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From rubella to yellow fever: goats and soda: NPR



Popular walking trail in Shinjuku, Tokyo. Cases of rubella have been reported in Tokyo and other Japanese tourist destinations.

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TommL / Getty Images

Popular Walking Trail in Shinjuku, Tokyo. Cases of rubella reported in Tokyo and other Japanese tourist destinations

TommL / Getty Images

The reputation of the Dominican Republic for the beaches that can be captured by Instagram and for all resorts is darkened by reports of the deaths of tourists. At least eight Americans have died in the Caribbean this year, including this week. The FBI helps the authorities in the Dominican Republic investigate three of the deaths.

Some nervous tourists rebuke the destination. But there are still no warnings from the US Department of Disease Control.

Meanwhile, according to the CDC, perhaps the greatest risk to passengers everywhere is … traffic: "Motor vehicles are the leading cause of preventable death among passengers."

But every year there are specific health problems in some tourist destinations. Checking the CDC's Travel Health Notices and the World Health Organization (WHO) database for disease outbreaks are giving you an overview of global health problems this summer

These sites are not specifically targeted at tourists. Included are non-typical holiday destinations such as the Democratic Republic of Congo (where there is a warning about the Ebola virus) and Cameroon (where you will find a polio outbreak).

We interviewed doctors specializing in international travel.

Measles is a highly contagious disease that can cause debilitating or fatal complications including encephalitis, severe diarrhea and dehydration, pneumonia, ear infections, and permanent vision. loss. According to the World Health Organization, it is growing globally, with foci in countries that can visit tourists such as Brazil and India, and smaller fumes in such tourist destinations as France, Israel and Italy. The CDC offers this advice to international travelers: "You must plan to be fully vaccinated [against measles] at least two weeks before you leave.If your trip is less than two weeks old and you are not protected from measles, you should still receive a dose of the MMR (measles-mumps-rubella) vaccine Two doses provide 97% protection against measles one dose provides 93% protection 19659013 Japan rubella 19659014 Rubella, also known as German measles, is a virus that causes a low fever, sore throat and rash that begins on the face and spreads For adults and children symptoms are considered to be mild, but if a pregnant woman infects rubella, the fetus is at risk of congenital malformations.The epidemic in Japan is usually limited to Tokyo, Kanagawa, Chiba and Sitama, according to the CDC Rajiv Narula, an expert on road medicine and a doctor of internal diseases at MidHudson Regional Hospital, recommends a MMR IgG test for women who are pregnant or are considering pregnancy to check if they have protective antibodies. Even someone who has previously been vaccinated may need a booster stroke, says Narula.

Brazil: Yellow fever

This tropical disease spreads from mosquitoes and is a recurring problem in several countries, including Rio de Janeiro and Sao Paolo. according to CDC. Yellow fever can cause everything – fever with pain and severe liver disease with bleeding and jaundice. In the beginning of 2018, a case of yellow fever was reported in an unvaccinated Dutch traveler who resided near the capital city of Sao Paulo, according to the WHO. Since then, there have been reports of other unvaccinated travelers in Brazil who have received yellow fever; many of them have been infected on the island of Ilia Grande. Several of these passengers were killed, the WHO reported. Health experts recommend vaccination against yellow fever for at least ten days prior to departure – and a booster if a decade has passed since a previous vaccination. And every time you travel to a country where mosquito-related diseases occur, it is advisable to take action against mosquitoes. The CDC recommends that even adults who have been vaccinated as a child "receive a single dose of booster vaccine against polio" before traveling to the country.

Leptospirosis (Israel). Leptospirosis is a bacterial disease that can lead to kidney damage, meningitis, hepatic failure, respiratory distress and even death. The outbreak is limited to the Golan Heights in northern Israel. The CDC says passengers at highest risk are those who are exposed to contaminated fresh water during activities such as swimming, humming, kayaking or rafting. "Water is polluted with urine from animals that have the disease," explains Caroline Fernandez, an infectious disease physician at the University of Pittsburgh School of Medicine. "There is a way to prevent the development of the disease if one has to deal with these activities, such as taking a preventive antibiotic called doxycycline." There is currently no vaccine to prevent leptospirosis.

Europe and India: Heat

Heat waves in India and Europe broke records and took lives.

"Do not pay attention only to disease warnings," said Robert Salat, chair of the medical and infectious disease expert at the University Hospitals at the Cleveland Medical Center. "Review any messages related to ongoing violence or natural disasters." They can worsen the health problem of your destination by making it harder for care

M. Rizwan Sohail, a professor of medicine and an infectious disease expert at Mayo Medical and Science College of Medicine, advises: "Travelers with pre-existing medical conditions should receive travel insurance, take their medication, and seek emergency care if they develop new symptoms. Those who have heart disease will probably have to visit their doctor before traveling abroad to make sure they are fit for travel. "

First of all, keep your sense of perspective, say healthcare professionals. "Overall, there are more chances of getting a common respiratory virus when traveling abroad during the summer than any other infectious disease," says Luis Marcos, associate professor of clinical medicine in infectious disease division at Stony Brook Medicine. Christopher Elliott is the founder of Elliott Advocacy a non-governmental organization that helps consumers solve their problems. Send him an email with your questions to chris@elliott.org .


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