MEDICAL ALERT from FEMERAID International – September 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.

FEMERAID is closely monitoring the various outbreaks around the world. Please take the necessary precautions to protect yourself and your family. 

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 
Chad: Hepatitis E outbreak, select safe food and water 
Côte d'Ivoire: Mpox outbreak, avoid contact with sick people and animals 
Ethiopia: Malaria outbreak, avoid mosquito bites, consider preventive medication. Polio detected in multiple states; booster recommended, carry proof of vaccination. 
Liberia: Polio in Sinoe county, booster recommended, carry proof of vaccination 
Mali: Ongoing dengue outbreak, avoid mosquito bites 
Nigeria: Cholera outbreak, ensure safe food and water consumption 
Rwanda: Mpox outbreak, avoid contact with sick people 
Togo: Increase in dengue infections, avoid mosquito bites 
Uganda: Measles outbreak, ensure vaccination is up to date 

AMERICA 
Brazil: Outbreak of Oropouche, avoid insect bites 
Canada: Legionnaires' disease in London (Ontario province), seek medical attention if symptoms develop 
Colombia: Water shortage in multiple departments, conserve and store water 
Costa Rica: Increase in diarrheal infections, select safe food and water, consider vaccination El Salvador: Rise in dengue activity, avoid mosquito bites 
Guadeloupe (France): Human West Nile virus infection reported, avoid mosquito bites Mexico: Ongoing dengue outbreak, avoid mosquito bites 
Panama: Increasing dengue activity, avoid mosquito bites 
Puerto Rico (US): Increase in dengue infections, avoid mosquito bites St Vincent and the Grenadines: Dengue outbreak, avoid mosquito bites 
Trinidad and Tobago: Increase in dengue fever, avoid mosquitoes 
United States: Eastern equine encephalitis, avoid mosquito bites. Listeriosis outbreak linked to deli meats, pay attention to hygiene and select safe food. 

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. 
Australia: Pertussis outbreak, ensure vaccination is up to date 
French Polynesia (France): Pertussis in Tahiti and Moorea, check vaccination status 
India: Chandipura virus outbreak, avoid sandfly bites. Increasing dengue infections, avoid mosquito bites. 
Japan: Increase in streptococcal infections, pay attention to personal hygiene. Increased heat, minimise exposure, stay hydrated. 
Kiribati: Increase in typhoid fever infections; maintain hygiene, consider vaccination 
Malaysia: Increase in dengue infections, avoid mosquito bites 
Maldives: Increase in dengue infections, avoid mosquito bites 
Myanmar: Increase in cholera, ensure safe food and water consumption, consider vaccination 
New Zealand: Increasing pertussis, check vaccination status 
Pakistan: Increase in measles, ensure vaccination is up to date 
Philippines: Increased dengue activity, avoid mosquito bites 
South Korea: Increased heat, minimise exposure, stay hydrated. Rise in hand, foot and mouth disease infections, pay attention to hygiene. 
Taiwan (China): Increasing pertussis, check vaccination status 
Thailand: Imported Mpox infection, monitor developments 
Vietnam: Diphtheria infections in several provinces, ensure vaccination is up to date. Increase in measles, ensure vaccination is up-to-date. 

EUROPE & CIS 
Armenia: Increase in West Nile virus, avoid mosquito bites 
Finland: Increase in pertussis, check vaccination status 
France: Increase in enterovirus infections, follow routine hygiene measures. Increase in pertussis, ensure vaccination is up to date. 
Greece: Increase in West Nile Virus, avoid mosquito bites 
Norway: Increase in Mycoplasma pneumoniae infections, follow hygiene measures 
Portugal: Crimean-Congo Hemorrhagic Fever detected, avoid tick bites, follow hygiene measures 
Sweden: Increase in pertussis infections, check vaccination status United Kingdom: Increase in measles, ensure vaccination is up to date

MIDDLE EAST & NORTH AFRICA 
Iran: Increase dengue infections in Hormozgan province, avoid mosquito bites 
Yemen: Cholera outbreak, ensure safe food and water consumption, consider vaccination 

General recommendation 

FEMERAID International strongly recommends the following to all Knights and Dames planning to travel to the above-mentioned regions: 
Stay Informed: Keep yourself updated about the local health situation in the regions you plan to visit. 
Preventive Measures: Follow local health authorities’ recommended preventive measures to reduce the risk of infection. 
Seek Medical Attention: If you experience any symptoms related to the above diseases, seek medical attention immediately. 
Prioritize Personal Health: Adhere to vaccination schedules to ensure you have adequate protection against prevalent diseases. 
Mosquito Bite Prevention: Take necessary precautions, especially measures to prevent mosquito bites. Use insect repellent, wear long-sleeved clothing and stay in well-screened accommodations.

For further advice or assistance, please do not hesitate to reach out to FEMERAID’s General Secretary (secretary.general@femeraid.org). Your health and safety are of paramount importance for our Sovereign State. 




9th September 2024