MEDICAL ALERT from FEMERAID International – December 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 
Burundi: Cholera infections, ensure safe food and water consumption, consider vaccination. Mpox outbreak, avoid contact with sick people. Cameroon: Polio in multiple regions, 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. 
Côte d'Ivoire: Mpox outbreak, avoid contact with sick people and animals 
Ethiopia: Malaria outbreak, avoid mosquito bites, consider preventive medication 
Guinea: Diphtheria outbreak, ensure vaccination is up to date. Polio in Kankan region, booster recommended, carry proof of vaccination. 
Mali: Ongoing dengue outbreak, avoid mosquito bites 
Niger: Cholera infections, select safe food and water, consider vaccination 
Réunion (France): Locally acquired chikungunya, avoid mosquito bites 
Rwanda: Marburg virus outbreak, monitor situation. Mpox outbreak, avoid contact with sick people. 
South Africa: Increasing foodborne illnesses, select safe food and beverages 
Tanzania: Cholera outbreak in several regions, ensure safe food, water consumption, consider vaccination 
Togo: Cholera outbreak in Maritime region, select safe food and water, consider vaccination 
Zimbabwe: Cholera outbreak in Kariba, select safe food and water, consider vaccination 

AMERICA 
Canada: Imported mpox infection in Manitoba province, monitor developments 
Colombia: Increase in yellow fever in Tolima department, vaccination recommended, avoid mosquito bites Guadeloupe (France): Increase in dengue infections, avoid mosquito bites 
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 organic carrots, seek medical care if symptoms develop. Eastern equine encephalitis, avoid mosquito bites. Human bird flu infections in California state, avoid contact with infected animals. Human bird flu infections in Washington state, avoid contact with infected animals. Multi-state listeria outbreak linked to meat and poultry products, seek medical care if symptoms develop. 
US Virgin Islands (US): Dengue outbreak, avoid mosquito bites 

ASIA & THE PACIFIC 
Afghanistan: Increasing dengue activity, avoid mosquito bites 
Australia: Largest whooping cough outbreak on record, ensure vaccination is up to date 
French Polynesia (France): Dengue outbreak, avoid mosquito bites. Pertussis in Tahiti and other areas, check vaccination status. 
India: Chikungunya in Telangana state, avoid mosquito bites. Reduced air quality in Delhi NCR, minimise exposure. Zika virus in some states, avoid mosquito bites, reconsider travel if pregnant.
Laos: Suspected methanol poisoning, choose safe beverages New Zealand: Increasing pertussis, check vaccination status 
Pakistan: Poor air quality in several urban centres, minimise exposure 
South Korea: Increase in scrub typhus infections, prevent mite bites to avoid illness
Thailand: Measles outbreak, ensure vaccination is up to date 
Vanuatu: Increase in diarrhoeal infections, select safe food and water 

EUROPE & CIS 
Albania: Increase in West Nile virus, avoid mosquito bites 
Norway: Increase in Mycoplasma pneumoniae infections, follow hygiene measures 
Serbia: Increase in measles, check vaccination status 
Spain: Tularaemia in Palencia province, avoid insect bites, select safe food and water 
United Kingdom: Increasing norovirus, follow hygiene measures 

MIDDLE EAST & NORTH AFRICA 
South Sudan: Anthrax outbreak in Warrap and Western Bahr El Ghazal states, avoid contact with animals, follow hygiene measures. Increased malaria, avoid mosquito bites, consider preventive medication. 
Sudan: Cholera outbreak, select safe food and water, consider vaccination 
Yemen: Cholera outbreak, ensure safe food and water consumption, consider vaccination 



17th December 2024