MEDICAL ALERT from FEMERAID International – November 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. 

Please find below a list of active medical alerts from around the globe that the FEMERAID medical team is monitoring closely. If you’re planning to visit or currently reside in any of the countries mentioned below, be sure to pay attention to the recommended precautions.

Should you require further medical information or guidance on how to protect yourself, feel free to reach out to us at secretary.general@femeraid.org or call +35699068790 

AFRICA
Burkina Faso: Increase in dengue infections, avoid mosquito bites 
Cameroon: Polio in East region, booster recommended, carry proof of vaccination 
Cape Verde: Increasing dengue activity, avoid mosquito bites 
Central African Republic: Dengue outbreak, avoid mosquito bites. Increase in measles, ensure vaccination is up to date. Increase in mpox, avoid contact with sick people 
Congo (DRC): Mpox outbreak, observe strict hygiene measures, avoid contact with sick people Côte d'Ivoire: Increase in measles infections, ensure vaccination is up to date. Mpox outbreak, avoid contact with sick people and animals 
Djibouti: Polio detected in wastewater, ensure vaccination is up to date 
Ghana: Polio in Eastern region, booster recommended, carry proof of vaccination Guinea: Diphtheria outbreak, ensure vaccination is up to date 
Kenya: Mpox infections, monitor for developments 
Mali: Ongoing dengue outbreak, avoid mosquito bites 
Niger: Cholera infections, select safe food and water, consider vaccination 
Nigeria: Cholera outbreak, ensure safe food and water consumption 
Réunion (France): Locally acquired chikungunya, avoid mosquito bites 
Uganda: Anthrax outbreaks in Western region, avoid contact with animals, follow hygiene measures 

AMERICA
Colombia: Water shortage in multiple departments, conserve and store water 
Cuba: Oropouche fever, prevent insect bites, reconsider travel if pregnant 
French Guiana (France): Poliovirus in wastewater in Cayenne prefecture, ensure vaccination is up to date 
Guyana: Oropouche fever detected, avoid insect bites 
Mexico: Ongoing dengue outbreak, avoid mosquito bites 
Puerto Rico (US): Increase in dengue infections, avoid mosquito bites 
St Lucia: Increasing dengue activity, avoid mosquito bites 
United States: E. coli outbreak linked to one type of hamburger from restaurant chain, seek medical care if symptoms develop. Eastern equine encephalitis, avoid mosquito bites. Human bird flu infections in California state and in Washington state, avoid contact with infected animals. Imported Lassa fever infection reported in Iowa state, risk to public is extremely low. Locally acquired dengue in California, avoid mosquito bites. Vibrio infections, avoid floodwaters. 
US Virgin Islands (US): Dengue outbreak, avoid mosquito bites 

ASIA & THE PACIFIC 
Afghanistan: Increase in measles, ensure vaccination is up to date 
Bangladesh: Increase in dengue infections, avoid mosquito bites 
China: Bird flu infection in Guangdong province, avoid contact with birds, follow hygiene measures 
French Polynesia (France): Pertussis in Tahiti and other areas, check vaccination status India: Imported mpox infection in Kerala, monitor developments. 
Kerala state: Primary Amoebic Meningoencephalitis reported, avoid fresh water bodies. Reduced air quality in Delhi NCR, minimize exposure. Zika virus in some states, avoid mosquito bites, reconsider travel if pregnant 
Pakistan: Increase in dengue infections, avoid mosquito bites. Polio in Islamabad, booster recommended, carry proof of vaccination 
Philippines: Increased dengue activity, avoid mosquito bites 
Thailand: Measles outbreak, ensure vaccination is up to date 

EUROPE & CIS 
Germany: Imported mpox infection, monitor developments 
Gibraltar (UK): Salmonellosis outbreak, select safe food and pay attention to hygiene 
Norway: Increase in Mycoplasma pneumoniae infections, follow hygiene measures 
Spain: Poliovirus in wastewater in Barcelona, ensure vaccination is up to date 

MIDDLE EAST & NORTH AFRICA 
Algeria: Malaria, diphtheria detected in southern region 
Egypt: Gastroenteritis in Aswan governorate, choose safe food and water 
Lebanon: Cholera detected, select safe food and water 
Palestinian Territories: Polio in Gaza, booster recommended, carry proof of vaccination South Sudan: Anthrax outbreak in Warrap and Western Bahr El Ghazal states, avoid contact with animals, follow hygiene measures 
Sudan: Cholera outbreak, select safe food and water, consider vaccination 
Yemen: Cholera outbreak, ensure safe food and water consumption, consider vaccination 


4th November 2024