February 2nd 2012

Germany/exKenya - Trypanosomiasis
A case of trypanosomiasis imported from Masai Mara, Kenya was diagnosed in Frankfurt, Germany.
A 61-year-old male patient had returned from Kenya on 28 Jan 2012. Two hours after arrival, he developed a high fever and admitted himself to a local hospital on 29 Jan 2012. Treatment was started for suspected malaria tropica [_Plasmodium falciparum_], and the patient was transferred to Frankfurt University Hospital the following day. Malaria could not be confirmed, but trypanosomes were seen in thick blood stain, QBC and Giemsa. Treatment was started. Clinically, the patient suffered from high fever, headache and fatigue.
The patient had travelled to Mombasa where he stayed at a beach resort the entire time except for a 2-day excursion to Masai Mara for a safari on 18-19 Jan 2012. The night was spent at a camp. The other member of the travel party does not show any symptoms of trypanosomiasis to date.
The report shows that there is a risk, although small, to tourists in the Kenyan game park.

January 25th 2012

Zimbabwe - Typhoid
An outbreak of Typhoid Fever affecting 600 people with 90 of them hospitalized was reported in the capital Harare.

January 5th 2012

Since 3 years we offer the medicalQM International Patient Safety Seal (IPS-Seal) to hospitals around the globe, taking care of local and international patients with high standard in medical treatment and patient safety.
The evaluation also includes disease and disaster awareness and management.
The IPS-Seal 2012 is now available.

December 31st 2011

Have a healthy & happy 2012 everyone!
Thank you very much for your
and all the fun we had in 2011.
Let's continue this way in 2012!

December 19th 2011

Award Night on Bali
Yesterday night, December 18th 2011, the handover ceremony of the
TravelMedicus Global Hospital Award 2011
was held at Inna Grand Bali Beach Hotel in Sanur on Bali/Indonesia.
More than 300 invited guests enjoyed the cultural performances and listened to the speeches of distinguished guests from local and international government, tourism business and industry.
We congratulate the winner of the award 2011, the Kasih Ibu General Hospital on Bali.
Some pictures of the event available on www.TravelMedicus.com

December 15th 2011

Vietnam - Enterovirus 71
The Vietnamese Ministry of Health has confirmed an outbreak of hand, foot and mouth disease (HFMD) attributed to human enterovirus 71 (EV71). The outbreak is concentrated in the southern part of the country, but cases have been reported from all regions.
Cities and provinces with the highest numbers of HFMD deaths are Ho Chi Minh City, Dong Nai, Binh Duong, Long An, Ba Ria-Vung Tau, Bac Lieu, Dong Tap, Tien Giang, and Quang Ngai.
HFMD is a common illness that usually affects infants and young children. However, older children and adults can also become infected. HFMD can be caused by several different viruses. Symptoms of HFMD include fever, painful blister-like sores in the mouth, and a skin rash. HFMD is spread from person to person by direct contact with the viruses that cause this disease. These viruses can be found in saliva, nasal secretions, blister fluid, and feces of the infected persons. The viruses also may be spread when an infected person touches objects and surfaces that are then touched by others.
You can protect yourself from HFMD by practicing healthy personal hygiene. Wash your hands often with soap and water, especially before you eat, after you cough or sneeze, and after you go to the bathroom or change a baby's diaper. If soap and water are not available, use an alcohol-based hand gel (with at least 60 percent alcohol). Consider packing alcohol-based hand gel in your carry-on luggage to ensure you have it when needed. Disinfect dirty surfaces and soiled items. Avoid close contact such as kissing, hugging, or sharing eating utensils or cups with people with HFMD.

November 29th 2011

On December 18th 2011, a gala dinner will be held on Bali/Indonesia for the handover ceremony of the TravelMedicus Global Hospital Award 2011 to Kasih Ibu Hospital.

November 23rd 2011

Malaysia - Hepatitis A
In three villages in Hulu Terengganu district, river water was believed to be the source of the Hepatitis A outbreak that infected 800 people.

November 12th 2011

Thailand - Leptospirosis
The Thailand Public Health Ministry warned of possible infection with Leptospirosis in flooded areas.
People urged to avoid consuming ice and iced drinks from unknown production sources.

November 10th 2011

Greece - Malaria
Between May 21st and October 26th 2011, 61 cases of Malaria (Plasmodium vivax) have been reported in Greece. Of these, 33 cases (including one death) were in local residents with no history of travel to a malaria endemic countries.

November 4th 2011

Spain/Canary Islands - Eruption at Hierro Volcano (Update)
The submarine eruptions at El Hierro volcano still continuing. On November 2nd a magnitude 4.4 earthquake happened in El Golfo Bay in a depth of 23 km and was followed by strong harmonic tremor. On November 3rd new areas of yellow-green stained water was visible above the eruption site. Bubbling and muddy water was visible in the area too. Within a radius of 1,5 km of the eruption site no marine life was registered. The alert level at El Hierro volcano remains RED.

November 2nd 2011

Chile - Cerro Hudson Volcano (Update)
The alert level at Cerro Hudson volcano has been reduced to level 4 (out of a maximum 5) after a less than one earthquake was recorded per hour. The minor eruption of October 26th has finished. No sulphur dioxide was reported at the crater. A 45 km exclusion zone remains in place around the volcano, as eruptions are still possible.

October 29th 2011

Chile - Cerro Hudson Volcano (Update)
A large exclusion zone of 45 km is in place around Cerro Hudson volcano. The volcano remains on the highest level 5 alert due to high seismic activity. Steam and minor ash emissions reached height of 5.5 km on October 27th. A minor eruption was confirmed on October 26th. The eruption of Cerro Hudson volcano in 1991 was one of the largest in the world in the 20th century.

Eruption at Hudson Volcano Oct 2011

October 27th 2011

Chile - Volcanic Activity at Cerro Hudson Volcano
The alert level at Cerro Hudson volcano in southern Chile has been placed on the highest level 5 alert. It means, an eruption is possible within hours or days. Yesterday, an earthquake swarm occurred at the volcano. Population centres are located downwind of the volcano and ashfall would be expected after an eruption. The summit contains ice therefore an eruption would likely generate lahars. There is a possibility of secondary lahars after rainfall mobilises ash deposits. Visual observations of the volcano on 26th October showed a white column, with little ash, rising to a height of 1.5 km above the volcano. The last eruption of Cerro Hudson volcano in 1991 was very large and sent ash across Patagonia, Falkland Islands, and Australia.

October 23rd 2011

Eastern Turkey - Major Earthquake 7.2
Today. a major earthquake with magnitude 7.2 occurred in eastern Turkey. The epicenter was located 16 km NNE of the city of Van in a depth of 20km. Until now, 217 people reported killed (117 in the city of Ercis, 100 in Van) and 1090 have been injured (740 in Ercis, 350 in Van).
25.10.2011 Update: As of today, the death toll increased to 366, 1,301 people are listed as injured and 2,262 buildings have collapsed.
26.10.2011 Update: As of today, the death toll increased to 481 and 1.650 people are listed as injured due to the earthquake.
27.10.2011 Update: Until today, 534 people died and 2.300 injured. 185 people have been pulled out from the rubble alive. 7.069 buildings have been examined in the central district of Van Province, villages and neighbourhoods in the central District of Ercis. 3.713 buildings have been deemed to be uninhabitable affecting 5.250 households.

October 14th 2011

6.1 Earthquake near Bali on October 13th 2011
Students in Jimbaran/Bali got trained while the 6.1 Earthquake occured yesterday. The following video was done during their lessons and shows how the (trained) students reacted...
Please click here and watch the video on our medicalQM website.

October 13th 2011

Indonesia/Bali - Earthquake 6.1
Today, at 03:16 UTC (11:16 AM local time at epicenter) an earthquake with Mag. 6.1 occurred 100km SW of Bali Island, Indonesia, in a depth of 35km. At least 50 people have been injured (many with cuts, broken bones and head wounds), and some temples, schools and houses got minor damage. Moderate damage was reported to shops as well as falling debris has caused cars and other front shops to be damaged.

October 11th 2011

Spain/Canary Islands - Eruption at Hierro Volcano
Yesterday, an undersea eruption began off the coast of El Hierro Island, Canary Islands. Initial reports have placed the eruption site a few kilometers off the south coast of the island at a depth of about 450 m. The eruption has only been confirmed by seismic activity records.

October 6th 2011

Estonia - Hepatitis A
Estonia has reported an increase in Hepatitis A cases in 2011 with a notable peak since August 2011. As of September 26th, a total of 62 cases of hepatitis A have been reported, including 13 new cases in the week 19 - 25 September.

East and South East Asia - Hand, Foot and Mouth Disease
In 2011 there has been an increase in the number of cases of Hand, Foot and Mouth Disease in East and South East Asia. There has been high activity in Viet Nam, Japan, Democratic People's Republic of Korea, China (including mainland China and Macao). Hong Kong (China) and Singapore report ongoing activity.

October 5th 2011

Iceland - Activity near Katla Volcano
Under Mýrdalsjökull glacier near Katla volcano in Iceland, a swarm of earthquakes hat begun. The swarm began on October 5th at around 3 am local time. The first earthquake in the swarm measured magnitude 3. Residents on the coast near the glacier have been alerted to a possible glacial outburst from Mýrdalsjökull.

October 4th 2011

Indonesia - Activity at Krakatau Volcano
Last Friday, Krakatau volcano was raised to level 3 alert (out of maximum 4). Between September 18th and 30th volcanic earthquakes and tremor have been recorded at the volcano. Explosive eruptions in July 2011 destroyed the seismic monitoring equipment at Krakatau volcano, which resumed operation on September 18th. A 2km exclusion zone has been placed around the volcano.

September 28th 2011

World Rabies Day
Awareness is the Best Defense against Rabies
Today, the world is again joining together the World Rabies Day to raise awareness and understanding about the importance of rabies prevention. Rabies is the oldest and deadliest disease known to mankind and mediScon is supporting this initiative.
Led by the Alliance for Rabies Control and supported by numerous human and animal health organizations worldwide, World Rabies Day is a unique campaign that brings together hundreds of thousands of people across the world to reinforce the message that rabies is a preventable disease, yet kills 55,000 people needlessly each year, half of which are children under the age of 15. A rate of one person dying of Rabies every ten minutes.

September 25th 2011

Spain - Activity at Canary Islands
Yesterday, the Canary Islands government has set up an "yellow alert" for the population of El Hierro Island. Since July 2011, a lot of volcanic tremors are continuing to occur below the island. Main reason for the alert increase are the increasing number of volcanic earthquakes as well as deformations (up to 30 mm change from the beginning). The current yellow alert phase does not mean that an eruption is eminent, but the population have to be informed on risks and will be informed how to implement protective measures. The 'Cabildo de El Hierro' will be responsible for informing the public of the practical aspects of the action plan including meeting points, shelters and evacuation plans.

September 9th 2011

Indonesia - Activity at Tambora Volcano
Yesterday, Tambora volcano on Sumbawa/NTT in Indonesia has been raised to level 3 alert (out of maximum 4). On September 6th continuous tremor was recorded at the volcano. On September 7th there were 40 shallow volcanic earthquakes. A 3-km exclusion zone has been placed around the volcano.

September 5th 2011

Indonesia - R.S.I. Surakarta
TRAVELMEDICUS tv team visited Surakarta Islamic Hospital in central Java/Indonesia. Have a look inside Surakarta Islamic Hospital at our GlobalHospitalGuide.
>click here<

August 29th 2011

Indonesia - Visit at Cancar hospital
The TRAVELMEDICUS tv team visited our network hospital in the mountains of Flores island in eastern Indonesia. Have a look at our Global Hospital Guide >click here<

August 21st 2011

Vanuatu - Major Earthquake 7.1 (Update)
The Vanuatu National Disaster Management Office reported it has received no reports of damage and has cancelled a local tsunami warning advisory.

August 20th 2011

Vanuatu - Major Earthquake 7.1
Today, at 16:55 UTC (Local time at epicentre: Sun, Aug. 21st. 2011 3.55am) a major earthquake with magnitude 7.1 occurred 63km SSW of Port Vila on Efate (Vanuatu), 190km NW of Isangel on Tanna (Vanuatu) and 316km SSE of Luganville on Espiritu Santo (Vanuatu) in a depth of 40,6km. Many aftershocks were registered with magnitude 5.0 up to 7.0. The Vanuatu Meteorological Service reported tsunami waves of 1.05 meter arrived on Efate island. Yesterday, an earthquake with magnitude 6.2 was recorded in the neighboring area of Fiji Islands.

August 20th 2011

New Zealand (Northland) - Rubella & Measles
At least 3 people have been confirmed with Rubella in Northland (2 in Auckland and 1 in Northland). Only 30 confirmed cases have been recorded in New Zealand in the past 11 years. Although more than 100 people were confirmed with measles in an Auckland outbreak, so far there has been only one case in Northland. The diseases are preventable by immunization.

August 19th 2011

People around the globe are interested in TV travel documentary. Last year, our team started an evaluation project in possibilites of combining travel - health - globalization in a new way of travel documentary. Involving network partner and network hospitals, the result was positive!
You can have a look at the first trailer at www.TRAVELMEDICUStv.com
Hospitals and clinics are invited to take part in one of our next shootings in travelMEDutainment.

August 15th 2011

Indonesia - Soputan Volcano (Update)
Yesterday, eruptions occurred at Soputan volcano in Indonesia. The first eruption at 7:55 am local time produced an eruption column 1 km above the summit. The second eruption at 9:27 am local time produced a column 1.2 km above the summit. The alert status at the volcano was raised to level 3 (out of maximum 4). An 8 km exclusion zone has been placed around the volcano.

August 12th 2011

Indonesia - Karangetang Volcano
The alert level at Karangetang volcano in Indonesia has been raised to level 3 alert after an increase in activity during July and August. On July 8th 2011 a phreatic eruption occurred north of the main crater with an eruption height of 150 m. On July 24th a pyroclastic flow extended 1.5 km from the main crater. On August 1st incandescent lava avalanches occurred extending a distance of about 1.500 m from the main crater. On August 7th eruption sounds were heard from the crater, while the mountain was covered in mist. Between July 31st to August 7th 2011 there were 61 avalanche earthquakes and periods of volcanic tremor. People are advised not to climb the volcano more than 500 m in height from the sea.

August 2nd 2011

Fiji - Rubella
The number of confirmed cases of rubella virus infection in Fiji has increased from the 3 (2 females and a male aged between 19 and 24) reported a week ago to the current total of 11 cases.

Congenital rubella syndrome (CRS) is an important cause of severe birth defects. When a woman is infected with the rubella virus early in pregnancy, she has a 90 percent chance of passing the virus on to her fetus. This can cause the death of the fetus, or it may cause CRS. Even though it is a mild childhood illness, CRS causes many birth defects. Deafness is the most common, but CRS can also cause defects in the eyes, heart and brain. Rubella is spread in airborne droplets when infected people sneeze or cough. Once a person is infected, the virus spreads throughout the body in about 5 to 7 days. During this time, pregnant women may pass the virus on to their fetuses. Rubella is a vaccine-preventable disease.

July 25th 2011

Dominican Republic - Cholera
The Dominican Republic's death toll in the cholera epidemic that spread from Haiti has risen to 87 out of more than 13 000 suspected cases, authorities said on Fri 22 Jul 2011. The country shares the island of Hispaniola with Haiti, where the epidemic began. The Dominican health ministry reported that the death toll had risen by 16 since 8 Jul 2011 to 87. According to the ministry, there have been 773 new cases in the last week, for a total of 13 200 since the beginning of the epidemic, which spread to the Dominican Republic from Haiti in November 2010.
To date, 2 European tourists, a 69-year-old English woman and a 60-year-old German woman, contracted cholera while staying at resorts in Punta Cana, Dominican Republic, in May 2011. Theirs were the 1st Dominican-linked cases reported by EU member states since the epidemic began. The sources of their infections could have been either water or food.

July 17th 2011

Indonesia - Eruption at Lokon Volcano
Today, Lokon volcano in Sulawesi erupted with sending ash to a height of 3,500 m. Ash emissions were visible from Manado. Increasing activity at the volcano forced 5,000 people to evacuate. Todays eruption was the largest since the volcano was placed on the highest alert level last week. Authorities have informed villagers of Tinoor to be very careful and to be ready for evacuation if necessary. Warembungan village has also been informed to be cautious. Authorities have distributed free masks to the public in these areas.

July 4th 2011

Indonesia - Eruption at Soputan Volcano
Yesterday, an explosive eruption began at Soputan volcano located in Northern Sulawesi. The eruption send an ash plume up to more than 5000 m high. Some regional airports (including Manado) have been closed from the time of the eruption until the afternoon because of ash clouds. The settlements around the volcano have not been evacuated as the eruption has been centered around the crater with limited impact to surrounding landscape. The Indonesian authorities are monitoring the eruption continuously and will order an evacuation if the volcano would change his erupting pattern.
Geologic Summary: The small Soputan stratovolcano on the southern rim of the Quaternary Tondano caldera on the northern arm of Sulawesi Island is one of Sulawesi's most active volcanoes. The last eruption of Soputan volcano was on June 6th 2008.

July 1st 2011

Europe/Germany - Enterohemorrhagic E. coli infection (Update)
In the EU/EEA, 892 HUS (hemolytic uremic syndrome) cases, including 32 deaths, and 3.233 non-HUS cases, including 17 deaths, have so far been reported. Since the last update, Germany reports 4 additional HUS cases, 44 additional non-HUS STEC (Shiga Toxin producing _Escherichia Coli_) cases and a new HUS fatality. The latest known date of onset of diarrhea for cases is 26 Jun 2011 in Germany.
With regards to the outbreak in France (Bordeaux Region), 8 cases of bloody diarrhea and a further 8 HUS cases have been identified as of 30 Jun 2011. Infection with _E. coli_ O104:H4 has been confirmed for 6 patients with HUS. 11 of the patients had attended an event in Begles, where 9 reported having eaten sprouts; it concerns 7 women and 4 men, between 31 and 64 years of age.
Thorough investigations are ongoing. Strains from 3 patients tested by the French authorities were compared to strains from patients linked to the outbreak in Germany. The comparison showed that the 2 strains were indistinguishable. This suggests that these 2 events are related to a common source.
Total cases: 4.125 with 49 deaths.
By noting the EU number of cumulative cases of HUS and non-HUS cases and their total as well as deaths, the daily rise of the numbers can be seen on the following list:

Date new HUS new non-HUS new total overall total deaths
06.June 3 67 70 22
07.June 13 83 96 23
08.June 48 266 314 25
09.June 35 121 156 27
10.June 38 115 153 31
11.June 14 177 191 35
12.June 0 40 40 35
13.June 8 34 42 36
14.June 1 6 7 36
15.June 3 17 20 37
16.June 2 48 50 39
17.June 14 92 106 39
20.June 12 74 96 40
21.June 4 89 93 40
22.June 8 79 87 43
27.June 7 78 85 47 (5 day gap)
28.June 4 97 101 48
29.June 0 29 29 48
30.June 3 19 22 48
01.July 4 44 48 49


Chile - Puyehue Volcano (Update)
Ash from Puyehue volcano in Chile disrupted air traffic over Southamerica, Australia and New Zealand from June 13th - 27th. During the week beginning June 13th more than 700 flights were affected and disrupted travel for over 100,000 passengers. Today, flights between Australia and New Zealand resumed, however flight in Chile and Argentina continue to be affected.


Europe/Germany - Enterohemorrhagic E. coli infection (Update)
In the EU/EEA, 862 HUS (Hemolytic Uremic Syndrome) cases, including 30 deaths, and 2.930 non-HUS cases, including 13 deaths, have been reported so far. Two days ago, Germany reports 8 additional HUS cases and 2 new HUS deaths. It also reports 79 additional non-HUS STEC cases and 1 new non-HUS death. Sweden reports 3 additional non-HUS STEC cases who visited Germany mid-May. The latest known date of onset of diarrhea for cases is 16 Jun 2011. Total cases: 3.793 with 44 deaths.
By noting the EU number of cumulative cases of HUS and non-HUS cases and their total as well as deaths, the daily rise of the numbers can be seen on the following list:

Date new HUS new non-HUS new total overall total deaths
06.June 3 67 70 22
07.June 13 83 96 23
08.June 48 266 314 25
09.June 35 121 156 27
10.June 38 115 153 31
11.June 14 177 191 35
12.June 0 40 40 35
13.June 8 34 42 36
14.June 1 6 7 36
15.June 3 17 20 37
16.June 2 48 50 39
17.June 14 92 106 39
20.June 12 74 96 40
21.June 4 89 93 40
22.June 8 79 87 43
23.June n.n. n.n. n.n. 44


Germany - Enterohemorrhagic E. coli infection (Update)
Yesterday, WHO reported that (as of June 10th 2011), 2.440 cases of Enterohemorrhagic E. coli infection and 809 cases of haemolytic uraemic syndrome, a total of 3.249 cases have been reported in 14 countries in Europe. There were 3.147 cases reported in Germany alone, with 34 deaths. The majority of these cases had recently visited northern Germany. German authorities stated that mounting epidemiological and food-chain evidence indicated that bean and seed sprouts are the vehicle of the outbreak in Germany. The authorities now recommend that people in Germany should not eat raw bean and seed sprouts of any origin.
WHO recommends normal hygiene measures should be observed, hand washing after toilet use and before touching food. Anyone who has developed bloody diarrhoea and abdominal pain, and who has had contact recently with northern Germany, should seek medical advice urgently.


Japan - Earthquake & Tsunami (Update)
A 9.0-magnitude earthquake occurred on March 11th 2011 in Japan at 05:46:23 GMT, hitting the northeast coast of Honshu. The worst affected area is the east coast of Tohoku region. Tsunamis have caused devastation in the coastal areas of Tohoku and southern Hokkaido. Based on official Japanese government figures (June 7th), 15 382 people are confirmed dead, 5 364 injured and 8 191 missing. There are now 93 270 evacuees. Health situation monitoring, needs and risk assessments and response in the earthquake and tsunami affected areas are ongoing.


Germany - Enterohemorrhagic E. coli infection
Yesterday, the WHO reported that 1.674 cases of Enterohemorrhagic E. coli infection and 661 cases of haemolytic uraemic syndrome (HUS), a total of 2.335 cases have been reported in 13 countries in Europe. There were 2.231 cases reported in Germany alone, with 21 deaths. The majority of these cases had recently visited northern Germany. The cause of the outbreak is still unclear.
mediScon assumed, salad with bean and seed sprouts could be one of the main sources of contamination with EHEC bacteria. Therefore we recommend to avoid consuming salad with uncooked bean and seed sprouts.
WHO recommends normal hygiene measures should be observed, hand washing after toilet use and before touching food. Anyone who has developed bloody diarrhoea and abdominal pain, and who has had contact recently with northern Germany, should seek medical advice urgently.


Chile - Eruption at Puyehue Volcano
Saturday, Puyehue volcano in Chile erupted after 51 years of inactivity. On June 3rd, a seismic swarm occurred with 1.450 earthquakes registered at the volcano, associated with magma movement under the volcano. The earthquakes had a focus of 2-5 km depth on the southeast flank of the volcano. More than 130 earthquakes were greater than magnitude 2. On Saturday, the volcano alert was raised to level RED after a marked increase in seismic activity. In a period of six hours, there have been more than 230 earthquakes per hour with a focus of 1-4 km depth. Twelve of the earthquake were greater than magnitude 4.0, 50 greater than magnitude 3.0. More than half of the earthquakes were higher than magnitude 2.0. The largest earthquake occurred at 8:36 am local time on June 4th with a magnitude 4.4. Residents reported, they felt earthquakes on Friday evening and Saturday morning. The explosive eruption began on Saturday, producing an ash column up to 10 km height. More than 600 people were evacuated from the area. Volcanic ash fell in the city of Bariloche in Argentina, and the airport was closed. Residents of Bariloche said that ash fell like a snowstorm. The Argentine government has sent military troops to help residents affected by the ashfall. A border crossing between Chile and Argentina at Cardenal Samore was closed due to the eruption creating poor visibility on the mountain pass. The last eruption of Puyehue volcano was in 1960 following a 9.5 earthquake.


Indonesia - Activity at Dieng Volcanic Plateau
Gas emissions at Dieng plateau in central Java has forced the evacuation of 1,200 residents. On May 28th there was a sudden increase in carbon dioxide emissions at Timbang. One day later, there was a felt earthquake at the plateau followed by shallow seismic activity. This corresponded to a phreatic eruption at Timbang crater. Dead birds were found near the crater. People are advised to remain at least 1 km from Timbang crater. The alert status at the volcano has been raised to level 3 (Siaga) out of a maximum 4.


Website failure on May 29th + 30th
Due to server error, our websites have been offline for about 12 hours. We kindly ask for your understanding.


Japan - Great Earthquake and Tsunami (Update)
A 9.0 magnitude earthquake occurred 11 March 2011 in Japan at 05:46 GMT, hitting the northeast coast of Honshu. The worst affected area is the east coast of Tohoku region. Tsunamis have caused devastation in the coastal areas of Tohoku and southern Hokkaido.
Based on official Japanese government figures as of today, 14 981 people are confirmed dead, 5 280 injured with 9 853 people missing. There are currently 115 098 evacuees.


Last weekend we presented our new TravelMedicus.tv helicopter to the public! It was a great event together with friends, partners and interview-partners. Please have a look at the photo-gallery behind the link:


Ecuador - Volcanic Activity at Tungurahua Volcano
Yesterday, an increased activity occurred at Tungurahua volcano. Ash emissions reached a height of 4 km above the crater. An orange alert has been issued for the volcano, and residents have been evacuated from areas close to the volcano. Already since April 20th, activity has been increasing at the volcano. There has been a widening of the crater and gas emissions are currently more than a thousand tonnes per day.


Global Hospital Guide - New Hospital from Thailand listed
We welcome the Bangkok Hospital Hua Hin in our Global Hospital Guide network. The hospital was opened at the beginning of this year and since this month all departments are opened and established. We wish all the best to the Hospital Director Dr. Somarch Wongkhomthong and his team.


Philippines - Taal Volcano
Due to an intrusion of Magma towards the surface, Taal volcano in Luzon has been placed on level 2 alert. The temperature of the main crater lake has increased to 31.5°C. There has been a small inflation of the volcano. High levels of carbon dioxide have been released in the main crater and seismic activity is elevated. Authorities have advised the Main Crater, Daang Kastila Trail and Mt. Tabaro are closed to visitors due to the risk of explosion, and emission of toxic gas.


Japan - Great Earthquake and Tsunami (Update)
Yesterday, a magnitude 7.1 after shock, about 49 kilometers below ground, occurred off the Miyagi coast, northeastern Japan at 23:32 local time at epicentre. It was the largest aftershock since the 11 March quake. A tsunami warning was issued for coastal areas in Miyagi Prefecture, and tsunami evacuation advisories for Japan's northeastern seaboard from Aomori to Ibaraki prefectures. The warning and advisories were lifted about 80 minutes after the quake. Based on official Japanese government figures (April 5th, 17:00 Tokyo time), 12 344 people are confirmed dead, 2 869 injured with more than 15 237 missing. There are now 163 607 evacuees.


Germany/Indonesia – Shooting of Analysis
On April 1st our TravelMedicus.tv team was filming at Leibniz University in Hanover. Different interviews and also different laboratory analysis had to be done regarding the volcanic eruption at Merapi volcano last October.
Look at the picture below and see why the volcanic ash of Merapi eruption is a very good mineral fertilizer.

Volcanic Ash - A Mineral Fertilizer


Japan - Great Earthquake and Tsunami (Update)
A 9.0 magnitude earthquake occurred 11 March 2011 in Japan at 05:46 GMT, hitting the northeast coast of Honshu. The worst affected area is the east coast of Tohoku region. Tsunamis have caused devastation in the coastal areas of Tohoku and southern Hokkaido.
Based on official Japanese government figures (30 March, 14:30 Tokyo time), 11 102 people are confirmed dead, 2 778 injured with more than 16 493 missing. There are now 177 465 evacuees.
Today's question: Are Natural Disasters foreseeable?
The Japanese scientists wrote in 2001 (Journal of Natural Disaster Science, Volume 23, Number 2, 2001, pp 83-88):
"The fore-arc region of northeast Japan is an area of extensive seismic activity and tsunami generation. On July 13, 869 the Jögan tsunami triggered by a large-scale earthquake invaded its coastal zones...
The recurrence interval for a largescale tsunami in Sendai area is 800 to 1100 years. More than 1100 years have passed since the Jögan tsunami and, given the reoccurrence interval, the possibility of a large tsunami striking the Sendai plain is high. Our numerical findings indicate that a tsunami similar to the Jögan one would inundate the present coastal plain for about 2.5 to 3 km inland."
So, how could it happen that no one reacted to this? The research was supported by Japanese Government.
Answer: We believe, many industrial nations having important knowledge of their countries like the Japanese scientists offered regarding the Sendai plate, and ignoring this like it happened currently in Japan.


Japan - Great Earthquake and Tsunami (Update)
A 9.0 magnitude earthquake occurred 11 March 2011 in Japan at 05:46:23 GMT, hitting the northeast coast of Honshu. The worst affected area is the east coast of Tohoku region. Tsunamis have caused devastation in the coastal areas of Tohoku and southern Hokkaido. Based on official Japanese government figures as of today, 10 489 people are confirmed dead, 2 777 injured with more than 16 621 missing. There are now 243 129 evacuees. Today, the Japan Ministry of Health, Labour and Welfare (MHLW) informed residents that infants should refrain from consuming tap water in the following areas:
- Fukushima Prefecture: Minamisoma City, Iitate Village and Iwaki City
- Ibaraki Prefecture: Kasama City
- Chiba Prefecture: Chiba Kashiwai treatment plant


Japan - Great Earthquake and Tsunami (Update)
A 9.0 magnitude earthquake occurred 11 March 2011 in Japan at 05:46:23 GMT, hitting the northeast coast of Honshu. The worst affected area is the east coast of Tohoku region. Tsunamis have caused devastation in the coastal areas of Tohoku and southern Hokkaido. Based on official Japanese government figures, 9 811 people are confirmed dead, 2 779 injured with more than 17 541 missing. There are now 245 394 evacuees.


Indonesia - Alert Level at Karangetang Volcano
In just one week, activity has increased at Karangetang on Siau Island. Yesterday, the volcano was placed on the highest level alert (Awas) as the volcano produced avalanches and pyroclastic flows. Karangetang is one of the most active volcanoes in Indonesia, with frequent eruptions events every year. The explosive eruptions often accompanied by pyroclastic flows, reaching a distance of 4 km from the crater which threatens nearby populated areas.


Japan - Radiation Emergency in Fukushima Prefecture
Today, Japan's nuclear safety agency lifted the ranking of the accident in Fukushima from 4 to 5 on the international scale INES.
The International Nuclear and Radiological Event Scale (INES) was introduced in 1990. There are 8 levels on the INES scale: A level 0 with no safety significance, 3 incident-levels (1-3) and 4 accident-levels (4-7).
7 – Major Accident
6 – Serious Accident
5 – Accident With Wider Consequences
4 – Accident With Local Consequences
3 – Serious Incident
2 – Incident
1 – Anomaly
0 – Deviation (No Safety Significance)


Japan - Radiation Emergency in Fukushima Prefecture
While we received many questions regarding clinical symptoms in acute radiation syndrome (ARS), we want to offer a reliable source for answers. Please follow the link:


Japan - Great Earthquake and Tsunami
Aftershocks continue in northeast Japan after the biggest recorded earthquake in Japan's history (Mag 9.0). There are fears a meltdown may be occurring at one of the reactors of an earthquake-damaged nuclear power plant in northeast Japan. Engineers based the conclusion on radioactive cesium and iodine measured in the air near the plant last night. Japan's nuclear safety agency rated the accident at four on the international scale of zero to seven. The 1979 Three Mile Island accident in the United States was rated five, while the 1986 Chernobyl disaster was a seven. So far the earthquake and tsunami has caused 1,000 fatalities. In the small port town of Minamisanriku alone, some 10,000 people are missed (this is more than half the population of the town).
Please click here for factsheets in Radiation Emergency:
-> Evaluate for Contamination and/or Exposure
-> Contamination: Diagnose/Manage
-> Exposure: Diagnose/Manage Acute Radiation Syndrome


Japan - Great Earthquake and Tsunami
The latest news about the great earthquake and tsunami in Japan posted here: "Earthquake/Eruption"
We would like like to express our deepest sympathy to all the families and friends of those people killed and injured in Japan.


Worldwide - Poliomyelitis
As of February 24th 2011, 23 confirmed cases of Poliomyelitis were reported worldwide, with 10 in endemic countries and 13 in non-endemic countries. The disease remains endemic in four countries: Afghanistan, India, Nigeria and Pakistan.

USA - Legionellosis
The number of people who have fallen ill after a conference held in Santa Monica, Los Angeles has reached 200. Affected people developed symptoms mostly consisting of fever, chills, malaise and some cough. The authority suspected that it is an outbreak of Legionellosis.

USA - Dengue Fever
On March 2nd 2011, the health department of USA confirmed the second case of Dengue Fever acquired locally in Miami-Dade County, Florida. The first case was reported in November last year.

Croatia - Dengue Fever
After the report of one German tourist acquired Dengue Fever in Peljesac peninsula, Croatia, 15 more local cases of the disease were identified in the peninsula.


Germany - ITB Berlin
The ITB Berlin is the world's leading travel trade show.
Are you going to visit the ITB in Berlin (March 9. - 13. 2011)?
If so, let us meet up!
Contact us


Indonesia (Bali and Flores) - Rabies (Human)
More than 124 people died of Rabies on Bali, since the outbreak started late in 2008. The index-dog, who came to Bali with the Rabies virus arrived from Flores island (Lesser Sunda Islands). Currently more than 240 people in the eastern part of Flores are undergoing intensive medical care after they got infected with Rabies.

Papua New Guinea - Cholera

The outbreak of Cholera in Papua New Guinea, which began in 2009 has already killed 483 people and infected more than 10.000 people.

Peru - Rabies (Human)
8 children died due to Rabies in Bagua province in Amazonas region. This outbreak was transmitted through the bite of infected bats.

Turkey - Measles
A total of 24 cases of Measles have been reported in Turkey. They were all Turks including 4 health service employees and 4 infants.

New Zealand - Measles
The Auckland Regional Public Health Service of New Zealand reported one confirmed Measles case who was a passenger on board the Malaysian Airlines flight MH131 which flew from Kuala Lumpur to Auckland Airport on 18 February 2011. The health service was now contacting other passengers on board the same flight.

Philippines - Measles
Currently, at least 7 cases of Measles were reported in South Cotabato province.

United Kingdom - Mumps
Since November 2010 a total of 119 cases with Mumps have been reported in the Oban area, Scotland. Three cases had complications (orchitis, pancreatitis). The index case was an university student who had returned home for holidays. Many of the initial cases had attended a school dance and a large party in Oban.


Australia - Measles
Since the beginning of this year, 15 cases of Measles were reported in Victoria. Out of which, 8 cases were imported from foreign countries.

India - Poliomyelitis
In view of the recent cases of Poliomyelitis detected in West Bengal, India, the health authority had conducted a new round of immunization against the disease in five districts across the state including Kolkata.

Madagascar - Plague
An epidemic of pneumonic plague occurred in the region east of Beramanja. The first suspected case appeared on 27 January 2011, followed by the first death 2 days later. 16 deaths have been reported so far.

Bangladesh - Nipah virus
31 fatal cases of Nipah encephalitis were reported in the country so far this year.
Nipah virus can be transmitted to humans from animals or directly from human-to-human. Infected people initially develop influenza-like symptoms of fever, headaches, muscle pain, vomiting and sore throat. In severe cases, complications may happen such as encephalitis. There is no treatment or vaccine available.

Indonesia - Leptospirosis
In January this year, 15 cases of Leptospirosis including 4 deaths were reported in Bantul, Yogyakarta province on Java island.


Australia - Dengue Fever
The Queensland Health Dept. issued a Dengue warning after receiving the confirmation of at least one locally acquired case of Dengue Fever.

Cote d'Ivoire - Yellow Fever (Update)
The outbreak of Yellow Fever have already killed 35 people and affected 79 people in Cote d'Ivoire. The affected departments included Seguela, Katiola, Beoumi and Mankono.


Hanover/Germany - Docu-Interview-Event
Planning an interview event with geologists, biologists, tourism experts and medical doctors in Hanover on April 30th and May 1st, we want to offer helicopter flights for public too. Yesterday we did a short interview regarding helicopter flying with "Jan & Jan" (Please read more -in German language only- on: http://www.travelmedicus.com/event/index.html ).


Indonesia - Rabies on Bali (Update)
Last week, the Bali Health Official, Dr. Nyoman Sutedja, declared a rabies alert for Nusa Penida. He expressed concern for the 17 dog bite cases that have occurred in past months that went untreated in the mistaken assumption there were no infected dogs on the island.
It was reported previously (on 10 Jan 2011) that 2 residents of the island of Nusa Penida had died in a Bali hospital as a result of suspected rabies virus infection. That diagnosis now appears to have been confirmed and also that infection had occurred as a result of dog bite on the island of Nusa Penida (previously considered to be a rabies-free zone). Currently there are another 17 inhabitants of the island who received dog bites in the past few months and are potential rabies cases since they received no post-exposure prophylaxis in the mistaken belief that the island dogs were free of rabies.
Visitors to any part of Bali should be aware that there are no rabies-free zones on the main island and its off-shore islands, and that the problem of canine rabies in Bali is far from resolved.


India - Malaria
In December 2010 4.391 people in Mumbai got infected with Malaria.

New Zealand - Measles
The Ministry of Health of New Zealand warned passengers on an Emirates flight from Dubai to Auckland in the first week of January to watch for symptoms of Measles after one passenger was infected with measles. The Emirates flight EK406 departed Dubai on 3 Jan 2011 flying via Melbourne to Auckland on 4 Jan 2011. A passenger who disembarked in Melbourne has been confirmed with measles.


New service on GHG

Global Hospital Guide

In the near future, network hospitals listed on our Global Hospital Guide can present their facilities with a video.
The first video is already in production and will be shown soon. If your hospital is interested too, please contact us.


Dominican Republic - Cholera (Update)
As of 13 December 2010, 32 confirmed cases of Cholera in Dominican Republic were reported.

Philippines - Typhoid Fever
An outbreak of Typhoid infection affecting 320 people was reported in the municipality of Alegria, Cebu.

Thailand - Dengue Fever
As of 11 December 2010, the Ministry of Health of Thailand has reported 112.647 cases of Dengue Fever this year, of whom 139 died.

Haiti - Cholera (Update)
As of 13 December, 104.000 cases of Cholera and more than 2.300 deaths due to the disease were reported in Haiti.
Travellers to the affected areas should take the following measures to prevent food and water borne diseases:
- Wash and cook seafood thoroughly before eating, particularly crustaceans and bivalves such as shrimps, crabs, oysters and clams;
- Always wash hands before eating and after going to the toilet;
- Eat only thoroughly cooked food and food from sealed packs or cans;
- Avoid cold dishes such as salad and ice-cream;
- Drink only boiled water, canned or bottled drinks, pasteurized milk or dairy products;
- Do not add ice to drinks and do not drink fresh fruit juice that has been prepared beforehand;
- Do not patronize illegal food hawkers;
- Wash fruit thoroughly before eating and do not eat fruit that has already been peeled or cut open;
- Follow proper water purification methods if necessary.


Dr. S. Duarsa, CEO KIH

Bali - Indonesia
1st reaction of AWARD winner

Upon receiving the news that Kasih Ibu General Hospital in Bali has won the TravelMedicus Global Hospital Award 2011, the founder and CEO Dr. Suanda Duarsa MD was deeply touched.

"We all feel honored.
This prestigious award will definitely give all of us working at Kasih Ibu an added motivation to carry on with our "Pursuit of Excellence" Program"
, said Dr. Suanda Duarsa.

14.12.2010 TM Global Hospital Award

TravelMedicus-Team in the OR at Kasih Ibu Hospital

For the 2nd time, the award is on the way to Asia.
TravelMedicus Global Hospital Award 2011
Congratulations to the
Kasih Ibu Hospital in Denpasar on Bali in Indonesia
They are doing an excellent job since many years!
Read more on www.TravelMedicus.com


Indonesia - Merapi Volcano (Update)
Eruptions continue at Merapi volcano, with reduced intensity. The volcano is often covered in cloud, and visual observations are intermittent. Evacuees have been allowed returning back to some areas, but exclusion zones remain in place. The volcano remains at the highest alert level 4.


Indonesia - Eruption at Bromo Volcano
Yesterday, an eruption of ash occurred at Bromo volcano. The ash reached about 500 m above the crater. Bromo volcano has been closed to visitors since 23rd November due to high levels of seismic activity.


We congratulate the winner of the Health-Check-Up at the Bangkok Hospital in Thailand:

Mrs. Y. P. from Abangan in Indonesia and
Mr. G. W. from Rhineland-Palatinate in Germany.


Asia - TravelMEdutainment
Our team is on tour in Asia until Nov. 23rd 2010, visiting friends and colleagues in our network partner hospitals.
Until we are back, please visit our Global Hospital Guide.


Nepal - Dengue Fever
An outbreak of Dengue Fever and viral fever affecting more than 7,000 people with at least 19 deaths was reported in Chitwan/Nepal.

Indonesia/Bali - Rabies (Update)
Indonesia had reported nearly 100 fatal cases of human Rabies in Bali since the outbreak began 2 years ago. The latest victim was a 43-year-old man from Gianyar regency, and he had been bitten by dog on his right leg about 2 months ago. He died on 2 October 2010.

Thailand - Dengue Fever (Update)
A total of 75,852 Dengue Fever cases with 87 deaths were reported nationwide as of 11 September. Most cases were found in northeastern provinces, followed by central, southern and northern regions.

Democratic Republic of the Congo - Poliomyelitis
7 new cases of Poliomyelitis were reported from Kasai Occidental province. The affected children are all under 15 years old.


China (Xizang) - Plague (Human)
Today, the Ministry of Health of Xizang Autonomous Region confirmed 5 human cases of Pneumonic Plague in Latok Village, Nangxian County of Nyingchi Prefecture. The 1st case was found on 23 September and the patient died of a severe lung infection. The remaining 4 cases, all of whom had direct contact with the deceased, have been quarantined. One of the cases is in critical condition and the other 3 are stable at the moment.
The health department also issued a warning that persons who have visited the region after 18 September must seek immediate medical attention if they develop fever, cough or other flu-like symptoms.
Travellers should avoid visiting plague-endemic areas. If travel to such areas is necessary, observe appropriate precautions like wearing long sleeved shirts and trousers to avoid being bitten by flea, applying insect repellent, staying away from scrubby areas and areas known to have rodent or flea infestation, etc. Travellers develop symptoms such as fever, painful lumps, chills after visiting plague-endemic area should seek medical consultation immediately.

Vietnam - Rabies (Human)
34 fatal human cases of Rabies were reported in Vietnam during the first six month of this year. There were 91 rabies deaths in 2008 and 64 in 2009. Travellers should avoid contact with animals. Immunisation (both pre-exposure and post-exposure), combined with thorough wound cleaning, is the most reliable methods of preventing rabies.
Travellers visiting Vietnam with prolonged stay or anticipated contact with animals should seek medical consultation for pre-travel health advice and pre-exposure rabies vaccination if indicated.


Central Africa - Poliomyelitis
In Angola, the outbreak of Poliomyelitis which began in April 2007, has this year spread to re-infect previously polio-free areas in Angola (the provinces of Bie, Bengo, Huambo, Lunda Norte, Lunda Sul and Uige), as well as to neighbouring Democratic Republic of Congo, re-infecting Kasai Occidental province which borders Angola. The risk of international spread of the disease is very high.

China - Cholera (Update)
An outbreak of Cholera affecting 38 people was reported in Mengcheng county of Anhui province. In addition, as of September 9th, a total of 19 cases have been detected at a school in Huaian city of Jiangsu province, prompting health authorities to issue a warning for the region and urge increased disease monitoring.

USA - Pertussis
As of September 7th, 3,834 cases of Pertussis have been reported in California. The number of the cases is a 7-fold increase over the same period last year when 530 cases were reported. Among 8 infant deaths reported, 7 were under 2 months old at time of disease onset and had not received any doses of pertussis-containing vaccine. Unimmunised or incompletely immunised young infants are particularly vulnerable.

Namibia - Rift Valley Fever
At least 3 suspected human cases of Rift Valley Fever have been reported in Namibia. All 3 cases are livestock farmers.

Bangladesh - Anthrax
An outbreak of Anthrax continued in Bangladesh. More than 400 people have been infected so far.


Indonesia - Rabies (Human)
Health officials in Indonesia reported 93 fatal cases of human Rabies in Bali. On an average day, 165 people are bitten by dogs in Bali. So far this year there have been a total of 37.901 dog-bite incidents in Bali. This figure shows a dramatic increase as only 21.806 dog bites were reported in 2009.
Travellers should avoid contact with animals. Immunisation (both pre-exposure and post-exposure), combined with thorough wound cleaning, is the most reliable methods of preventing rabies. Travellers visiting Bali with prolonged stay or anticipated contact with animals should seek medical consultation for pre-travel health advice and pre-exposure rabies vaccination if indicated.

China (Anhui) - Cholera
Local health officials reported an outbreak of Cholera in Mengcheng County of Anhui Province. In the last 2 weeks 30 people sickened, suspected to be caused by contaminated food.

India - Japanese Encephalitis
231 fatal cases of Japanese Encephalitis have been reported in Uttar Pradesh State so far this year. The neighbouring Bihar State was also affected.


Indonesia - Sinabung Volcano
Today, Sinabung volcano on Sumatra erupted for the first time in hundreds of years. Ash emissions reached a height of 1.500 m. At least 12,000 people were evacuated.


Greece - West Nile Virus Infection
As of August 10th, Greece confirmed 21 human cases of West Nile Virus Infection, including 2 deaths in Central Macedonia.

Peru - Plague (Human)
In the first 7 months of this year, the Ministry of Health in Peru confirmed a total of 17 cases of Plague in Ascope province of Department La Libertad. Of these, 4 are pneumonic plague, 12 are bubonic plague and one was septicemic plague. The onset of symptoms for the last reported case of pneumonic plague was on 11 July 2010.

Thailand - Cholera
The Ministry of Public Health of Thailand has reported 1.341 cases of Cholera in the first 7 months this year. Five of these died.


India - Japanese Encephalitis
Since the beginning of this year, already 149 fatal cases of Japanese Encephalitis have been reported in Uttar Pradesh State.

India - Flooding
Heavy rain had caused floods and mudslides in the Himalayan region of Ladakh in northern India.

Pakistan - Flooding and Cholera
Heavy monsoon rains since July 2010 had caused flooding in many areas of Pakistan. As of 8 August 2010, 1.203 people were killed, the majority in Khyber-Pakhtunkhwa province. There were at least 36.000 cases of acute watery diarrhoea reported in the flood-stricken areas, out of which 1 case of Cholera was confirmed.


Russia - Wildfires
Health Alert and Advice for Travellers to Russia, including Moscow.
- Currently, certain regions of Russia (Moscow included) are in a state of emergency because of the wildfires.
- Travellers should be on the alert for possible health hazards and are also advised to take targeted precautions when travelling to Moscow/Russia.
- The pollutants arising from the wildfires in Moscow are known to be able to initiate heart and lung diseases besides exacerbating pre-existing ones.
In addition, the elderly and the young are particularly susceptible.
- The Russian Department of Health is networking with international and regional authorities to monitor the situation for best risk assessment and management.
- Travellers to Moscow and affected areas in Russia are advised to take the following precautions:
Before departure,
1. monitor the latest development of Moscow's situation;.
2. check for visibility and air quality reports; patients with heart and lung problems may want to consult their attending physicians and should in any case carry sufficient medications;
While in Russia/Moscow,
3. wear appropriate clothing and drink more non-alcoholic drinks to avoid heat-related illnesses; and
4. avoid prolonged or heavy exertion outdoors.
5. Heart or lung disease victims, the elderly and children are advised to remain indoor and keep activity levels low.
6. For clarification, paper masks commonly available on the market cannot offer protection against the small particles found in wildfire smoke. Special designs with valves are needed for this purpose.


Indonesia/Bali - Rabies (Update)
At least 76 fatal cases of human Rabies in Bali has been reported officially in the past 2 years. The latest victim was a 40-year-old woman and she died a week ago. In addition, more than 30.000 dog bites were reported in the first 6 months of this year across Bali. The Ministry of Health of Bali is facing a shortage of rabies vaccines for human and needs help. A handful of foreign tourists have reported dog bites, but none have been fatal.
Travellers should avoid contact with animals, including dogs, cats, monkeys, squirrels and bats. Immunisation (both pre-exposure and post-exposure), combined with thorough wound cleaning, is the most reliable methods of preventing rabies. Travellers visiting Bali with prolonged stay or anticipated contact with animals should seek medical consultation for pre-travel health advice and pre-exposure rabies vaccination if indicated.

Taiwan - Dengue Fever
The number of recorded indigenous Dengue Fever cases in Taiwan has risen to 12. Most cases are reported in the southern city of Kaohsiung.

Maldives - Dengue Fever
Dengue Fever infection is on the rise at Maledives, especially in Male. Up to 1st week of July, 473 cases have been reported this year. Children are the main victims. There have been no fatalities reported so far.

Greece - Measles
A Measles outbreak of 126 reported cases in Greece has been ongoing since January 2010, of which, 78 are children aged 0-14 years. Cases are mostly unvaccinated. Measures were taken to raise clinical awareness and vaccination of high risk population groups was undertaken.

Cote D' Ivoire - Yellow Fever
Since May 2010, Cote D' Ivoire has reported 19 cases of Yellow Fever with 2 deaths.

Mexico - Rickettsiosis
In Mexico, the Ministry of Public Health of Sonora reported that there have been a total of 44 Rickettsiosis cases with 5 deaths this year. Most cases have occurred in the southern region of Sonora, and the disease is spread by the bites of lice, ticks, fleas and mites.


Israel – Mumps
An outbreak of Mumps with 3.400 cases has been reported in Israel since January 2010. 2.400 of them occurred in the Jerusalem area alone (compared to 6 to 10 cases during an ordinary year).

Democratic Republic of the Congo - Yellow fever
Last month, the DR of Congo reported a fatal case of suspected Yellow fever in Orientale province (northern part of the country). The case was a 43 year-old male farmer who had onset of symptoms on 15 March and died a few days later. He had no history of yellow fever vaccination. Between March and June, 11 other suspected cases were reported, including two deaths.

Thailand - Hand, Foot and Mouth Disease
More than 70 cases of children with Hand, Foot and Mouth Disease were reported in Phuket/Thailand so far this year.

Central America and Caribbean - Dengue Fever
Outbreaks of Dengue Fever were reported in Central American and Caribbean countries. The countries with reported outbreaks included Dominican Republic, Puerto Rico, Trinidad and Tobago, Belize and Honduras.


Indonesia - Avian Influenza (Human)
Indonesia has announced one new human case of H5N1 Avian Influenza. The victim was a 14-year-old female from Sukoharjo regency of Central Java. She died a few weeks ago. A total of 167 cases with 138 deaths have been reported in Indonesia so far.

Southeast Asia - Dengue Fever
As of 10 July this year, Thailand reported 36.087 cases of suspected Dengue Fever and 36 deaths nationwide.
As of 26 June, the Philippines reported a total of 25.283 Dengue Fever cases with 190 deaths nationwide this year. This represented a 40% increase in cases as compared with the same period last year.
In Vietnam, 17.011 cases of Dengue Fever including 17 deaths have been reported in the country so far this year.
In Singapore, 69 cases of Dengue Fever have been reported in the Cairnhill area. Of these, 42 cases work at the same construction site.

Venezuela - Dengue Fever
As of 19 June 2010, Venezuela reported a total of 48.581 Dengue Fever cases, which had increased more than 80 percent as compared with last year. The states most affected are Miranda, Merida, and the Capital District of Caracas.

Taiwan - Japanese Encephalitis
In Taiwan, 3 more cases of Japanese Encephalitis have been reported, making a total of 14 cases so far this year. One of the 3 new cases was imported from Guangdong Province in China Mainland.

India - Malaria
In India, a total of 22.159 cases of Malaria was reported in Mumbai as of 10 June this year. In addition, 82 cases of the disease have been reported in the state of Kerala so far this year.

China - Rabies (Human)
In Guangdong Province of China Mainland, 19 more fatal human cases of Rabies were reported, bringing to a total of 122 deaths in the first half of this year. More than half of the deaths were children and elderly being left at home. There had been an increase in the human rabies death in the Guangdong Province since 1996, with an annual death toll of over 300 in the last two years. Human rabies cases occurred mainly in the rural areas and were mostly due to dog bites.

Italy - Rabies (Animal)
An outbreak of Rabies among animals was reported in northern Italy and 199 animal cases were noted in the country in the first half of this year. Most of the affected animals were foxes.

Peru - Plague (Human)
An outbreak of Pneumonic Plague infecting 3 people was detected in Trujillo, Peru. The first case was a 29-year-old woman from the district of Chocope. She had symptoms of high fever, abdominal pain and shortness of breath. A 32-year-old resident doctor who had treated the infected woman and a 4th-year medical student who also had contact with this patient developed the same symptoms as her. This is the first time this disease has been recorded in the country.

Zambia - Measles
An outbreak of Measles affecting 3.000 people with 62 deaths was reported in Zambia.

United Kingdom - Tuberculosis
There were 9.153 cases of Tuberculosis reported in United Kingdom last year. Almost 45 percent of all childhood cases in the country occurred in London.


Worldwide - Pandemic Influenza (H1N1) 2009
As of 4 July 2010, worldwide more than 214 countries and overseas territories or communities have reported laboratory confirmed cases of pandemic influenza H1N1 2009, including over 18.311 deaths.

India - Japanese Encephalitis
India has raised an epidemic alert in the state of Manipur after 3 fatal cases of suspected Acute Encephalitis Syndrome has been reported. More than 100 suspected cases have been found mostly in the valley districts of the state. Laboratory confirmation of Japanese Encephalitis is pending.

Myanmar - Plague (Human)
An outbreak of human Plague has been reported in Yangon, the capital of Myanmar.

China - Anthrax (Human)
In the Mainland, 5 cases of cutaneous Anthrax have been reported recently in Gongzhuling city, Jilin province.

Mongolia - Anthrax, (Human and livestock)
In Mongolia, 3 confirmed and 7 suspected human cases of Anthrax were reported in Selenge. Anthrax also occurred in the livestock of the region.

Russia - Measles
In Russia, a number of confirmed cases of Measles have been reported in Amur Oblast over the last few months. Epidemiological investigation has shown that many of the infected people recently visited China.

South Africa - Measles
As of 29 June, 16.594 cases of Measles have been reported in South Africa this year. In addition, Australia has reported a confirmed case of Measles in a traveller returning to Australia after attending world cup matches in South Africa.

Africa - Rift Valley Fever (Human and livestock)
As of 9 July 2010, South Africa has confirmed a total of 227 human cases of Rift Valley Fever and 25 deaths. The outbreaks of the disease in the livestock were also found in the farms.
In Namibia, outbreaks of Rift Valley Fever in the livestock have been reported at 6 more farms, bringing the total number of farms to 14.
In Botswana, an outbreak of Rift Valley Fever among livestock has been reported in a village in Gaborone, and it is the first recorded case of the disease in the country.


Indonesia - Avian Influenza (Human)
The Ministry of Health of Indonesia has announced one new human case of H5N1 Avian Influenza. The victim was a 34-year-old female from Jakarta. She developed symptoms on 25 May and died on 1 June. A total of 166 cases with 137 deaths have been reported in Indonesia so far.

Honduras - Dengue Fever
Honduras raised a red alert for Dengue Fever after 10 people died and some 11.000 contracted the mosquito-borne disease.

India - Rabies (Human)
With a rise in the dog bite cases in Panchkula of Haryana state, India and its periphery, there has been a substantial increase in the number of Rabies patients recently. Five to six rabies patients visit the General Hospital every day. More than 100 cases of dog bites were reported at the hospital in May 2010.

France - Measles
In France, more than 2.000 cases of Measles have been reported since the beginning of 2010. Only 1,544 cases were reported last year.

Panama - Eastern Equine Encephalitis
The Ministry of Health of Panama has confirmed 2 new cases of Equine Encephalitis in children. Up to now, 17 confirmed cases with 1 death have been reported. There are 63 suspected cases of the disease under observation in their homes, and most cases are from the province of Darien.

Republic of the Congo - Acute Haemorrhagic Fever
WHO has received preliminary reports of five suspected cases, including three deaths, with Acute Haemorrhagic Fever from Mokouangonda, an isolated forest village of about 100 inhabitants in Mokoke district, Region of Sangha, in northern Republic of the Congo. Blood samples taken from one of the suspected cases tested negative for several Viral Haemorrhagic Fevers (Eloba, Marburg, Crimean-Congo, Arenavirus), and additional laboratory investigations are ongoing.
The 3 deaths were male forest hunters who presented the symptoms of nose bleeding, bloody diarrhea, cough and fever prior to deaths after a 1-2 week long hunting expedition in the Odzala national Park.
(Acute Haemorrhagic Fever can be attributable to Lassa Fever, Dengue Haemorrhagic Fever, Yellow Fever, Crimean-Congo Haemorrhagic Fever, Ebola Haemorrhagic Fever, Marburg Haemorrhagic Fever, Rift Valley Fever, and other viral, bacterial or rickettsial diseases with the potential to cause epidemics.)


Indonesia/Bali - Rabies (Update)
Bali's rabies situation remains out of control. This situation underscores the importance of getting current information regarding a local situation. If a traveler is bitten in Bali, they will need to get PEP in Hong Kong, Singapore, Bangkok or Australia. This will mean trip interruption, even if they have had the 3-dose PREP prior to travel. Modern vaccine is scarce or unavailable in Bali, as well as RIG.
For more information, go to www.promedmail.org

Worldwide - Rabies
New Rabies Control Document
Hi all,
this is FYI, latest in numerous efforts/research on rabies control. This 'online only' blueprint is the result of expert collaboration with the intent of providing public health, government, and other concerned health providers with a standardized platform/guide for rabies control and prevention collating other international resources. This should be particularly useful in rabies-endemic countries with limited resources. The English version is online, the French being finalized, and other languages to follow in due course. I hope our members who are involved in this area find the document useful.
Please visit: www.rabiesblueprint.com

Source: WHO, CDC, ISID, Eurosurveillance, ProMED, RKI, OIE, Volcanolive, Int. Press,...

These informations does not replace individual travel medicine advise as provided by your personal physician, health services, tropical medicine institutes or yellow fever vaccination centers.

mediScon does not warrants the completeness or accuracy of the Service or the suitability of the Service as a trading aid and neither accepts any liability for losses howsoever incurred. The content on this site, including news, quotes, data and other information, is provided for your personal information only, and mediScon could not be liable for any errors, inaccuracies or delays in content, or for any actions taken in reliance thereon.

August 14th 2011

Indonesia - Papandayan Volcano
Papandayan volcano on Java has been placed on level 3 alert (out of maximum 4) after an increase in unrest. Seismic activity has increased at the volcano with a doubling of volcanic earthquakes in the first 2 weeks of August compared to previous months. Deformation measurements have detected an 18 mm inflation of the volcano on August 10th compared to July 4th 2011. Temperature in one of the four craters has increased from 106.4° to 107.5°C between August 7th-12th. A 2 km exclusion zone has been placed around the crater.