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Prepared by TMA member Narre Warren
According to UNICEF, more than 90 confirmed measles cases, a significant increase over the average incidence, have been reported throughout the country since January 2013, with approximately 37 of these cases occurring in the capital city of Conakry since the beginning of November 2013.
Fiji – Dengue
According to Fiji’s Ministry of Health, more than 1,000 confirmed cases of dengue fever, a significant increase over the average incidence, have been reported. Travelers are advised to practice daytime insect precautions.
<p class="MsoNormal" style="margin-bottom: simvastatin 40 mg.0001pt; mso-pagination: none; mso-layout-grid-align: none; text-autospace: none;”>New Caledonia – Zika Virus
This is the 1st time a person has been infected with Zika on the Caledonian territory. The other 26 cases reported so far have been imported from French Polynesia, where already more than 35,000 cases have been detected.
Travellers are advised to practice daytime insect precautions.
Kenya, Ethiopia and Cameroon – Polio
14 polio cases have been reported from Kenya and six cases have been reported from Eastern Region of Ethiopia since April 2013.
These are the first cases of polio in Kenya since July 2011 and in Ethiopia since 2008. The polio has spread from neighbouring Somalia where many more infections have been occurring.
Polio vaccination is therefore recommended for all travellers to Ethiopia and Kenya (as well as Somalia). Polio has also recently reappeared in Cameroon so vaccination is also recommended for this country.
Syria – Polio
According to WHO, 17 laboratory-confirmed cases of wild poliovirus (WPV) type 1 infection have been reported. The last indigenous case of polio in Syria was reported in 1999. The origin of the strain was likely Pakistan. One clinical case of polio often represents hundreds of asymptomatic infections in the population. Vaccination is available.
Thailand – Unrest
Once again large political demonstrations are occurring in parts of Bangkok, with protesters demanding the resignation of the Prime Minister. Casualties, many incidents of violence, and the use of tear gas and rubber bullets against protesters have been reported. Security forces have been deployed and granted additional powers. Curfews, checkpoints, and roadblocks may be implemented. Travelers should be wary of this situation and watch news reports to guide their travel plans to and within Bangkok. On previous occasions in 2009 demonstrators have occupied airports in Bangkok and affected flights in and out of Bangkok.
Israel – polio
Health Authorities in Israel have been reporting all year the presence of polio virus in sewerage samples in sites throughout the country. There are currently no reported cases of polio yet but we recommend polio vaccination for travel to Israel
Micronesia – Chikungunya
According to Guam’s Department of Public Health, more than 300 suspected cases of Chikungunya fever have been reported since mid-August 2013. Chikungunya is a disease like dengue fever and is also spread by mosquito bites