Current incidence of the disease at a glance, recommendations and mandatory vaccination by country 13.9..2023

Dengue

Bangladesh

Around 114,510 infections have been confirmed since the beginning of this year, most of them in the capital Dhaka. 548 people died. This is the highest number of cases since the pathogen was first detected in the country in 2000. Last year, around 82 750 cases were registered and more than 300 people died. Take care to protect yourself against daytime mosquitoes. Vaccination is possible from February 2023.

 

West Nile fever

Germany

Since mid-August this year, 3 human infections have been reported in the districts of Anhalt-Bitterfeld and Wittenberg (Saxony-Anhalt) and in Berlin. In 2018, the first locally acquired infections in birds and horses were registered in Germany and in late summer 2019, 5 people became ill for the first time in eastern Germany. Last year, 4 human infections were recorded. The virus primarily infects birds, but can also spread to humans, horses and other mammals. Pay attention to mosquito protection.

 

Dengue

Italy

This August, 6 local infections were confirmed in the Lombardy region (N) and another in the Lazio region (W). This is the first local infection in Italy since 2020. Based on an infection imported from Indonesia, a local cluster with at least 5 cases occurred in the Veneto region (N). The mosquito vector Aedes albopictus has been widespread in the country for several years. Take care to protect against day vector mosquitoes.

 

Rabies

South Africa

This year 8 cases have already been confirmed, one in Limpopo province, 4 in KwaZulu-Natal and 3 in the Eastern Cape province. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. Since last year, there has been a sharp increase in rabid dogs across the country. 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.

 

Dengue

Chad

Authorities confirmed the first outbreak in the country in August. Since July, around 460 suspected cases have been reported, 26 infections have been confirmed and one person has died. The neighbouring provinces of Wadai and Wadi Fira are particularly affected. Take care to protect yourself against daytime mosquitoes. Vaccination is possible from February 2023.

 

Dengue

USA

In the state of Florida, 16 local infections have been confirmed this year. Miami-Dade, Broward, Hardee and Polk counties are affected. The first case was reported in early February. Last year, 68 cases were recorded. Take care to protect yourself against daytime mosquitoes. Vaccination is possible from February 2023.

 

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.

 

Murray Valley encephalitis

Australia

This year, 26 infections have been confirmed nationwide and 6 people have died. The states of New South Wales, Victoria, Western Australia and the Northern Territory are particularly affected. This mosquito-borne virus is regularly found in Australia and Papua New Guinea. Pay extra attention to mosquito repellent.

 

Monkeypox (Mpox)

Brazil

After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 10 970 infections have been confirmed in Brazil. 16 people died. The virus is found in central and west Africa, and cases outside Africa have so far been traced to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

Chikungunya

Brazil

Since the beginning of this year, around 218 615 suspected cases have been registered nationwide and around 99 270 infections have been confirmed. 78 people died. The number of cases has increased significantly compared to the same period last year. In 2022, a total of about 265,300 suspected cases were reported. 75 people died. In 2021, approximately 133,600 suspected cases were reported. 12 people died. In 2020, approximately 92,720 infections and 25 deaths were reported. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread across the country. Use mosquito repellent.

 

Dengue

Brazil

There is a high risk of dengue fever throughout the country. Since the beginning of this year, more than 2,490,880 suspected cases have been registered nationwide and 866 people have died. In the states of Espírito Santo (O) and Paraná (S), the number of cases increased compared to the same period last year. In 2022, approximately 2,363,500 illnesses and approximately 930 deaths were recorded. Take care to protect against mosquitoes, which are mostly diurnal. Vaccination is possible from February 2023.

 

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, around 100 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.

 

Dengue

Dominican Republic

Since the beginning of this year, around 3670 suspected cases have been registered. 4 people died. Last year, around 10,440 suspected cases were reported. 42 people died. The number of cases roughly tripled in 2022 compared to the previous year. Particularly affected are the municipalities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa. In 2021, approximately 3,750 infections and 26 deaths were registered. Use mosquito repellent. Vaccination is possible from February 2023.

 

safety notice

Greece

The risk of forest fires in Greece has decreased. However, it cannot be ruled out that new sources of fire will arise due to the prevailing weather conditions. The forest fires in the southeast of Rhodes are now extinguished. Prohibitions, signs and warnings should be observed, as well as instructions from local authorities and security forces, and local media coverage should be carefully monitored (www.auswaertiges-amt.de).

 

West Nile fever

Greece

Since mid-July, 90 infections and 11 deaths have been reported. The regions affected are Central Macedonia and Thessaly, as well as the island of Thassos. In Greece, the infection occurs sporadically. The virus is transmitted from one host to another by mosquitoes. It primarily infects birds, but can also spread to humans, horses and other mammals. Use mosquito repellent.

 

Chikungunya

India

Since the beginning of this year, approximately 56 405 cases and 1 974 deaths have been reported nationwide. The worst affected states are again Maharashtra and Karnataka. Last year, approximately 8,070 cases were confirmed nationwide. The worst affected states were Karnataka, Maharashtra and Gujarat. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species).

 

intestinal infections

India

Diarrhoeal disease risk nationwide. Cholera can be expected regionally. Typhoid, paratyphoid and orally transmitted forms of hepatitis are endemic throughout India. Anthrax occurs again and again in local people in both cutaneous and intestinal forms. Observe hygiene and vaccination protection.

 

Dengue

India

With the onset of monsoon in early July, infections are expected to increase in the north of the country. Around 920 people have fallen ill in the capital New Delhi this year, compared to 10,183 in the whole of last year. As a result of the heavy rains, the number of cases has increased in the state of Karnataka, where more than 4,800 cases have been reported so far. Some 31,445 cases and 36 deaths were reported nationally that year. 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

By the end of July this year, approximately 375 cases of Japanese encephalitis (JE) had been officially reported nationwide. 15 people died. The state of Assam is 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

Due to the monsoon, the number of cases has increased in many parts of the country. By the end of June this year, around 43,580 suspected cases had been registered nationwide and 2 people had died. The worst affected states are again Chhattisgarh and Urisa. Last year, approximately 174 000 cases and 68 deaths were reported. 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).

 

Rabies

India

Deaths have already been reported in several states this year. In late July, a two-and-a-half-year-old girl died in Uttar Pradesh (N). He was bitten by a stray dog. In June, a 49-year-old woman who cared for stray dogs died in the state of Kerala (SW). In July, three young children were bitten by rabid dogs in the same condition and one died. India is one of the countries in the world with the highest number of animal and human cases. In total, around 310 people died last year. The most affected states are Karnataka, Maharashtra and West Bengal. 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.

 

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.

 

poliomyelitis

Indonesia

Since the end of January this year, 2 vaccine-derived poliovirus type 2 (cVDPV2) infections have been confirmed in Aceh province on the island of Sumatra. The child was already sick there last November. This is the first polio detection in the country since 2019. In March this year, the disease was confirmed in Java province. The emergence of the 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 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.

 

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.

 

Monkeypox (Mpox)

Spain

After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 7 560 confirmed infections have been reported in Spain. 3 deaths have been confirmed. The virus is found in central and west Africa, and cases outside Africa have so far been traced to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

damn

South Africa

This year, around 1070 suspected cases have been registered, 199 infections have been confirmed and 47 people have died. In addition to Gauteng province, the Free State, Mpumalanga and Limpopo provinces are also affected. Take care of hygiene and consider vaccination if necessary.

 

measles

South Africa

In the past year, the number of cases has increased across the country. Around 1140 laboratory-confirmed infections have been reported since early October, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly affected. The number of new infections is now declining. Always check and top up standard vaccination protection before travelling abroad.

 

safety notice

South Africa

From 3. On August 2023, the shared taxi associations responsible for much of the local public transport in the Western Cape province, and particularly in the wider Cape Town area, are on strike. There have been sporadic clashes between security authorities and strikers, as well as attacks on bus companies. Some of them have ceased operations. There are isolated road closures in some parts of the city; airport access may also be affected. 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

This year 8 cases have already been confirmed, one in Limpopo province, 4 in KwaZulu-Natal and 3 in the Eastern Cape province. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. Since last year, there has been a sharp increase in rabid dogs across the country. 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.

 

poliomyelitis

Tanzania

The first vaccine-derived poliovirus type 2 (cVDPV2) infection was reported in July this year. 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.

 

Chikungunya

Thailand

Around 820 infections have been confirmed so far this year. Compared to 2021, the number of cases doubled last year, with a total of around 1,400 infections reported from 48 provinces. In 2021, around 670 cases were registered nationwide. Use mosquito repellent.

 

intestinal infections

Thailand

Risk of diarrhoeal diseases nationwide, smaller cholera outbreaks can be expected locally. Take care of hygiene.

 

Dengue

Thailand

According to press reports, around 27,380 infections and 33 deaths have been reported since January this year. Trat, Nan, Chanthaburi, Rayong and Mae Hong Son provinces are particularly affected, as well as the capital Bangkok. Take care to protect yourself against daytime mosquitoes. Vaccination is possible from February 2023.

Monkeypox (Mpox)

USA

After several cases were confirmed in the UK in May 2022, other countries reported infections. In the United States, approximately 30,770 infections have been reported in all 50 states and Washington, D.C. as well as those registered in Puerto Rico. 45 people died. In early August 2022, the government declared a national health emergency. The virus is found in central and west Africa, and cases outside Africa have so far been traced to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

Dengue

USA

In the state of Florida, 16 local infections have been confirmed this year. Miami-Dade, Broward, Hardee and Polk counties are affected. The first case was reported in early February. Last year, 68 cases were recorded. Take care to protect yourself against daytime mosquitoes. Vaccination is possible from February 2023.

 

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 44,900 infections and 423 deaths have now been reported from 37 countries. Most infections were reported in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Pay careful attention to hygiene measures and consider vaccinations if necessary.

 

Malaria

USA

In mid-August, the first local case of tropical malaria in the state of Maryland in more than 40 years was reported in the Washington metropolitan area. In mid-June this year, health authorities in the state of Texas confirmed a local infection (malaria tertiana) in Cameron County. For the first time in 20 years, 7 locally acquired cases of tertian malaria have been confirmed in the state of Florida since May. Authorities are warning of mosquito-borne diseases in Florida. Malaria is very rare in the USA, the last time 8 local cases of tertian malaria were reported in Palm Beach County (Florida) in 2003. Pay extra attention to mosquito repellent.

 

poliomyelitis

USA

At the end of June 2022, poliovirus infection derived from the type 2 vaccine (cVDPV2) was confirmed in the US for the first time since 2013. The 20-year-old was temporarily treated at a paralysis clinic in Rockland County (New York State). Authorities say polioviruses were detected in wastewater samples in the county before the man became ill. By the end of March this year, viruses had been detected in more than 100 wastewater samples, and New York State authorities declared a disaster in early September. Residents were asked to check their vaccination protection and top up if necessary. Always check and top up standard vaccination protection before travelling abroad.

 

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.

 

West Nile fever

USA

This year, 455 infections and at least 13 deaths were reported nationwide by the end of August, with the states of Colorado, Arizona, California and Nebraska particularly affected. The peak season is from July to October, but transmission is possible all year round. Use mosquito repellent.

 

intestinal infections

Vietnam

Diarrhoeal disease risk nationwide, cholera is also endemic. Take care of food and drinking water hygiene.

 

Dengue

Vietnam

Approximately 57 700 infections and 14 deaths have been reported since the beginning of this year. The number of cases in Hanoi and Ho Chi Minh City has increased unusually since July. Last year, around 367,730 illnesses and 140 deaths were recorded. The number of cases was about 5 times higher than in 2021. Regions in the south and centre of the country, as well as Ho Chi Minh City, were particularly affected. In 2021, around 68,270 cases were reported and 21 people died. Take care to protect against mosquitoes, which are mostly diurnal. Vaccination is possible from February 2023.

 

Bird flu

Vietnam

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 127 people fell ill with influenza A (H5N1) across the country and 64 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 this year, there was an outbreak in Quang Ngai province with about 1700 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.

 

Source: https://crm.de/aktuelles/

 

Current incidence of the disease overview and mandatory vaccination by country 24.7.2023

Dengue

Mexico

More than 29 430 cases and 5 deaths have been reported since the beginning of this year. This is roughly three times more than in the same period of the previous year. The Yucatán Peninsula is again particularly affected. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

 

dengue fever

Peru

Since the beginning of this year, around 188,330 suspected cases and 327 deaths have been reported nationwide. The regions most affected are Piura, Lima, Ica, Loreto, Ucayali and Lambayeque. Some 53 740 infections were confirmed last year. 84 people died. This is the largest outbreak the country has seen to date. The highest number of cases so far, around 76,000, was recorded in 2017. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023.

 

Dengue

Philippines

Since the beginning of this year, approximately 68,070 infections and 234 deaths have been reported nationwide. Last year, approximately 224 500 cases and around 730 deaths were recorded. This was roughly twice as much as in the same period last year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

 

Measles

South Africa

The number of cases has increased nationally in the last year. Since the beginning of October, some 1090 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.

 

Malaria

Ethiopia

Around 1 252 000 infections have been reported nationwide this year, compared to around 13 140 in the same period last year. The Afar (N) region is particularly affected, having experienced heavy rainfall in the spring. Very good mosquito protection should always be maintained and chemoprophylaxis is recommended in affected areas. Anyone who develops symptoms during or after a stay in the affected areas should seek medical attention immediately.

 

Dengue

Nepal

Since the beginning of this year, about 42,500 infections and 27 deaths have been reported in Bagmati province in the Kathmandu Valley. The capital Kathmandu is particularly affected. The other cases were in Dang Deukhuri and Rupandehi districts in Lumbini province in the Terai. Protection against mosquitoes, which are mainly active during the day. The vaccine is available from February 2023.

 

ticks

Slovakia

In the warm season, there is a risk of tick-borne disease, and in certain parts of the country, TBE, which can lead to encephalitis. Transmission via unpasteurised dairy products (sheep and goat milk) is also possible. Take care to protect against tick attachment, avoid consuming unpasteurised milk. When in an infected area, vaccination may be recommended after an individual risk assessment.

 

Malaria

USA

In mid-June of this year, health authorities in the state of Texas confirmed a local infection in Cameron County. For the first time in 20 years, 6 locally acquired cases of tertian malaria have been confirmed in the state of Florida since May. Authorities in Florida are warning of mosquito-borne diseases. Tertian malaria is very rare in the United States, with 8 local cases reported in Palm Beach County (Florida) in 2003. Pay extra attention to mosquito repellent.

 

dengue fever

Malaysia

Around 64,500 cases have been registered since the beginning of this year, and 45 people have died. The number of cases has more than doubled compared to the same period last year. Approximately half of all cases continue to originate from Selangor State. Mosquito-borne disease is common in Malaysia, especially on the peninsula, as well as throughout Southeast Asia. Since there are no scheduled rainy seasons, there is a constant risk of transmission, which increases regionally after heavier rainy seasons. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.

 

Chikungunya

Paraguay

Approximately 99 760 suspected cases have been reported since the beginning of this year. 266 people died. The number of cases has increased significantly since around October last year and the number of new infections has been decreasing since the end of March this year. The capital city of Asunción and the central department continue to be particularly affected. In 2022, a total of about 2,400 suspected cases were recorded. According to press reports, a 73-year-old woman has died. Use mosquito repellent.

 

chikungunya

Paraguay

Approximately 99 760 suspected cases have been reported since the beginning of this year. 266 people died. The number of cases has increased significantly since around October last year and the number of new infections has been decreasing since the end of March this year. The capital city of Asunción and the central department continue to be particularly affected. In 2022, a total of about 2,400 suspected cases were recorded. According to press reports, a 73-year-old woman has died. Use mosquito repellent.

 

ticks

Slovakia

In the warm season, there is a risk of tick-borne diseases, including TBE in some parts of the country, which can lead to encephalitis. Transmission via unpasteurised dairy products (sheep and goat milk) is also possible. Take care to protect against tick attachment, avoid consuming unpasteurised milk. When in an infected area, vaccination may be recommended after an individual risk assessment.

 

Monkeypox (Mpox)

Brazil

After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 10 950 infections have been confirmed in Brazil. 16 people died. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

Monkeypox (Mpox)

Brazil

After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 10 950 infections have been confirmed in Brazil. 16 people died. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

chikungunya

Brazil

Since the beginning of this year, around 192 820 suspected cases have been registered nationwide and around 81 300 infections have been confirmed. 60 people died. The number of cases has increased significantly compared to the same period last year. In 2022, a total of about 265,300 suspected cases were reported. 75 people died. In 2021, around 133,600 suspected cases were reported. 12 people died. In 2020, approximately 92,720 infections and 25 deaths were reported. Health authorities reported the first local infections in mid-2014. Since then, the infection has spread across the country. Note the mosquito repellent.

 

dengue fever

Brazil

Dengue is at high risk across the country. Since the beginning of this year, around 1,515,460 suspected cases have been registered nationwide and 387 people have died. In the states of Espírito Santo (O) and Paraná (S), the number of cases increased compared to the same period last year. In 2022, approximately 2,363,500 cases and approximately 930 deaths were recorded. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

 

intestinal infections

Dominican Republic

Diarrhoeal disease risk nationwide. The Dominican Republic is one of the holiday countries with the highest number of cases of traveler’s diarrhea. Approximately 100 cholera infections have been reported since October 2022. Most were registered in the capital, Santo Domingo. Maintain hygiene, or consider vaccination.

 

dengue fever

Dominican Republic

Since the beginning of this year, around 1620 suspected cases have been registered. 2 people died. Last year, around 10,440 suspected cases were reported. 42 people died. The number of cases roughly tripled in 2022 compared to the previous year. Particularly affected are the municipalities of Santiago, Santo Domingo de Guzmán, Santo Domingo Norte, Santo Domingo Este and San José de Ocoa. In 2021, approximately 3,750 infections and 26 deaths were registered. Note the mosquito repellent. The vaccine is available from February 2023.

 

chikungunya

India

Approximately 8070 cases were confirmed last year. The worst affected states are Karnataka, Maharashtra and Gujarat. In 2021, approximately 119,070 suspected cases have been reported nationwide, with 11,890 confirmed infections, mainly in the states of Rajasthan, Karnataka, Maharashtra, Kerala and Gujarat. In 2020, 43,210 suspected cases were reported nationwide, with 6,263 infections confirmed. In 2019, 81,914 cases were reported, the most suspected cases since 2015. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species).

 

intestinal infections

India

Diarrhoeal disease risk nationwide. Cholera can be expected regionally. Typhoid, paratyphoid and orally transmitted forms of hepatitis are endemic throughout India. Both cutaneous and intestinal forms of anthrax occur again and again in local people. Observe hygiene and vaccination protection.

 

dengue fever

India

An increase in infections was reported in the state of Maharashtra due to unusual rainfall in April and May. With the onset of monsoon in early July, infections are expected to increase in the north of the country. Around 140 people have fallen ill in the capital New Delhi this year, compared to 10,183 people in the whole of last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Approximately 233,250 infections and 303 deaths were recorded nationwide in 2022. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023.

 

encephalitis

India

In February this year, 12 cases and one death were reported in the state of Urisa. In the first 5 months of 2023, 127 cases of Japanese encephalitis (JE) were officially reported nationwide. 4 people died. In 2022, 1109 cases and 130 deaths were reported. The highest number of infections was again registered in Assam state. Perform exposure prophylaxis and vaccination if necessary!

 

Malaria

India

By the end of April this year, around 30,100 suspected cases had been registered nationwide and 2 people had died. The worst hit states are again Chhattisgarh and Urisa. Last year, approximately 174,000 cases and 68 deaths were reported. A very good mosquito repellent should always be followed, it is generally advisable to bring emergency medication and depending on the situation of the outbreak, chemoprophylaxis should be discussed.

 

safety notice

India

Travel to Jammu, Kashmir and Manipur is strongly discouraged at present. As a general rule, you should avoid demonstrations and large crowds, follow the instructions of the security forces and keep up to date with media reports during your stay (www.auswaertiges-amt.de).

 

Rabies

India

Deaths have already been reported in several states this year. In June, a 49-year-old woman who cared for stray dogs died in the state of Kerala (SW). In July, a 4-year-old girl died after being bitten by a dog in the same condition. In mid-April, a sixty-five-year-old man died in the capital Delhi. In March, a 5-year-old boy died in Telangana state (Z) after being bitten by a stray dog. In February, a 4-year-old child died in Hyderabad in the same condition. In late February, a five-year-old girl died in the state of Gujarat (NW). In February, a 45-year-old man died in Assam (NO) after being bitten by a dog. In the state of Karnataka (SW), 2 elderly men and a 3 year old girl died this year. India is one of the countries with the highest number of animal and human cases in the world. About 250 people died in 18 states last year. The worst affected states are Karnataka, Maharashtra and West Bengal. The main vector is the (stray) dog. Large cities are also affected. In case of suspected contact with an animal, seek medical attention immediately and ensure the use of modern tissue culture vaccines. Preventive vaccinations are recommended for all passengers.

 

intestinal infections

Indonesia

Diarrhoeal disease risk nationwide. Cholera epidemics are sporadically reported from West Papua and typhoid fever can be expected. Continue to maintain hygiene and typhoid vaccination.

 

poliomyelitis

Indonesia

Since the end of January this year, 2 vaccine-derived poliovirus type 2 (cVDPV2) infections have been confirmed in Aceh province on the island of Sumatra. Last November, a child fell ill there. This is the first polio detection in the country since 2019. In March this year, the disease was confirmed in Java province. The prevalence of VDPV makes the country a country with a potential risk of international spread of the pathogen. As a result, all persons (locals and tourists) who have been in the country for more than 4 weeks should be able to present a polio vaccination upon departure. Vaccinations must be given 4 weeks to one year before departure and must be documented by an internationally valid vaccination card.

 

bird flu

Indonesia

Since November 2003, highly pathogenic avian influenza A(H5N1) has spread across the country with local and regional outbreaks in poultry. More than 10 million animals have fallen victim to animal disease so far. Since mid-2003, 200 human cases have been reported in Indonesia, of which 168 have been fatal. The last human infections were confirmed on the island of Bali in September 2017. Almost all of those affected had direct contact with sick or dead animals. It is necessary to avoid contact with live poultry or sick people, observe hygiene.

 

ticks

Austria

In the warm season, there is a risk of tick-borne disease, and in much of the country, TBE, which can lead to encephalitis. Take care to protect against tick attachment. When in an infected area, vaccination may be recommended after an individual risk assessment.

 

Monkeypox (Mpox)

Spain

After several cases were confirmed in the UK in May 2022, other countries reported infections. Approximately 7 560 confirmed infections have been reported in Spain. 3 deaths have been confirmed. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

damn

South Africa

This year, around 1050 suspected cases have been registered, 197 infections have been confirmed and 43 people have died. In addition to Gauteng province, the Free State, Mpumalanga and Limpopo provinces are also affected. Maintain hygiene, consider vaccination if necessary.

 

measles

South Africa

Over the past year, the number of cases has increased across the country. Since the beginning of October, some 1110 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.

 

safety notice

South Africa

The electricity crisis continues with frequent and prolonged power outages. These lead to temporary power outages, including in private accommodation, shops, banks and ATMs, public lighting, traffic lights and security systems. Power outages can also affect water supply and quality and continue to limit internet and mobile communications. Petrol stations may also be temporarily affected. For safety reasons, the South African National Park Authority advises travellers to refrain from using the so-called “no entry” signs when entering Kruger National Park. Numbi gates and used alternative entry gates. It is recommended not to use the R335 via Motherwell to travel to Addo Elephant Park from Port Elizabeth (Gqeberha) and instead use the N2 via Colchester(www.auswaertiges-amt.de).

 

Rabies

South Africa

So far this year 6 cases have been confirmed, one in Limpopo province, 2 in KwaZulu-Natal and 3 in the Eastern Cape province. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. The Eastern Cape, Limpopo and KwaZulu-Natal provinces were also particularly affected. Since last year, a sharp increase in rabid dogs has been observed nationwide. The most common source of infection is dog bites. If you come into contact with it, consult a doctor immediately, in case of a foreseeable risk and a longer stay, preventive vaccination is recommended.

 

intestinal infections

Tanzania

Diarrhoeal disease risk nationwide. Localised outbreaks of cholera occur regularly. Maintain hygiene carefully, if necessary, vaccinations should be considered.

 

Requirement for initial vaccination

Tanzania

WHO classifies the risk of yellow fever in Tanzania as low and vaccination is generally not recommended. According to the official entry vaccination regulation (ITH 2020), yellow fever vaccination is mandatory for persons over 1 year of age when entering from endemic areas. Experience shows that regulations change frequently and the information provided by different authorities varies. The regulations are sometimes interpreted and dealt with differently at some airports (Kilimanjaro Airport in Arusha) or by individual border officials. Contrary to official information, a yellow fever vaccination is often required when entering Zanzibar. An official statement from the Zanzibar Ministry of Health was published on the website of the Federal Foreign Office.

 

chikungunya

Thailand

So far this year, around 485 infections have been confirmed. Compared to 2021, the number of cases doubled last year, with a total of around 1,400 infections reported from 48 provinces. In 2021, around 670 cases were registered nationwide. Use mosquito repellent.

 

dengue fever

Thailand

According to press reports, around 27,380 infections and 33 deaths have been reported since January this year. Trat, Nan, Chanthaburi, Rayong and Mae Hong Son provinces are particularly affected, as well as the capital Bangkok. Take care to protect yourself against daytime mosquitoes. The vaccine is available from February 2023.

 

Monkeypox (Mpox)

USA

After several cases were confirmed in the UK in May 2022, other countries reported infections. In the U.S., approximately 30,555 infections have been reported in all 50 states and Washington, D.C. as well as those registered in Puerto Rico. 43 people died. In early August 2022, the government declared a national health emergency. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

Hepatitis A

USA

According to the CDC, there has been an increase in nationwide outbreaks of human-to-human transmission since 2016. Those affected are mainly homeless and addicted people. Approximately 44,900 infections and 423 deaths have now been reported from 37 countries. Most infections were reported in the states of Kentucky, Florida, Ohio, Tennessee, Georgia, Alabama and Indiana. Carefully observe hygiene measures and consider vaccination if necessary.

 

poliomyelitis

USA

At the end of June 2022, poliovirus infection derived from the type 2 vaccine (cVDPV2) was confirmed in the US for the first time since 2013. The 20-year-old was temporarily treated at a clinic in Rockland County, New York, for paralysis. Authorities say polioviruses were detected in wastewater samples in the county before the man became ill. By the end of March this year, viruses had been detected in more than 100 wastewater samples, and authorities in New York State declared a disaster in early September. Residents were asked to check their vaccination protection and top up if necessary. Always check and top up standard vaccinations before travelling abroad.

 

sun protection

USA

Beginning in 2021, the state of Hawaii banned the sale of so-called reef-toxic sunscreens, including products that contain oxybenzone (BP3) and octinoxate. These substances are suspected of having a harmful effect on corals and other marine life.

 

intestinal infections

Vietnam

Diarrhoeal disease risk nationwide, cholera is also endemic. Maintain food and drinking water hygiene.

 

dengue fever

Vietnam

Approximately 37,715 infections and 8 deaths have been reported since the beginning of this year. Last year, approximately 367,730 illnesses and 140 deaths were recorded. The number of cases was about 5 times higher than in 2021. Regions in the south and centre of the country, as well as Ho Chi Minh City, were particularly affected. In 2021, approximately 68,270 cases were reported, and 21 people died. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

 

Rabies

Vietnam

In March, a 23-year-old woman died in Lào Cai province (N). About 18 months ago she was bitten by the family dog and 3 days after the incident the animal died. Last year, 40 deaths were confirmed by the end of August. In case of suspected contact with an animal, a doctor must be consulted immediately. Preventive vaccination is strongly recommended, especially in case of foreseeable risks and for longer stays. Consultation with a physician experienced in travel medicine should be provided well in advance of travel.

 

bird flu

Vietnam

In October 2022, after a gap of more than 8 years, a 5-year-old girl contracted the H5 influenza virus. She ate meat from sick chickens and ducks. Between 2003 and 2014, a total of 127 people were infected with influenza A(H5N1) and 64 deaths occurred across the country. Appropriate animal contact could be demonstrated in all affected individuals. Since 2014, numerous outbreaks in domestic poultry have been registered across the country, killing more than 129,000 animals. At the end of May this year, there was an outbreak in Quang Ngai province with about 1700 sick ducks. Vaccination of poultry is widespread in the country. Since 2014, outbreaks of influenza A(H5N6) have been repeatedly reported on poultry farms. Since the beginning of 2021, 3 outbreaks have already been reported in 2 provinces. Human diseases have never existed before.

 

Source: https://crm.de/aktuelles/

 

 

 

 

 

 

 

 

 

Current incidence of the disease overview and mandatory vaccination by country 10.7.2023

 

Murray Valley encephalitis

Australia

This year, 25 infections have been confirmed nationally, with the states of New South Wales, Victoria, Western Australia and the Northern Territory particularly affected. This mosquito-borne virus is common in Australia and Papua New Guinea. Pay extra attention to mosquito repellent.

 

dengue fever

Nepal

Since the beginning of this year, about 42,500 infections and 27 deaths have been reported in Bagmati province in the Kathmandu Valley. The capital Kathmandu is particularly affected. The other cases were in Dang Deukhuri and Rupandehi districts in Lumbini province in the Terai. In 2022, about 54,800 people fell ill and 88 died. Apart from the Kathmandu valley, districts in the high mountains were again affected. Most infections were registered in September. The disease was first confirmed in Nepal in 2004, with only small outbreaks observed in the south of the country in subsequent years. The largest outbreak to date, with approximately 18,000 infections and 6 deaths, was recorded in 2019. Protection against mosquitoes, which are mainly active during the day. The vaccine is available from February 2023.

 

Infections, various

Afghanistan

High risk of intestinal infections, especially diarrhoeal diseases, cholera, typhoid and hepatitis A, which are transmitted in the same way. Rabies from stray dogs is common. Observe adequate protective measures such as hygiene and vaccinations.

 

poliomyelitis

Afghanistan

Afghanistan is one of the few countries where poliomyelitis remains endemic. Five people have fallen ill in Nangarhar province since mid-May this year. 2 infections were reported in 2022. In 2021, 4 cases were registered, in 2020 there were 56 cases. In 2019, 29 cases were reported. In 2018, 21 cases were recorded. A total of 14 infections were reported in 2017. In 2016, 13 people fell ill, up from 20 in 2015. Take adequate protective measures such as hygiene and vaccination. According to WHO regulations, all persons (locals and tourists) staying in the country for more than 4 weeks must have a 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.

 

intestinal infections

Egypt

Diarrhoeal disease risk nationwide. In early May, an epidemic was reported in the governorate of Qina (Upper Egypt) with more than 380 people sickened. The source of the infection was ice cream sold by street vendors. Hepatitis A is also very common. Raw salads and undercooked foods should be avoided. Tap water should not be drunk. Observe food hygiene and vaccination protection.

 

bird flu

Egypt

Since its first appearance in February 2006, highly pathogenic avian influenza A(H5N1) has killed more than 34 million animals nationwide. At least 15 provinces have been affected by outbreaks, mostly in the more densely populated north. The WHO has confirmed a total of 359 human illnesses with 120 deaths. No infections have been confirmed since 2018. In 2017, 3 people fell ill and there was one death. In 2015, 147 people fell ill and 41 people died. In 2016, 10 infections were reported by the end of September, and 4 people died. Contact with live or freshly slaughtered poultry and poultry excreta should be avoided.

 

ticks

Albania

In the warm season, there is a risk of tick-borne diseases, including TBE in some parts of the country, which can lead to encephalitis. Take care to protect against tick attachment. When in an infected area, vaccination may be recommended after an individual risk assessment.

 

poliomyelitis

Algeria

Since the beginning of July 2022, 3 vaccine-derived poliovirus type 2 (cVDPV2) infections have been reported. Due to the presence of cVDPV2, the country is formally classified as a country with a potential risk of international spread of the pathogen. However, confirmation from the WHO is still awaited. As a result, all persons (locals and tourists) who have been in the country for more than 4 weeks should be able to present a polio vaccination upon departure. Vaccinations must be given 4 weeks to one year prior to departure and must be documented on an internationally valid vaccination card. Observe protection by vaccination.

 

intestinal infections

Angola

Diarrhoeal disease risk nationwide. Since 2006, cholera epidemics have occurred in many provinces, including in poorly sanitised areas of the capital Luanda, with a peak during the rainy season. Observe hygiene.

 

monkeypox

Argentina

After several cases were confirmed in the UK in May 2022, other countries reported infections. According to press reports, a suspicious case was reported in the province of Buenos Aires. The person concerned had previously resided in Spain. There are now approximately 1130 confirmed infections and 2 deaths nationwide. The virus is found in Central and West Africa, while cases outside Africa have so far been attributed to travellers or imported animals. Human-to-human transmission occurs through direct contact with the body fluids of an infected person or with objects contaminated with the virus.

 

dengue fever

Argentina

Since the beginning of this year, around 112,110 infections have been confirmed and 61 people have died. The number of new infections has been declining since the beginning of April. Last year, 750 people fell ill. Take care to protect yourself against daytime mosquitoes. The vaccine is available from February 2023.

 

intestinal infections

Azerbaijan

Diarrhoeal disease risk nationwide There are also individual and group botulism diseases, where some bacterial toxins e.g. from home-grown foods can lead to severe nervous paralysis. Maintain food and drinking water hygiene.

 

intestinal infections

Ethiopia

Diarrhoeal disease risk nationwide. There is an outbreak of cholera. From the end of August 2022 in Oromia, Somali, SNNP and Sidamaca regions. More than 11,400 infections with 156 deaths have been reported. Observe hygiene and, if necessary, vaccination against cholera.

 

entry requirements

Ethiopia

Due to the increasing number of monkeypox cases worldwide, authorities have adjusted entry regulations. Before entering the country, travelers must fill out an electronic form for a “Monkeypox Registration Certificate” (www.addislink.com/monkeypox-registration-for-ethiopia/) and will receive a QR code to present upon entry.

 

Source – https://crm.de/aktuelles/

Current incidence of the disease overview and mandatory vaccination by country June 16,2023

 

Australia

Murray Valley encephalitis: 25 infections have been confirmed nationally this year, with the states of New South Wales, Victoria, Western Australia and the Northern Territory particularly affected. This mosquito-borne virus is common in Australia and Papua New Guinea. Pay extra attention to mosquito repellent. last update: 13.06.2023

 

Bolivia

Yellow fever: 3 infections have been reported this year, one in the department of Beni and 2 in the department of Santa Cruz. Vaccination is strongly recommended for travel to the lowlands east of the Andes with the departments of Pando, Beni, Santa Cruz and the low-lying or subtropical parts of La Paz (without the capital), Chochamba, Chuquisaca (without Sucre) and Tarija

last update: 16.06.2023

 

Guadeloupe

Dengue: The number of cases has been increasing significantly since last October. This year, 1 100 suspected cases have already been registered, compared to 790 in the previous year. The commune of Saint-François in the east of the island is particularly affected. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023. last update: 16.06.2023

 

Haiti

intestinal infections: nationwide risk of diarrhoeal diseases. The island of Hispaniola, along with Haiti and the Dominican Republic, is one of the travel destinations with the highest incidence of gastrointestinal infections. For the first time since February 2019, cholera infection was confirmed again in early October 2022. Around 690 people have died since then. There were approximately 42,350 suspected cases. The greater Port-au-Prince area is particularly affected. As a result of the heavy rains and flooding in early June, an increase in the number of cases cannot be ruled out. During the major epidemic between 2010 and early 2019, approximately 850,000 people became ill and approximately 9,790 people died. Maintain food and drinking water hygiene. If necessary, consider vaccination. last update: 06.06.2023

 

India

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Nationally, around 233,250 infections and 303 deaths were recorded in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023. last update: 26.05.2023

 

India – centre

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Nationally, around 233,250 infections and 303 deaths were recorded in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023. last update: 26.05.2023

 

India – South

Dengue: An increase in infections has been reported in the state of Maharashtra due to uncharacteristic rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Nationally, around 233,250 infections and 303 deaths were recorded in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023. last update: 26.05.2023

 

India – Northwest

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Nationally, around 233,250 infections and 303 deaths were recorded in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023. last update: 26.05.2023

 

North Centre of India

Dengue: An increase in infections has been reported in the state of Maharashtra due to uncharacteristic rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Nationally, around 233,250 infections and 303 deaths were recorded in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023. last update: 26.05.2023

 

Colombia

Dengue: Since the beginning of this year, some 44,505 suspected cases and 28 deaths have been registered, roughly twice as many as in the same period last year. Last year, around 69 500 suspected cases were reported and around 47 370 infections were confirmed. 48 people died. In 2021, around 53,335 suspected cases were registered, 43 people died. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023. last update: 16.06.2023

 

Laos

Dengue: The disease occurs nationwide. Since the beginning of this year, around 2,520 people have been infected, compared to around 670 in the same period last year. Last year, more than 32,350 cases and 28 deaths were registered. Roughly half of the cases come from the capital Vientiane and the provinces of Saravan, Attapeu and Luang Namtha are also particularly affected. In 2021, a total of about 1330 infections were registered. At least 7,970 cases and 13 deaths have been reported in 2020. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023. last update: 13.06.2023

 

Malawi

Intestinal infections: nationwide risk of diarrhoeal diseases, especially in the summer rainy season (October-March) with local outbreaks of cholera. Across the country, around 58,960 people have fallen ill since March last year and around 1,760 deaths have been recorded. This is the worst outbreak in Malawi to date. The regions around Lake Malawi are particularly affected. Observe hygiene and vaccination protection. last update: 06.06.2023

 

Martinique

Dengue: Approximately 945 cases have already been reported this year. The Sainte-Anne district of the city, popular with tourists, is also affected. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023. last update: 13.06.2023

 

Mexico

Dengue: More than 24,430 cases and 5 deaths have been reported since the beginning of this year. This is roughly three times more than in the same period of the previous year. The Yucatán Peninsula is again particularly affected. Some 59 500 suspected cases were recorded last year. 53 people died. The number of confirmed infections and deaths in the country roughly doubled compared to the previous year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023. last update: 16.06.2023

 

Nepal

Dengue: 600 infections have been reported since the beginning of this year. The affected districts are Dang Deukhuri and Rupandehi in Terai’s Lumbini province and Lalitpur, Kathmandu and Bhaktapur districts in Kathmandu Valley’s Bagmati province. In 2022, about 54,800 people fell ill and 88 died. Apart from the Kathmandu valley, districts in the high mountains were again affected. Most infections were registered in September. The disease was first confirmed in Nepal in 2004, with only small outbreaks observed in the south of the country in subsequent years. The largest outbreak to date, with approximately 18,000 infections and 6 deaths, was registered in 2019. Protection against mosquitoes that are active mainly during the day. The vaccine is available from February 2023. last update: 16.06.2023

 

Panama

Malaria: According to press reports, around 3330 cases have already been reported this year. Most cases come from endemic areas in the East. Last year, around 5,700 infections were confirmed. A man died. In 2021, it was only about half. A very good mosquito repellent should always be followed, it is generally advisable to take emergency medication and depending on the outbreak situation and route of travel, chemoprophylaxis should be discussed. last update: 25. 4. 2023

 

Paraguay

Chikungunya: Approximately 88,275 suspected cases have been reported since the beginning of this year. 263 people died. The number of cases has increased significantly since around October last year and the number of new infections has been decreasing since the end of March this year. The capital city of Asunción and the central department continue to be particularly affected. In total, around 2,400 suspected cases were recorded in 2022. According to press reports, a 73-year-old woman has died. Use mosquito repellent. last update: 16.06.2023

 

Peru

Dengue: Approximately 146,590 suspected cases and 248 deaths have been reported nationwide since the beginning of this year. The regions most affected are Piura, Lima, Ica, Loreto, Ucayali and Lambayeque. Some 53 740 infections were confirmed last year. 84 people died. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023. last update: 16.06.2023

 

Philippines

Dengue: Approximately 48,110 infections and 176 deaths have been reported nationwide since the beginning of this year. Last year, approximately 224 500 cases and around 730 deaths were recorded. This was roughly twice as much as in the same period last year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023. last update: 13.06.2023

 

South Africa

Measles: the number of cases has increased nationally in the last year. Since the beginning of October, about 1060 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and, if necessary, supplement standard vaccination protection before travelling abroad. last update: 13.06.2023

 

South Africa North East

Measles: the number of cases has increased nationally in the last year. Since the beginning of October, some 1060 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and, if necessary, supplement standard vaccination protection before travelling abroad. last update: 13.06.2023

 

Vanuatu

Leptospirosis: Approximately 75 infections and 6 deaths have been reported since the beginning of this year. As a result of the two cyclones that hit the country within a week, the number of cases rose again in March. The islands of Espiritu Santo and Efate are particularly affected. Leptospires enter the environment through the urine of infected mammals (rats, dogs). Transmission to humans occurs by direct or indirect contact with urine through small skin or mucous membrane injuries. In moist environments (water, mud), leptospires can survive in the environment for long periods of time. Corresponding contacts should be avoided. last update: 30.05.2023

 

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

Current incidence of the disease overview and mandatory vaccination by country 6.6.2023

Australia

Murray Valley encephalitis: at least 14 infections have been confirmed nationally this year, affecting the states of New South Wales, Victoria, Western Australia and the Northern Territory. This mosquito-borne virus is common in Australia and Papua New Guinea. Pay extra attention to mosquito repellent.

last update: 23.05.2023

 

Costa Rica

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

last update: 11.05.2023

 

Guadeloupe

Dengue: The number of cases has increased significantly since last October. This year, 910 suspected cases have already been registered, compared to 790 the previous year. The municipality of Saint-François in the east of the island is particularly affected. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 06.02.2023

 

Haiti

Intestinal infections: nationwide risk of diarrhoeal diseases. The island of Hispaniola, along with Haiti and the Dominican Republic, is one of the travel destinations with the highest incidence of gastrointestinal infections. For the first time since February 2019, cholera infection was again confirmed in early October 2022. Around 690 people have died since then. There were approximately 42,350 suspected cases. The greater Port-au-Prince area is particularly affected. As a result of the heavy rainfall with flooding in early June, an increase in the number of cases cannot be ruled out. During the major epidemic between 2010 and early 2019, approximately 850,000 people became ill and approximately 9,790 people died. Maintain food and drinking water hygiene. If necessary, consider vaccination.

last update: 06.06.2023

 

India

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Approximately 233,250 infections and 303 deaths were recorded nationwide in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023.

last update: 26.05.2023

 

India – centre

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Approximately 233,250 infections and 303 deaths were recorded nationwide in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023.

last update: 26.05.2023

 

India – South

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Approximately 233,250 infections and 303 deaths were recorded nationwide in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023.

last update: 26.05.2023

 

India – Northwest

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Approximately 233,250 infections and 303 deaths were recorded nationwide in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023.

last update: 26.05.2023

 

India – Northeast

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

last update: 13.04.2023

 

India – North Centre

Dengue: An increase in infections has been reported in the state of Maharashtra due to unusual rainfall in April and May. Around 10,180 people fell ill in the capital New Delhi last year. The number of cases has also increased in the states of Haryana, Rajasthan and Karnataka. Approximately 233,250 infections and 303 deaths were recorded nationwide in 2022. In 2021, 193,245 cases and 306 deaths were recorded. In 2020, 44,585 cases were reported and 56 people died. Take care to protect yourself against the daily vectors of mosquitoes (Aedes species). The vaccine is available from February 2023.

last update: 26.05.2023

 

Colombia

Dengue: Around 39,805 suspected cases and 25 deaths have been registered since the beginning of this year, roughly double the number recorded in the same period last year. Last year, around 69 500 suspected cases were reported and around 47 370 infections were confirmed. 48 people died. In 2021, around 53,335 suspected cases were registered, 43 people died. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.

last update: 06.02.2023

 

Laos

Dengue: The disease occurs nationwide. Since the beginning of this year, around 1840 people have been recorded as infected, compared to around 340 at the same time last year. Last year, more than 32,350 cases and 28 deaths were recorded. Roughly half of the cases come from the capital Vientiane and the provinces of Saravan, Attapeu and Luang Namtha are also particularly affected. In 2021, a total of about 1330 infections were registered. At least 7,970 cases and 13 deaths have been reported in 2020. Pay attention to protection against mainly diurnal mosquito vectors. The vaccine is available from February 2023.

last update: 06.02.2023

 

Malawi

Intestinal infections: nationwide risk of diarrhoeal diseases, especially in the summer rainy season (October-March) with local outbreaks of cholera. Across the country, around 58,960 people have fallen ill since March last year and around 1,760 deaths have been recorded. This is the worst outbreak in Malawi to date. The regions around Lake Malawi are particularly affected. Observe hygiene and vaccination protection.

last update: 06.06.2023

 

Martinique

Dengue: Approximately 915 cases have already been reported this year. The Sainte-Anne district of the city, popular with tourists, is also affected. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 26.05.2023

 

Mexico

Dengue: Approximately 14,950 cases and 3 deaths have been reported since the beginning of this year. This is roughly three times more than in the same period of the previous year. The Yucatán Peninsula is again particularly affected. Some 59 500 suspected cases were recorded last year. 53 people died. The number of confirmed infections and deaths in the country roughly doubled compared to the previous year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 16.05.2023

 

New Caledonia

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

last update: 21.04.2023

 

Panama

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

last update: 25.04.2023

 

Paraguay

Chikungunya: Approximately 82,840 suspected cases have been reported since the beginning of this year. 226 people died. The number of cases has been increasing significantly since around October last year. The capital city of Asunción and the central department continue to be particularly affected. In 2022, a total of about 2,400 suspected cases were recorded. According to press reports, a 73-year-old woman has died. Use mosquito repellent.

last update: 23.05.2023

 

Peru

Dengue: Approximately 83,700 suspected cases and 93 deaths have been reported nationwide since the beginning of this year. The regions most affected are Piura, Lima, Ica, Loreto, Ucayali and Lambayeque. Some 53 740 infections were confirmed last year. 84 people died. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023.

last update: 06.02.2023

 

Philippines

Dengue: Approximately 39,950 infections and 127 deaths have been reported nationwide since the beginning of this year. Last year, approximately 224 500 cases and around 730 deaths were recorded. This was roughly twice as much as in the same period last year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 06.02.2023

 

South Africa

Measles: the number of cases has increased nationally in the last year. Since the beginning of October, some 1040 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.

last update: 06.02.2023

 

South Africa – Centre

Measles: the number of cases has increased nationally in the last year. Since the beginning of October, some 1040 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.

last update: 06.02.2023

 

South Africa – North East

Measles: the number of cases has increased nationally in the last year. Since the beginning of October, some 1040 laboratory-confirmed infections have been reported, with Limpopo, Mpumalanga, North West, Gauteng and Free State provinces particularly hard hit. Always check and top up standard vaccination protection before travelling abroad.

last update: 06.02.2023

 

Vanuatu

Leptospirosis: Approximately 75 infections and 6 deaths have been reported since the beginning of this year. As a result of the two cyclones that hit the country within a week, the number of cases rose again in March. The islands of Espiritu Santo and Efate are particularly affected. Leptospires enter the environment through the urine of infected mammals (rats, dogs). Transmission to humans occurs by direct or indirect contact with urine through small skin or mucous membrane injuries. In moist environments (water, mud), leptospires can survive in the environment for long periods of time. Corresponding contacts should be avoided.

last update: 30.05.2023

 

Venezuela

Dengue: With around 4060 cases since the beginning of this year, the number of cases has roughly tripled compared to the previous year. 6 people died. About 11,410 cases were reported last year. 18 people died. In 2021, about 5,930 suspected cases and 8 deaths were registered. Take care to protect against day vector mosquitoes. The vaccine is available from February 2023.

last update: 06.02.2023

 

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

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

Equatorial Guinea

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

last update: 25. 4. 2023

 

Argentina

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

last update: 25. 4. 2023

 

Costa Rica

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

last update: 2.5.2023

 

Ecuador

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

last update: 13. 4. 2023

 

Guadeloupe

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

last update: 21. 4. 2023

 

Haiti

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

last update: 21. 4. 2023

 

India

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

last update: 13. 4. 2023

 

India – Northeast

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

last update: 13. 4. 2023

 

Colombia

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

last update: 28.4.2023

 

Laos

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

last update: 18. 4. 2023

 

Lebanon

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

last update: 2.5.2023

 

Malawi

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

last update: 2.5.2023

 

Mexico

Dengue: Approximately 12,800 cases and 3 deaths have been reported since the beginning of this year. This is roughly three times more than in the same period of the previous year. The Yucatán Peninsula is again particularly affected. Some 59 500 suspected cases were recorded last year. 53 people died. The number of confirmed infections and deaths in the country roughly doubled compared to the previous year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 28.4.2023

 

New Caledonia

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

last update: 21. 4. 2023

 

Panama

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

last update: 25. 4. 2023

 

Paraguay

Chikungunya: Approximately 133,780 suspected cases have been reported since the beginning of this year. 115 people died. The number of cases has been increasing significantly since around October last year. The capital city of Asunción and the central department continue to be particularly affected. In 2022, a total of about 2,400 suspected cases were recorded. According to press reports, a 73-year-old woman has died. Use mosquito repellent.

last update: 28.4.2023

 

Peru

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

last update: 21. 4. 2023

 

Philippines

Dengue: Around 30,000 infections and 96 deaths have been reported nationwide since the beginning of this year. Last year, approximately 224 500 cases and around 730 deaths were recorded. This was roughly twice as much as in the same period last year. Take care to protect yourself especially against daytime mosquitoes. The vaccine is available from February 2023.

last update: 18. 4. 2023

 

South Africa

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

last update: 25. 4. 2023

 

South Africa

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are particularly affected. Since last year, a sharp increase in rabid dogs has been observed nationwide. The most common source of infection is dog bites. If you come into contact with it, consult a doctor immediately, in case of a foreseeable risk and a longer stay, preventive vaccination is recommended.

Last update: 4.4.2023

 

South Africa – Centre

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

last update: 25. 4. 2023

 

South Africa – North East

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

last update: 25. 4. 2023

 

South Africa – North East

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are particularly affected. Since last year, a sharp increase in rabid dogs has been observed nationwide. The most common source of infection is dog bites. If you come into contact with it, consult a doctor immediately, in case of a foreseeable risk and a longer stay, preventive vaccination is recommended.

Last update: 4.4.2023

 

South Africa – South

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are particularly affected. Since last year, a sharp increase in rabid dogs has been observed nationwide. The most common source of infection is dog bites. If you come into contact with it, consult a doctor immediately, in case of a foreseeable risk and a longer stay, preventive vaccination is recommended.

last update: 4.4.2023

 

South Africa – East

Rabies: two cases have already been confirmed this year. A 2-year-old boy died in Limpopo province in March and a 5-year-old boy died in KwaZulu-Natal province in late February. Last year, 13 confirmed infections and 6 suspected cases were reported nationwide. Eastern Cape, Limpopo and KwaZulu-Natal provinces are particularly affected. Since last year, a sharp increase in rabid dogs has been observed nationwide. The most common source of infection is dog bites. If you come into contact with it, consult a doctor immediately, in case of a foreseeable risk and a longer stay, preventive vaccination is recommended.

Last update: 4.4.2023

 

Vanuatu

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

last update: 25. 4. 2023

 

Venezuela

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

last update: 13. 4. 2023

 

Vietnam

Rabies: a 23-year-old woman died in Lào Cai province (N) in March. About 18 months ago she was bitten by the family dog and 3 days after the incident the animal died. Last year, 40 deaths were confirmed by the end of August. In case of suspicious contact with an animal, a doctor must be consulted immediately. Preventive vaccination is strongly recommended, especially in case of foreseeable risks and for longer stays. Consultation with a physician experienced in travel medicine should be provided well in advance of travel.

last update: 21.3.2023

 

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

From 28.2. until 1.3. we do not prescribe, orders are possible in the reservation system, by email or by phone.