Health Alerts
  • Caribbean, Latin America: Zika, chikungunya update

    The fortnightly Pan American Health Organization Zika update of Oct 20th notes that no new countries or territories are reporting local transmission; however 5 countries in the region have now identified sexual transmission of the virus (Argentina, Canada, Chile, Peru and the USA). Increasing case numbers have been reported from Belize, Guatemala, and Panama in Central America and Anguilla, Saint Barthelemy and Sint Maarten in the Caribbean. All other areas report declining infection rates. Read report here
    Chikungunya
    A Brazilian Health Ministry report that only included data for the year up to Sept 7th details a nearly 2,000 percent rise in deaths due to chikungunya (up to 120), compared to 2015. Most of the deaths occurred earlier in the year (February to May) – the report also noted 87 deaths due to dengue fever. The states with the highest tolls were: Pernambuco, Paraiba and Rio Grande do Norte. Data on Zika was included in the report: More than 200,000 probable cases were registered in the same period across the country. Numbers fell during the cooler months of August and September but are expected to rise again with the arrival of warmer weather. Read more (translate from Portuguese).

    Advice for travellers: Zika’s symptoms include a rash, pain in the joints, and the eye condition, conjunctivitis lasting 4-7 days. Long-term ill-effects are rare, although the joint pain may linger for weeks, even months. Like dengue and chikungunya, Zika is spread by Aedes mosquitoes which bite by day and are found in urban setting, including leafy gardens and outdoor restaurants – even in upmarket hotels and resorts. Travellers should take particular care to avoid being bitten just after sunrise and just before sunset, the main feeding time for Aedes mosquitoes. All travellers, but particularly pregnant women or those planning pregnancy, should seek medical advice before travel to Zika-affected areas. Read information on smartraveller (DFAT). 

    Fiji: Updated Zika status

    The European Centre for Disease Prevention and Control webpage on current Zika transmission (i.e. within the last 3 months) places Fiji in the category of widespread transmission. Elsewhere in the region, the Solomon Islands is now within the sporadic transmission grouping. Read more.

    Haiti: Cholera toll rises

    The health ministry has confirmed a total of 1424 cholera cases in the south-western regions of Sud, Nippes and Grand Anse following destructive hurricane Matthew. Read more (translate from French) 

    Advice for travellers: Cholera is usually spread in contaminated water. For most short-stay travellers, the risk of infection is low. Australians travelling to regions where a cholera outbreak is occurring should adhere to strict personal hygiene guidelines and choose food and beverages with care. Read more about cholera

    India: Temps drop, but diseases linger

    Not all areas have had relief from the insect-borne diseases that have plagued the country over the monsoon season. Dengue fever infections continue to be reported in Ludhiana (Punjab), Bhopal (Madhya Pradesh), Vadodara (Gujurat), Dehradun (Uttarakhand) and in the state of Mizoram
    In Delhi, the count of chikungunya cases is now at 10,210. Also there’s been no respite as yet in both Meerut (Uttar Pradesh) and Pune (Maharashtra). 
    Japanese encephalitis is continuing to take its toll: 71 deaths have been recorded in Malkangiri (Odisha) and 75 in Sukma (Chhattisgarh). 

    Advice for travellers: A mosquito-borne virus, JE is usually found in many part of Asia, the Indian subcontinent, Southeast Asia and China, although cases also occur in Indonesia and PNG. It is mainly found in rural areas around rice paddies where pigs, wading birds and humans live closely together, however it can occur in or near cities. The risk to short-stay travellers and those who confine their travel to urban centres is very low. The recommendations for vaccination are itinerary-specific. Read more on JE

    Nepal: Dengue in 3 regions

    A local English language newspaper has outlined the work of the Epidemiology and Disease Control Division (EDCD) in containing the dengue fever outbreak that has so far sickened 450 people in Chitwan, Jhapa and Kathmandu Valley. Health workers fear that without adequate control measures an epidemic could break out. Read more.

    Pakistan: Dengue program for Sindh; Khyber’s diphtheria toll rising

    Provincial authorities in Sindh are mobilising resources to tackle the current dengue fever outbreak. Karachi has the highest case count (1,510 cases) followed by Tharparkar (84) and Hyderabad (68). Read more
    In Khyber Agency’s east, diphtheria has already killed 3 children and more cases are being reported on a daily basis. Read more.

    Peru: Chickenpox surge

    The north-western regions of El Porvenir, Trujillo, Esperanza, Florencia de Mora, Victor Larco and Laredo in La Libertad province have been hit by an outbreak of varicella (chickenpox). Since the first diagnoses were made in early September, 79 cases have been identified – 21 developed complications and 5 deaths resulted. Read more. A child from Huaraz in the Ancash region also died this week after suffering complications of varicella infection. Read more.

    Advice for travellers: Chickenpox is a highly contagious disease caused by the varicella-zoster virus. Mainly passed from person to person by coughing or sneezing, it causes a blister-like rash, itching, tiredness, and fever. While the illness is generally mild in children, it can be more severe in young babies, adults, and people with weakened immune systems. Read more about chickenpox.

    Singapore: Over 12,000 dengue cases, new Zika clusters

    The National Environment Agency’s Zika information website notes 2 new clusters located in the Little India district and Jalan Ishak. These areas have produced 4 cases over the past 2 weeks; no further cases have been reported from the 2 other clusters reported last week. Overall case numbers are now at 431. Read more. After 6 weeks of falling dengue fever rates, a rise was registered once again this week as 108 new cases were identified. Read more.

    Uganda: Concern over bogus vax documents

    Extra checks have been put in place at Entebbe International Airport following an increase in detections of fake yellow fever (YF) vaccination documents. The country, which is on the World Health Organization’s list of YF affected countries, is taking strict precautions following disease outbreaks in Angola and the DR of Congo. Travellers over 1 year of age arriving in Uganda from countries with risk of yellow fever transmission are required to show proof of YF vaccination. Read more.

    Advice for travellers: Yellow fever virus is a mosquito-borne disease found in tropical and subtropical areas in South America and Africa. While it can be severe, yellow fever infection is a very rare in Australian travellers. However, under the International Health Regulations (IHR), proof of vaccination may be required of any traveller entering or leaving an area at risk of yellow fever transmission. Read more about yellow fever

    United States of America: UK tourists acquire Zika in Florida; Arkansas mumps numbers swell

    Several UK news sources claimed this week that 2 British tourists have contracted Zika while staying in Miami-Dade County, Florida recently. Read more. A second Miami Beach police officer has been diagnosed with Zika virus infection (read more) as the cumulative total for locally acquired cases reaches 171, according to the Florida Dept of Health website. The director of the US Centers of Disease Control & Prevention, Dr Tom Frieden, explained to a conference audience in Miami this week that Zika virus cannot be eradicated and is likely to become endemic in some countries. Birth defects and unpredictability in its transmission are just 2 of the reasons for unease, with many unknowns remaining. Read more
    IN Arkansas, suspected mumps cases have now reached 714 but so far they have been restricted to the counties of Benton, Washington, and Madison. Read more.

    Venezuela: Diphtheria in 3 states, another unconfirmed

    Diphtheria cases have now been reported from the states of Bolivar, Sucre and Nueva Esparta; plus a further case is unconfirmed in a major hospital in Caracas, as immunisation experts blame the outbreaks on low herd immunity from inadequate immunisation programmes. Read more.

    Vietnam: Mekong delta province’s first Zika case

    A 4-year-old girl from the town of Ben Luc in Long An province is the country’s 11th reported Zika case, and the first one for the Mekong Delta province. Read more.

    Zimbabwe: Water shortage brings disease risk

    This week an alert was sounded for typhoid and cholera as a drought takes hold in the country and water is rationed, forcing residents to use unsafe hygiene practices in their daily lives. Once the rains begin so is the disease threat likely to increase as ground waters become polluted with waste. Read more.

    Advice for travellers: Typhoid is endemic in many developing regions, although it generally presents a low risk for short-stay travellers staying in western-style accommodation. Vaccination is generally recommended for those staying or travelling extensively in rural areas, as well as for adventurous eaters. All travellers visiting endemic areas should follow safe food and water guidelines, and adopt strict personal hygiene practices. Read more about typhoid fever.

  • Cambodia: Rabies battle plan

    Rabies vaccinations for dogs in Phnom Penh and in the province of Kandal form the first part of a strategy to tackle the deadly toll of the disease – it causes 800 human deaths in Cambodia each year, more than malaria and dengue. The campaign kicks off this week in the 2 high-risk regions and aims to cover 5 million animals in all. Read more.

    Advice for travellers: Rabies is present in most countries and all travellers should be aware of the importance of avoiding contact with wild and domestic animals – especially dogs, the main source of infection. If bitten, urgent post-exposure treatment is required. Vaccination recommendations are itinerary-specific but include those travellers planning to live in, or travel extensively through, rural areas. Read more on rabies

    Caribbean, Latin America: Zika virus update

    Up to Oct 14th, Mexico has recorded a total of 4,837 Zika cases – highest numbers have been reported in the states of Veracruz (1,213 cases), Guerrero (763), Chiapas (714), Oaxaca (483) and the Yucatán (449). Read more.
    In the latest update from Colombian health authorities 81 new suspected cases were identified in the week up to Oct 8th, taking the combined total from the endemic phase (which started in the 3rd week of July) to 3,561. Women are most represented among the cases (66 percent), also people in the 33 to 64 years cohort. Read more
    The latest situation report from the World Health Organization can be found here
    Other Zika news
    New information on Zika virus transmission through sexual contact from an infected woman to a man, published in a letter to The Lancet Infectious Diseases journal, showed the virus to be present in the woman’s urine samples 17 days after onset of symptoms, but undetectable at day 37. Read more.

    Advice for travellers: Zika’s symptoms include a rash, pain in the joints, and the eye condition, conjunctivitis lasting 4-7 days. Long-term ill-effects are rare, although the joint pain may linger for weeks, even months. Like dengue and chikungunya, Zika is spread by Aedes mosquitoes which bite by day and are found in urban setting, including leafy gardens and outdoor restaurants – even in upmarket hotels and resorts. Travellers should take particular care to avoid being bitten just after sunrise and just before sunset, the main feeding time for Aedes mosquitoes. All travellers, but particularly pregnant women or those planning pregnancy, should seek medical advice before travel to Zika-affected areas. Read information on smartraveller (DFAT). 

    Democratic Republic of Congo: Suspected YF cases investigated; Cholera spreads along river

    Over the past 4 weeks, 16 probable yellow fever cases have come under review [Kinshasa (4 cases), Kwango (8) and one in each of the following provinces: Bas Uele, Kwilu, Lualaba and Sud Ubangi]. Four further cases, reported as being sylvatic, stemmed from Tshuapa province. In neighbouring Angola, 42 suspected cases have emerged – all are under investigation. Read the World Health Organization (WHO) situation report here
    A CHOLERA outbreak that started early this year has gradually advanced along the Congo River and is now in Kinshasa – 8,838 cases and 476 related deaths have been recorded in the affected provinces. Read more.

    Advice for travellers: Yellow fever virus is a mosquito-borne disease found in tropical and subtropical areas in South America and Africa. While it can be severe, yellow fever infection is a very rare in Australian travellers. However, under the International Health Regulations (IHR), proof of vaccination may be required of any traveller entering or leaving an area at risk of yellow fever transmission. Read more about yellow fever

    France: Early gastro strikes

    Cases of gastroenteritis are usually more prevalent in the cooler months, peaking in January, but most regions are currently experiencing higher rates. Most affected are: Ile-de-France, Grand Est, Provence-Alpes-Côte d'Azur and Auvergne-Rhône-Alpes. Read more (translate from French).

    Haiti: Cholera surges in south

    In the week up to Oct 15 confirmed cholera cases totalled 773, with the majority of those from the storm-ravaged departments of Sud and Grand Anse. Read more.

    Advice for travellers: While the risk of infection with cholera is low for short-stay travellers, Australians travelling to regions where an outbreak is occurring should adhere to strict personal hygiene and choose food and beverages with care. For further advice on whether you should consider vaccination for your trip, call Travelvax Australia’s travel health advisory service (1300 360 164). 

    India: Lingering monsoon effects

    In a report released on the ongoing outbreak of mosquito-borne infections that have plagued Delhi this monsoon season, the running total of chikungunya cases has now soared to over 7,400 and dengue over 3,000. It’s not just Delhi that is experiencing the worst of the surge in cases, other northern regions are also affected. Read more
    Doubt has been cast over the official dengue figures for the city of Allahabad (Uttar Pradesh). The High Court is seeking an expert panel to investigate as government data gives the death toll from dengue fever infections as 9 whereas information available to the Court shows that number to be 200. Read more. Northern peripheries of Kolkata continue to be affected by dengue fever. Read more. While the monsoons are over in the north-eastern state of Jharkhand, the risk of insect-borne illnesses continues. This year’s dengue fever total is double that of last year and cases continue to be reported from all parts of the state. Read more. Dengue cases are persisting in the tricity area of Chandigarh-Mohali-Panchkula. Read more
    Malkangiri (Odisha state) has seen a further increase in child deaths due encephalitis this week with a rise to 56 – 20 of these from Japanese encephalitis. Read more.

    Advice for travellers: A mosquito-borne virus, JE is usually found in many part of Asia, the Indian subcontinent, Southeast Asia and China, although cases also occur in Indonesia and PNG. It is mainly found in rural areas around rice paddies where pigs, wading birds and humans live closely together, however it can occur in or near cities. The risk to short-stay travellers and those who confine their travel to urban centres is very low. The recommendations for vaccination are itinerary-specific. Read more on JE

    Nepal: Chitwan’s dengue woes

    Efforts to control the ongoing outbreak of dengue fever in Chitwan are being managed by experts from the Epidemiology and Disease Control Division - the total number of cases has risen to over 125. Emphasis is being placed on wiping out mosquito breeding sites. Read more. It's thought that people travelling from Chitwan to Kathmandu valley following religious festivities may have contributed to a localised outbreak of dengue fever over the past week. Read more.

    Pakistan: Rise in tick-borne illnesses; NW malaria surge

    The expected rise in Crimea-Congo Haemorrhagic fever (CCHF) cases following Eid-ul-Azha (Festival of the Sacrifice) has emerged with as many as 75 cases in Karachi and the death toll has mounted to 10. The virus that causes the haemorrhagic fever is transmitted through tick bites and from direct contact with body fluids from infected animals or humans. Read more
    IT'S been a terrible 3 months for malaria in the province of Khyber Pakhtunkhwa with 12,500 confirmed cases, over 1,000 of those suffered severe infection. Read more.

    Philippines: Cebu’s dengue ‘calamity’

    The dengue outbreak in Cebu reported in last week’s Travel Report has widened leading the provincial government to declare a state of calamity. The 5,831 cases (not including those people who sought medical assistance at private hospitals) is a record high for the province. Read more.

    Saudi Arabia: 2 more MERS cases, one death

    The details of 2 new MERS cases and the death of a patient whose infection was confirmed last week have been published by the Ministry of Health. The 2 recent cases live in Riyadh and Buraydah (north-central region) and are currently hospitalised. Read more.

    Singapore: Dengue numbers down; 3 active Zika clusters

    A further decline in dengue cases has been signalled by the National Environment Agency, however surveillance is continuing with 4 of the 23 dengue clusters considered high risk. The year’s total has now reached 12,311 cases - 1,025 more than for all of 2015. Read more.  
    FOUR more Zika infections have been recorded this week, taking the combined total to 415. Three active clusters remain while the Aljunied Crescent/Sims Drive cluster will remain under observation until Oct 31, but is now considered closed. Read more.

    Solomon Islands: Dengue hits capital & Guadalcanal

    A dengue fever outbreak affecting the capital Honiara and Guadalcanal has so far affected over 60 people and caused a single death. Read more.

    Somalia: Measles in southern regions

    Kismayo General Hospital is managing a measles outbreak that has struck the Lower and Middle Jubba regions. So far over 280 patients have received treatment since late September. Read more.

    Advice for travellers: A highly contagious virus, measles occurs in developing and developed countries. While generally benign, infection can result in severe illness or death. Read more about measles

    United States of America: Mumps spreads; Florida Zika update; High STI rates

    The mumps outbreak affecting Arkansas that was reported in last week’s edition has now reached 582 suspected and confirmed cases as it spreads through the counties of Benton, Madison and Washington. Read more. The US CDC has announced that the surge in cases across the country, almost 1,900 cases from 44 states, was the highest tally for 6 years. Read more
    MORE bad news on the Zika situation in Florida this week as a sampling of mosquitoes from a Miami Beach location (Miami-Dade County) that had been monitored and fumigated tested positive for the virus; and an unspecified number of units of blood donated in Florida were found to contain the Zika virus. From the Florida Department of Health Zika update page: Over the last week, 16 more locally-acquired cases have been identified in Florida residents, but the total for non-residents (elsewhere in the USA) infections remains at 19. Read more 
    THE Centers for Disease Control & Prevention (CDC) released the 2015 Sexually Transmitted Disease Surveillance Report this week and noted that new infections had spiked to a new peak. More screening and specialised clinics are needed to reduce the increasing rates of chlamydia, gonorrhoea, and primary & secondary syphilis. Read more.

    Venezuela: Bolivar malaria surge

    In a Spanish language news report, the president of the Medical Federation of Venezuela voiced concern over the large numbers of malaria cases - 180,000 - with 80 percent of those in the state of Bolivar. In the same report, health authorities in Guyana, which borders southern districts of Venezuela, have instituted a diphtheria vaccination campaign in response to the surge in nearby cases. 

    Vietnam: Zika cases increase, warning issued; JE in Central Highlands

    The Pasteur Institute has announced 2 further Zika cases – both are women who reside in Ho Chi Minh City (HCMC). They take the total case numbers in the country to 7 - four from HCMC. Read more. In a separate report, a small percentage of mosquitoes tested positive for Zika virus in the coastal city of Nha Trang, a resort area popular with tourists. Read more. The Ministry of Health released a statement on Oct 18th warning that alert level 3 (or dangerous) now applies for Zika virus in the country and advising pregnant women to avoid areas with Zika infections. Read more
    LAST year there were no recorded Japanese encephalitis cases in the Central Highlands province of Kon Tum, but this week health authorities have announced 4 cases in districts that are near or adjacent to the borders with Laos and Cambodia. Read more.

  • Angola: More YF suspected

    Over 2 million people living in high risk localities will be vaccinated against yellow fever in the latest campaign which gets underway this week. The World Health Organization (WHO) announced in its latest situation report that 32 suspected yellow fever cases were reported last month in Angola and 7 in neighbouring Democratic Republic of Congo (Kinshasa, 3 cases and 1 in the provinces of Bas Uele, Kwilu, Sud Ubangi and Tshuapa) – they are currently being investigated. Read more.

    Advice for travellers: Yellow fever virus is a mosquito-borne disease found in tropical and subtropical areas in South America and Africa. While it can be severe, yellow fever infection is a very rare in Australian travellers. However, under the International Health Regulations (IHR), proof of vaccination may be required of any traveller entering or leaving an area at risk of yellow fever transmission. Read more about yellow fever.

    Caribbean, Latin America: Zika & chikungunya updates

    Zika
    Colombia’s National Institute of Health has advised that the current endemic phase of the Zika virus outbreak is producing an average of 179 new cases each week, with over 60 percent of those in the 30 to 64-year age group. Read more
    At least 600 suspected Zika cases have been recorded from all parts of Belize, however the majority are from Belize and Cayo districts. Read more
    Results of tests performed on a person with suspected Zika infection on the island of Nevis back in August have been shown to be positive for the viral infection, bringing the total for St Kitts & Nevis to 4. According to a local news source, there are 57 suspected cases on Nevis. Read more
    Weekly reports on Zika case numbers from European Union territories in the Caribbean: Decline in cases noted in Martinique (90 cases), French Guiana (20) and Guadeloupe (90) and stable numbers in St Barthélemy (30) and St Martin (60). Read more
    Chikungunya
    Many countries in the region have not supplied their data on chikungunya cases for the latest Pan American Health Organization (PAHO) update. Of those that did, Bolivia recorded the highest numbers - 359 new cases – followed by Costa Rica (188 suspected cases) and Colombia (47). Read more.

    Advice for travellers: Epidemics of the Zika, chikungunya and dengue viruses continue undiminished in the Americas and Caribbean. Generally milder than dengue and chikungunya, Zika’s symptoms last 4-7 days and include a rash, pain in the joints, and the eye condition, conjunctivitis. With the apparent exception of pregnant women, long-term ill-effects are rare, although joint pain may linger for weeks – even months. Like dengue and chikungunya, Zika is spread by Aedes mosquitoes which bite aggressively by day and are found in urban setting, including leafy gardens and outdoor restaurants. Travellers should take particular care to avoid being bitten just after sunrise and just before sunset, the mosquitoes’ main feeding time.

    Haiti: Cholera surges in hurricane’s aftermath

    The cholera outbreak that has been lingering since 2010 has, as expected, flared in the wake of Hurricane Matthew and destruction of the local infrastructure means that aid is slow in reaching those who need it. At least 13 people have died of cholera in the country’s south where the storm caused the greatest destruction. Read more.

    Advice for travellers: While the risk of infection with cholera is low for short-stay travellers, Australians travelling to regions where an outbreak is occurring should adhere to strict personal hygiene and choose food and beverages with care. For further advice on whether you should consider vaccination for your trip, call Travelvax Australia’s travel health advisory service (1300 360 164). 

    India: Monsoon woes continue

    A local news source is reporting the death toll due to the mosquito-borne Japanese encephalitis virus (JEV) in Malkangiri district, Odisha has risen to 44 over the previous 32 days – all in children. This week the neighbouring district or Koraput recorded its 3rd death this season. Read more
    Elsewhere mosquito-borne diseases continue to flourish during the tail-end of the monsoon season: In Shahjahanpur (Uttar Pradesh) over 100 people a day are presenting at medical facilities with either dengue or chikungunya infections; Ahmedabad (Gujarat) has seen a sharp increase in dengue, chikungunya and malaria cases; surges in dengue cases have been reported in the states of Rajasthan, Uttarakhand and Madhya Pradesh. Delhi’s chikungunya outbreak continues unabated with 1,476 cases last week taking the total case numbers to over 6,700. Read more

    Advice for travellers: A mosquito-borne virus, JE is usually found in many part of Asia, the Indian subcontinent, Southeast Asia and China, although cases also occur in Indonesia, the Torres Strait and PNG. It is mainly found in rural areas around rice paddies where pigs, wading birds and humans live closely together, however it can occur in or near cities. The risk to short-stay travellers and those who confine their travel to urban centres is very low. Expatriates and travellers staying in agricultural areas where Japanese encephalitis is endemic or where seasonal epidemics occur are at greater risk and should consider vaccination. 

    Malaysia: Borneo dengue spike

    Dengue cases in Sarawak have increased by over 40 percent on recent years (2,206 reported until Oct 8th) but they are currently on the decline; however, going by previous trends, they could increase again up to the end of the year. Those areas with the highest rates are Sibu (1,239 cases), Kuching (196) and Kapit 179. Read more.

    Niger: Fear of RVF spread

    Rift Valley fever (RVF) has killed at least 28 people in the Tahoua region of the country’s west, leading the WHO to issue an alert. Concern is mounting that RVF could spread to bordering countries as farmers and herders move their infected livestock around the region. The illness is caused by a virus and it typically infects domesticated herd animals; however humans can become infected after exposure to blood, body fluids, or the tissue of RVF-infected animals, or from the bite of an infected mosquito. Read more

    Pakistan: Polio again in Sindh

    The country’s 5th polio case this year has been identified in the south-eastern district of Sujawal in Sindh province. Afghanistan has also announced a further polio case, its 8th for the year, in Paktika province which borders Pakistan. Read more.

    Philippines: Western Pacific Zika update; chikungunya, dengue in central region

    Warnings on the predicted spread of Zika virus in the Pacific and Asian regions were issued by the World Health Organization (WHO) this week at a regional conference held in Manila. The WHO report cited the widespread distribution of the mosquito vector and large numbers of people travelling in the region as two of the risk factors in the spread. The Western Pacific region comes second only to the Americas in those areas affected by the Zika virus, with 19 countries reporting cases – 13 so far this year. Read the report here
    HEALTH Secretary Paulyn Ubial announced the first Zika case diagnosed in Manila – the person resides in Antipolo, under 20kms east of Manila’s CBD. Dr Ubial also revealed that the country’s dengue case count until Sept 24th was over 10 percent higher than last year, with over 146,000 cases recorded. Read more
    THE chikungunya virus is suspected as the cause of an outbreak in parts of Maasin City, the capital of the state of Southern Leyte in the Visayas island group. Over 540 unconfirmed cases have been reported in areas close to where a chikungunya outbreak was confirmed in July. Read more. While in Cebu province, the local governing board has declared a dengue outbreak as cases increased by 200 percent with 5,700 cases and 55 deaths this year. Cebu City has the highest rates - 2,037 cases including 13 deaths. Read more.

    Nepal: Chitwan’s typhus continues

    Scrub typhus continues to menace the central region of Chitwan as a further 59 new cases were recorded, adding to the 6-month total of 264 including 2 deaths. Read more.

    Singapore: Further dengue death; Zika total now 405

    Active dengue clusters have increased by 2 over the past week, but actual dengue cases have dropped again, down to 125 for the week. Read more. This comes as results of tests carried out after the death of an 11-year-old boy in August released this week identified dengue as the cause – his is the 8th fatal case this year. Read more
    THE National Environment’s Zika case and cluster webpage shows 1 reported case from Oct 9-12; areas in the south-east areas remain under surveillance. Total Zika case numbers are now 405. Read more.

    United Kingdom: Measles in Scottish students

    In Scotland, the majority of the students who contracted measles over the past 2 weeks attend the University of Edinburgh, leading authorities to urge all young people to ensure their measles vaccinations are up to date. Eight recent cases have been identified. Read more

    Advice for travellers: A highly contagious virus, measles occurs in developing and developed countries. While generally benign, infection can result in severe illness or death. Travelvax Australia recommends travellers check their immunisation status for measles and other childhood diseases such as diphtheria, whooping cough (pertussis) and mumps at least 6 weeks before departure.

    United States of America: Arkansas mumps; Zika in Florida

    An outbreak of mumps has hit the north-west of Arkansas with 492 suspected and confirmed cases to date. Schools in the districts of Huntsville, Rogers, Bentonville and Springdale have been affected, as well as some workplaces. Read more
    THERE has been an increase of 6 in locally-acquired Zika infections reported by the Florida Health Department over the past week – the latest from Miami-Dade County – and a further 2 in visitors from elsewhere in the US (19 in total). Read more.

    Vietnam: More Zika cases

    Two women, one from Binh Duong province and the other from Ho Chi Minh City, have become the latest diagnosed with Zika virus infection. They take the total in the country to 5 – all contracted locally. Read more.

    Yemen: Conflict’s impact on health

    The incidence of cholera and other diarrhoeal diseases have spiked in the cities of Sana’a and Taez as the country struggles with maintaining its health system during the ongoing conflict. Read more.