Deadly start to JE season in India’s north
Japanese encephalitis (JE) has caused the deaths of 26 people, mainly children, in India’s far northeast in the last fortnight. Another 30 are in intensive care. The outbreak has occurred at the beginning of Biharstate’s JE season.
Advice to travellers: JE infection is extremely rare among travellers. Generally, vaccination is not recommended for short-stay travel to Asia, where the disease occurs.
Malaria and dengue fever remain the main mosquito-borne risks in India and all travellers should use an effective insect repellent for personal protection. We advise travellers to consider taking malaria prevention medication. .
Malaria flares in India;
Further south in India, there have been 145 recent cases of malaria in Hyderabad (Andhra Pradesh state), the majority in Banjara Hills and Bholakpur (Musheerabad).
Dengue alerts for India
INDIA: The onset of the monsoon has brought dengue fever to many parts of Thiruvananthapuram city (Kerala state).
Meanwhile, Mumbai (Maharashtra state) has recorded the first death of the year from dengue haemorrhagic fever (DHF).
Advice to travellers:
Travellers should cover up and regularly apply an insect repellent containing effective active ingredients, such as DEET, Picaridin, IR3535, or oil of lemon eucalyptus, to exposed skin at all times when outdoors.
The mosquitoes that transmit the dengue virus inhabit urban areas, including leading hotels and resorts, and bite mainly during the day.
Advice to travellers: As with dengue fever, there is no vaccine or preventative medication for Chikungunya fever, which is spread by daytime-feeding Aedes mosquitoes. Travellers should cover up and apply an insect repellent containing effective active ingredients, such as DEET, Picaridin, IR3535, or oil of lemon eucalyptus, to exposed skin any time they are outdoors.
Monsoon brings deadly virus to Uttar Pradesh
India’s monsoon rains have brought a sharp rise in fatalities from Japanese encephalitis (JE) and acute encephalitis syndrome (AES) in 7 high-risk districts of Uttar Pradesh.
The districts worst affected by AES are Gorakhpur (111 cases, 21 deaths), closely followed by Deoria (109, 15), and Kushinagar (103, 22).
The three regions have also reported JE cases, as have Basti, Siddharthanagar, Sant Kabir Nagar, and Maharajganj.
Advice to travellers: India is endemic for mosquito-borne JE and the transmission season is now underway. Heading to any rural or urban areas of India should also consider anti-malaria medication, and use an effective insect repellent at all times when outdoors.
NAVSARI: Contaminated drinking water caused 66 cases of cholera in a village in Gujarat district’s Navsari district
GOA a rabid dog attacked at least 44 people and at least one dog in Panaji (Goa) last Thursday. Authorities are trying to determine if other people or animals were bitten by the infected animal, which was captured and later died