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 . 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:
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:
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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