January 2019 Outbreak Notices

Updated: Dec 3, 2019

Yellow Fever in Nigeria:

  • From 22 September to 31 December 2018, there were 146 suspected and 32 confirmed cases with 26 deaths in the 15 out of 18 local government areas in Edo State.

  • Yellow fever vaccine is advised for travellers going to Nigeria (unless contraindicated).

  • Certificates are required on entry for anyone 1 year of age or older and coming from a country that has a risk of yellow fever transmission.

  • Yellow fever is spread via daytime biting mosquitoes. It is advised to use good bite avoidance measures at all times against all mosquitoes.

  • For more information, please read here.

Meningitis outbreak in Nigeria:

  • Dry season (December to June) in Nigeria sees an increased rate of meningitis.

  • From 1 October to 18 December 2018, there have been 72 suspected cases in 10 states resulting in 9 deaths.

  • The risk to travellers increases when travelling to a region with an ongoing epidemic and with prolonged contact with the local population.

  • Meningitis is transmitted through droplet/aerosol of nasal secretions of an infected individual or asymptomatic carrier.

  • Vaccine is recommended for the risk to travellers to the meningitis belt fn Sub-Saharan Africa in the dry season. The vaccine covers against the common strains in Africa of A,C,W-135 and Y and it lasts 5 years.

  • For more information, please read here.

Measles outbreak in Madagascar:

  • From 4 October to 24 December 2018 the World Health Organisation reported 19,539 cases of measles in Madagascar including 39 deaths.

  • All 22 regions of Madagascar have been affected with most cases from Analamanga.

  • Ensure that travellers have had 2 vaccines, or prior measles infection.

  • The vaccine schedule is 2 vaccines at 1 month apart to give adequate protection.

  • For more information, please read here.

Ebola in the DRC:

  • According to the Ministry of Health in the Democratic Republic of the Congo, transmission of Ebola virus disease continues in North Kivu and Ituri Provinces in the east of the country.

  • As of 5 December 2018, there have been 623 cases reported with 575 confirmed cases and 374 deaths since the start of the outbreak.

  • Risk to travellers of becoming infected with Ebola virus is extremely low.

  • Ebola virus is spread via contact with blood and or body fluids from an infected person or animal.

  • Travellers returning from DRC should seek rapid medical attention if they develop flu-like symptoms (such as fever, headache, diarrhoea or general malaise) within 3 weeks after return, and tell the health care provider of your recent trip.

  • For more information, please read here.


Information from Travel Health Pro, World Health Organisation, Travax and Fit for Travel. Compiled by Jo Thompson.

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