Sussex Travel Clinic

Hove Clinic

01273 749100

Worthing Clinic

01903 254774

Dengue fever in Madeira  (Portugal) 

A recent outbreak of Dengue fever has been reported from Maderia. A total is 52 laboratory confirmed  cases of dengue fever have been reported in Madeira since the outbreak began on  3 October [1].  It is believed that a further 404 probable cases have been reported. Forty patients  have required hospital treatment, no deaths have occurred. A total of cases of dengue have been  reported in European travellers who visited Madeira during late September and  early October .  The cases include travellers from France (2), Sweden (1)  and England (1). The case from England is recovering well at home.

Advice for Travellers

Dengue Fever is spread through mosquitoes that bite in daylight hours. Travellers should avoid mosquito bites.

If you feel unwell with any of the following symptoms such as fever, severe  headache, muscle pain and a rash within 14 days of visiting Madeira you should seek medical advice.

There is no vaccine available to protect against dengue.



Sanofi Pasteur MSD has voluntarily recalled 16 batches of  Typhim Vi® typhoid vaccine due to concerns about the effectiveness of some of  the vaccines. These batches were distributed from 7 January 2011.

There is no safety concern regarding the recalled vaccines,  and revaccination is not recommended.

Typhoid is transmitted via contaminated food and water. No typhoid vaccine is 100% effective, therefore all travellers are advised to follow strict food and water hygiene advice.

Follow this guidance to reduce your risk of illness:

  • Don’t drink or clean your teeth with tap water.
  • Drink bottled or boiled water only. Check the seals of bottled water have not been tampered with.
  •  Use chlorine water purification tablets as an alternative where boiling is not possible, as they kill most bacteria and viruses.
  • Be careful what you eat. Foods that carry a higher risk of illness include: salad, raw fruit and vegatables, unpasteurised dairy products, reheated food, undercooked or raw shellfish, take aways and street food and food that has been allowed to sit around at room temperature.
  • Carry an alcohol hand gel to use if you can not wash your hands.

If you feel unwell on your return from a trip to a typhoid risk area, be alert to symptoms of typhoid and see your doctor immediately if you feel ill with any of the following symptoms:

Typhoid can be a mild, flu-like illness. Most people get a fever and a headache.

Symptoms appear about a week after you have eaten or drunk something contaminated with the bacteria and include:

  • A rose coloured body rash.
  • Chills and muscle aches.
  • Stomach pain with constipation or diarrhoea.
  • Loss of appetite
  • Sickness

If you feel unwell after a trip abroad please contact your GP or call NHS Direct on 0845 4647

Should I have another typhoid vaccine?

There is currently a UK shortage of injectable typhoid vaccine so re-vaccination is not recommended. If you are a frequent traveller to high risk areas you may want to have the oral typhoid vaccine which is currently still available. It is taken in tablet form over 5 days and costs £30 per dose. Supplies will be limited and re-vaccination is not recommended if you are not at risk of typhoid exposure.

To book a typhoid vaccine please call 01273 749100.
Please note due to the large number of people affected by this vaccine recall Sussex Travel Clinic is unable to answer calls regarding the above information.

We will shortly be contacting anyone who has been given the recalled typhoid vaccine in our clinic by email or letter with further advice.

If you require further information please visit the HPA website.


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Sussex Travel Clinic will be running some exciting competitions over the coming months and will post details on their pages.

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