Travel Health Notices

Beginning on September 6, 2017, Hurricane Irma crossed the Caribbean, followed on September 16 by Hurricane Maria. These storms caused severe damage in a number of countries and territories, including Anguilla, Antigua and Barbuda, the Bahamas, the British Virgin Islands, Cuba, Dominica, the Dominican Republic, Guadeloupe, Haiti, Martinique, Puerto Rico, Saint Barthelemy, Saint Martin, Sint Maarten, Turks and Caicos, and the US Virgin Islands.Hurricanes Irma and Maria in the Caribbean

The Brazilian Ministry of Health has reported an ongoing outbreak of yellow fever. In response to this outbreak, health authorities have recently expanded the list of areas in which yellow fever vaccination is recommended for travelers.Yellow Fever in Brazil

Three recent natural disasters have caused severe damage, injuries, and deaths in Mexico. On September 7, 2017, an 8.1-magnitude earthquake struck the southwestern states of Oaxaca, Chiapas, and Tabasco, causing nearly 100 deaths. The next day, September 8, 2017, Category 1 Hurricane Katia made landfall on the eastern coast in Veracruz, causing a mudslide that resulted in several deaths. On September 19, a 7.1-magnitude earthquake struck the state of Puebla, about 75 miles from Mexico City.Earthquakes and Hurricane in Mexico

Since the monsoon season began in August 2017, widespread flooding in Bangladesh, India, and Nepal has affected more than 40 million people. Flooding in South Asia

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Curaçao

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Mexico

Local transmission of Zika virus infection (Zika) has been reported. Local transmission means that mosquitoes in the area have been infected with Zika virus, spreading it to people.Zika Virus in Cape Verde

LZika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Sint Maarten

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Barbados

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Bonaire

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Aruba

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Samoa

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Marshall Islands

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Paraguay

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in French Guiana

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Saint Martin

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Saint Vincent and the Grenadines

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Tonga

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in US Virgin Islands

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Suriname

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Bolivia

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Costa Rica

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Trinidad and Tobago

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people. Zika Virus in Guatemala

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in the Dominican Republic

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Ecuador

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Jamaica

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Guyana

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Honduras

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in El Salvador

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Federated States of Micronesia

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Nicaragua

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Panama

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Sint Eustatius

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Cuba

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Dominica

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Venezuela

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Saint Lucia

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Peru

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Belize

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Grenada

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Argentina

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Anguilla

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Singapore

LZika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Saba

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Antigua and Barbuda

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Puerto Rico

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in The Bahamas

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in the British Virgin Islands

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Turks and Caicos Islands

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Saint Kitts and Nevis

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Palau

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Montserrat

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Angola

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in Guinea-Bissau

Zika virus (or Zika) has been reported. Public health officials have reported that mosquitoes are infected with Zika and spreading it to people.Zika Virus in the Solomon Islands

The World Health Organization (WHO) has reported a malaria outbreak in Cape Verde. Recently, there has been a substantial increase in malaria in the capital city of Praia on São Tiago Island (also known as Santiago Island).Malaria in Cape Verde

The Malaysian state of Sarawak has declared parts of three divisions to be “rabies infectious areas.” Rabies in Malaysia

The Nigerian Ministry of Health has reported several cases of poliovirus in the state of Borno in northeastern Nigeria. CDC recommends that all travelers to Nigeria be fully vaccinated against polio. Because of the risk of cross-border transmission, CDC recommends a one-time booster dose of polio vaccine for fully vaccinated adults traveling to Niger, Cameroon, or Chad to work in healthcare facilities, refugee camps, or other humanitarian aid settings. Polio in Nigeria

Cases of vaccine-derived polio have been reported in Syria, according to the Global Polio Eradication Initiative. Polio in Syria

Cases of vaccine-derived polio have been reported in the Democratic Republic of the Congo, according to the World Health Organization.Polio in Democratic Republic of the Congo

Serious infections with bacteria—called nontuberculous mycobacteria (NTM)—recently have been reported in US residents who had cosmetic surgery in the Dominican Republic. Nontuberculous Mycobacteria in Medical Tourists to the Dominican Republic

The annual Hajj, or pilgrimage to Mecca, Saudi Arabia, is among the largest mass gatherings in the world. Because of the crowds, mass gatherings such as Hajj and Umrah are associated with unique health risks. Before you go, you should visit a travel health specialist for advice, make sure you are up to date on all routine and recommended vaccines, and learn about other health and safety issues that could affect you during your trip.Hajj and Umrah in Saudi Arabia

The following countries in or near the Arabian Peninsula have confirmed MERS: Bahrain, Iran, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudia Arabia, United Arab Emirates, and Yemen. Neighboring countries where precautions are recommended: Iraq, Israel, including the West Bank and Gaza, and Syria. MERS in the Arabian Peninsula

The Costa Rican Ministry of Health has reported limited local transmission of malaria in Matina Canton in Limón Province, Sarapiquí Canton in Heredia Province, and Pital District in San Carlos Canton in Alajuela Province. Local transmission means that mosquitoes in the area are infected with malaria and spreading it to people. Other than a small outbreak at the end of 2016, this is the first local transmission of malaria in Costa Rica since 2011. Public health authorities are responding to this outbreak by enhancing malaria surveillance, making sure that patients are diagnosed and treated promMalaria in Costa Rica

Recently, there has been a large increase in the number of dengue cases in Vietnam, according to a World Health Organization (WHO) report. Travelers to Vietnam should protect themselves against mosquito bites to avoid getting the illnessDengue in Vietnam

The Pan American Health Organization (PAHO) has reported more than 60,000 chikungunya cases in Brazil in 2017.Chikungunya in Brazil

There is a widespread cholera outbreak in Yemen. Between April and July 2017, more than 400,000 cholera cases and nearly 2,000 deaths have been reported. Twenty-one of the country’s 23 governorates have reported suspected cases.Cholera in Yemen

The Ministry of Health in Sri Lanka has reported a dengue epidemic. More than 100,000 cases have been reported across the country.Dengue in Sri Lanka

Health officials in the Democratic Republic of the Congo have reported an outbreak of measles.Measles in Democratic Republic of the Congo

Health officials in France have reported an outbreak of measles. Measles in France

Health officials in Pakistan have reported a large outbreak of chickenpox, also known as varicella. Cases in children and adults, including deaths, have been reported in 10 districts. Chickenpox (varicella) in Pakistan

The Fiji Ministry of Health and Medical Services has declared a dengue outbreak. Travelers to Fiji should protect themselves against mosquito bites to avoid getting dengue.Dengue in Fiji

A malaria epidemic has been declared by the Burundi Ministry of Health. CDC continues to recommend that travelers to Burundi take prescription medicine to prevent malaria.Malaria in Burundi

Health officials in Germany have reported an outbreak of measles. CDC recommends that travelers to Germany protect themselves by making sure they are vaccinated against measles.Measles in Germany

Health officials in Italy have reported an outbreak of measles. CDC recommends that travelers to Italy protect themselves by making sure they are vaccinated against measles.Measles in Italy

Health officials in Belgium have reported an outbreak of measles. CDC recommends that travelers to Belgium protect themselves by making sure they are vaccinated against measles.Measles in Belgium

Health officials in Australia, Canada, and Taiwan have reported several cases of measles in travelers returning from Indonesia, including the island of Bali.Measles in Indonesia

A measles outbreak has been reported in Guinea, with 13 of the country’s 33 prefectures affected. CDC recommends that travelers to Guinea protect themselves by making sure they are vaccinated against measles, particularly infants 6–11 months of age (1 dose of measles vaccine) and children 12 months of age or older (2 doses of measles vaccine). Clinicians should keep measles in mind when treating patients with fever and rash, especially if the patient has recently traveled internationally.Measles in Guinea

Chinese health authorities have confirmed human cases of avian influenza A (H7N9) since September 2016. CDC advises people traveling to China to avoid contact with poultry (including poultry markets and farms), birds, and their droppings and to avoid eating undercooked poultry. Infected birds that appear healthy may still be able to transmit this virus to humans. Avian Flu (H7N9) in China

A measles outbreak has been reported in Romania. CDC recommends that travelers to Romania protect themselves by making sure they are vaccinated against measles, particularly infants 6–11 months of age (1 dose of measles vaccine) and children 12 months of age or older (2 doses of measles vaccine). Clinicians should keep measles in mind when treating patients with fever and rash, especially if the patient has recently traveled internationally.Measles in Romania

Beginning in October 2014, locally transmitted cases of chikungunya have been reported in Mexico. Local transmission means that mosquitoes in Mexico have been infected with chikungunya and are spreading it to people. CDC recommends that travelers to Mexico protect themselves from chikungunya by preventing mosquito bites.Chikungunya in Mexico