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Il Comitato svizzero di esperti per la medicina di viaggio (CEMV) - un organo della Società svizzera di medicina tropicale e dei viaggi (FMH) - ha ridisegnato il sito web Safetravel® e lo ha rinominato HealthyTravel.ch. Il sito web continua a offrire gratuitamente raccomandazioni di base di medicina di viaggio per i viaggiatori. I professionisti possono anche abbonarsi a informazioni e raccomandazioni addizionali sulla medicina di viaggio, come informazioni approfondite specifiche per paese, raccomandazioni di vaccinazione con opinioni di esperti, mappe dettagliate (incluse le raccomandazioni sulla malaria), fogli informativi (incluse, per esempio, informazioni sul dosaggio della profilassi della malaria) e altri importanti contenuti sulla medicina di viaggio. Questi possono essere utilizzati per le consultazioni di medicina di viaggio con pazienti e clienti e possono essere compilati individualmente per i viaggiatori, stampati o inviati elettronicamente.

Le raccomandazioni e i contenuti di HealthyTravel.ch corrispondono alle raccomandazioni del Comitato svizzero di esperti per la medicina di viaggio. Sono sviluppati in collaborazione con l'Ufficio federale della sanità pubblica (UFSP). Il sito è in costruzione e sarà continuamente ampliato con contenuti e aggiornamenti addizionali. Si prega di ricordare che tutti i contenuti disponibili sul sito web HealthyTravel.ch sono protetti da copyright e non possono essere ceduti a terzi.

Maggiori informazioni possono essere trovate nel volantino (LINK). Il Comitato svizzero di esperti per la medicina di viaggio sarà lieto di rispondere a qualsiasi domanda su info@healthytravel.ch!

ECTM_Flyer_HealthyTravel_PRO_EN.pdf

Media reports from the Indian state of Kerala have described cases of "tomato flu" in young children. An investigation of 2 symptomatic children in the United Kingdom who had recently returned from Kerala with corresponding symptoms revealed that they had hand-foot-mouth disease (HFMD). HFMD is a common illness of young children with fever and rash mainly on the palms of the hands, soles of the feet, and in the mouth. The main causative agents are enteroviruses.

Optimal personal hygiene (often washing or disinfecting hands). Avoid touching your eyes, nose, and mouth. Clean and disinfect frequently touched surfaces and shared items, including toys and doorknobs. Avoid close contact with sick people.

The Pediatric Disease Journal, 19.8.2022 | CDC Prevention HFMD

According to the ministry's communicable disease control department, the number of cases of hand-foot-mouth disease (HFMD) has doubled compared to last year, with more than 26'000 cases reported nationwide by the end of July, significantly higher than the same period last year.
So far, more than 110 schools in Bangkok have been fully or partially closed for several days after the virus spread there. Children aged ≤ 4 years are affected in 85% of cases.
HFMD is a highly contagious viral disease with a worldwide distribution that primarily affects children. It is caused by various enteroviruses, In most cases, HFMD is benign and self-limiting, but severe neurological and even fatal courses have been repeatedly reported in Southeast Asia.

Optimal personal hygiene (often washing or disinfecting hands). Avoid touching your eyes, nose, and mouth. Clean and disinfect frequently touched surfaces and shared items, including toys and doorknobs. Avoid close contact with sick people.

Thailand warns public to be cautious of dengue fever, hand-foot-mouth disease, 29.8.2022
Hand-foot-and-mouth disease cases rise to over 6,000 this year, 5.9.2022

The Philippine Food and Drug Administration (FDA) warns against counterfeit immunoglobulins against rabies (Equirab 200ml). Immune sera should only be purchased from FDA approved facilities.
The rabies situation in 2022 is as follows: Since the beginning of the year, authorities reported 222 human rabies deaths in 16 of the country's 17 regions. This is a 17% increase from the previous year.
The Central Luzon region (including Metro Manila) reported the most cases, followed by Calabarzon, Davao, and Soccsargen (Region XII, Mindanao).

Considering the counterfeit immunoglobulins in circulation, travelers are advised to get vaccinated against rabies BEFORE traveling (2 doses). Avoid contact with animals and do not feed them.
Behavior after exposure: After an animal bite/scratch: Immediately wash the wound with running water and soap for 15 minutes, then disinfect and in any case visit a high quality medical center for revaccination as soon as possible! See also the factsheet rabies.

Philippines FDA warns of fake anti-rabies serum, 4.9.2022 | Philippines reports increase in rabies cases/deaths in 2022, 4.9.2022

A magnitude 6.6 earthquake occurred in Sichuan, China, on 5 September 2022, and the epicenter was located about 43 km southeast of Kangding. Most of the casualties and damage occurred near the epicenter in Luding County. Authorities reported at least 65 fatalities. Hundreds of people are cut off from the outside world. Nearly 250 houses collapsed and more than 13'000 were partially damaged. Power outages and interruptions to the water supply were also reported from the affected area.

Observe information from the authorities and the media.

China: Disruptions ongoing in Sichuan Province as of Sept. 6 following magnitude-6.6 earthquake

As of 5 September 2022, a total of 19 cases have been identified, including six deaths. Among the reported cases are eight health care workers (3 deaths) from a private clinic in the city of San Miguel de Tucumán. All cases occurred in the same health center.

Follow local indications. Other cases may still occur. In case of symptoms, especially coughing and shortness of breath, consult a doctor.

Legionella multiply especially in hot water systems, humidifiers, whirlpools and hydrotherapeutic facilities at water temperatures below 50°C. Particularly at risk of severe illness are older people, immunocompromised persons, such as transplant recipients and tumour patients, diabetics and persons with chronic lung diseases (smokers).

Legionella identified as cause of cluster of pneumonia cases in Tucuman, Argentina. PAHO, 3.9.2022
El Ministro anunció los nuevos criterios de inclusión para la detección del brote de legionella, 5.9.2022
WHO Legionellosis - Argentina, 5.9.2022 | Cases of pneumonia due to unknown cause - Tucumán Argentina, 1.9.2022

A measles outbreak has been ongoing in Tanzania since June 2022. As of 23 August 2022, a total of 223 suspected cases have been reported. Almost half of the cases involved children under five years of age. Most cases are reported from Magharibi B, Magharibi A, and Wete districts (west coast of Zanzibar Island).

Any person born after 1963 who does not have documented protection against infection (antibodies or 2 documented vaccinations) should be vaccinated twice with MMR vaccine. This is also important for Switzerland! In case of an epidemic in the area or contact with a measles case, vaccination is recommended from 6 months of age.

WHO, EW 35

The Niger Ministry of Health has reported a case of dengue fever in Niger for the first time. The patient is a 47-year-old man from Niger who entered from Cuba on 13 August 2022. Numerous dengue cases are currently registered on this Caribbean island.

Optimal mosquito bite protection 24/7 (during the day against dengue, Zika, Chikungunya and other arboviroses). If you have a fever, take Paracetamol products and drink plenty of fluids. Do not take medications containing acetylsalicylic acid (e.g., Aspirin®), as they may increase the risk of bleeding. After a stay in a malaria endemic area, malaria should also be considered in case of fever and should always be ruled out by a blood test.

WHO Africa, 4.9.2022

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