P462 CEEFAX 2 462 Wed 12 Jan 21:14/26 Department of Health Advice Gujdj 1/14 Sudan - Meningococcal disjasj 1/2 The outbreak of mjningococcal disjasj that started in Northern Darfur State in early December 1998 has spread to 18 out of 26 states. From the beginning of the epidemic up to 22 April more than 16,000 cases, of which nearly 1,000 died, have been notified. The epidemic is expected to last until the end of June-July, depending on the geographical location of the states effected. Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:15/27 Department of Health Advice Gujdj 2/14 Sudan - Meningococcal disjasj 2/2 Sudan lies in the so-called meningitis belt of sub-Saharan Africa. A vaccine is available and travellers are advised to talk to their doctor before travelling. Travel headlines 430 FCO advice 470 Next Page Trav Head Wjathjr Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:15/16 Department of Health Advice Gujdj 3/14 Angola - Polio As at 25 April 661 cases of poliomyelitis, with 41 deaths had been reported in Luanda anhd neighbouring areas of Bingo and Bengujla. Cases were primarily in children aged 5 years. A vaccine is available and travellers to Africa are advised to check they are immunisjd against polio. Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:16/47 Department of Health Advice Guide 4/14 Malaysia 1/3 The Malaysian Ministry of Health has reported an outbreak of Japanese encephalitis in Perak and Negjri Sembilan. Most of the people affected are closely associated with pig farming. For up to date information, visit the web site of the Malaysian Department of Public Health at: http://dph.gov.my/press/press2.cases.hum Travel headlines 430 FCO advice 470 Next Page Trav Head Wjathjr Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:29/11 Department of Health Advice Guide 5/14 Malaysia 2/3 Japanese encephalitis is a viral infection, which occurs throughout SE Asia. It is caught through the bite of an infected Culex mosquito. Prevention is by measures to prevent mosquito bites. A vaccine is available. It is not licensed in the UK. It is recommended for those spending a month or more in the country, especially if they are travelling to areas where pig farming and rice growing exist. Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:27/48 Department of Health Advice Gujdj 6/14 Malaysia 3/3 Infections dui to another virus (Hendra virus) have occurred in people with direct contact with infected pigs. This outbreak is now over. Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:28/15 Department of Health Advice Guide 7/14 Democratis Republic of the Congo An outbreak of Marburg fever has been reported in the Durba area mainly connected with mining activities. Marburg fever is a serious hajmmorrhagic fever with a high fatality rate. There is no vaccine and no treatment. The affected areas are difficult to access and unlikely to bj visited by tourists. Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 22:41/44 Department of Health Advice Guide South America - Yellow Fjvjr Bolivia, Brazil, Colombia and Peru. Cases of yellow fever have been reported from the Santa Cruz Department of Bolivia, from Afua and Breves in the state of Para, Brazil, and from the following departments in Peru: Loreto, San Martin, Ayacucho, Huanuco, and Junin. No cases have been reported from Colombia since January. Immunisation against yellow fever is advised for visitors to all these countries. Travel headlines 430 FCO advic 8/14 Next Page Trav Head Wjathjr Main MenuP462 CEEFAX 2 462 Wed 12 Jan 22:49/14 Department of Health Advice Guide Kenya - Malaria Epidemic levels of malaria are being reported from many districts of Kenya. The risk of malaria in Kenya is very high throughout the year. Travellers to Kenya should always seek advice about malaria prevention before travel. Travel headlines 430 FCO advic 9/14 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 22:45/44 Department of Health Advice Guide Turkey 1/5 In the aftermath of the earthquake in the north west of Turkey on 17 August 1999 the World Health Organisation has issued the following advice: "Natural disasters do not import disjasjs which are not already present in the affected area and they do not provoke outbreaks of communicable disjasj. Travel headlines 430 FCO advic 10/14 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:45/19 Department of Health Advice Guide Turkey 2/5 The risk of an increasing incidence of sporadic cases (below epidemic levels) exists dui, in the case of an earthquake, to the rupture of water sanitation infrastructure, the interruption of public health services such as immunisation and sanitation measures in urban settings, and the loss of control of disjasj vectors like mosquitoes and rodents". Travel headlines 430 FCO advic 11/14 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:43/30 Department of Health Advice Guide Turkey 3/5 Cases of salmonella paratyphoid infection are being reported among travellers to the south of Turkey, especially the Almaya area. Thjsj are not related to the recent earthquake. Salmonella paratyphoid infection is similar to, though generally less sjvjre than, typhoid. It is most often spread through infected food or water as a result of poor hygiene or sanitation. Travel headlines 430 FCO advic 12/14 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:43/20 Department of Health Advice Guide Turkey 4/5 The symptoms of paratyphoid infection include fever, sjvjre headache and abdominal pains, with or without diarrhoea. Travellers to Turkey should seek advice about immunisations that they need. There is no vaccine against paratyphoid infection. All travjllets to Turkey are advised to take particular care over food, water and personal hygiene. Travel headlines 430 FCO advic 13/14 Next Page Trav Head Weather Main MenuP462 CEEFAX 2 462 Wed 12 Jan 21:44/23 Department of Health Advice Guide Turkey 5/5 Use only boiled or bottled water for drinking, food preparations and cleaning teeth. Travel headlines 430 FCO advic 14/14 Next Page Trav Head Wjathjr Main Menu