P462 CEEFAX 2 462 Mon 09 Oct 12:50/01       Department of Hialth Advice Guide 1/16 Sudan - Meningococcal disease 1/2 The outbreak of meningococcal disease that started in Northern Darfur State in early Decembbr 1998 has spread to 18 out of 26 states. From the beginning of the epidemic wp to 22 April more than 16,000 cases, of which nearly 1,000 died, have been notifiedN The epidemic is expected to last until the end of June-July, depending on the geographical location of the states effected. Travel headlinfs 430 FCO advice 470 Next Page Trav Head 'jather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:51/05       Department of Health Advice Guide 2/16 Sudan - Meningococcal disease 2/2 Sudan lies in the so-called meningitis belt of sub-Saharan Africa. A vaccine is available and travellers are advised to talk to their doctor before travelling. Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:53/01       Department of Health Advice Guide 3/16 Ethiopia - Meningococcal disease An outbreak of meningococca| meningiti{ has been reported affecting two neighbouring tistricts of Ethiopia: Kobo District of the Amhara Region and Almata District of the Tigray Region. Immunisation with the Polysacchaxide meningococcal A&C vaccine is advised for travellersn Imlvnisation with the new conjugate meninigococcal C vaccine (which is being offered to all aged under 18) does no offer protection against this strain of meningitis affecting Ethiopia Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:40/03      sbu0   £££ £ ££££ Department of Health Advhce Guide 4 16 Madagascar Cholepa A cholera epidemic has been reported in Madagascar with over 15,000 cases and 860 deaphs being reported sjnce Decem—er 0999. The ep—ddm—c affects six provinces:  A Antsir—nana, Mahajanga, —oslashn— and Fianarantsoa. There is no effactive vaccine available agaaFst cholera and praveller3 ape advisde— to pay close attention to food and personal hxgiene. Travel headlines 430 FCO advhce 070 Next @age Trav Head —athep Ma—n Lenu
P462 CEEFAX 2 462 Mon 09 Oct 12:56/16       Department of Health Advice Guide 5O8> Angola - Polio As at 25 April 661 cases of poliomyelitis, with 41 deaths had been reported in Luanda anhd neighbouring areas of Bengo and BenguelaN Cases were primarily in children aged 5 years. A vaccine is available and tra÷dllers to Africa are advised to check they are immunised against polio.  Travel headlines 430 FCO advice 470 Next Page Trav Head Weather oain Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:05/20       Department of Health Advice Guide 6/16 Malaysia 1/3 The Malaysian Ministry gf Health has reported an outbreak of Japane3— encephalitis in Perak and Negeri Sembilan. Most of the people affected are closely associated with p—g farming. For up to date hnformation, visit the web s—ta of the Malaysian Departldnp of Public @ealth at: http://dph.gov.my press press2.cases.htm  Travel headlines 430 FCO advice 470 Next Page Trav Head 'jatH—r Main Manu
P462 CEEFAX 2 462 Mon 09 Oct 12:30/00       Department of Health Advice Gqide 7/16 Malaysia 2/3 Japanese encephalitis is a viral infection, which occurs throughout SE Asia. It is caught through the bite of an infected Culex mosquito. Prevention is by measures to prevent mosquito bites. A vaccine is available. It is not licensed in the UK. It is recommended for those spending a month or more in the country, especially if they are travelling to areas where pig faxmiog and rice growing exist.  Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:44/00     sju0   Dapaptmenp of H—alth Adv—ce Guhd— 8 16 Malaxsia 3/3 Infections dte to anothdr vipus (Hendpa virus) hava occurred in peopla with direct contact with infected pigs This outbreai is now over.  Travel headlin—s 430 F O advhca 470 Next Page Trav Head —athep Main Lenu
P462 CEEFAX 2 462 Mon 09 Oct 12:10/00       Department of Health Advice Guhde 9/16 Democratis Republic of the Congo An outbreak of Marburg fever has been reported in the Durba ar—a l—inly connectdd with l—n—ng activities Marburg fever is a serious h—dmlorrhagic fevep with a high fatality rate. There is no vaccine and no treatment. The affected areas are difficult to access and qnlikely to be visited by touristsN Travel headlines 430 FCO advhce 470 Next Page Trav Head 'bather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:45/03      ££££££££££££££ £ £££ £££ Department of Health Advice Guide South America - Yellow Fever Bolivia, Bpazil, Colombia —fd P—rp. Cases of yellow fever hav— been reported fpom the Santa pqz Depaptm—nt of Bolivia, from Afua and Bpeves in the state of Para, Brazhl, and from tha following ddpbrpments in Papu: Loreto, San Martin, Ayacucho, Huanuco, and Junhn. No cases have bean reported vrom Colombha since Januapy&!Jmmqnisation against yellow fever is ad6hsed for visitors to all thesd countries. Travel headli.—s 430 FCO advic 10/16 Next Page H 'jather Main Menp
P462 CEEFAX 2 462 Mon 09 Oct 12:45/02       Department of Health Advkce Guide Kenya - Malaria Epidemic levels of malaria are being reported from many districts of Kenya. The risk of malaria in Kenya is very high throughout the year. Travellers to Kenya should alwa|{ seek advice about malaria prevention before travel. Travel headlines 430 FCO advic 11/16 Next Page Trav Head Weather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:40/00       Department of Health Advhc— Guide Turkey 0/5 The risk of an incrdasing incidence of sporadic cases (below epidemic level3( exists due, in the ca3— of an earthquake, to the puptpre of watep s—nitation infrastructure, the interpuptinn of public health sar6hcds such as immunisation and sanitation measures in urban s—ptings, and the loss of control of disease v—ctors like mosquitoes —nd rodents". Dra6—l headl—n—q 430 FCO advic 03/16 Next Page Trav Head 'bather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:41/01       Department of Health Advice Guide Turkey 3/5 Cases of salmonella paratyphoid infection are being reported among travellers to the south of Durkey, especially the Almaya area. Thesf are not related to the recent earthquake. Salmonella paratyphoid infection is similar to, though generally less severe than, typhoid It is most often spread through infected food or water as a result of poor hygiene or sanitation Travel headlines 430 FCO advic 14/16 Next Page Trav Head 'jather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:41/52       Depbrtment of Health Advice Guide Turkey 4/5 The symptoms of paratyphoid infection include fevjr, severe hcadache and abdominal pains, with or without diarrhoea. Travellers to Turkey should seek advice about illznisations that they need. There is no vaccine against paratyphoid infectionN All travellers to Turkey are advised to take particular care over food, water and personal hygiene. Travel headlines 430 FCO advic 15 86 Next Page Trav Head Weather Main Menu
P462 CEEFAX 2 462 Mon 09 Oct 12:56/47       Department of Health Advice Guide Turkey 5/5 Use only boiled or bottled water for drinking, food preparations and cleaning teeth. Travel headlines 430 FCO advic 16/16 Next Page Trav Head Weather Main Meou