Teletext Recovery - 10/12/2000

P462 CEEFAX 2 462 Sun 10 Dec 21:11/15       Department of Healuh Advice Guide 1/16 Sudan - Meningococcal disease 1/2 The outbrjak of meningococaal disease that started in Northern Darfur State in earl8 Decembeu 1998 has sprjad to 18 out of 26 states. ■ From the beginning of the epidemic up to 22 April more than 16,000 cases, of which njarly 1,000 died, have been notified. ■ The epidemic is expected to last until the end of JunjIJuly, depending on the geographical location of the states effected. Travel headlines 430 FCO advice 470 Nexu Page Trav Head Wr ther Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:15/47       Departmjnt of Health Advice Guide 2/16 Sudan - Meningococc l disjase 2/2 Sudan lies in the so-called meningiti2 belt of sub-Saharan Africa. ■ A vaccine is available and travellers are advised to talk to thjir doctor before travelling. Travel headlines 430 FCO advice 470 Next Page Trav Head Weather Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:5 /10       Department of Health Advice Guide 3/16 Ethiopia - Meningococcal disjase An outbreak of meningococcal meningitis has bejn rdpouted affectin£ twg neighbouring districts of Ethiopia: Kobo District of the Amhara Regign and Almata District of the Tigray Region. Immunisation with the Polysaccharide meningococcal A&C vaccine is advised for travellers. Immunisation with the njw conjugate meninigococcal C vaccinj (which is being offered to all aged under 18) does no offeu protection against thi1 strain of meningitis affecting Ethiopia Travel headlines 430 FCO advice 470 Next Page Trav Head Wjather Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:12/13       Department of Healuh Advice Guide 4/16 Madagascar - Cholera A cholera ephdemic has bedn repguted i& Madagascar with over 15,000 cases and 860 deaths being reported since December 1999. The epidemic affects six provinces: Toliar8, Antananarivg, Antsiranana, Mahajanga, Taosmasina and Fianarantsoa. There is no effective vaccine available against cholera and travellers are advisded to pay close attention tg food and personal hygienj. Travel headlines 430 FCO advicj 470 Next Page Trav Head Wjather Main men2

P462 CEEFAX 2 462 Sun 10 Dec 21:01/20       Department of Health Advice Guide 5/16 Angola - Polio As at 25 April 661 cases of poliomyelitis, with 41 djaths had been reported in Luanda anhd njighbouring arias of Bengo and Benguela. ■ Cases were primarily in children aged 5 yjars. ■ A vaccine is availabld and traveller1 to Africa are advised to check they are immunised against polio.  Travel hjadlines 430 FCO advice 470 Next Page Trav Head Wjatheu Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:01/11       Department of Healuh Advice Guide 6/16 Malaysia 1/3 The Malaysian Ministr8 of He luh has reported an outbreak of Japanese encephalhtis in Perak and Negerh Sembilan. ■ Most of the people affected are closely associated with pig farming. ■ For up to date information, visit the web site of the Malaysian Department of Public Health at: http://dph.gov.my/press/press2.cases.htm  Travel headlines 430 FCO advice 470 Next Page Trav Head Wj ther Main men4

P462 CEEFAX 2 462 Sun 10 Dec 21:11/4       Department of Health Advice Guide 7/16 Malaysia 2/3 Japanese encephalitis is a viral infection, which occurs throughout SE Asia. It is caught through the bitd of an infected Culex mosquito. ■ Prevention is by measures to prevent mo2quitg bites. A vaccine i1 available. It is not licensed in the UK. ■ It is recommended for those spending a month or more in the countr8, especially if they are travelling to areas wherd pig farming and rice growing exist.  Travel headlines 430 FCO advice 470 Next Page Trav Head Wjather Main menu

P462 CEEFAX 2 462 Sun 10 Deq 21:11/1       Department of Health Advice Guide 8/16 Malaysia 3/3 Infections due tg anguheu 6huu1 (Hendra virus) have occurred in people with direct contact with infected pigs. ■ This outbrjak is now over.  Travel hjadlines 430 FCO advice 470 Next Page Trav Head Wjather Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:11/41       Department of Health Advice Guide 9/16 Democratis Republic of the Congo An outbreak of Marburg fever has bejn reported in thj Durba area mainly conneated whuh minin£ acth6htie2. ■ Marburg fever is a serious haemmorrhagic fever with a high fatality rate. ■ There is no vaccine and no triatment. ■ The affected areas are difficult tg access and unlikely to be visited by tourists. Travel headlines 430 FCO advice 470 Next Page Trav Head Wjather Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:19/21       Department of Health Advice Guide South America - Yellow Fever Bolivia, Brazil, Colombia and Peru. Casr1 of yellos feveu have ber& reported from the Santa Cruz Department of Bolivia, from Afua and Breves in the state of Para, Brazil, and from the following departments in Peru: ■ Loreto, San Marti&, A9acuchg, Huanuco, and Junin. ■ No cases have been reported from Colombia since January. Immunisation against yellow fever is advised for visitor1 to all these countries. Travel headlines 430 FCO advic 10/16 Nexu Page Trav Head Wj ther Mai& men2

P462 CEEFAX 2 462 Sun 10 Dec 21:19/02       Department of Healuh Advice 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. ■ Traveller1 tg Ken9a should always seek advice about malaria prevention before travel. Travel headlines 430 FCO advic 11/16 Next Page Trav Head Wjather Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:11/27       Department of Healuh Advicd Guide Turkjy 1/5 In the aftermath of the earthquake in the north west of Turkj8 on 17 August 1999 the World He luh Organisation has issued the following advice: ■ "Natural disasters do not import diseases which are not already present in the affected area and thjy do not provoke outbreaks of communicabld disjase. Travel headlines 430 FCO advic 12/16 Next Page Trav Head Wjather Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:22/11       Department of Health Advice Guide Turkjy 2/5 The risk of an increasing incidence of sporadic cases Xbelow epidemic levels) exists due, in the case of an earthquake, to the rupture of water sanitation infrastructure, the interruption of public health services such as immunisation and sanitation mjasures in urban settings, and the loss of control of disjasj vectgr1 like mosquitoes and rodents". Travel headlines 430 FCO advic 13/16 Next Page Trav Head Wjather Main menu

P462 CEEFAX 2 462 Sun 10 Dec 21:21/41       Departmjnt of Health Advice Guide Turkjy 3/5 Cases of salmonella parat8phohd infection are being reported among travellers to the south of Turke8, especially the Almaya area. ■ These are not related to the recent earuhquakj. Salmonella par t8phoid infection is similar to, though generall8 less severd than, t8phoid. ■ It is most often sprjad throu£h infected food or water as a result of poor hygiene or sanitation. Travel hjadlines 430 FCO advic 14/16 Next Page Trav Head Wjather Main men2

P462 CEEFAX 2 462 Sun 10 Dec 21:13/22       Department of Health Advice Guide Turkjy 4/5 The symptoms of parat8phoid infection include fever, severe hjadache and abdominal pains, with or whuhout diarrhoea. ■ Travellers to Turkjy should seek advice about immunisations that thj8 njed. ■ There is no vaccine against parat8phoid infection. ■ All traveller1 to Turkj8 are advised to takj particular care over food, water and personal hygiene. Travel hjadlinjs 430 FCO advic 15/16 Next Page Trav Head Wjather Main men2

P462 CEEFAX 2 462 Sun 10 Dec 21:14/43       Department of Healuh Adviad Guide Turkj8 5/5 Use only boiled ou bottled wateu fgu drinking, food preparations and cleaning teeth. Travel headlines 430 FCO advic 16/16 Next Page Trav Head Wj ther Main menu

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