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Consigli medici per i viaggiatori
Comitato svizzero di esperti per la medicina dei viaggi

 

Consigli medici per i viaggiatori
Comitato svizzero di esperti per la medicina dei viaggi

 

Consigli medici per i viaggiatori
Comitato svizzero di esperti per la medicina dei viaggi

At least 6 people have died and more have been hospitalized in intensive care unit due to methanol intoxication after consumption of punched alcohol.

 

According to the police in Bangkok, samples of homemade liquor from the 18 stalls contained hazardous levels of methanol.

Do not consume alcoholic beverages whose origin and composition are not clear.
Via ProMED, 29.8.2024

Two suspected Nipah cases have been reported from the state of Kerala. The case are hospitalized and isolated. Investigations are ongoing.

The Nipah virus (NiV) is a viral disease that can cause a severe clinical picture. It was first detected in 1999 during an outbreak in Malaysia and Singapore. Since then, several outbreaks have been reported in South and Southeast Asia.

NiV is most commonly transmitted via fruit bats through direct or indirect contact with their faeces. Tree fruit or sap made from it that is contaminated with bat faeces is often considered a source of infection. Human-to-human transmission has been reported when caring for infected patients. In addition, pigs can also be infected. The disease spectrum ranges from (mostly) asymptomatic courses to flu-like symptoms with high fever, headache and muscle pain to encephalitis with severe neurological or other complications. Mortality is high (40-70%).

The risk for travelers is low. Follow local instructions. Avoid contact with sick persons and animals (bats) and avoid contact with their excreta. Avoid consumption of raw fruit juices and unwashed, especially bitten, tree fruits or vegetables. Consult a doctor if symptoms appear. There is neither a vaccination for humans nor a specific treatment.
Via ProMED, 26.8.2024
In June and July 2024, 424 Japanese encephalitis patients were reported in Assam stat. the majority of cases was reported in July (376 cases) which marks a sharp increase in cases.
The risk for travelers is low. Optimal mosquito bite protection, especially at dusk and at night. Please discuss with your health care advisor if you need to be vaccinated against Japanese encephalitis (see also factsheet)



Via ProMED, 27.8.2024

The oropouche virus outbreak in Cuba is still ongoing and the detection of cases in returning travelers continuous.

The U.S. Centers for Disease Control and Prevention (CDC) reported on 27 Aug 2024 the detection of 21 cases of oropouche fever in people who returned from Cuba, 3 of whom required hospitalization. These cases were recorded up to 16 Aug 2024, and most of those affected presented symptoms between May and July 2024.

 

Canary islands: In August three cases of oropouche virus infection have been confirmed on Canary islands among travelers returning from Cuba.
According to WHO, as of 20 July 2024, a total of 8’078 confirmed oropouche cases, including two deaths, have been reported in the Region of the Americas, across five countries: Bolivia, Brazil, Colombia, Cuba, and Peru. 

 

Oropouche fever is a viral disease that is transmitted by mosquito bites. The virus is found in several regions of the Americas, particularly in Brazil, Colombia, Cuba, Ecuador, French Guiana, Panama, Peru and Trinidad and Tobago.
The clinical picture includes dengue-like symptoms with sudden onset of high fever, headache, myalgia, skin rash, joint pain and vomiting. The disease usually lasts 3-6 days. A short-term recurrence of symptoms can occur in up to 60% of cases. Rare complications include inflammation of the brain. In 2024, a small number of cases of transmission from mother to unborn child (vertical transmission) were reported for the first time.

Prevention: Optimal mosquito protection 24/7 (also against other mosquito-borne diseases such as dengue, Zika, Chikungunyaand malaria).


Given its clinical presentation, Oropouche fever should be included in the clinical differential diagnosis for other common vector-borne diseases in the region of the Americas (e.g., malaria, dengue, chikungunya, Zika, yellow fever.

The occurrence of vertical transmission of OROV adds a new dimension to the pathogenicity of the virus. The extent of possible foetal malformations or death in the context of an OROV outbreak situation is currently still unclear and is being investigated. Until further data is available, pregnant women and women planning to be pregnant should be provided with comprehensive information during pre-travel consultation on the OROV outbreak and the potential of miscarriage, fetal malformation or death. The current outbreaks occur in regions where Zika virus is also endemic, and travel advice for pregnant women related to ZIKV can also adequately address the potential risk associated with Oropouche virus disease; for detailed ECTM recommendations on Zika prevention, see LINK.

Via ProMED, 30.8.2024 | CDC MMWR 27.8.2024 | WHO DON 23.8.2024

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