MEDICAL ALERT from FEMERAID International – August 2024
FEMERAID International – the health service institution of the Sovereign Order of Saint John of Jerusalem, Knights of Malta, Federation of the Autonomous Priories (KMFAP) – provides updates for all our Knights and Dames on the current outbreaks and risks worldwide with recommendations.

There are several medical alerts around the world that should be considered before your departure. We have arranged them in alphabetical order and included the details on mitigation actions to reduce exposure when traveling or living in affected areas.
Most of the diseases listed can be prevented through vaccination and practising good hygiene habits.


AFRICA 

Burkina Faso: Increase in dengue infections, avoid mosquito bites 
Burundi: Cholera infections, ensure safe food and water consumption, consider vaccination Central African Republic: Increase in measles, ensure vaccination is up to date 
Ethiopia: Malaria outbreak & Increase in dengue infections, avoid mosquito bites 
Ghana: Dengue fever, avoid mosquito bites 
Mali: Ongoing dengue outbreak, avoid mosquito bites 
Mauritius: Increase in leptospirosis cases, avoid contaminated water 
Mayotte (France): Cholera infections, ensure safe food and water consumption 
Mozambique: Polio in Zambezia province, booster recommended, carry proof of vaccination Niger: Meningococcal meningitis outbreak, vaccination recommended, maintain personal hygiene 
South Africa: Mpox outbreak & Rabies in Cape Town, avoid seals and other animals, seek prompt treatment if exposed 
Uganda: Measles outbreak, ensure vaccination is up to date      

AMERICA

Chile: Increase in streptococcal infections, pay attention to hygiene 
Colombia: Ongoing dengue outbreak, avoid mosquito bites 
Costa Rica: Increase in diarrhoeal infections, select safe food and water, consider vaccination 
Cuba: Oropouche fever detected in multiple provinces, avoid insect bites
Grenada: Gastroenteritis outbreak, choose safe food and water 
Guatemala: Dengue outbreak, avoid mosquito bites 
Mexico: Ongoing dengue outbreak, avoid mosquito bites
Puerto Rico (US): Increase in dengue infections, avoid mosquito bites 
United States: Human bird flu infections in Colorado state, avoid contact with infected animals. Locally acquired dengue infections in Florida state, avoid mosquito bites. Valley fever infections linked to music festival in Kern county (California state), seek medical attention if symptoms develop.

ASIA & THE PACIFIC

Afghanistan: Increase in cholera infections, ensure safe food and water consumption, consider vaccination. Increase in measles, ensure vaccination is up to date.
Asia & the Pacific: Bird flu infections, avoid contact with birds and follow hygiene measures. Increasing pertussis, ensure vaccination is up to date.
Australia: Legionnaires' disease in metropolitan Melbourne, seek medical attention if symptoms develop. Pertussis outbreak, ensure vaccination is up to date.
Cambodia: Human cases of bird flu in Takeo province, avoid contact with birds
French Polynesia (France): Pertussis in Tahiti, check vaccination status
India: Hepatitis A in Kerala state, vaccination recommended, select safe food and water. Hyderabad (Telangana state): Increase in norovirus, follow hygiene measures, select safe food and water. Increasing dengue infections, avoid mosquito bites. Zika virus in some states, avoid mosquito bites.
Kiribati: Increase in typhoid fever infections; maintain hygiene, consider vaccination
New Zealand: Increasing pertussis, check vaccination status 
Pakistan: Increase in cholera cases, ensure safe food and water consumption, consider vaccination
South Korea: Increasing pertussis, check vaccination status. Rise in hand, foot and mouth disease infections, pay attention to hygiene.
Taiwan (China): Increasing pertussis, check vaccination status 
Vietnam: Diphtheria infections in several provinces, ensure vaccination is up to date 

EUROPE & CIS

Bosnia and Herzegovina: Increase in measles, ensure vaccination is up to date
France: Increase in enterovirus infections, follow routine hygiene measures
Kyrgyzstan: Measles outbreak, ensure vaccination is up to date
Poland: Increase in measles, ensure vaccination is up to date
Romania: Ongoing measles outbreak, ensure vaccination is up to date
Russia: Ongoing measles outbreak, ensure vaccination is up to date
United Kingdom: Increase in measles, ensure vaccination is up to date. Pertussis increasing, ensure vaccination is up to date.

MIDDLE EAST & NORTH AFRICA

Iran: Increasing dengue infections in Hormozgan province, avoid mosquito bites
Iraq: Increase in Crimean-Congo haemorrhagic fever infections, avoid contact with animals Jordan: First human West Nile virus infection reported, avoid mosquito bites
United Arab Emirates (UAE): Increase in dengue, avoid mosquito bites






Dr. Nuno Gonçalo Cosmelli 
Air Physician 
Director of Air Rescue Service 
General Secretary of FEMERAID International