the ZIC. Other international travel insurance policies are not accepted. The policies can be purchased from 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 refused if the correct insurance is not proven.
Entry vaccination requirements
Tanzania
The risk of infection with yellow fever in Tanzania is classified by the WHO as low, and vaccination is not generally recommended. According to the official entry vaccination requirements (ITH 2020), a yellow fever vaccination is required for people over 1 year of age when entering from endemic areas. Experience has shown that the regulations change frequently and the information provided by the various authorities differs from one another. The regulations are sometimes interpreted and handled differently at some airports (Kilimanjaro Airport in Arusha) or by individual border officials. Contrary to the official information, a yellow fever vaccination is often required when entering Zanzibar. An official statement from the Zanzibar Ministry of Health is published on the website of the Federal Foreign Office.
Malaria
Tanzania
After the disease was considered almost eliminated on the Zanzibar and Pemba island group for many years, the number of cases has been increasing again for several years. Since October last year, the number of cases in Zanzibar has risen sharply. Very good mosquito protection should always be observed, and chemoprophylaxis is also recommended.
Poliomyelitis
Tanzania
In July last year, the first infection with vaccine-derived poliovirus type 2 (cVDPV2) was reported. At the beginning of September and at the end of December, another infection was reported. Due to the emergence of cVDPV2, the country is formally one of the countries with a potential risk of the pathogen spreading internationally. As a result, all people (locals and tourists) who have stayed in the country for more than 4 weeks must show proof of polio vaccination when leaving the country. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate. Pay attention to vaccination protection.
Safety note
Tanzania
Unnecessary travel to the southern part of the Mtwara region (immediate border region with Mozambique) is not recommended (www.auswaertiges-amt.de).
Intestinal infections
Thailand
Risk of diarrheal diseases nationwide, and small outbreaks of cholera are also to be expected locally. Pay attention to hygiene.
Dengue
Thailand
Since the beginning of this year, around 68,330 cases and 51 deaths have been registered. Last year, around 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. Pay attention to protection against diurnal mosquitoes. A vaccination has been available since February 2023.
Dengue
USA
In the state of Florida, 37 local infections were reported by mid-September this year. The counties affected are Miami-Dade, Monroe, Hillsborough, Orange, Pasco, Manatee and Palm Beach. Health authorities in Los Angeles County (California) have recorded three local infections since the beginning of September. Be careful to protect yourself from mosquitoes that are mainly active during the day. A vaccination has been available since February 2023.
Pertussis
USA
This year, around 15,700 cases were reported by mid-September, which is around five times as many as in the same period last year. Before staying abroad, standard vaccinations should always be checked and supplemented 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, including products containing oxybenzone (BP3) and octinoxate. These substances are suspected of having a harmful effect on corals and other marine life.
West Nile fever
USA
By mid-September this year, around 660 infections had been registered. Most infections come from the states of Texas, California, Mississippi and Nebraska. The peak of the season is from July to October, but transmission is possible all year round. Be careful of mosquito protection.
Intestinal infections
Vietnam
Risk of diarrheal diseases nationwide, cholera is also endemic. Be careful of food and drinking water hygiene.
Dengue
Vietnam
Since the beginning of this year, around 57,860 cases of illness and 9 deaths have been registered nationwide. Last year, around 166,620 infections and 42 deaths were reported. In 2022, around 367,730 cases of illness and 140 deaths were registered. The number of cases was around 5 times higher than in 2021. Be careful of mosquitoes that are mainly active during the day. A vaccination has been available since February 2023.
Rabies
Vietnam
Since the beginning of this year, 60 deaths have been reported. Last year, a total of 82 people died of rabies infection. If you have suspicious contact with animals, you should see a doctor immediately. Preventive vaccination is strongly recommended, especially if there is a foreseeable risk and for longer stays. Consultation with a doctor experienced in travel medicine should be carried out well in advance of the trip.
Bird flu
Vietnam
In March of this year, an infection with influenza A(H9N2) was reported for the first time in Vietnam. In March of this year, a 21-year-old student fell ill with influenza A(H5N1) and subsequently died. He had previously caught wild birds. After a break of more than 8 years, a 5-year-old girl became ill with an influenza virus H5 in October 2022. She had eaten meat from sick chickens and ducks. Between 2003 and 2014, a total of 128 people nationwide fell ill with influenza A(H5N1), and there were 65 deaths. All of those affected had evidence of contact with animals. Since 2014, numerous outbreaks have been registered in domestic poultry across the country, and more than 129,000 animals have been killed. At the end of May last year, there was an outbreak in Quang Ngai province with around 1,700 sick ducks. Vaccination of poultry is widespread in the country. Since 2014, outbreaks of influenza A(H5N6) have been reported repeatedly in poultry farms. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. There have been no human cases of illness to date.
by broucek.milos | Aug 21, 2024 | Vaccination updates
Yellow fever
Bolivia
Since the end of April this year, 3 people have died and another has fallen ill in the La Paz department. These are the first cases in the region in 3 years. Vaccination is recommended when traveling to the lowlands east of the Andes. Yellow fever vaccination is mandatory when entering from endemic areas.
Intestinal infections
Kenya
Risk of diarrhea nationwide, local cholera outbreaks are still to be expected. Starting from a wedding celebration, around 12,500 people have fallen ill and 202 have died in 26 counties since October 2022. The capital Nairobi is also affected. Heavy rainfall in April this year led to flooding. In the affected areas on the Tana River (SE), around 260 cases of illness and 2 deaths have been reported since the beginning of May. Pay attention to hygiene, depending on your travel route, vaccination may also be useful.
Yellow fever
Colombia
Since the beginning of this year, 8 infections have been confirmed in humans, 5 of whom have died. The departments affected were Caquetá (S), Huilia S(W), Narino (SW), Putumayo (SW) and Vaupés (SO). A yellow fever vaccination is recommended for all travelers aged 9 months and over. Vaccination is mandatory when entering from some endemic areas.
Yellow fever
Peru
This year, 16 infections have been confirmed by the beginning of July, and 7 people have died. A yellow fever vaccination is recommended when traveling to certain regions of Peru. When traveling to the Amazon region, travelers are required to be vaccinated and proof of vaccination is checked.
Crimean-Congo hemorrhagic fever
Spain
This year, one infection was acquired in the province of Salamanca (Castile and León region) and one in the province of Toledo (Castile-La Mancha region). Between 2013 and 2022, a total of 12 infections were reported, 4 patients died. The regions of Castile and León and Extremadura in the northwest of the country are affected. The pathogen is usually transmitted by ticks, but occasionally also from person to person. Exposure prophylaxis (e.g. repellents, covering clothing) and early tick removal are recommended.
Rabies
Vietnam
Since the beginning of this year, 56 deaths have been reported. Last year, a total of 82 people died of rabies infection. If there is suspicious contact with animals, a doctor should be consulted immediately. Preventive vaccination is strongly recommended, especially if there is a foreseeable risk and for longer stays. Advice from a doctor experienced in travel medicine should be obtained well in advance of the trip.
Intestinal infections
Egypt
Risk of diarrhea nationwide. The Robert Koch Institute has reported an increase in infections with enterohemorrhagic Escherichia coli (EHEC) among travelers returning from trips, especially from Hurghada. Hepatitis A is also very common. Raw salads and insufficiently cooked food should be avoided. Tap water should not be drunk. Pay attention to food hygiene and vaccinations.
Safety note
Egypt
Travel to the north of the Sinai Peninsula, the Egyptian-Israeli border area (with the exception of Taba) and remote areas of the Sahara is warned against. Unaccompanied, individual excursions and overland trips in the south of the Sinai Peninsula are not recommended (www.auswaertiges-amt.de).
Pertussis
Australia
By the end of July, around 16,270 cases had already been reported nationwide, most of them in the states of Queensland and New South Wales. These are the highest number of cases since 2016. Last year, a total of around 2,440 cases were recorded nationwide. Before staying abroad, standard vaccinations should always be checked and, if necessary, supplemented.
Ross River fever
Australia
Around 3,030 cases were reported nationwide this year. The state of Queensland is particularly affected. Take precautions against mosquitoes.
Chikungunya
Brazil
This year, around 350,260 suspected cases and 138 deaths were reported. In the state of Minas Gerais, the authorities declared a health emergency at the end of January this year due to the epidemiological situation. Last year, around 256,930 suspected cases were registered nationwide, and around 146,250 infections were confirmed. 106 people died. Compared to the same period last year, the number of cases has increased significantly. In 2022, a total of around 265,300 suspected cases were reported. 75 people died. In mid-2014, health authorities reported the first local infections. Since then, the infection has spread nationwide. Be careful of mosquito protection.
Dengue
Brazil
There is a high risk of dengue throughout the country. Since the beginning of this year, around 9,082,600 suspected cases and 4,744 confirmed deaths have been registered nationwide. Compared to the same period last year, the number of cases has more than tripled. The authorities in 7 of the 27 states (Acre, Goiás, Minas Gerais, Espírito Santo, Rio de Janeiro, Santa Catarina and the Federal District) have declared a health emergency due to the epidemiological situation. Last year, around 3,028,600 suspected cases were registered nationwide and 1,094 people died. In 2022, around 2,363,500 cases of illness and around 930 deaths were recorded. Be careful of mosquito protection from predominantly diurnal mosquitoes. A vaccination has been available since February 2023.
Yellow fever
Brazil
This year, 3 infections have been confirmed in humans. One case of illness and one death have been reported in the state of São Paulo and one person has died in the state of Amazonas. Vaccination is recommended for stays in Brazil.
Oropouche fever
Brazil
Since the beginning of this year, around 3,290 infections have been confirmed in the state of Amazonas. At the end of February, one case of illness was reported in the city of Rio de Janeiro. Since the beginning of February, further cases have been reported in the states of Rondonia, Acre, Para, Roraima, Bahia, Espirito Santo and Piaui. Outside the Amazon region, the following states are affected: Bahia, Espírito Santo, Santa Catarina, Minas Gerais, Mato Grosso, Rio de Janeiro, Piaui, Pernambuco and Maranhao. In March, a 24-year-old woman died in the state of Bahia. Nationwide, the number of cases has risen to around 7,235, and two people have died. The virus is transmitted by midges and mainly nocturnal mosquitoes. The disease leads to an acute febrile syndrome including joint and limb pain and vomiting. Take precautions against mosquitoes.
Safety notice
Brazil
Exceptionally heavy rainfall in May/June 2024 in the state of Rio Grande do Sul led to severe flooding, landslides and bridge collapses, with over 150 deaths. The (traffic) infrastructure was partly severely damaged; some interurban roads are still interrupted or impassable. Porto Alegre airport, which was also severely affected, will remain closed indefinitely. Prohibitions, signs and warnings as well as the instructions of local authorities should be followed (www.auswaertiges-amt.de).
Intestinal infections
Dominican Republic
Risk of diarrhea nationwide. The Dominican Republic is one of the holiday destinations with the highest number of cases of traveler’s diarrhea. Since October 2022, around 110 cholera infections have been reported. One person has died. The majority were registered in the capital, Santo Domingo. Observe hygiene, possibly consider vaccination.
Dengue
Dominican Republic
Since the beginning of this year, around 8,790 cases have been registered. Last year, around 25,470 suspected cases were registered. 23 people died. In 2022, around 10,440 suspected cases were reported. 42 people died. The number of cases in 2022 has roughly tripled compared to the previous year. The communities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa were particularly affected. In 2021, around 3,750 infections and 26 deaths were registered. Be sure to use mosquito repellent. A vaccination has been available since February 2023.
Dominican Republic
The Dominican government has completely sealed off 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).
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 occurs repeatedly in both the cutaneous and intestinal form among locals. Pay attention to hygiene and vaccination protection.
Dengue
India
Around 32,100 cases were registered nationwide by the end of June this year. 32 people have died. The states of Kerala, Karnataka and Tamil Nadu are particularly affected. Last year, around 234,430 cases and 91 deaths were reported. In 2022, around 233,250 infections and 303 deaths were recorded. Pay attention to protection against day-active vector mosquitoes (Aedes species). A vaccination has been available since February 2023.
Encephalitis
India
According to press reports, 44 people have contracted Japanese encephalitis and 10 have died in the state of Assam (NO) since the beginning of April. In the first 6 months of this year, 163 cases of Japanese encephalitis were registered nationwide and 3 died. In the first 6 months of this year, 163 cases of Japanese encephalitis (JE) were registered nationwide. 5 people died. Most infections were again registered in the state of Assam (NO). In 2023, 1,097 cases and 56 deaths were officially reported nationwide. Carry out exposure prophylaxis and possibly vaccination!
Malaria
India
Since January of this year, 53,500 cases have been reported nationwide. 7 people have died. Most infections come from the states of Chhattisgarh and Jharkhand. Last year, around 223,960 cases were registered and 72 people died. It is always important to take good mosquito protection, it is usually a good idea to take emergency medication with you and, depending on the outbreak, chemoprophylaxis should also be discussed.
Safety notice
India
Travel to Jammu and Kashmir and Manipur is currently strongly discouraged. Demonstrations and large gatherings of people should generally be avoided and the instructions of the security forces should be followed. In addition, current media reports should be followed during a stay (www.auswaertiges-amt.de).
Rabies
India
In March of this year, one case of the disease and 3 deaths were reported in the state of Manipur (NE). Last year, deaths were reported in several states. In September 2023, the first death since 2017 was reported in the state of Goa. India is one of the countries with the highest number of cases in animals and humans in the world. A total of around 310 people died in 2022. The main carrier is the (stray) dog. The big cities are also affected. In the event of suspicious animal contact, seek medical attention immediately and make sure that modern tissue culture vaccines are used. A preventive vaccination is recommended for all travelers.
Intestinal infections
Indonesia
Risk of diarrhea nationwide. Cholera outbreaks are reported sporadically from West Papua, and typhoid is to be expected. Continue to observe hygiene and vaccination against typhoid.
Dengue
Indonesia
Compared to the previous year, the number of cases has risen sharply. By the beginning of April, around 60,300 infections and 455 deaths had been reported nationwide. The health authorities in Bali province have warned tourists of an increase in the number of cases and, according to press reports, they and locals are recommended to get vaccinated. Be careful to protect yourself from the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Poliomyelitis
Indonesia
At the end of June this year, 4 infections with vaccine-derived poliovirus type 2 (cVDPV2) were reported. Last year, a total of 6 infections with infections were confirmed on the islands of Sumatra and Java. A child had already fallen ill on the island of Sumatra in November 2022. It 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 people (locals and tourists) who have stayed in the country for more than 4 weeks should be able to show proof of polio vaccination upon departure. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate.
Safety notice
Indonesia
In eastern Indonesia, the Ibu volcano on the island of Halmahera has erupted again. Residents and tourists are required to wear eye protection and breathing masks and not to stay in the four to seven kilometer exclusion zone around the volcano. Other volcanoes in various parts of Indonesia are showing increased activity. The Indonesian government provides information on the risk levels and current activities of the 127 volcanoes in total. It is generally recommended to avoid the respective danger zones as far as possible and to inquire about the current risk levels in advance. Increased volcanic activity can lead to disruptions in air traffic and even the closure of airports. Non-essential travel to the provinces of the Indonesian part of the island of New Guinea (Papua, Papua Barat, Papua Pegunungan, Papua Tengah and Papua Selatan) is currently not recommended. Large crowds should generally be avoided and the instructions of the security forces followed. In addition, current media reports should be followed during a stay (www.auswaertiges-amt.de).
Bird flu
Indonesia
Since November 2003, the highly pathogenic bird flu caused by influenza A(H5N1) has spread nationwide with local and regional outbreaks in poultry. More than 10 million animals have fallen victim to the animal disease so far. Since mid-2003, there have been 200 human cases of the disease in Indonesia, 168 of which were 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. Contact with live poultry or sick people should be avoided and hygiene should be observed.
Dengue
Maldives
Since the end of March this year, the number of new infections has risen sharply, and by the end of June around 1,945 people had fallen ill. The number of cases is now significantly higher than in the first 6 months of the last 2 years. A total of around 3,420 cases were reported in 2023. Take care to protect yourself from the mainly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Ticks
Austria
During the warm season there is a risk of tick-borne diseases, in large parts of the country also of TBE, 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.
Crimean-Congo hemorrhagic fever
Spain
This year, one infection was acquired in the province of Salamanca (Castile and León region) and in the province of Toledo (Castile-La Mancha region). Between 2013 and 2022, a total of 12 infections were reported, and 4 patients died. The regions of Castile and León and Extremadura in the northwest of the country are affected. The pathogen is usually transmitted by ticks, but occasionally also from person to person. Exposure prophylaxis (e.g. repellents, covering clothing) and early tick removal are recommended.
Cholera
South Africa
Since the beginning of December last year, 117 suspected cases have been reported, 6 infections have been confirmed. The province of Limpopo is affected. Last year, around 1,390 suspected cases were registered, 199 infections were confirmed, and 47 people died. In addition to the province of Gauteng, the provinces of Free State, Mpumalanga and Limpopo were affected. Pay attention to hygiene, and consider vaccination if necessary.
Safety note
South Africa
The electricity crisis with frequent and prolonged power outages continues. These lead to temporary power outages, including in private accommodation, shops, banks and ATMs, public lighting, traffic lights and security systems. The power outages can also affect the water supply and quality and continue to lead to restrictions in internet connections and mobile communications. Gas stations can also be temporarily affected. For safety reasons, the Western Cape government’s tourism security unit recommends that travellers do not hike alone and only in groups. There have recently been several robberies of tourists, particularly on the hiking trails around Table Mountain (Devil’s Peak, Lion’s Head and Signal Hill) in Cape Town. For safety reasons, the South African National Parks Authority recommends that travellers refrain from using the so-called Numbi Gate when entering the Kruger National Park and use alternative entrance gates. It is recommended that travellers avoid using the R335 via Motherwell to get to Addo Elephant Park from Port Elizabeth (Gqeberha) and instead use the N2 via Colchester. Demonstrations and large gatherings of people should generally be avoided and the instructions of the security forces should be followed. In addition, current media reports should be followed during a stay (www.auswaertiges-amt.de).
Rabies
South Africa
Since the beginning of this year, 3 deaths have been registered. Last year, 11 cases were confirmed in humans, and in 2022 there were 13. The provinces of Limpopo, KwaZulu-Natal and 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, an infection in a South African fur seal (Arctocephalus pusillus) was confirmed for the first time in Cape Town. By mid-July, 10 more cases had been registered. According to the Cape Town City Council, 8 people have now been bitten and all have been asked to seek treatment. The population should keep themselves and their dogs away from the seals throughout the coastal region of the Cape Peninsula. The most common source of infection for humans is dog bites. If you have been in contact with someone, see a doctor immediately. If the risk is foreseeable and you are staying for a long time, preventive vaccination is recommended.
Intestinal infections
Tanzania
Risk of diarrheal diseases nationwide. Localized cholera outbreaks occur regularly. There have been outbreaks in 12 regions since September last year. Pay careful attention to hygiene, and vaccination should be considered if necessary.
Entry vaccination requirements
Tanzania
The risk of infection with yellow fever in Tanzania is classified by the WHO as low, and vaccination is not generally recommended. According to the official entry vaccination requirements (ITH 2020), a yellow fever vaccination is required for people over the age of 1 year when entering from endemic areas. Experience has shown that the regulations change frequently and the information provided by the various authorities differs from one another. The regulations are sometimes interpreted and handled 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 is published on the website of the Federal Foreign Office.
Malaria
Tanzania
After the disease was considered almost eliminated on the Zanzibar and Pemba islands for many years, the number of cases has been increasing again for several years. Since October last year, the number of cases on Zanzibar has risen sharply. Very good mosquito protection is always required, and chemoprophylaxis is also recommended.
Poliomyelitis
Tanzania
In July last year, the first infection with vaccine-derived poliovirus type 2 (cVDPV2) was reported. Another infection was reported at the beginning of September and at the end of December. Due to the emergence of cVDPV2, the country is formally one of the countries with a potential risk of the pathogen spreading internationally. As a result, all people (locals and tourists) who have stayed in the country for more than 4 weeks must show proof of polio vaccination upon departure. The vaccination must be carried out between 4 weeks and one year before departure and must be documented in an internationally valid vaccination certificate. Pay attention to vaccination protection.
Safety note
Tanzania
Due to heavy rainfall, flooding, raging rivers, landslides, mudslides, falling trees and broken power lines are currently occurring in large parts of Tanzania (particularly the coastal region and Dar es Salaam as well as the Tanzanian north in the Kilimanjaro region). The capital Dar es Salaam and the adjacent coastal region are also affected. Safe accommodation should not be left during heavy rainfall. Closed or flooded roads should be avoided and bans, signs and warnings as well as the instructions of local authorities should be followed (www.auswaertiges-amt.de) (www.auswaertiges-amt.de).
Intestinal infections
Thailand
Risk of diarrheal diseases nationwide, and small outbreaks of cholera are also to be expected locally. Pay attention to hygiene.
Dengue
Thailand
Since the beginning of this year, around 47,250 cases and 40 deaths have been registered. Last year, around 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. Pay attention to protection against diurnal mosquitoes. A vaccination has been available since February 2023.
Hepatitis A
USA
According to the CDC, there have been increasing numbers of nationwide outbreaks since 2016 in which the infections are transmitted from person to person. Those affected are mainly homeless and addicted people. Around 44,960 infections and 424 deaths have now been reported in 37 states. Most infections were recorded in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Carefully observe hygiene measures and consider vaccination if necessary.
Pertussis
USA
This year, around 8,860 cases were reported by mid-July, which is about three times as many as in the same period last year. Before staying abroad, standard vaccinations should always be checked and supplemented 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, including products containing oxybenzone (BP3) and octinoxate. These substances are suspected of having a harmful effect on corals and other marine life.
Intestinal infections
Vietnam
Risk of diarrheal diseases nationwide, cholera is also endemic. Pay attention to food and drinking water hygiene.
Dengue
Vietnam
Since the beginning of this year, around 39,940 cases of illness and 3 deaths have been registered nationwide. Last year, around 166,620 infections and 42 deaths were reported. In 2022, around 367,730 cases of illness and 140 deaths were registered. The number of cases was around 5 times higher than in 2021. Pay attention to protection against predominantly diurnal mosquitoes. A vaccination has been available since February 2023.
Malaria
Vietnam
Since the beginning of this year, 141 infections have been registered, more than twice as many cases as in the corresponding period last year. Most cases were recorded in Khanh Hoa Province (SO). There is a low risk of infection in the regions all year round. Very good mosquito protection should always be observed, and it may also be useful to take medication with you for emergency self-treatment. People who develop symptoms during or after a stay in the affected areas should see a doctor immediately.
Rabies
Vietnam
Since the beginning of this year, 56 deaths have been reported. Last year, a total of 82 people died of rabies infection. If you have suspected contact with animals, you should see a doctor immediately. Preventive vaccination is strongly recommended, especially if there is a foreseeable risk and for longer stays. Advice from a doctor experienced in travel medicine should be obtained well in advance of the trip.
Bird flu
Vietnam
In March of this year, an infection with influenza A(H9N2) was reported for the first time in Vietnam. In March of this year, a 21-year-old student fell ill with influenza A(H5N1) and subsequently died. He had previously caught wild birds. After a break of more than 8 years, a 5-year-old girl became ill with an influenza virus H5 in October 2022. She had eaten meat from sick chickens and ducks. Between 2003 and 2014, a total of 128 people nationwide fell ill with influenza A(H5N1), and there were 65 deaths. All of those affected had evidence of animal contact. Since 2014, numerous outbreaks have been registered in domestic poultry across the country, and more than 129,000 animals have been killed. At the end of May last year, there was an outbreak in Quang Ngai province with around 1,700 sick ducks. Vaccination of poultry is widespread in the country. Since 2014, outbreaks of influenza A(H5N6) have been reported repeatedly in poultry farms. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. There have been no human cases of illness to date.
Oropouche fever
Brazil
Since the beginning of this year, around 3,290 infections have been confirmed in the state of Amazonas. At the end of February, an illness was reported in the city of Rio de Janeiro. Since the beginning of February, further illnesses have been reported in the states of Rondonia, Acre, Para, Roraima, Bahia, Espirito Santo and Piaui. Outside the Amazon region, the following states are affected: Bahia, Espírito Santo, Santa Catarina, Minas Gerais, Mato Grosso, Rio de Janeiro, Piaui, Pernambuco and Maranhao. In March, a 24-year-old woman died in the state of Bahia. Nationwide, the number of cases has risen to around 6,975. 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. Take precautions against mosquito bites.
Pertussis
Germany
Since the beginning of this year, around 10,610 cases of whooping cough have been reported. In the same period last year, there were around 1,925. Baden-Württemberg and Bavaria are particularly affected. Make sure you have vaccinations.
Fireworm
Italy
According to press reports, the fireworm (bearded fireworm, Hermodice carunculata) has been spreading for several years. The orange-red polychaetes, which are up to 30 cm long, are predominantly nocturnal and live on all hard surfaces such as rocky coasts and coral reefs as well as between seaweed; they also occur in shallow water. On contact, the fine bristles can penetrate the skin and break off. The poison they contain causes burning, itching and numbness, and the symptoms can last for several days.
Dengue
France
At the beginning of July, the first infection this year was confirmed in the Occitanie region (S). The first local infections were reported in France in 2010. Make sure you are protected against the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
West Nile fever
Israel
This year, 365 people have already fallen ill and 19 have died. The virus is transmitted from one host to the next by mosquitoes. It mainly infects birds, but can also spread to humans, horses and other mammals. The infection occurs sporadically in the country. Be careful to protect yourself from daytime mosquitoes.
Oropouche fever
Cuba
At the end of May this year, the Cuban Ministry of Health confirmed 74 cases in the provinces of Santiago de Cuba (O) and Cienfuegos (Z). Since the end of May, 3 infections imported from Cuba have been reported in Italy and Spain. The virus is transmitted by midges and mainly nocturnal mosquitoes. The disease leads to an acute febrile syndrome including joint and limb pain and vomiting. Meningitis can occur under certain circumstances. There is no vaccination. Be careful to protect yourself from mosquitoes.
Pertussis
Germany
Since the beginning of this year, around 9,130 cases of whooping cough have been reported. In the same period last year, there were around 1,845. Baden-Württemberg and Bavaria are particularly affected. Make sure you have your vaccinations.
Intestinal infections
Italy
At the end of June this year, more than 200 residents in the village of Torri del Benàco on the eastern shore of Lake Garda fell ill with a norovirus infection. Contaminated tap water could be a cause. Carefully observe food and drinking water hygiene and local advice.
Dengue
Cape Verde
There has been an outbreak since November last year with around 1,420 suspected cases so far. The islands of Santiago and Fogo are particularly affected. Take precautions against the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Cholera
Comoros
At the beginning of February, health authorities confirmed an outbreak. Since then, around 10,030 autochthonous infections and 146 deaths have been registered. A ship carrying 25 people from Tanzania had previously arrived in the capital Moroni. Several ship passengers had symptoms and there was also one death. The authorities have taken measures to prevent the spread. Pay careful attention to food and drinking water hygiene, and consider vaccination if necessary.
Measles
Great Britain
Since October last year, the number of cases in central England (West Midland) has risen sharply, with Birmingham being particularly affected. By the beginning of June 2024, around 635 infections had been registered in the region, and around 1,850 in the entire region of England. The number of cases has also increased in London, with around 640 cases reported so far. Before staying abroad, standard vaccinations should always be checked and supplemented if necessary.
Dengue
Iran
According to press reports, the Ministry of Health reported 92 infections and 3 deaths in June this year. Numerous other cases are suspected. Take precautions against the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Maldives
Dengue – Since the end of March this year, the number of new infections has risen sharply, with around 1,235 people falling ill by the end of May. The number of cases is now significantly higher than in the first 5 months of the last 2 years. A total of around 3,420 cases were reported in 2023. Pay attention to protection against the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Germany
Pertussis – Since the beginning of this year, around 6,745 cases of whooping cough have been reported. In the same period last year, there were around 1,705. Baden-Württemberg and Bavaria are particularly affected. Pay attention to vaccination protection.
Ecuador
Dengue – Since the beginning of this year, around 35,190 suspected cases and 44 deaths have been registered. Last year, around 27,840 suspected cases were reported, 33 people died. In 2022, 16,020 cases were confirmed. 13 people died. In 2021, around 20,319 infections and 19 deaths were registered. Pay attention to protection against the predominantly diurnal carrier mosquitoes. A vaccination has been available since February 2023.
Puerto Rico
Dengue – Since the beginning of this year, around 1,270 suspected cases have been reported, most of them in the capital, San Juan. Last year, around 1,245 suspected cases were registered. Be sure to protect yourself from mosquitoes that are mainly active during the day. A vaccination has been available since February 2023.
by broucek.milos | Jun 25, 2024 | Vaccination updates
Dengue
Argentina
As a result of unusually heavy and prolonged rainfall, around 315,950 illnesses and 228 deaths have been recorded nationwide since the beginning of this year. Last year, around 130,290 infections were confirmed and 75 people died. In 2022, 750 people will be ill. Pay attention to protection against diurnal mosquitoes. Vaccination has been available since February 2023.
Ross River Fever
Australia
Approximately 2,510 cases have already been reported nationwide this year. The state of Queensland is particularly affected. Pay attention to mosquito protection.
Dengue
Fiji
Health authorities declared an outbreak at the end of April. In the Western Division, 370 cases have been reported since the beginning of the year, in Ovalau (Eastern Division) there were 72. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
measles
Great Britain
Since October last year, the number of cases in Central England (West Midland) has risen sharply, with Birmingham being particularly affected. By mid-April 2024, around 535 infections had been registered in the region and around 1,110 nationwide. The number of cases has also increased in London, with around 270 cases reported so far. Before staying abroad, the standard vaccination protection should always be checked and, if necessary, supplemented.
Dengue
Indonesia
Compared to the previous year, the number of cases has risen sharply. By early April, about 60,300 infections and 455 deaths had been reported nationwide. Bali provincial health authorities have warned tourists of an increase in the number of cases and press reports say they and locals are being recommended to be vaccinated. Pay attention to protection against the predominantly diurnal vector mosquitoes. Vaccination has been available since February 2023.
Ticks
Switzerland
During the warm season there is a risk of tick-borne diseases, and in certain parts of the country also of TBE, which can lead to brain inflammation. More infections were reported in the first quarter of this year than in the same period last year. Pay attention to protection against tick bites. If you are staying in an infected area, vaccination may be recommended after individual risk assessment.
Intestinal infections
Egypt
Risk of diarrheal diseases nationwide. The Robert Koch Institute has reported an increase in infections with enterohemorrhagic Escherichia coli (EHEC) among travelers returning, especially from Hurghada. Hepatitis A is also very common. Eating raw salads and undercooked foods should be avoided. Tap water should not be drunk. Observe food hygiene and vaccination protection.
Egypt
A warning is issued against traveling to the north of the Sinai Peninsula, the Egyptian-Israeli border area (with the exception of Taba) and remote areas of the Sahara. Unaccompanied, individual excursions and overland trips in the south of the Sinai Peninsula are not recommended (www.auswaertiges-amt.de).
Ross River Fever
Australia
Approximately 2,510 cases have already been reported nationwide this year. The state of Queensland is particularly affected. Pay attention to mosquito protection.
Chikungunya
Brazil
This year, around 201,100 suspected cases and 61 deaths have been reported. In the state of Minas Gerais, authorities declared a health emergency at the end of January this year due to the epidemiological situation. Last year, around 256,930 suspected cases were registered nationwide and around 146,250 infections were confirmed. 106 people have died. Compared to the same period last year, the number of cases has increased significantly. A total of around 265,300 suspected cases were reported in 2022. 75 people died. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread nationwide. Pay attention to mosquito protection.
Dengue
Brazil
There is a high risk of dengue throughout the country. Since the beginning of this year, around 4,337,000 suspected cases and 1,601 confirmed deaths have been registered nationwide. Compared to the same period last year, the number of cases has roughly tripled. The authorities in 7 of the 27 states (Acre, Goiás, Minas Gerais, Espírito Santo, Rio de Janeiro, Santa Catarina and the Federal District) have declared a health emergency due to the epidemiological situation. Last year, around 3,028,600 suspected cases were registered nationwide and 1,094 people died. In 2022, around 2,363,500 illnesses and around 930 deaths were recorded. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
Oropouche fever
Brazil
Since the beginning of this year, approximately 2,540 infections have been confirmed in the state of Amazonas. At the end of February, an illness was reported in the city of Rio de Janeiro. Since the beginning of February, additional illnesses have been reported in the states of Rondonia, Acre, Para, Roraima and Bahia. The number of cases nationwide has risen to around 3,355. The virus is transmitted by midges and predominantly nocturnal mosquitoes. The disease leads to an acute febrile syndrome including joint and limb pain as well as vomiting. Pay attention to mosquito protection.
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. A person has died. The majority were registered in the capital, Santo Domingo. Pay attention to hygiene and possibly consider vaccination.
Dengue
Dominican Republic
Since the beginning of this year, around 7,400 illnesses have been registered. Last year, around 25,470 suspected cases were registered. 23 people have died. In 2022, around 10,440 suspected cases were reported. 42 people died. The number of cases has roughly tripled in 2022 compared to the previous year. The municipalities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa were particularly affected. In 2021, around 3,750 infections and 26 deaths were registered. Pay attention to mosquito protection. Vaccination has been available since February 2023.
Entry requirements
Dominican Republic
The Dominican government has completely closed 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).
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 occurs again and again in local people in both the cutaneous and intestinal forms. Observe hygiene and vaccination protection.
Dengue
India
About 234,430 illnesses and 91 deaths were reported nationwide last year. The highest number of cases were recorded in the states of Delhi, West Bengal, Chattisgharh, Bihar, Uttar Pradesh, Telangana, Maharashtra, Punjab, Karnataka and Gujarat. In 2022, approximately 233,250 infections and 303 deaths were recorded. Pay attention to protection against diurnal vector mosquitoes (Aedes species). Vaccination has been available since February 2023.
Encephalitis
India
In the first 2 months of this year, 22 cases of Japanese encephalitis (JE) were recorded. In 2023, approximately 1,100 cases were officially reported nationwide. 56 people died. The state of Assam was particularly affected. In 2022, 1,109 illnesses and 130 deaths were reported. Most of the infections were again recorded in the state of Assam. Carry out exposure prophylaxis and possibly vaccination!
Malaria
India
In January this year, 9,095 cases were recorded nationwide. A person has died. Most of the infections come from the states of Chhattisgarh and Jharkhand. Last year, around 223,960 cases were registered and 72 people died. Very good mosquito protection is always important, it is usually advisable to take emergency medication with you and, depending on the outbreak, chemoprophylaxis should also be discussed.
Safety notice
India
Travel to Jammu and Kashmir and Manipur is currently strongly discouraged. Demonstrations and large gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
Rabies
India
In March this year, one illness and three deaths were reported in the state of Manipur (NO). Deaths were reported in several states last year. In September, the first death since 2017 was reported in the state of Goa. India is one of the countries in the world with the highest number of animal and human cases. A total of around 310 people died in 2022. The main transmitter is the (stray) dog. Large cities are also affected. In the event of suspicious animal contact, seek medical attention immediately and pay attention to the use of modern tissue culture vaccines. A preventative vaccination is recommended for all travelers.
Intestinal infections
Indonesia
Risk of diarrheal diseases nationwide. Cholera outbreaks are reported sporadically in West Papua, and typhus is to be expected. Continue to observe hygiene and vaccination protection against typhus.
Dengue
Indonesia
Compared to the previous year, the number of cases has risen sharply. By early April, about 60,300 infections and 455 deaths had been reported nationwide. Bali provincial health authorities have warned tourists of an increase in the number of cases and press reports say they and locals are being recommended to be vaccinated. Pay attention to protection against the predominantly diurnal vector mosquitoes. Vaccination has been available since February 2023.
Poliomyelitis
Indonesia
Last year, a total of 6 vaccine-derived poliovirus type 2 (cVDPV2) infections were confirmed on the islands of Sumatra and Java. A child on the island of Sumatra was already ill in November 2022. It is the first detection of polio 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 people (locals and tourists) who have stayed in the country for more than 4 weeks should be able to show proof of a polio vaccination when leaving the country. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate.
Safety notice
Indonesia
Non-essential travel to the provinces of the Indonesian part of the island of New Guinea (Papua, Papua Barat, Papua Pegunungan, Papua Tengah and Papua Selatan) is currently discouraged. Larger gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
Bird flu
Indonesia
Since November 2003, the highly pathogenic bird flu caused by Influenza A(H5N1) has spread nationwide with local and regional outbreaks in poultry. More than 10 million animals have so far fallen victim to the animal disease. Since mid-2003, there have been 200 human cases of the disease in Indonesia, 168 of which were fatal. The last human infections were confirmed on the island of Bali in September 2017. Almost all those affected had direct contact with sick or dead animals. Contact with live poultry or sick people should be avoided and hygiene should be observed.
Ticks
Austria
During the warm season there is a risk of tick-borne diseases, and in large parts of the country also of TBE, which can lead to brain inflammation. Pay attention to protection against tick bites. If you are staying in an infected area, vaccination may be recommended after individual risk assessment.
Cholera
South Africa
Since the beginning of December last year, 117 suspected cases have been reported and 6 infections have been confirmed. The province of Limpopo is affected. Last year, around 1,390 suspected cases were registered, 199 infections were confirmed, and 47 people died. In addition to the Gauteng province, the Free State, Mpumalanga and Limpopo provinces were affected. Pay attention to hygiene and consider vaccination if necessary.
Safety notice
South Africa
Parliamentary elections will take place in South Africa on May 29, 2024 at the national and provincial levels, around which there may be rallies and demonstrations. 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. The power outages may also impact water supply and quality and continue to lead to restrictions on internet connections and mobile communications. Gas stations can also be temporarily affected. For safety reasons, the South African National Park Administration recommends that travelers avoid using the so-called Numbi Gate when entering the Kruger National Park and use alternative entry gates. To get to Addo Elephant Park from Port Elizabeth (Gqeberha), it is recommended to avoid using the R335 via Motherwell and alternatively use the N2 via Colchester. Demonstrations and large gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
Rabies
South Africa
Last year, 11 cases were confirmed, one in Limpopo province, five each in KwaZulu-Natal and Eastern Cape provinces. In 2022, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. A sharp increase in rabid dogs has been observed nationwide since 2022. The most common source of infection is dog bites. In the event of such contact, consult a doctor immediately; if the risk is foreseeable and the stay is long-term, preventative vaccination is recommended.
Intestinal infections
Tanzania
Risk of diarrheal diseases nationwide. Localized outbreaks of cholera occur regularly. Pay careful attention to hygiene and consider vaccination if necessary.
Entry vaccination requirement
Tanzania
The risk of infection with yellow fever in Tanzania is classified by the WHO as low, and vaccination is not generally recommended. According to the official entry vaccination regulations (ITH 2020), a yellow fever vaccination is required when entering from endemic areas for people older than 1 year. Experience has shown that the regulations change frequently and the information provided by the various authorities differs. The regulations are sometimes interpreted and handled 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 Zanzibari Ministry of Health is published on the Federal Foreign Office website.
Malaria
Tanzania
After the disease was considered almost eliminated on the island group of Zanzibar and Pemba for many years, the number of cases has been increasing again in recent years. The number of cases in Zanzibar has risen sharply since October last year. Very good mosquito protection must always be observed, and chemoprophylaxis is also recommended.
Poliomyelitis
Tanzania
The first infection with vaccine-derived poliovirus type 2 (cVDPV2) was reported in July last year. Another infection was reported at the beginning of September and the end of December. Due to the occurrence of cVDPV2, the country is formally one of the countries with a potential risk of international spread of the pathogen. As a result, all people (locals and tourists) who have stayed in the country for longer than 4 weeks must present a vaccination against polio when leaving the country. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate. Observe vaccination protection.
Intestinal infections
Thailand
Risk of diarrheal diseases nationwide, smaller outbreaks of cholera can also be expected locally. Pay attention to hygiene.
Dengue
Thailand
Since the beginning of this year, around 24,620 illnesses and 21 deaths have been registered. Approximately 159,220 infections and 179 deaths were reported last year. The provinces of Trat, Nan, Chanthaburi, Rayong and Mae Hong Son as well as the capital Bangkok were particularly affected. Pay attention to protection against diurnal mosquitoes. Vaccination has been available since February 2023.
Heat wave
Thailand
Large parts of the country, especially in the north and central regions, including the capital Bangkok, have been affected by a heat wave with temperatures over 40°C since the beginning of March. Caution is particularly advised for unsuitable travelers who are older, overweight or have previous illnesses (e.g. cardiovascular disease). Travelers should closely monitor media reports and heed local warnings.
Zika virus
Thailand
At the end of November last year, a Dutch tourist and a couple from Germany fell ill after spending time in southern Thailand. Since the beginning of this year, 19 people have fallen ill in the northeast. Last year, more than 750 illnesses were reported in the country. The infection was first detected in Thailand in 2012. Pay attention to mosquito protection.
Hepatitis A
USA
According to the CDC, since 2016 there has been an increase in nationwide outbreaks in which infections are transmitted from person to person. Those affected are primarily homeless and addicted people. Around 44,960 infections and 424 deaths have now been reported from 37 states. Most infections were recorded in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Pay careful attention to hygiene measures and possibly consider vaccination.
Sun protection
USA
Since the beginning of 2021, the sale of so-called reef-toxic sunscreens has been banned in the state of Hawaii, 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
Risk of diarrheal diseases nationwide, cholera is also endemic. Pay attention to food and drinking water hygiene.
Dengue
Vietnam
Since the beginning of this year, around 14,550 illnesses have been registered nationwide. In contrast to the general downward trend, the number of cases in the capital Hanoi has increased significantly. Approximately 166,620 infections and 42 deaths were reported last year. In 2022, around 367,730 illnesses and 140 deaths were registered. The number of cases was around 5 times higher than in 2021. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
Rabies
Vietnam
29 deaths have already been reported since the beginning of this year. Last year, a total of 82 people died from rabies infection. If you have suspicious contact with animals, you should consult a doctor immediately. A preventive vaccination is strongly recommended, especially if the risk is foreseeable and for longer stays. Advice from a doctor experienced in travel medicine should be given in good time before the trip.
Bird flu
Vietnam
In March this year, an infection with influenza A(H9N2) was reported for the first time in Vietnam. In March of this year, a 21-year-old student fell ill with influenza A(H5N1) and subsequently died. He had previously caught wild birds. After a break of more than 8 years, a 5-year-old girl became ill with an infection with an H5 influenza virus in October 2022. It had eaten meat from sick chickens and ducks. Between 2003 and 2014, a total of 128 people nationwide fell ill with influenza A(H5N1), and there were 65 deaths. Corresponding animal contacts could be proven for all those affected. Since 2014, numerous outbreaks in domestic poultry have been recorded across the country, with more than 129,000 animals killed. At the end of May last year there was an outbreak in Quang Ngai province with around 1,700 sick ducks. Vaccination of poultry is widespread in the country. Since 2014, outbreaks of influenza A(H5N6) have been repeatedly reported in poultry farms. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. There have been no human illnesses so far.
by broucek.milos | May 9, 2024 | Vaccination updates
Dengue
Argentina
As a result of unusually heavy and prolonged rainfall, around 315,950 illnesses and 228 deaths have been recorded nationwide since the beginning of this year. Last year, around 130,290 infections were confirmed and 75 people died. In 2022, 750 people will be ill. Pay attention to protection against diurnal mosquitoes. Vaccination has been available since February 2023.
Ross River Fever
Australia
Approximately 2,510 cases have already been reported nationwide this year. The state of Queensland is particularly affected. Pay attention to mosquito protection.
Dengue
Fiji
Health authorities declared an outbreak at the end of April. In the Western Division, 370 cases have been reported since the beginning of the year, in Ovalau (Eastern Division) there were 72. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
measles
Great Britain
Since October last year, the number of cases in Central England (West Midland) has risen sharply, with Birmingham being particularly affected. By mid-April 2024, around 535 infections had been registered in the region and around 1,110 nationwide. The number of cases has also increased in London, with around 270 cases reported so far. Before staying abroad, the standard vaccination protection should always be checked and, if necessary, supplemented.
Dengue
Indonesia
Compared to the previous year, the number of cases has risen sharply. By early April, about 60,300 infections and 455 deaths had been reported nationwide. Bali provincial health authorities have warned tourists of an increase in the number of cases and press reports say they and locals are being recommended to be vaccinated. Pay attention to protection against the predominantly diurnal vector mosquitoes. Vaccination has been available since February 2023.
Ticks
Switzerland
During the warm season there is a risk of tick-borne diseases, and in certain parts of the country also of TBE, which can lead to brain inflammation. More infections were reported in the first quarter of this year than in the same period last year. Pay attention to protection against tick bites. If you are staying in an infected area, vaccination may be recommended after individual risk assessment.
Intestinal infections
Egypt
Risk of diarrheal diseases nationwide. The Robert Koch Institute has reported an increase in infections with enterohemorrhagic Escherichia coli (EHEC) among travelers returning, especially from Hurghada. Hepatitis A is also very common. Eating raw salads and undercooked foods should be avoided. Tap water should not be drunk. Observe food hygiene and vaccination protection.
Egypt
A warning is issued against traveling to the north of the Sinai Peninsula, the Egyptian-Israeli border area (with the exception of Taba) and remote areas of the Sahara. Unaccompanied, individual excursions and overland trips in the south of the Sinai Peninsula are not recommended (www.auswaertiges-amt.de).
Ross River Fever
Australia
Approximately 2,510 cases have already been reported nationwide this year. The state of Queensland is particularly affected. Pay attention to mosquito protection.
Chikungunya
Brazil
This year, around 201,100 suspected cases and 61 deaths have been reported. In the state of Minas Gerais, authorities declared a health emergency at the end of January this year due to the epidemiological situation. Last year, around 256,930 suspected cases were registered nationwide and around 146,250 infections were confirmed. 106 people have died. Compared to the same period last year, the number of cases has increased significantly. A total of around 265,300 suspected cases were reported in 2022. 75 people died. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread nationwide. Pay attention to mosquito protection.
Dengue
Brazil
There is a high risk of dengue throughout the country. Since the beginning of this year, around 4,337,000 suspected cases and 1,601 confirmed deaths have been registered nationwide. Compared to the same period last year, the number of cases has roughly tripled. The authorities in 7 of the 27 states (Acre, Goiás, Minas Gerais, Espírito Santo, Rio de Janeiro, Santa Catarina and the Federal District) have declared a health emergency due to the epidemiological situation. Last year, around 3,028,600 suspected cases were registered nationwide and 1,094 people died. In 2022, around 2,363,500 illnesses and around 930 deaths were recorded. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
Oropouche fever
Brazil
Since the beginning of this year, approximately 2,540 infections have been confirmed in the state of Amazonas. At the end of February, an illness was reported in the city of Rio de Janeiro. Since the beginning of February, additional illnesses have been reported in the states of Rondonia, Acre, Para, Roraima and Bahia. The number of cases nationwide has risen to around 3,355. The virus is transmitted by midges and predominantly nocturnal mosquitoes. The disease leads to an acute febrile syndrome including joint and limb pain as well as vomiting. Pay attention to mosquito protection.
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. A person has died. The majority were registered in the capital, Santo Domingo. Pay attention to hygiene and possibly consider vaccination.
Dengue
Dominican Republic
Since the beginning of this year, around 7,400 illnesses have been registered. Last year, around 25,470 suspected cases were registered. 23 people have died. In 2022, around 10,440 suspected cases were reported. 42 people died. The number of cases has roughly tripled in 2022 compared to the previous year. The municipalities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa were particularly affected. In 2021, around 3,750 infections and 26 deaths were registered. Pay attention to mosquito protection. Vaccination has been available since February 2023.
Entry requirements
Dominican Republic
The Dominican government has completely closed 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).
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 occurs again and again in local people in both the cutaneous and intestinal forms. Observe hygiene and vaccination protection.
Dengue
India
About 234,430 illnesses and 91 deaths were reported nationwide last year. The highest number of cases were recorded in the states of Delhi, West Bengal, Chattisgharh, Bihar, Uttar Pradesh, Telangana, Maharashtra, Punjab, Karnataka and Gujarat. In 2022, approximately 233,250 infections and 303 deaths were recorded. Pay attention to protection against diurnal vector mosquitoes (Aedes species). Vaccination has been available since February 2023.
Encephalitis
India
In the first 2 months of this year, 22 cases of Japanese encephalitis (JE) were recorded. In 2023, approximately 1,100 cases were officially reported nationwide. 56 people died. The state of Assam was particularly affected. In 2022, 1,109 illnesses and 130 deaths were reported. Most of the infections were again recorded in the state of Assam. Carry out exposure prophylaxis and possibly vaccination!
Malaria
India
In January this year, 9,095 cases were recorded nationwide. A person has died. Most of the infections come from the states of Chhattisgarh and Jharkhand. Last year, around 223,960 cases were registered and 72 people died. Very good mosquito protection is always important, it is usually advisable to take emergency medication with you and, depending on the outbreak, chemoprophylaxis should also be discussed.
Safety notice
India
Travel to Jammu and Kashmir and Manipur is currently strongly discouraged. Demonstrations and large gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
Rabies
India
In March this year, one illness and three deaths were reported in the state of Manipur (NO). Deaths were reported in several states last year. In September, the first death since 2017 was reported in the state of Goa. India is one of the countries in the world with the highest number of animal and human cases. A total of around 310 people died in 2022. The main transmitter is the (stray) dog. Large cities are also affected. In the event of suspicious animal contact, seek medical attention immediately and pay attention to the use of modern tissue culture vaccines. A preventative vaccination is recommended for all travelers.
Intestinal infections
Indonesia
Risk of diarrheal diseases nationwide. Cholera outbreaks are reported sporadically in West Papua, and typhus is to be expected. Continue to observe hygiene and vaccination protection against typhus.
Dengue
Indonesia
Compared to the previous year, the number of cases has risen sharply. By early April, about 60,300 infections and 455 deaths had been reported nationwide. Bali provincial health authorities have warned tourists of an increase in the number of cases and press reports say they and locals are being recommended to be vaccinated. Pay attention to protection against the predominantly diurnal vector mosquitoes. Vaccination has been available since February 2023.
Poliomyelitis
Indonesia
Last year, a total of 6 vaccine-derived poliovirus type 2 (cVDPV2) infections were confirmed on the islands of Sumatra and Java. A child on the island of Sumatra was already ill in November 2022. It is the first detection of polio 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 people (locals and tourists) who have stayed in the country for more than 4 weeks should be able to show proof of a polio vaccination when leaving the country. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate.
Safety notice
Indonesia
Non-essential travel to the provinces of the Indonesian part of the island of New Guinea (Papua, Papua Barat, Papua Pegunungan, Papua Tengah and Papua Selatan) is currently discouraged. Larger gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
Bird flu
Indonesia
Since November 2003, the highly pathogenic bird flu caused by Influenza A(H5N1) has spread nationwide with local and regional outbreaks in poultry. More than 10 million animals have so far fallen victim to the animal disease. Since mid-2003, there have been 200 human cases of the disease in Indonesia, 168 of which were fatal. The last human infections were confirmed on the island of Bali in September 2017. Almost all those affected had direct contact with sick or dead animals. Contact with live poultry or sick people should be avoided and hygiene should be observed.
Ticks
Austria
During the warm season there is a risk of tick-borne diseases, and in large parts of the country also of TBE, which can lead to brain inflammation. Pay attention to protection against tick bites. If you are staying in an infected area, vaccination may be recommended after individual risk assessment.
Cholera
South Africa
Since the beginning of December last year, 117 suspected cases have been reported and 6 infections have been confirmed. The province of Limpopo is affected. Last year, around 1,390 suspected cases were registered, 199 infections were confirmed, and 47 people died. In addition to the Gauteng province, the Free State, Mpumalanga and Limpopo provinces were affected. Pay attention to hygiene and consider vaccination if necessary.
Safety notice
South Africa
Parliamentary elections will take place in South Africa on May 29, 2024 at the national and provincial levels, around which there may be rallies and demonstrations. 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. The power outages may also impact water supply and quality and continue to lead to restrictions on internet connections and mobile communications. Gas stations can also be temporarily affected. For safety reasons, the South African National Park Administration recommends that travelers avoid using the so-called Numbi Gate when entering the Kruger National Park and use alternative entry gates. To get to Addo Elephant Park from Port Elizabeth (Gqeberha), it is recommended to avoid using the R335 via Motherwell and alternatively use the N2 via Colchester. Demonstrations and large gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
Rabies
South Africa
Last year, 11 cases were confirmed, one in Limpopo province, five each in KwaZulu-Natal and Eastern Cape provinces. In 2022, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. A sharp increase in rabid dogs has been observed nationwide since 2022. The most common source of infection is dog bites. In the event of such contact, consult a doctor immediately; if the risk is foreseeable and the stay is long-term, preventative vaccination is recommended.
Intestinal infections
Tanzania
Risk of diarrheal diseases nationwide. Localized outbreaks of cholera occur regularly. Pay careful attention to hygiene and consider vaccination if necessary.
Entry vaccination requirement
Tanzania
The risk of infection with yellow fever in Tanzania is classified by the WHO as low, and vaccination is not generally recommended. According to the official entry vaccination regulations (ITH 2020), a yellow fever vaccination is required when entering from endemic areas for people older than 1 year. Experience has shown that the regulations change frequently and the information provided by the various authorities differs. The regulations are sometimes interpreted and handled 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 Zanzibari Ministry of Health is published on the Federal Foreign Office website.
Malaria
Tanzania
After the disease was considered almost eliminated on the island group of Zanzibar and Pemba for many years, the number of cases has been increasing again in recent years. The number of cases in Zanzibar has risen sharply since October last year. Very good mosquito protection must always be observed, and chemoprophylaxis is also recommended.
Poliomyelitis
Tanzania
The first infection with vaccine-derived poliovirus type 2 (cVDPV2) was reported in July last year. Another infection was reported at the beginning of September and the end of December. Due to the occurrence of cVDPV2, the country is formally one of the countries with a potential risk of international spread of the pathogen. As a result, all people (locals and tourists) who have stayed in the country for longer than 4 weeks must present a vaccination against polio when leaving the country. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate. Observe vaccination protection.
Intestinal infections
Thailand
Risk of diarrheal diseases nationwide, smaller outbreaks of cholera can also be expected locally. Pay attention to hygiene.
Dengue
Thailand
Since the beginning of this year, around 24,620 illnesses and 21 deaths have been registered. Approximately 159,220 infections and 179 deaths were reported last year. The provinces of Trat, Nan, Chanthaburi, Rayong and Mae Hong Son as well as the capital Bangkok were particularly affected. Pay attention to protection against diurnal mosquitoes. Vaccination has been available since February 2023.
Heat wave
Thailand
Large parts of the country, especially in the north and central regions, including the capital Bangkok, have been affected by a heat wave with temperatures over 40°C since the beginning of March. Caution is particularly advised for unsuitable travelers who are older, overweight or have previous illnesses (e.g. cardiovascular disease). Travelers should closely monitor media reports and heed local warnings.
Zika virus
Thailand
At the end of November last year, a Dutch tourist and a couple from Germany fell ill after spending time in southern Thailand. Since the beginning of this year, 19 people have fallen ill in the northeast. Last year, more than 750 illnesses were reported in the country. The infection was first detected in Thailand in 2012. Pay attention to mosquito protection.
Hepatitis A
USA
According to the CDC, since 2016 there has been an increase in nationwide outbreaks in which infections are transmitted from person to person. Those affected are primarily homeless and addicted people. Around 44,960 infections and 424 deaths have now been reported from 37 states. Most infections were recorded in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Pay careful attention to hygiene measures and possibly consider vaccination.
Sun protection
USA
Since the beginning of 2021, the sale of so-called reef-toxic sunscreens has been banned in the state of Hawaii, 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
Risk of diarrheal diseases nationwide, cholera is also endemic. Pay attention to food and drinking water hygiene.
Dengue
Vietnam
Since the beginning of this year, around 14,550 illnesses have been registered nationwide. In contrast to the general downward trend, the number of cases in the capital Hanoi has increased significantly. Approximately 166,620 infections and 42 deaths were reported last year. In 2022, around 367,730 illnesses and 140 deaths were registered. The number of cases was around 5 times higher than in 2021. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
Rabies
Vietnam
29 deaths have already been reported since the beginning of this year. Last year, a total of 82 people died from rabies infection. If you have suspicious contact with animals, you should consult a doctor immediately. A preventive vaccination is strongly recommended, especially if the risk is foreseeable and for longer stays. Advice from a doctor experienced in travel medicine should be given in good time before the trip.
Bird flu
Vietnam
In March this year, an infection with influenza A(H9N2) was reported for the first time in Vietnam. In March of this year, a 21-year-old student fell ill with influenza A(H5N1) and subsequently died. He had previously caught wild birds. After a break of more than 8 years, a 5-year-old girl became ill with an infection with an H5 influenza virus in October 2022. It had eaten meat from sick chickens and ducks. Between 2003 and 2014, a total of 128 people nationwide fell ill with influenza A(H5N1), and there were 65 deaths. Corresponding animal contacts could be proven for all those affected. Since 2014, numerous outbreaks in domestic poultry have been recorded across the country, with more than 129,000 animals killed. At the end of May last year there was an outbreak in Quang Ngai province with around 1,700 sick ducks. Vaccination of poultry is widespread in the country. Since 2014, outbreaks of influenza A(H5N6) have been repeatedly reported in poultry farms. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. There have been no human illnesses so far.
zdroj/source: https://crm.de/aktuelles/
by broucek.milos | Apr 12, 2024 | Vaccination updates
Dengue
Argentina
As a result of unusually heavy and prolonged rainfall, around 163,420 illnesses and 119 deaths have been recorded nationwide since the beginning of this year. Last year, around 130,290 infections were confirmed and 75 people died. In 2022, 750 people will be ill. Pay attention to protection against diurnal mosquitoes. Vaccination has been available since February 2023.
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Dengue
Barbados
Since the beginning of this year, 940 suspected cases have already been registered. The last major eruption was reported in 2020. Pay attention to protection against mosquitoes, which are predominantly active during the day. Vaccination has been available since February 2023.
Oropouche fever
Bolivia
Since the beginning of April this year, 24 infections and 50 suspected cases have been registered in the department of La Paz (W). In addition, 4 people are sick in the department of Pando (N). The virus is transmitted by predominantly nocturnal mosquitoes. The disease leads to an acute febrile syndrome including joint and limb pain as well as vomiting. Under certain circumstances, meningitis can occur. There is no vaccination. Pay attention to mosquito protection.
measles
Great Britain
Since October last year, the number of cases in Central England (West Midland) has risen sharply, with Birmingham being particularly affected. By the beginning of April 2024, around 500 infections had been registered in the region and around 935 nationwide. Before staying abroad, the standard vaccination protection should always be checked and, if necessary, supplemented.
Ticks
Poland
During the warm season there is a risk of tick-borne diseases, and in certain parts of the country also of TBE, which can lead to brain inflammation. The number of cases in the country has risen sharply in recent years. Pay attention to protection against tick bites. If you are staying in an infected area, vaccination may be recommended after individual risk assessment.
Heat wave
Thailand
Large parts of the country, especially in the north and central regions, including the capital Bangkok, have been affected by a heat wave with temperatures over 40°C since the beginning of March. Caution is particularly advised for unsuitable travelers who are older, overweight or have previous illnesses (e.g. cardiovascular disease). Travelers should closely monitor media reports and heed local warnings.
intestinal infections
Egypt
Risk of diarrheal diseases nationwide. The Robert Koch Institute has reported an increase in infections with enterohemorrhagic Escherichia coli (EHEC) among travelers returning, especially from Hurghada. Hepatitis A is also very common. Eating raw salads and undercooked foods should be avoided. Tap water should not be drunk. Observe food hygiene and vaccination protection.
Safety notice
Egypt
A warning is issued against traveling to the north of the Sinai Peninsula, the Egyptian-Israeli border area (with the exception of Taba) and remote areas of the Sahara. Unaccompanied, individual excursions and overland trips in the south of the Sinai Peninsula are not recommended (www.auswaertiges-amt.de).
Chikungunya
Brazil
This year, around 144,320 suspected cases and 46 deaths have been reported. In the state of Minas Gerais, authorities declared a health emergency at the end of January this year due to the epidemiological situation. Last year, around 256,930 suspected cases were registered nationwide and around 146,250 infections were confirmed. 106 people have died. Compared to the same period last year, the number of cases has increased significantly. A total of around 265,300 suspected cases were reported in 2022. 75 people died. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread nationwide. Pay attention to mosquito protection.
Dengue
Brazil
There is a high risk of dengue throughout the country. Since the beginning of this year, around 2,966,400 suspected cases and 758 confirmed deaths have been registered nationwide. Compared to the corresponding period last year, the number of cases has more than tripled. Authorities in 7 of the 27 states (Acre, Goiás, Minas Gerais, Espírito Santo, Rio de Janeiro, Santa Catarina and the Federal District) have declared a health emergency due to the epidemiological situation. Last year, around 3,028,600 suspected cases were registered nationwide and 1,094 people died. In 2022, around 2,363,500 illnesses and around 930 deaths were recorded. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
Oropouche fever
Brazil
Since the beginning of this year, approximately 2,070 infections have been confirmed in the state of Amazonas. At the end of February, an illness was reported in the city of Rio de Janeiro. Since the beginning of February, additional illnesses have been reported in the states of Rondonia, Acre, Roraima and Bahia. The virus is transmitted by predominantly nocturnal mosquitoes. The disease leads to an acute febrile syndrome including joint and limb pain as well as vomiting. Pay attention to mosquito protection.
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. A person has died. The majority were registered in the capital, Santo Domingo. Pay attention to hygiene and possibly consider vaccination.
Dengue
Dominican Republic
Since the beginning of this year, around 6,780 illnesses have been registered. Last year, around 25,470 suspected cases were registered. 23 people have died. In 2022, around 10,440 suspected cases were reported. 42 people died. The number of cases in 2022 has roughly tripled compared to the previous year. The municipalities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa were particularly affected. In 2021, around 3,750 infections and 26 deaths were registered. Pay attention to mosquito protection. Vaccination has been available since February 2023.
Safety notice
Entry requirements
Dominican Republic
The Dominican government has completely closed 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).
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 occurs again and again in local people in both the cutaneous and intestinal forms. Observe hygiene and vaccination protection.
Dengue
India
About 234,430 illnesses and 91 deaths were reported nationwide last year. The highest number of cases were recorded in the states of Delhi, West Bengal, Chattisgharh, Bihar, Uttar Pradesh, Telangana, Maharashtra, Punjab, Karnataka and Gujarat. In 2022, approximately 233,250 infections and 303 deaths were recorded. Pay attention to protection against diurnal vector mosquitoes (Aedes species). Vaccination has been available since February 2023.
Encephalitis
India
In the first 2 months of this year, 22 cases of Japanese encephalitis (JE) were recorded. In 2023, around 1,100 cases were officially reported nationwide. 56 people have died. The state of Assam was particularly affected. In 2022, 1,109 illnesses and 130 deaths were reported. Most infections were again recorded in the state of Assam. Carry out exposure prophylaxis and possibly vaccination!
malaria
India
In January this year, 9,095 cases were recorded nationwide. A person has died. Most of the infections come from the states of Chhattisgarh and Jharkhand. Last year, around 223,960 cases were registered and 72 people died. Very good mosquito protection is always important, it is usually advisable to take emergency medication with you and, depending on the outbreak, chemoprophylaxis should also be discussed.
Safety notice
India
Travel to Jammu and Kashmir and Manipur is currently strongly discouraged. Demonstrations and large gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
rabies
India
In March this year, one illness and three deaths were reported in the state of Manipur (NO). Deaths were reported in several states last year. In September, the first death since 2017 was reported in the state of Goa. India is one of the countries in the world with the highest number of animal and human cases. A total of around 310 people died in 2022. The main transmitter is the (stray) dog. Large cities are also affected. In the event of suspicious animal contact, seek medical attention immediately and pay attention to the use of modern tissue culture vaccines. A preventative vaccination is recommended for all travelers.
intestinal infections
Indonesia
Risk of diarrheal diseases nationwide. Cholera outbreaks are reported sporadically in West Papua, and typhus is to be expected. Continue to observe hygiene and vaccination protection against typhus.
poliomyelitis
Indonesia
Last year, a total of 6 vaccine-derived poliovirus type 2 (cVDPV2) infections were confirmed on the islands of Sumatra and Java. A child on the island of Sumatra was already ill in November 2022. It is the first detection of polio 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 people (locals and tourists) who have stayed in the country for more than 4 weeks should be able to show proof of a polio vaccination when leaving the country. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate.
Safety notice
Indonesia
Non-essential travel to the provinces of the Indonesian part of the island of New Guinea (Papua, Papua Barat, Papua Pegunungan, Papua Tengah and Papua Selatan) is currently discouraged. Larger gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
Bird flu
Indonesia
Since November 2003, the highly pathogenic bird flu caused by Influenza A(H5N1) has spread nationwide with local and regional outbreaks in poultry. More than 10 million animals have so far fallen victim to the animal disease. Since mid-2003, there have been 200 human cases of the disease in Indonesia, 168 of which were fatal. The last human infections were confirmed on the island of Bali in September 2017. Almost all those affected had direct contact with sick or dead animals. Contact with live poultry or sick people should be avoided and hygiene should be observed.
Ticks
Austria
During the warm season there is a risk of tick-borne diseases, and in large parts of the country also of TBE, which can lead to brain inflammation. Pay attention to protection against tick bites. If you are staying in an infected area, vaccination may be recommended after individual risk assessment.
cholera
South Africa
Since the beginning of December last year, 117 suspected cases have been reported and 6 infections have been confirmed. The province of Limpopo is affected. Last year, around 1,390 suspected cases were registered, 199 infections were confirmed, and 47 people died. In addition to the province of Gauteng, the provinces of Free State, Mpumalanga and Limpopo were affected. Pay attention to hygiene and consider vaccination if necessary.
Safety notice
South Africa
Parliamentary elections will take place in South Africa on May 29, 2024 at the national and provincial levels, around which there may be rallies and demonstrations. 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. The power outages may also impact water supply and quality and continue to lead to restrictions on internet connections and mobile communications. Gas stations can also be temporarily affected. For safety reasons, the South African National Park Administration recommends that travelers avoid using the so-called Numbi Gate when entering the Kruger National Park and use alternative entry gates. To get to Addo Elephant Park from Port Elizabeth (Gqeberha), it is recommended not to use the R335 via Motherwell and alternatively use the N2 via Colchester. Demonstrations and large gatherings of people should always be avoided and the instructions of the security forces should be followed. Furthermore, current media reports should be followed during your stay (www.auswaertiges-amt.de).
rabies
South Africa
Last year, 11 cases were confirmed, one in Limpopo province, five each in KwaZulu-Natal and Eastern Cape provinces. In 2022, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. A sharp increase in rabid dogs has been observed nationwide since 2022. The most common source of infection is dog bites. In the event of such contact, consult a doctor immediately; if the risk is foreseeable and the stay is long-term, preventative vaccination is recommended.
intestinal infections
Tanzania
Risk of diarrheal diseases nationwide. Localized outbreaks of cholera occur regularly. Pay careful attention to hygiene and consider vaccination if necessary.
Entry vaccination requirement
Tanzania
The risk of infection with yellow fever in Tanzania is classified by the WHO as low, and vaccination is not generally recommended. According to the official entry vaccination regulations (ITH 2020), a yellow fever vaccination is required when entering from endemic areas for people older than 1 year. Experience has shown that the regulations change frequently and the information provided by the various authorities differs. The regulations are sometimes interpreted and handled 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 Zanzibari Ministry of Health is published on the Federal Foreign Office website.
malaria
Tanzania
After the disease was considered almost eliminated on the island group of Zanzibar and Pemba for many years, the number of cases has been increasing again in recent years. The number of cases in Zanzibar has risen sharply since October last year. Very good mosquito protection must always be observed, and chemoprophylaxis is also recommended.
poliomyelitis
Tanzania
The first infection with vaccine-derived poliovirus type 2 (cVDPV2) was reported in July last year. Another infection was reported at the beginning of September and the end of December. Due to the occurrence of cVDPV2, the country is formally one of the countries with a potential risk of international spread of the pathogen. As a result, all people (locals and tourists) who have stayed in the country for longer than 4 weeks must present a vaccination against polio when leaving the country. The vaccination must take place between 4 weeks and one year before departure and be documented in an internationally valid vaccination certificate. Observe vaccination protection.
intestinal infections
Thailand
Risk of diarrheal diseases nationwide, smaller outbreaks of cholera can also be expected locally. Pay attention to hygiene.
Dengue
Thailand
Since the beginning of this year, 22,550 illnesses and 20 deaths have been registered. Approximately 159,220 infections and 179 deaths were reported last year. The provinces of Trat, Nan, Chanthaburi, Rayong and Mae Hong Son as well as the capital Bangkok were particularly affected. Pay attention to protection against diurnal mosquitoes. Vaccination has been available since February 2023.
Heat wave
Thailand
Large parts of the country, especially in the north and central regions, including the capital Bangkok, have been affected by a heat wave with temperatures over 40°C since the beginning of March. Caution is particularly advised for unsuitable travelers who are older, overweight or have previous illnesses (e.g. cardiovascular disease). Travelers should closely monitor media reports and heed local warnings.
Zika virus
Thailand
At the end of November last year, a Dutch tourist and a couple from Germany fell ill after spending time in southern Thailand. Since the beginning of this year, 19 people have fallen ill in the northeast. Last year, more than 750 illnesses were reported in the country. The infection was first detected in Thailand in 2012. Pay attention to mosquito protection.
Hepatitis A
USA
According to the CDC, since 2016 there has been an increase in nationwide outbreaks in which infections are spread from person to person. Those affected are primarily homeless and addicted people. Around 44,960 infections and 424 deaths have now been reported from 37 states. Most infections were recorded in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Pay careful attention to hygiene measures and possibly consider vaccination.
Sun protection
USA
Since the beginning of 2021, the sale of so-called reef-toxic sunscreens has been banned in the state of Hawaii, 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
Risk of diarrheal diseases nationwide, cholera is also endemic. Pay attention to food and drinking water hygiene.
Dengue
Vietnam
Since the beginning of this year, around 12,940 illnesses have been registered nationwide. In contrast to the general downward trend, the number of cases in the capital Hanoi has increased significantly. Approximately 166,620 infections and 42 deaths were reported last year. In 2022, around 367,730 illnesses and 140 deaths were registered. The number of cases was around 5 times higher than in 2021. Pay attention to protection against mosquitoes that are predominantly diurnal. Vaccination has been available since February 2023.
rabies
Vietnam
27 deaths have already been reported in the first 3 months of this year. Last year, a total of 82 people died from rabies infection. If you have suspicious contact with animals, you should consult a doctor immediately. A preventive vaccination is strongly recommended, especially if the risk is foreseeable and for longer stays. Advice from a doctor experienced in travel medicine should be given in good time before the trip.
Bird flu
Vietnam
In March this year, an infection with influenza A(H9N2) was reported for the first time in Vietnam. In March of this year, a 21-year-old student fell ill with influenza A(H5N1) and subsequently died. He had previously caught wild birds. After a break of more than 8 years, a 5-year-old girl became ill with an H5 influenza virus infection in October 2022. It had eaten meat from sick chickens and ducks. Between 2003 and 2014, a total of 128 people nationwide fell ill with influenza A(H5N1), and there were 65 deaths. Corresponding animal contacts could be proven for all those affected. Since 2014, numerous outbreaks in domestic poultry have been recorded across the country, with more than 129,000 animals killed. At the end of May last year there was an outbreak in Quang Ngai province with around 1,700 sick ducks. Vaccination of poultry is widespread in the country. Since 2014, outbreaks of influenza A(H5N6) have been repeatedly reported in poultry farms. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. There have been no human illnesses so far.
zdroj/source: https://crm.de/aktuelles/
by broucek.milos | Mar 28, 2024 | Vaccination updates
Dengue
Argentina
Since the beginning of this year, around 102,900 cases and 69 deaths have been recorded. Last year, around 130,290 infections were confirmed and 75 people died. In 2022, 750 people will fall ill. Take care to protect yourself against daytime mosquitoes. Vaccination is possible from February 2023.
Oropouche fever
Brazil
Since the beginning of this year, approximately 2,070 infections have been confirmed in the state of Amazonas. In late February, an illness was reported in the city of Rio de Janeiro. Since early February, additional cases have been reported in the states of Rondonia, Acre and Roraima. The virus is transmitted mainly by nocturnal mosquitoes. The disease leads to an acute febrile syndrome involving joint and limb pain as well as vomiting. Pay attention to mosquito protection.
Ticks
Estonia
Tick-borne diseases are a risk in the warm season. The first infection this year was reported at the end of March. The number of cases has been steadily increasing in recent years. For years, the Baltic States have reported the highest number of TBE cases in Europe. Transmission is also possible with unpasteurised milk. Observe protection against ticks, vaccinate if at risk.
Malaria
India
This January, 9,095 cases were recorded nationwide. A man died. Most of the infections originate from the states of Chhattisgarh and Jharkhand. Last year, around 223,960 cases were registered and 72 people died. Very good protection against mosquitoes is always important, it is usually advisable to take emergency medication and depending on the outbreak, chemoprophylaxis should be discussed.
damn
Chambers
Health authorities confirmed the outbreak in early February. Since then, around 320 local infections and 12 deaths have been recorded. A boat carrying 25 people from Tanzania had arrived in the capital Moroni earlier. Several people on board had symptoms and there was also one death. The authorities have taken measures to prevent the spread. Pay careful attention to food and drinking water hygiene and consider vaccination if necessary.
Malaria
Madagascar
The contagion from last year continues this year. More than 525 000 cases and 42 deaths have been reported since the beginning of this year. Very good protection against mosquitoes is always important, it is usually advisable to take emergency medication and depending on the situation of the outbreak and the route of travel, chemoprophylaxis is also recommended.
diarrhoeal diseases
intestinal infections
Egypt
Diarrhoeal disease risk nationwide. The Robert Koch Institute has reported an increase in enterohaemorrhagic Escherichia coli (EHEC) infections among returning travellers, particularly from Hurghada. Hepatitis A is also very common. Eating raw salads and undercooked foods should be avoided. Tap water should not be drunk. Observe food hygiene and vaccination protection.
Safety notice
Safety notice
Egypt
A warning is issued against travel to the north of the Sinai Peninsula, the Egyptian-Israeli border area (except Taba) and remote areas of the Sahara. Unaccompanied individual tours and overland trips to the south of the Sinai Peninsula are not recommended (www.auswaertiges-amt.de).
Vector-related infections
Chikungunya
Brazil
Around 111,440 suspected cases and 36 deaths have been reported this year. In the state of Minas Gerais, the authorities declared a state of health at the end of January this year due to the epidemiological situation. Last year, around 256 930 suspected cases were registered nationwide and around 146 250 infections were confirmed. 106 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. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread across the country. Pay attention to mosquito protection.
Vector-related infections
Dengue
Brazil
There is a high risk of dengue fever throughout the country. Since the beginning of this year, around 2 464 265 suspected cases and 561 confirmed deaths have been registered nationwide. The number of cases has more than tripled compared to the same period last year. Authorities in 7 of the 27 states (Acre, Goiás, Minas Gerais, Espírito Santo, Rio de Janeiro, Santa Catarina and the Federal District) have declared a health emergency due to the epidemiological situation. Last year, around 3 028 600 suspected cases were registered nationwide and 1 094 people died. In 2022, approximately 2,363,500 illnesses and approximately 930 deaths were recorded. Take care to protect against mosquitoes, which are mostly diurnal. Vaccination is possible from February 2023.
Vector-related infections
Oropouche fever
Brazil
Since the beginning of this year, approximately 2,070 infections have been confirmed in the state of Amazonas. In late February, an illness was reported in the city of Rio de Janeiro. Since early February, additional cases have been reported in the states of Rondonia, Acre and Roraima. The virus is transmitted mainly by nocturnal mosquitoes. The disease leads to an acute febrile syndrome involving joint and limb pain as well as vomiting. Pay attention to mosquito protection.
diarrhoeal diseases
intestinal infections
Dominican Republic
Diarrhoeal disease risk nationwide. The Dominican Republic is one of the holiday destinations with the highest number of cases of traveler’s diarrhea. As of October 2022, approximately 110 cholera infections have been reported. A man died. Most were registered in the capital, Santo Domingo. Take care of hygiene and consider vaccination if necessary.
Vector-related infections
Dengue
Dominican Republic
Last year, around 25 470 suspected cases were registered. 23 people died. In 2022, 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 were 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. Pay attention to mosquito protection. Vaccination is possible from February 2023.
Safety notice
Input requirements
Dominican Republic
Dominican government since 15. September 2023 until further notice, completely closing the border with Haiti. Travel by land, air or sea between the two countries is currently not possible (www.auswaertiges-amt.de).
diarrhoeal diseases
intestinal infections
India
Diarrhoeal disease risk nationwide. Cholera can be expected regionally. Typhoid, paratyphoid and orally transmitted forms of hepatitis are endemic throughout India. Anthrax occurs again and again in local people in both cutaneous and intestinal forms. Observe hygiene and vaccination protection.
Dengue
India
Last year, about 234 430 illnesses and 91 deaths were reported nationwide. The highest number of cases were reported in the states of Delhi, West Bengal, Chattisgharh, Bihar, Uttar Pradesh, Telangana, Maharashtra, Punjab, Karnataka and Gujarat. Approximately 233,250 infections and 303 deaths were recorded in 2022. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). Vaccination is possible from February 2023.
encephalitis
India
In the first 2 months of this year, 22 cases of Japanese encephalitis (JE) were recorded. In 2023, about 1,100 cases were officially reported nationwide. 56 people died. The state of Assam has been particularly affected. In 2022, 1109 cases and 130 deaths were reported. The highest number of infections was again recorded in Assam state. Perform exposure prophylaxis and vaccination if necessary!
Malaria
India
This January, 9,095 cases were recorded nationwide. A man died. Most of the infections originate from the states of Chhattisgarh and Jharkhand. Last year, around 223,960 cases were registered and 72 people died. Very good protection against mosquitoes is always important, it is usually advisable to take emergency medication and depending on the outbreak, chemoprophylaxis should be discussed.
Safety notice
India
Travel to Jammu, Kashmir and Manipur is strongly discouraged at present. Always avoid demonstrations and large gatherings of people and follow the instructions of the security forces and keep up to date with media reports during your stay (www.auswaertiges-amt.de).
Infections, various
Rabies
India
In March this year, one illness and three deaths were reported in the state of Manipur (NO). Last year, deaths were reported in several states. In September, the first death was reported in the state of Goa since 2017. India is one of the countries in the world with the highest number of animal and human cases. In 2022, a total of about 310 people died. The main transmitter is a (stray) dog. Large cities are also affected. In case of suspicious contact with an animal, seek medical attention immediately and pay attention to the use of modern vaccines for tissue culture. Preventive vaccinations are recommended for all passengers.
diarrhoeal diseases
intestinal infections
Indonesia
Diarrhoeal disease risk nationwide. Cholera epidemics are reported sporadically in West Papua and typhoid fever can be expected. Continue to maintain hygiene and protection by vaccination against typhoid fever.
Infections, oral
poliomyelitis
Indonesia
Last year, a total of 6 vaccine-derived poliovirus type 2 (cVDPV2) infections were confirmed on the islands of Sumatra and Java. A child on the island of Sumatra was already sick in November 2022. This is the first polio detection in the country since 2019. The emergence of VDPVs makes a country at potential risk of international spread of the pathogen. As a result, all people (locals and tourists) who have been in the country for more than 4 weeks should be able to show proof of polio vaccination when leaving the country. Vaccinations must be given 4 weeks to one year prior to departure and must be documented on an internationally valid vaccination card.
Safety notice
Indonesia
Indonesia held elections in February 2024. The final result is not expected until March. After the last elections in 2019, demonstrations resulted in riots that resulted in injuries and deaths. Always avoid demonstrations, rallies and large gatherings of people and follow the instructions of the security forces and keep up to date with media reports during your stay (www.auswaertiges-amt.de).
Bird flu
Indonesia
Since November 2003, highly pathogenic avian influenza caused by influenza A(H5N1) has spread throughout 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 of the disease 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. Contact with live poultry or sick people should be avoided and hygiene should be maintained.
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. If you are in an infected area, vaccination may be recommended after an individual risk assessment.
damn
South Africa
Since the beginning of December last year, 117 suspected cases have been reported and 6 infections have been confirmed. Limpopo province is affected. Last year, around 1390 suspected cases were registered, 199 infections were confirmed and 47 people died. In addition to Gauteng province, the Free State, Mpumalanga and Limpopo provinces were also affected. Take care of hygiene and consider vaccination if necessary.
South Africa
The electricity crisis continues with frequent and prolonged power cuts. 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 lead to restrictions on internet connectivity and mobile communications. Petrol stations may also be temporarily affected. For safety reasons, the South African National Park Authority advises travellers to avoid using the so-called “no-go” signs when entering Kruger National Park. Numbi gates and used alternative entry gates. To get to Addo Elephant Park from Port Elizabeth (Gqeberha), we recommend not using the R335 via Motherwell and alternatively use the N2 via Colchester (www.auswaertiges-amt.de).
Rabies
South Africa
Last year, 11 cases were confirmed, one in Limpopo province and five each in KwaZulu-Natal and Eastern Cape provinces. In 2022, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. A sharp increase in rabid dogs has been observed nationwide since 2022. The most common source of infection is dog bites. If such contact occurs, seek medical attention immediately; if the risk is foreseeable and the stay is prolonged, preventive vaccination is recommended.
intestinal infections
Tanzania
Diarrhoeal disease risk nationwide. Localised outbreaks of cholera occur regularly. Take care with hygiene and consider vaccinations if necessary.
Requirement for initial vaccination
Tanzania
The risk of contracting yellow fever in Tanzania is classified by WHO 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. The official statement of the Zanzibar Ministry of Health is published on the website of the Federal Foreign Office.
Malaria
Tanzania
After being considered almost eliminated on the island group of Zanzibar and Pemba for many years, the number of cases has been on the rise again in recent years. The number of cases in Zanzibar has risen sharply since October last year. Very good protection against mosquitoes should always be maintained, and chemoprophylaxis is recommended.
Poliomyelitis
Tanzania
The first vaccine-derived poliovirus type 2 (cVDPV2) infection was reported in July last year. Further infections were reported in early September and late December. Due to the presence of cVDPV2, the country is formally classified as a country with a potential risk of international spread of the pathogen. As a result, all people (locals and tourists) who stay in the country for more than 4 weeks must present a polio vaccination when they leave the country. Vaccinations must be given 4 weeks to one year prior to departure and must be documented on an internationally valid vaccination card. Observe protection by vaccination.
Intestinal infections
Thailand
Risk of diarrhoeal diseases nationwide, smaller cholera outbreaks can be expected locally. Take care of hygiene.
Dengue
Thailand
Since the beginning of this year, 11 180 cases and 5 deaths have been recorded. Last year, approximately 159,220 infections and 179 deaths were reported. Trat, Nan, Chanthaburi, Rayong and Mae Hong Son provinces were particularly affected, as was the capital Bangkok. Take care to protect yourself against daytime mosquitoes. Vaccination is possible from February 2023.
Zika virus
Thailand
At the end of November last year, a Dutch tourist and a couple from Germany fell ill after spending time in southern Thailand. Since the start of this year, 19 people have fallen ill in the North East. Last year, more than 750 cases were reported in the country. The infection was first detected in Thailand in 2012. Pay attention to mosquito protection.
Hepatitis A
USA
According to the CDC, there has been an increase in nationwide outbreaks since 2016, with infections spreading from person to person. Those affected are mainly homeless and addicted people. Approximately 44,960 infections and 424 deaths have now been reported from 37 states. Most infections were reported in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Pay careful attention to hygiene measures and consider vaccinations if necessary.
Sun protection
USA
Starting in early 2021, the sale of so-called reef-toxic sunscreens, including products that contain oxybenzone (BP3) and octinoxate, is banned in the state of Hawaii. 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. Take care of food and drinking water hygiene.
Dengue
Vietnam
Since the beginning of this year, around 11 235 cases have been registered nationwide. Contrary to the general downward trend, the number of cases in the capital Hanoi has increased significantly. Last year, approximately 166,620 infections and 42 deaths were reported. In 2022, around 367,730 illnesses and 140 deaths were registered. The number of cases was roughly 5 times higher than in 2021. Watch out for protection from mosquitoes, which are mostly diurnal. Vaccination is possible from February 2023.
Rabies
Vietnam
In the first two months of this year, 22 deaths have already been reported. There were 10 in the same period last year. Last year, a total of 82 people died of rabies infection. If you suspect contact with animals, you should consult a doctor immediately. Preventive vaccination is strongly recommended, especially if the risk is foreseeable and for longer stays. A referral from a doctor experienced in travel medicine should be provided well in advance of travel.
Bird flu
Vietnam
In March, a 21-year-old student fell ill and subsequently died. He used to catch wild birds. After a gap of more than 8 years, a 5-year-old girl fell ill with H5 influenza virus infection in October 2022. She ate meat from sick chickens and ducks. Between 2003 and 2014, a total of 128 people fell ill with influenza A (H5N1) across the country and 65 died. In all affected individuals, adequate animal contacts could be demonstrated. Since 2014, numerous outbreaks in domestic poultry have been recorded across the country with more than 129,000 animals killed. At the end of May last year, there was an outbreak in Quang Ngai province with about 1,700 sick ducks. Vaccination of poultry is widespread in the country. Outbreaks of influenza A(H5N6) have been repeatedly reported in poultry farms since 2014. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. No human illnesses have occurred so far.
