Alerts

Oropouche virus - Latin America

There are outbreaks of Oropouche fever in parts of Brazil, Bolivia, Colombia, Peru, and Cuba (see map). Oropouche fever is spread by the bite of infected midges (small flies) and mosquitoes. Illness can occur in people of any age and is often mistaken for dengue. Travelers to affected areas should take steps to avoid bug bites. Travelers should seek medical care if they develop high fever, headache, muscle aches, stiff joints, nausea, vomiting, chills, or sensitivity to light during or after travel.ometimes vomiting and diarrhea are also reported."

Bolivia, Brasil, Colombia, Perú

Influenza A (H5N1) - Americas

The Influenza A(H5N1) virus currently circulating in the Americas is the product of a recombination that occurred in wild birds in Europe and low pathogenic strains in wild and domestic birds during its global dissemination. This new genotype has spread rapidly from Europe to North America, Africa and Western Asia through the migratory routes of waterfowl. After the detection of the influenza A (H5N1) virus in the Americas in 2021, it has been detected throughout the entire continent. Six human infections caused by avian influenza A(H5N1) have been recorded since 2022 in the Americas. Four were notified in the USA, on April 29, 2022, April 1, 2024, May 22, 2024 and May 30, 2024; one in Ecuador, notified on January 9, 2023; and one in Chile, notified on March 29, 2023.

Rabies - South Africa

South African health authorities have reported 3 cases of rabies in the country in the first 4 months of 2024. The cases were reported in eThekwini Municipality, KZN (1) and Ngqushwa Municipality, Amathole District, EC (1). The third case was in a patient hospitalized in Gauteng province who acquired the disease in Zimbabwe after an exposure in December 2023. All cases involved children aged 2, 5 and 7 years respectively. In two cases no post-exposure medical intervention was reportedly sought, while in one case an incomplete post-exposure rabies prophylaxis regimen was received. For the latter case, it is reported that rabies immunoglobulin and a dose of vaccine were administered after exposure, but the vaccination course was not completed.

Sudáfrica

Chikungunya - Maldives

There is an outbreak of chikungunya in Malé and Hulhumalé regions of Maldives

Maldivas

Oropouche virus - Cuba

The Ministry of Public Health of Cuba confirmed the presence of cases of Oropouche fever, a viral disease transmitted by the midge _Culicoides paraensis_, that is present in the Americas Region, and by the _Culex quinquefasciatus_ mosquito, in the province of Santiago de Cuba. The official note indicated that after "actions for monitoring and surveillance of non-specific febrile syndromes in the province of Santiago de Cuba, the presence of Oropouche virus (OROV) was identified in 2 health areas of the municipalities of Santiago de Cuba (Ernesto Guevara) and Songo La Maya (Carlos J. Finlay), from samples tested in the Pedro Kourí Institute (IPK) reference laboratory." The Ministry of Health says that "all cases have progressed favorably with improvement of symptoms between the third and fourth day after the onset of the illness." The official source added that the clinical picture that manifests as a consequence of the disease is "mild, preceded by an incubation period of 5-7 days, characterized by fever, headaches, muscle and joint pain. Sometimes vomiting and diarrhea are also reported."

Cuba

Malaria - Panama

Panama Health Authorities (Minsa) confirmed 69 new cases of malaria last week. The Guna Yala region recorded 52 cases; Darién 9, comarca Ngäbe Buglé 4, and the regions of Panama Metro, Panama West, Colón and Chiriquí with 1 each.

Panamá

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Travel Medicine and Infectious Disease

TMAID is the official journal of the Royal College of Physicians and Surgeons of Glasgow and the Latin American Society for Travel Medicine. Affiliated with the German Society for Tropical Medicine, Travel Medicine and Global Health (DTG).