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With over 30 years at the forefront of travel health, MASTA is proud to bring you alerts and topical information from across the globe. Make MASTA your one stop shop for expert advice, leaving you concentrate on what is most important… enjoying your travels.

MASTA Travel Health Alert- 21st September 2016

Costa Rica

Over 2,400 suspected cases of chikungunya have been reported Jan-Aug 16. Pacific coastal provinces of Puntarenas and Guanacaste are the most affected. 4,912 confirmed cases were reported in 2015.

Ecuador

1,700 confirmed cases of chikungunya have been reported Jan-Aug 16. 29,457 suspected cases were reported in 2015. Esmeraldas (N) and Manabí (E) provinces were most affected.

Chikungunya (CHIK) is a viral infection spread by day-time biting mosquitoes. Symptoms may include fever and muscle/joint pain. Some people experience persistent joint pain and fatigue lasting weeks or months.

Malaysia

Dengue fever is a continuing problem in Malaysia, a marked increase in cases has been reported since Nov 15. Over 75,000 cases (37 deaths) have been reported, Jan-Aug 16. Selangor (SW) has reported 40,000 of these cases. Johor (S), Perak (W), and Kuala Lumpur (E) are also affected. 120,836 cases (336 deaths) were reported in 2015.

Myanmar

Dengue fever is a continuing problem throughout Myanmar, over 6,000 cases (36 deaths) have been recorded, Jan-Sep 16. Mandalay (C) reports many cases.

Pakistan

Over 1,200 cases of dengue fever have been reported from Sindh province, mainly in Karachi, Jan-Sep 16. Outbreaks were reported in many regions during 2015 including Punjab (nearly 4,000 cases), Khyber Pakhtunkhwa and Sindh provinces (over 3,500 cases).

Philippines

Dengue outbreaks have been reported in many regions including Central Visayas, Calabarzon, Northern Mindanao, Central Luzon, Western Visayas and Soccsksargen, Jun-Aug 16. Over 101,000 suspected cases (422 deaths) have been recorded countrywide, Jan-Aug 16. 200,415 suspected cases were reported in 2015.

Sri Lanka

Over 38,000 cases of dengue fever have been recorded, Jan-Sep 16. Western province, including Colombo municipality, Gampaha and Kalutara are most affected. Kandy in Central Province also reports many cases. Over 26,200 cases were reported during 2015.

Dengue fever is a viral infection spread by day-time biting mosquitoes. It is widespread across over 110 countries with large outbreaks reported in many regions including South East Asia and South/Central America. Dengue fever commonly causes flu-like symptoms including fever, joint pain and rash. Severe forms of the disease are rare in travellers but can lead to excessive bleeding and organ failure.

USA

119 cases of hepatitis A have been reported from 8 states, with Virginia reporting 94 of these, Aug-Sep 16. This outbreak is thought to be related to imported frozen strawberries from Egypt.

Hepatitis A is a viral infection which affects the liver and occasionally causes severe disease. It is usually spread by contaminated food and water. Symptoms include fever, digestive disturbance and jaundice. Effective hepatitis A vaccines are available and can be given on their own or in combination with hepatitis B or typhoid.

St Kitts and Nevis

Sporadic transmission of Zika Virus has been reported, Sep 16.

Zika virus (ZIKV) is transmitted by daytime biting mosquitoes and is similar to dengue fever. Symptoms include rash, conjunctivitis, muscle or joint pain. Neurological complications have been reported. There is consensus that ZIKV infection during pregnancy may cause some birth defects such as microcephaly. There is a low risk of sexual transmission of the disease. Countries/territories/areas with active or past Zika transmission have now been classified into 4 risk categories: high, moderate, low and very low, based on the current and potential epidemiological situation. These categories ensure travel advice is appropriate and proportionate to the defined ZIKV transmission risk.See current national advice from Public Health England for more details, including that for pregnant travellers, who are advised to postpone non-essential travel to high risk countries and also regarding condom use for preventing sexual transmission of the disease. https://www.gov.uk/government/collections/zika-virus-zikv-clinical-and-travel-guidance

Tags:Dengue, hepatitis a, Zika, Chickungunya