MEDICAL ALERT from FEMERAID International – March 2025
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 all our Knights and Dames a monthly newsletter about current outbreaks and risks worldwide with recommendations. 

FEMERAID Air Rescue team is currently monitoring the following outbreaks around the globe. If you’re planning to visit or reside in any of the countries mentioned below, be aware of the recommended preventive measures.

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 
Burundi: Mpox outbreak, avoid contact with sick people 
Congo (DRC): Cholera outbreak, select safe food and water, consider vaccination 
Ethiopia: Malaria outbreak, avoid mosquito bites, consider preventive medication 
Ghana: Meningitis in Upper West region, vaccination recommended, follow hygiene measures
Namibia: Increased malaria in northern regions, avoid mosquito bites and consider preventive medication 
Nigeria: Lassa fever, maintain strict hygiene measures and avoid contact with sick people
Rwanda: Mpox outbreak, avoid contact with sick people 
Sierra Leone: Lassa fever, maintain strict hygiene measures and avoid contact with sick people. Mpox outbreak, avoid contact with sick people. 
South Africa: Hand, foot and mouth disease in Durban city, pay attention to hygiene. Increase in diphtheria infections, ensure vaccination is up to date. 
Sudan: Increase in cholera in White Nile state, select safe food and water, consider vaccination
Togo: Meningitis detected in Kara region, vaccination recommended, follow hygiene measures Uganda: Cholera outbreak in Lamwo district, select safe food and water, consider vaccination. Mpox infections, avoid contact with sick people. 
Zambia: Cholera outbreak, select safe food and water, consider vaccination. Mpox outbreak, avoid contact with sick people. 

AMERICA 
Bolivia: Increasing pertussis in Santa Cruz department, check vaccination status 
Brazil: Carnival season, complete pre-travel health check, follow hygiene measures, prevent insect bites. Increase in insect-borne diseases, avoid insect bites. 
Canada: Measles outbreaks in several provinces, check vaccination status 
Colombia: Yellow fever in Tolima department, vaccination recommended, avoid mosquito bites
Panama: Oropouche fever outbreak, avoid insect bites, reconsider travel if pregnant 
United States: Human bird flu infection in Wyoming and Ohio states, avoid contact with infected birds and animals. Imported mpox infections in New Hampshire and New York states, monitor developments. Increase in seasonal influenza, ensure vaccination is up to date, follow hygiene measures. 

ASIA & THE PACIFIC 
Asia & the Pacific: Bird flu infections in several provinces, avoid contact with birds, follow hygiene measures 
Australia: Dengue in Townsville, avoid mosquito bites. Increase in melioidosis in Far North Queensland, avoid contact with contaminated water, mud or soil. Increased Japanese encephalitis risk in New South Wales, Queensland and Victoria, avoid mosquito bites, consider vaccination. 
Bangladesh: Poor air quality in Dhaka and other cities, minimise exposure 
Cambodia: Human case of bird flu in Prey Veng province, avoid contact with birds 
China: Mpox cluster confirmed, monitor for developments 
India: Guillain-Barre syndrome in Pune (Maharashtra state), maintain hygiene, choose safe food and water Japan: Increase in respiratory illnesses, ensure vaccinations are up to date, follow hygiene measures 
New Zealand: Increasing pertussis, check vaccination status 
Pakistan: Poor air quality in several urban centres, minimise exposure
Philippines: Increased dengue activity, avoid mosquito bites 
Samoa: Whooping cough outbreak, check vaccination status 
South Korea: Potential delays in accessing healthcare 
Taiwan (China): Increase in seasonal influenza, ensure vaccination is up to date, follow hygiene measures 
Thailand: Increase in seasonal influenza, ensure vaccination is up to date, follow hygiene measures. Reduced air quality, minimise exposure. 
Tonga: Dengue outbreak reported, avoid mosquito bites 
Vanuatu: Influenza-like-illness on Efate Island, follow hygiene measures, ensure vaccination is up to date Vietnam: Increase in measles, ensure vaccination is up-to-date 

EUROPE & CIS 
Portugal: Dengue detected in Madeira, avoid mosquito bites 
Turkey: Increase in illness linked to contaminated alcoholic drinks in Istanbul, choose beverages carefully 
United Kingdom: Human bird flu infection in West Midlands, avoid contact with infected animals. Increasing norovirus, follow hygiene measures. 

MIDDLE EAST & NORTH AFRICA 
Morocco: Increase in measles, ensure vaccination is up to date 
Saudi Arabia: Health recommendations for travel during Hajj and Umrah, abide by entry requirements 
South Sudan: Mpox infections, avoid contact with sick people 
Syria: Increase in leishmaniasis infections, use insect repellent, avoid sand fly bites 
United Arab Emirates (UAE): Mpox infection, avoid contact with sick people



10 March 2025