India is bounded by the Himalayas in the north and extends 2000 miles southwards into the Indian Ocean, between the Bay of Bengal on the East and the Arabian Sea on the West. The cou
Most of the country is tropical or sub-tropical and subject to seasonal monsoon winds. This is especially true in the southwestern regions. * New Delhi There are three distinct seasons in New Delhi. Between mid-April to mid-July there is the hot dry season with dust storms. From mid-July to September there is a rainy season and a cooler season from October to March. * Bombay Bombay has a tropical climate and has an annual average temperature of about 270C. The hot humid season occurs in April and May. A monsoon occurs from June to September with about 70" of rainfall. A cool season extends from November to February when the temperatures can drop somewhat. * Calcutta Humidity remains high throughout most of the year. This is especially true between May to October when humidity levels of 90% are common. Most of the rainfall occurs during the monsoon season between June to October. * Madras The climate remains tropical throughout the year. December and January are relatively cool months and the heat increases rapidly from March to June. Premonsoon rains bring relief in July and the temperatures decrease slowly until the cooler season returns in November.
Safety & Security:
For most Irish travellers this will not be a major concern. However, the experience of travelling through any of the major cities is something many tourists will not forget. Taking care on Indian roads is a constantly essential activity. Parts of the country are unstable and recent earthquakes have led to disruptions to the transport infrastructure. As in many other countries travelling alone or late at night is unwise. In Kashmir tourists have been targeted and it is sensible to check you itinerary carefully before you travel throughout the country. In the northeastern part of the country (Assam, Manipur, Nagaland, Tripura, and Meghalaya) there have been sporadic incidents of violence by ethnic insurgent groups, including the bombing of buses and trains reported.
General Health Issues
It is essential that travellers recognise that there is a higher risk to their health while travelling in India. These risks are mainly associated with malaria and food and water borne diseases but conditions like accidents, rabies, tuberculosis and cholera are also present in many regions.
Food Borne Disease
A vegetarian diet is common throughout the country. Frequently the care taken with food preparation will be below standards usually seen in Western Europe. Work surfaces may be contaminated and food handlers may themselves infect the food before it is served. Cold foods should be avoided, where possible, and travellers should only consume hot food which has been freshly prepared. Stir fries may not reach sufficient cooking temperatures and need to be treated with great care. Shell fish and lettuce should always be avoided as they are one of the main ways food borne diseases are transmitted.
Water Borne Disease
Tap water should NOT be used for drinking or brushing teeth unless the smell of chlorine is obvious. Don’t use water from a jug in the hotel bedroom for anything except general washing. Sealed mineral water bought from your hotel should be used for all consumption and for brushing teeth.
Malaria is usually transmitted through the bite of an infected mosquito. This may occur throughout India, including all the major cities. The highest risk time is during the monsoon season (May to October approximately) but there is risk throughout the year. Travellers should take care against mosquito bites and maintain their prophylactic tablets during their time in India and also for a further four weeks after leaving the country.
This viral disease is transmitted by any infected warm-blooded animal. Dogs, cats, monkeys etc are frequently involved. Travellers should avoid all contact with animals and any bite (lick or scratch) should be treated by immediately washing out the area, applying an antiseptic and then seeking urgent medical attention. India reports many thousand deaths each year from this dreadful disease.
Most short term travellers should consider vaccination cover against Poliomyelitis, Typhoid, Tetanus and Hepatitis A. Malaria tablets will also be required. For longer trips please contact the Tropical Bureau at the numbers below.
Other Health Information
A full range of information on healthy travelling overseas can be obtained from the educational department of the Tropical Medical Bureau.
Travel News Headlines WORLD NEWS
By Mohd Imran Khan
Patna, India, June 17, 2019 (AFP) - More than 100 children in the Indian state of Bihar -- home to some of the country's worst health indicators -- have now been killed by a brain virus potentially linked to lychees, officials said. The northern state, one of India's poorest and home to almost 100 million people, is also in the throes of a major heat wave that is the country's second-longest on record and has so far claimed 78 lives. Bihar has been struggling with an outbreak of Acute Encephalitis Syndrome (AES) since the start of June.
Eighty-five children have now died in the state's biggest government-run hospital -- the Sri Krishna Medical College and Hospital (SKMCH), in the city of Muzaffarpur -- and 18 others at a private facility, according to municipal officials cited by the Press Trust of India. Most of the victims had suffered a sudden loss of glucose in their blood, health official Ashok Kumar Singh told AFP. Such outbreaks have happened annually during summer months in the same districts since 1995, typically coinciding with the lychee season.
Several years ago, US researchers had said the brain disease could be linked to a toxic substance found in the fruit. They also said more study was needed to uncover the cause of the illness, which leads to seizures, altered mental state and death in more than a third of cases. TV channels showed distraught parents sitting next to their children, several of whom were cramped on one bed. A doctor told a local TV channel that the SKMCH was ill-equipped to handle the rush of patients, most of whom were wheeled in semi-conscious. Known locally as Chamki Bukhar, the disease claimed a record 150 lives in 2014. Outbreaks of neurological illness have also been observed in lychee-growing regions of Bangladesh and Vietnam.
- 'Heat curfew' -
Meanwhile, the state has been experiencing temperatures around 45 degrees Celsius (113 Fahrenheit) for several days, and authorities have imposed curfew-like restrictions. Severe heat there has killed 78 people -- most of them aged above 50 -- across three districts since Saturday afternoon, local official Sandeep Kumar told AFP.
More than 130 others were undergoing emergency treatment for heatstroke in various hospitals. Authorities in Gaya district -- which has borne the brunt of the heat wave -- invoked an Indian law to prohibit residents from going outdoors for non-essential work. The district magistrate also banned construction work and any outdoor programme between 11:00 am and 4:00 pm. Heatstroke is usually caused by prolonged exposure to sun or from physical exertion in high temperatures.
Daytime temperatures across large parts of India have hovered above 40 degrees Celsius for the past 32 days, just one short of a record 33-day period in 1988. Temperatures touched 50.3 degrees Celsius in the town of Churu in the northern desert state of Rajasthan recently, just below India's record of 51 degrees. Heatstroke has left more than 36 people dead in southern India in recent weeks. Large parts of India are also reeling from drought, with annual monsoon rains late in coming.
World Travel News Headlines
By Julie Pacorel
Marseille, June 26, 2019 (AFP) - France's second city and key tourist hub Marseille has enforced temporary swimming bans on several beaches amid pollution concerns, disappointing locals and tourists hoping to take a dip as temperatures soar. Seven of the city's 21 beaches have raised a purple flag -- which means no bathing -- since the start of the month, on days when hygiene inspections revealed high levels of faecal matter. Marseille is a tourist hotspot, attracting five million visitors per year thanks to its Mediterranean coastline and sun-kissed climate.
But the city, France's largest port, struggles with pollution from industry and shipping. "It's mostly caused by sanitation problems, but there are also increasing numbers of boats spewing out their grey and black waste before they enter the port," said Sarah Hatimi, head of the water quality programme at Surfrider Foundation Europe environmental group. Swimming bans are nothing new in Marseille. Last year, authorities enforced 153 bans amid fears of a pollution spike after heavy rainfall. "This year, we can't say it's because of the rain," Monique Daubet, local councillor responsible for public health, said, adding that spillages from swimming pools and "lots of animal faeces" are part of the problem. But the city is "proactive", she said, going "even further" than weekly water inspections imposed by a European law to "pay for our own analysis to protect swimmers".
Every morning, inspectors take water samples from each of the city's beaches to test for E. coli and enterococci bacteria, which indicate human or animal defecation. A laboratory can reveal test results the same morning, whereas the previous weekly tests "arrived far too late, two or three days later," Daubet said. Despite efforts, Marseille authorities aren't hopeful they can secure a "blue flag" stamp of approval for beach hygiene. "Our water quality doesn't meet the criteria, which includes, for example, keeping bins at least 100 metres away from the beach". "Nobody is forcing us to do this," she said. "Rather than complaining, people should be grateful we're closing the beaches!"
By Elizabeth Vuvu
Kokopo, Papua New Guinea, June 26, 2019 (AFP) - Papua New Guinea's volatile Ulawun volcano -- designated one of the world's most hazardous -- erupted Wednesday, spewing lava high in the air and sending residents fleeing. A pilot for Niugini Helicopters flying near the crater witnessed a column of lava spurting vertically into the equatorial sky, along with ash that has been belching since early morning. Ulawun, on the remote Bismarck Archipelago chain, is listed as one of 16 "Decade Volcanoes" targeted for research because they pose a significant risk of large, violent eruptions. Witnesses said lava had cut off the main highway in north of the island. "The volcanic activity at Mt Ulawun began at 7:00 am this morning after slight rumbling and light emission," Leo Porikura, an official with the West New Britain Disaster Office, told AFP earlier. "The Rabaul Volcano Observatory has declared a stage one alert warning of a possible eruption."
Witnesses had reported ash spewing out of the 2,334 metre (7,657 foot) summit, sending trails spanning high overhead. "The sky has turned black," said Kingsly Quou, manager of the nearby Mavo Estates palm plantation. Quou said that villagers living at the base of the volcano had already been evacuated and he and his colleagues were gathering their belongings. Japanese satellite imagery and sources on the ground had shown sulphur dioxide and now volcanic ash drifting from the crater. Australia's Bureau of Meteorology said the ash reached more than 13 kilometres (44,000 feet) into the air. The bureau's Darwin Volcanic Ash Advisory Centre issued a "red" warning to airlines, indicating the eruption was imminent, although there is not believed to be an immediate threat for flight routes. Thousands of people live in the shadow of Ulawun, despite it being one of the most active volcanoes in the country.
Porikura said people living in the vicinity of the volcano had been instructed to move away to safer areas and a disaster team had been dispatched. "The disaster team will liaise with the local community, local businesses and local level government authorities to prepare for a possible eruption," he said. "Three crucial priority areas being addressed include transport plan, care centre preparations and getting the communities in the high-risk areas to prepare for an evacuation," Porikura said. The nearby Rabaul Volcano Observatory said emissions from the volcano were getting darker, indicating a higher ash content -- which can cause breathing problems, eye irritation and skin irritation because of the high acid content. A team of experts had visited earlier this month and reported the volcano was "quiet" adding "there is no indication of any change in its state of unrest." The ash emissions had been proceeded by an increase in seismic activity, Porikura said.
San José, June 26, 2019 (AFP) - A 6.2 magnitude earthquake hit the Panama-Costa Rica border around midnight on Tuesday, the US Geological Survey said, revising earlier warnings of "significant damage", as the tremor cut power supplies near the epicentre. The quake struck at a depth of 26 kilometres (16 miles), about two kilometres from the nearest town of Progreso in Panama, USGS said, updating a previous alert that estimated the depth at 10 kilometres.
There were no immediate reports of casualties, and USGS said "the impact should be relatively localized", reversing an earlier advisory that "past events with this alert level have required a regional or national level response." "Estimated economic losses are less than 1 percent of GDP of Panama," the website said. According to the National Seismological Network (RSN) in Costa Rica, the quake struck at 0523 GMT Wednesday (11.23 pm Tuesday) with its epicentre located 11 kilometres east of the Panamanian border town of Puerto Armuelles.
The tremor was felt in Costa Rica's capital San Jose and in many parts of the Central American country, according to initial reports, but the national tsunami warning system said there was no risk of a tsunami. Villagers in the south of Costa Rica fled their homes, fearing aftershocks. Two houses in the region were damaged by the quake, said Alexander Solis, president of the country's National Emergency Commission.
Costa Rica's President Carlos Alvarado said there were power cuts in several communities in the southwest of the country, near the epicentre. In November 2017 a 6.5-magnitude quake on the Pacific coast of Costa Rica caused buildings to sway in San Jose and contributed to the deaths of two people who had heart attacks. Further north, two months earlier a 7.1-magnitude earthquake killed more than 300 people in Mexico.
By Béatrice DEBUT
eMalahleni, South Africa, June 26, 2019 (AFP) - Tumelo has again lost several days at school because of sickness. "My eyes are burning. Sometimes I can't breathe," she coughs. "The doc said there is nothing we can do," says her mother Nono Ledwaba. "We need to take her out of eMalahleni. When she goes to her grandma in Mafikeng, the symptoms disappear."
The 14-year-old lives in house number 3094 of eMpumelelweni township in eMalahleni, part of the Highveld region turned over to mines and power plants that, according to activists, are killing local people. Her neighbour in 3095, Lifa Pelican, has similar symptoms, which badly set back his schooling. At 25, he never moves without his inhaler, even inside his chilly home with rough-hewn walls. "If I don't have it with me, sometimes I can't breathe. Sometimes I feel I am going to die," he says. "These mines get a lot of money and we suffer. There's solar power. We don't need to use these coal plants." Green energy such as solar and wind power account for less than two percent of electricity production in South Africa, while coal still provides 86 percent.
Lifa's breathing troubles began after he moved to eMalahleni, at the mercy of gritty coal dust and thick whitish smoke of electricity power stations burning fuel day and night. Relief comes when he visits his father in Nelspruit, about 200 kilometres (125 miles) away, trips that feel like a new lease on life. "I don't use the inhaler." Tumelo's own troubles began when the family moved to eMalahleni in 2007, when she was a toddler. The trips to Mafikeng are literally a breath of fresh air -- her grandmother's home is 400 kms from the mines. "The only solution is to close down the plants, but will this happen?" Ledwaba asks. eMalahleni, which means "the place of coal", is among the worst places in the world for pollution by nitrogen dioxide and sulphur dioxide, according to Greenpeace.
- 'Deadly pollution levels' -
South Africa, like many developing countries, has placed a heavy bet on coal for its development -- a fuel that is plentiful, cheap and locally-sourced. But campaign groups say health and climate costs are high. Two environmental non-governmental organisations, groundWork and Vukani, say they have identified the top culprits. They include 12 coal-burning power stations run by state-owned Eskom along with a plant for liquefying coal and an oil refinery. Pollution from these sites was responsible for between 305 and 650 premature deaths in 2016, say the two NGOs. They have initiated a suit against the government for "violation of the constitutional right to clean air" -- a legal first in South Africa, the leading industrial power on the continent.
The NGOs contend that the government has failed to reduce deadly pollution levels in the area, just an hour and a half's drive from Johannesburg. "It has evolved into a public health crisis," says Tim Lloyd, lawyer for groundWork and Vukani. "The cost of the air pollution to our economy each year is around 35 billion rand (1.8 billion euros, $2 billion)." In response to the accusations, an environment ministry spokesman told AFP that SO2 (sulphur dioxide) emissions have "shown improvements across all the five monitoring stations" in the worst-affected region of the Highveld. Criticism by environmental groups "fails to recognise these improvements', the ministry stated, declining to give further details about the data. "The reality is that the desired improvements will not happen over a short period of time," it said. Eskom admitted the area's pollution problem "requires urgent attention", adding that domestic coal burning, traffic and mining dust were also to blame.
- 'The life of my kids' -
"When people from other provinces come, they start getting sick with respiratory issues," says Alexis Mashifane, a doctor with a busy practice in Middelberg, 30 kms from eMalahleni. "When they leave this area, some of them get better." But many have no choice, saying they are stuck in the toxic region for economic reasons. "I wish to move away because this place is not right," says Mbali Mathebula, a single mother who is raising a small daughter and a baby girl, both suffering from asthma. "I don't have money to buy a house".
In Mathebula's home at the foot of the Schonland coal mine, five-year-old Princess plays with the useless mask given to her mother at hospital. Mathebula, a supermarket employee, could not afford a 70-euro ($80) oxygen machine to attach to the mask. If a child has an asthma attack in the night, Mathebula says she has to wait until the morning and then go to hospital. "Sometimes I don't have money to go there. I must borrow." Her neighbour Cebile Faith Mkhwanazi has to cope with her three-year-old daughter's asthma attacks. "I'm thinking of taking them to my mother," she adds, broken-hearted. "So that they stay there forever for their health."
By Clare BYRNE
Paris, June 25, 2019 (AFP) - As Europe sizzled Tuesday at the start of a heatwave tipped to break records, drivers on Germany's famously speedy motorways were ordered to slow down and fans at the women's World Cup were showered in health warnings.
Meteorologists blamed a blast of torrid air from the Sahara for the unusually early summer heatwave, which could send thermometers above 40 degrees Celsius (104 Fahrenheit) in some places on Thursday and Friday. Experts say such heatwaves early in the summer are likely to be more frequent as the planet heats up -- a phenomenon that scientists have shown to be driven by human use of fossil fuels.
In Germany, where forecasters have warned a June record of 38.5 degrees could be smashed, speed restrictions were placed on some stretches of "autobahns" as the unusually warm weather raised the risks of "blow-ups" -- the hot tarmac breaking up and shredding tyres. A forest fire was raging north of Cottbus, the second-largest city in Brandenburg state, in an area that was just recovering from a fire in 2018. It was deemed especially dangerous due to the risk of unexploded ammunition left in the area, which is home to a military training facility.
- 'Hell is coming' -
In Spain, TV weather presenter Silvia Laplana riffed on the doom-filled catchphrase "Winter is coming" from the blockbuster series Game of Thrones to describe what lay in store for the country. "El infierno (hell) is coming," she tweeted alongside a weather map which showed most of the country coloured scarlet later in the week. "Of course it's hot in summer but when you have a heatwave that is so extensive and intense, during which records are forecast to be beaten, it's NOT normal," she tweeted. Temperatures are expected to be particularly sweltering in the northeast of Spain, with a stifling 45 degrees expected Friday in the city of Girona, and 44 degrees in Zaragoza at the weekend. Five northern provinces were placed on an orange high alert for a heatwave on Wednesday, with another five to be added by the weekend.
- 'Overdoing' the warnings? -
Authorities were also taking no chances in France, where a heatwave in August 2003 was blamed for 15,000 deaths, many of them elderly people who were left to fend for themselves. In a highly unusual move, Education Minister Jean-Michel Blanquer on Monday postponed national school exams to next week. Paris authorities have banned older models of diesel and petrol cars from Paris on Wednesday, fearing a build-up of pollution. Health Minister Agnes Buzyn denied the government was being excessively vigilant. "For all those who know (the risks), obviously it's too much, but if I can avoid unnecessary deaths, I will continue to communicate about prevention," Buzyn told LCI television, referring to the warnings on radio, TV and public transport.
The Red Cross meanwhile urged people to check on vulnerable neighbours, relatives and friends, saying the "coming days will be challenging for a lot of people, but especially older people, young children, and people with underlying illnesses or limited mobility." Players and spectators at the women's football World Cup taking place in cities around France were also being inundated with messages about keeping hydrated. In a rare gesture by FIFA on Monday evening, fans were allowed to bring their own bottles of water into the Paris stadium where Sweden took on Canada. Phil Neville, the England coach, was sanguine about the impact of the weather on the tournament, however. "There's no excuse, the players are ready for it."
Meanwhile, French beekeepers and farming groups said they were bracing for a "catastrophic" honey harvest this year after frost damage in winter, an unusually rainy spring, and, now, unusually high temperatures. "In the hives, there is nothing to eat, beekeepers are having to feed them with syrup because they risk dying from hunger," added the union, which represents many small farms in honey-producing regions. In the Baltic region of northeast Europe, crowds have flocked to lakes and rivers to cool down, leading to a spike in drownings. Twenty-seven people were reporte to have drowned so far in Lithuania where the temperature soared to an unusual high of 35.7 degrees Celsius.
The Hague, June 25, 2019 (AFP) - Dutch health authorities said Tuesday they are dealing with a measles outbreak in a devout Protestant fishing village where vaccination rates are among the lowest in the country. Nine children and one adult have been diagnosed with the disease in the village of Urk, part of the so-called "Bible Belt" in the northern Netherlands, the Flevoland province health service said.
The health service said it was "actively monitoring the situation" and examining whether it was necessary to vaccinate or administer antibodies to people who have been in contact with the infected patients. "In 2013 and previously, the disease occurred more often on Urk. Many people on Urk have experienced this disease and that means that a natural defence has built up," it said. Only 61.1 percent of people are vaccinated against measles in Urk, one of the lowest rates in the Netherlands, where the national average is 92.9 percent, according to the National Public Health and Environment Institute.
Urk is regarded as one of the most devout of the villages in the "Bible Belt" of conservative Protestant communities running from Zeeland in the south of the Netherlands across the country to the north west. Ninety-four percent of people in Urk regularly go to church, according to the Dutch Central Bureau of Statistics, compared to one in six of all Dutch people.
Dutch newspaper De Telegraaf said that in this devout community of Urk people believe that life and death are in God's hands, and so vaccinations are not permitted. Urk is considered a "closed' community because of its fisheries culture and Protestant orthodox religion," a European Commission report from 2010 said.
The UN warned in April of a global resurgence of measles -- a highly contagious viral infection that can prove fatal -- amid a growing "anti-vax" movement worldwide. The WHO says cases of the once all-but-eradicated disease surged 300 percent in 2018 across the globe. The anti-vax phenomenon has adherents across Western countries but especially in the United States, where it has been fuelled by the spread on social media of claims that the jab could cause autism, which medical officials have found are baseless.
Source: I Am Expat [edited]
Normally, the tropical tick species _Hyalomma [marginatum_] only arrives in Germany with the 1st wave of migratory birds. However, experts believe that this year  the disease-carrying giant ticks have spent the winter here for the 1st time ever. The tropical tick species _Hyalomma_ is not native to Germany and was detected in the federal republic for the 1st time in 2017. The ticks only began to appear in large numbers last year , when a total of 19 specimens were found in 8 of Germany's federal states.
This year , however, discoveries of the ticks were reported unusually early, leading researchers at the University of Hohenheim in Stuttgart and the Munich Institute for Microbiology to conclude that the newly-arrived tropical tick species overwintered in Germany for the 1st time this year . Over the past few days, 6 of the spidery ticks have been discovered in Germany: 5 on a horse farm in the Lower Rhine and one on a horse in Lower Saxony. "After the 1st evidence of this year , we must assume that these animals can winter in Germany," said Ute Mackenstedt, a parasitologist at the University of Hohenheim.
Accordingly, the ticks are "a significant step further towards establishing themselves here." The _Hyalomma_ tick is native to the dry and semi-arid areas of Africa, Asia, and southern Europe. It is distinctive for its long, spidery, striped legs and large body, and can grow up to 2 centimetres [about 0.8 in] in length, 2-3 times larger than their closest European relatives. Usually, the adult _Hyalomma_ ticks stick to sucking the blood of large animals, but they have been known to transfer themselves to human hosts too.
The major factor that distinguishes them from Germany's native tick population is the fact that they are able to actively sense, track, and hunt their warm-blooded hosts over dozens of meters. _Hyalomma_ ticks are also considered a major carrier of a dangerous virus that can cause Crimean-Congo haemorrhagic fever -- the most widespread viral disease carried by ticks. Currently, there is no vaccine for this, and 10 to 40 percent of cases are fatal.
However, at the moment there is no cause for alarm: none of the tick specimens that were discovered last year  were found to be carrying infectious agents. The size of the ticks means that they are also easier for humans to detect and remove. Moreover, the early appearance of the ticks does not necessarily mean that they have already become native to [established in] Germany. For a significant population to develop, males and females would have to find each other. That can be a tall order when the population is still relatively small. Even if they did find each other, the unhatched larvae would have to rely on an animal host, such as a bird or hare, to develop. [Byline: Aby Carter]
[Although there may not be immediate concern about _Hyalomma marginatum_ ticks posing a human or animal health danger in Germany, if they have truly become established there and their numbers increase, there is a risk of transmission of pathogens such as Crimean-Congo hemorrhagic fever, as occurred in Spain, or spotted fever rickettsia such as _Rickettsia aeschlimannii_ that has been found in these ticks in Germany.
The only documented _Hyalomma_ spp. tick in Germany was found on a human in the southern part of the country (Lake Constance area) in May 2006, but the possibility of tick transportation from Spain was not ruled out (1,2). The authors state that it is reasonable to suggest that the _Hyalomma_ spp. ticks that were examined had been transported by the birds from Africa.
The fact that a randomly caught bird was infested with _R. aeschlimannii_Â-infected ticks is suggestive of the intensive stream of new pathogens transported through Europe by migrating birds
1. Rumer L, Graser E, Hillebrand T, et al. _Rickettsia aeschlimannii_ in _Hyalomma marginatum_ ticks, Germany [letter]. Emerg Infect Dis. 2011; 17(2): 325-6; <https://dx.doi.org/10.3201/eid1702.100308>.
2. Kampen H, Poltz W, Hartelt K, et al. Detection of a questing _Hyalomma marginatum marginatum_ adult female (Acari, Ixodidae) in southern Germany. Exp Appl Acarol. 2007; 43(3): 227-31 <https://dx.doi.org/10.1007/s10493-007-9113-y>.
A map of the known distribution of _Hyalomma marginatum_ as of 2018 can be accessed at
An image of _Hyalomma marginatum_ can be accessed at the source URL above. - ProMED Mod.TY]
[HealthMap/ProMED-mail map of Germany:
Mogadishu, 25 June 2019 - Health authorities rolled out a polio campaign yesterday in Puntland and Somaliland to vaccinate more than 940 000 children under 5 years of age to stop an ongoing outbreak of a strain of poliovirus.
The campaign runs from 24 to 27 June 2019, with support from the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF). It targets all children in 12 districts in Somaliland and 9 districts in Puntland.
By the numbers:
- 945,480 children to be vaccinated
- 3160 vaccinators knocking on doors
- 677 team supervisors taking part
- 1558 social mobilizers sharing messages on vaccination and children’s health
- 15 children have been infected with the polioviruses so far, since outbreaks began
“It’s vital that parents ensure their children receive this vaccine because it builds immunity against a specific strain of poliovirus circulating in the country. I call upon all caregivers in the areas being covered in this campaign to please ensure children are at home and accept the oral polio vaccine when it is offered. Oral polio vaccines are stored and administered safely, and can save children from paralysis and permanent disability,” said Dr Mamunur Rahman Malik, WHO Representative for Somalia.
“The only way to protect children from all polioviruses is to ensure they receive multiple doses of polio vaccine, through campaigns and health facilities where possible,” said Werner Schultink, UNICEF Somalia Representative. “Caregivers need to ensure children receive this vaccine when it is available.”
Somalia’s polio programme has conducted 14 immunization campaigns, including 5 nationwide campaigns, since December 2017 to stop further spread of the outbreaks. Despite these efforts, not all Somalia’s children are being vaccinated, which has resulted in the polioviruses spreading across the country and spilling over to Ethiopia. To address this, polio teams from Somalia and Ethiopia conducted a joint planning workshop in Hargeisa last week, and are coordinating immunization activities along their shared border and in high-risk areas in each country during this round in order to prevent cross-border transmission and spill over.
Concurrent to the polio campaign, polio health workers have also been working to vaccinate more than 650 000 people aged one year and above against cholera in high-risk districts of Somalia.
Kinshasa, June 24, 2019 (AFP) - More than 1,500 people have died in a nearly 10-month-old outbreak of Ebola in the Democratic Republic of Congo, the health ministry said Monday. As of Sunday, 1,506 people have died out of 2,239 recorded cases, it said. Earlier this month, the virus claimed two lives in neighbouring Uganda among a family who had travelled to the DRC. Nearly 141,000 people have been vaccinated in the affected eastern DRC provinces of Ituri and North Kivu, the epicentre of the outbreak.
Ebola spreads among humans through close contact with the blood, body fluids, secretions or organs of an infected person, or objects contaminated by such fluids. The current outbreak in the DRC is the worst on record after an epidemic that struck mainly in Liberia, Guinea and Sierra Leone between 2014-2016, killing more than 11,300 people. Chronic violence and militia activity in Ituri and North Kivu as well as hostility to medical teams among locals have hampered the response.
On Monday, a crowd of people opposed to the burial of two Ebola victims in the Beni area burnt the vehicle of a health team, local police chief Colonel Safari Kazingufu told AFP. He said a member of the medical team had been injured in the attack and taken to hospital. The United Nations in May nominated an emergency coordinator to deal with the crisis. However, the World Health Organization (WHO) said this month the outbreak currently did not represent a global threat.