MEDICAL ALERT from FEMERAID International – July 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 
Angola: Cholera outbreak, select safe food and water, consider vaccination 
Burkina Faso: Polio detected, booster recommended, carry proof of vaccination 
Burundi: Ongoing mpox outbreak, avoid contact with sick people 
Congo (DRC): Cholera outbreak, select safe food and water, consider vaccination. Ongoing mpox outbreak, avoid contact with sick people. 
Congo: Mpox infections, avoid contact with sick people 
Djibouti: Polio detected, booster recommended, carry proof of vaccination 
Kenya: Chikungunya outbreak in Mombasa county, avoid mosquito bites. Cholera outbreak, select safe food and water, consider vaccination. 
Liberia: Ongoing mpox outbreak, avoid contact with sick people 
Madagascar: Chikungunya, avoid mosquito bites 
Namibia: Increased malaria in northern regions, avoid mosquito bites and consider preventive medication. Rabies in Erongo region, avoid seals and other animals, seek prompt treatment if exposed. 
Nigeria: Ongoing diphtheria outbreak, ensure vaccination is up to date 
Réunion (France): Chikungunya outbreak, avoid mosquito bites 
Somalia: Chikungunya infections, avoid mosquito bites. Cholera infections, select safe food and water, consider vaccination. Tanzania: Mpox infections, avoid contact with sick people Uganda: Mpox infections, avoid contact with sick people 
Zimbabwe: Increase in malaria, avoid mosquito bites and consider preventive medication 

AMERICA 
Colombia: Yellow fever in multiple departments, vaccination recommended, avoid mosquito bites 
Ecuador: Updated yellow fever vaccination requirements, ensure compliance. Increasing leptospirosis, avoid contaminated water. 
Guatemala: Increased risk of screwworm myiasis, protect wounds from insects 
Honduras: Increased risk of screwworm myiasis, protect wounds from insects 
Paraguay: Increase in respiratory illnesses, ensure vaccinations are up to date, follow hygiene measures 
Peru: Increasing pertussis, check vaccination status 

ASIA & THE PACIFIC 
Afghanistan: Increase in Crimean-Congo haemorrhagic fever, avoid tick bites, follow hygiene measures 
Australia: Increase in respiratory illnesses, ensure vaccinations are up to date, follow hygiene measures. Legionnaires’ Disease in Sydney, seek medical attention if symptoms develop. 
Cook Islands: Dengue in Rarotonga, avoid mosquito bites 
East Timor: Increasing rabies, avoid contact with animals, consider pre-exposure vaccination, seek prompt treatment if exposed 
Fiji: Dengue outbreak, avoid mosquito bites Japan: Increased heat, minimise exposure, stay hydrated. Increasing pertussis, ensure vaccination is up to date. 
Kiribati: Dengue outbreak, avoid mosquito bites 
Laos: Increase in measles cases, ensure vaccination is up to date 
Mongolia: Increase in measles infections, ensure vaccination is up to date 
Myanmar: Increased dengue activity, avoid mosquito bites 
Papua New Guinea: Polio in Lae and Port Moresby, booster recommended, carry proof of vaccination 
Philippines: Increased dengue activity, avoid mosquito bites 
Samoa: Dengue outbreak, avoid mosquito bites 
South Korea: Potential delays in accessing healthcare 
Sri Lanka: Increase in chikungunya, avoid mosquito bites 
Taiwan (China): Increase in enterovirus infections, follow routine hygiene measures 
Thailand: Anthrax in Mukdahan and Sa Kaeo provinces, avoid contact with cattle, follow hygiene measures 
Tonga: Dengue outbreak ongoing, avoid mosquito bites 
Vietnam: Increased dengue activity, avoid mosquito bites. Increasing hand, foot and mouth disease, pay strict attention to hygiene. 

EUROPE & CIS 
Bosnia and Herzegovina: Leptospirosis in Sarajevo, avoid contaminated water 
Czech Republic: Increase in hepatitis A, vaccination recommended, pay attention to hygiene Germany: Increase in Lyme disease, avoid tick bites 
Slovakia: Increase in hepatitis A, vaccination recommended, pay attention to hygiene 
Ukraine: Increase in measles, ensure vaccination is up to date

MIDDLE EAST & NORTH AFRICA 
Israel: Increase in measles, ensure vaccination is up to date 
South Sudan: Ongoing cholera outbreak, select safe food and water, consider vaccination 




2 July 2025