Travel Vaccine Breaking News

Travel vaccine breaking news brought to you by Vax Before Travel.

Jun 2, 2023 • 2:32 pm CDT
U.S. Embassy Lima Peru June 2, 2023

The U.S. Department of State updated its Travel Advisory for the Republic of Peru regarding civil unrest.

On June 1, 2023, the State Department's Level 2: Exercise Increased Caution advisory confirmed visitors should not travel to:

  • The Colombian-Peruvian border area in the Loreto Region.
  • The Valley of the Apurímac, Ene, and Mantaro Rivers, including areas within the Departments of Ayacucho, Cusco, Huancavelica, and Junin.
  • The Puno Region, including the Peruvian side of Lake Titicaca, and the Apurimac Region.

And the U.S. Embassy in Lima recently reported a 24-hour strike is expected to affect the Puno region on May 31, 2023. In addition, roadblocks could disrupt travel within the area and the city of Puno.

Furthermore, U.S. travelers participating in Ayahuasca and Kambo ceremonies should be aware that numerous persons, including U.S. citizens, have reported that while under the influence of these substances, they have witnessed or been victims of sexual assault, rape, theft, serious health problems and injuries, and even death.

Previously, Machu Picchu reopened to visitors in late February 2023 after a short closure.

If you visit Peru, the State Department suggests enrolling in the Smart Traveler Enrollment Program to receive alerts in an emergency.

From a health perspective, the U.S. CDC included Peru in its recent dengue outbreak advisory.

Jun 2, 2023 • 10:42 am CDT
Google Map June 2, 2023

The U.S. Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Update CDCHAN-00492 to supplement the HAN issued on May 17, 2023, offering updates on the ongoing fungal meningitis outbreak.

As of June 1, 2023, a multistate outbreak of fungal meningitis is ongoing among patients who underwent procedures under epidural anesthesia in the city of Matamoros, Tamaulipas, Mexico, at two clinics: River Side Surgical Center and Clinica K-3.

A total of 212 residents in 25 U.S. states and jurisdictions have been identified who might be at risk of fungal meningitis because they received epidural anesthesia at the clinics of interest in 2023.

Three of these patients (two probable cases and one confirmed case) have died.

Various laboratories have detected fungal signals consistent with the Fusarium solani species complex from the cerebrospinal fluid (CSF) of patients receiving follow-up care in Mexico or the U.S.

In addition, elevated levels of beta-D-glucan, a biomarker of fungal infection, have been detected in the CSF of at least six patients. Efforts by public health officials are ongoing to find and notify additional patients who might be at risk.

Healthcare providers, public health officials, and the public should be aware that all patients, including those without symptoms, who underwent medical or surgical procedures under epidural anesthesia in Matamoros, Mexico, since January 1, 2023, should be evaluated for fungal meningitis as soon as possible.

As of June 2, 2023, the WHO advises against the application of any travel or trade restrictions on Mexico and the U.S. based on the current information available on this event.

Jun 2, 2023 • 8:41 am CDT
WHO COVID-19 Cases May 31, 2023

Globally, nearly two million new COVID-19 cases and over 12,000 related fatalities were reported in the last 28 days, a decrease of 30% and 39%, respectively, compared to the previous 28 days, reported the World Health Organization (WHO).

As of June 1, 2023, the situation is mixed at the regional level, with increases in reported cases seen in the Western Pacific Region and the African Region and decreases in related fatalities in all six WHO regions.

During this 28-day reporting period, 150 of 243 (62%) countries and territories reported at least one COVID-19 case.

The European Region had the highest proportion of countries reporting data on new hospitalizations (19 countries; 31%).

Globally, XBB.1.5 has been reported from 115 countries since the variant emerged.

Jun 1, 2023 • 4:29 pm CDT
U.S. CDC dengue map June 1, 2023

Florida Health recently published an updated Mosquito-Borne Disease Surveillance report that indicates there were three new cases of dengue confirmed last week in persons that had international travel.

As of May 27, 2023, seventy-seven travel-associated dengue cases have been reported in Florida during week #21.

And there have been two cases of locally acquired dengue in 2023.

As of June 1, 2023, the U.S. CDC reported 129 dengue cases in States and 256 dengue cases in U.S. Territories this year.

Other dengue outbreaks are posted at Vax-Before-Travel.

Jun 1, 2023 • 3:45 pm CDT
PLOS ONE Malaria May May 31, 2023

The journal PLOS One reported every 75 seconds, a child under five dies of malaria, and children bear the highest burden of malaria in Sub-Saharan Africa (SSA).

On May 31, 2023, the pooled prevalence of malaria among children aged 6–59 months was 27.41% (95% CI: 17.94%-36.88%) in SSA.

Infection rates range from 5.04% in Senegal to 62.57% in Sierra Leone. 

This study revealed that older under-five children living in large families with low incomes in rural areas are most vulnerable to malaria infection. 

To notify international travelers of their potential health risks, the U.S. CDC issued a Level 2 travel advisory focused on malaria outbreaks in Costa Rica

While there are malaria vaccines available in June 2023, the deployment has yet to reach critical mass in SSA.

May 31, 2023 • 12:13 pm CDT
U.S. CDC May 2023

Southern Africa is again weathering a season of cholera, with six countries in the region recording outbreaks in 2023, reported Derick Matsengarwodzi with GAVI.

As of May 25, 2023, Malawi is the worst affected, recording 36,943 cases and 1,210 associated deaths between March 2022 and February 2023, according to World Health Organization (WHO).

So far this year, Malawi has received three shipments of oral cholera vaccine (OCV) in response to applications to the Gavi-supported stockpile established in 2013.

The latest 1.4 million OCV dose shipment arrived in Lilongwe in April 2023.

On May 22, 2023, Gavi published a roadmap outlining critical actions needed to ensure the supply of OCV can meet growing demand from countries.

The roadmap describes how these organizations, manufacturers, and countries can work together towards ensuring global OCV supply can support large-scale preventive vaccination by 2026.

"Cholera vaccines have steadily become more available over the past decade, meeting rising country demand," said Dr. Derrick Sim, Managing Director for Vaccine Markets and Health Security at Gavi, in a media release.

"As a result, the good news is we have doses to meet all emergency demand despite the rise in outbreaks, which is expected to continue. But this trend underscores the increasing importance of preventing outbreaks before they occur."

"The ultimate solution to both sustainable OCV supply and cholera control lies in our collective ability to  step up our efforts on prevention programs."

As of May 31, 2023, various cholera vaccines have been approved but remain in limited supply.

Note: The U.S. CDC recently issued an Alert Level 2, Practice Enhanced Precautions, regarding polio outbreaks, which includes Malawi.

May 30, 2023 • 5:07 pm CDT
WHo Ethiopia Dengue Outbreak May 2023

The World Health Organization (WHO) Africa Region recently reported two districts (Logia and Mille) of the Afar region in north-eastern Ethiopia are experiencing a Dengue fever outbreak.

The Mille district has reported the most dengue cases (96%).

As of May 10, 2023, a total of 1 638 suspected and confirmed dengue cases and nine associated deaths (CFR 0.5%) have been reported. 

Of the nine suspected deaths reported, four occurred at the health facility and five at the community level.

Ethiopia has had nearly annual outbreaks since 2013, devastating an already fragmented health system, says the WHO. Furthermore, dengue is a vaccine-preventable disease, with two vaccines available in 2023.

Other dengue outbreaks in 2023 are posted at Vax-Before-Travel.

May 30, 2023 • 11:07 am CDT
by J. Schweikart

EL PAIS recently reported two patients were diagnosed for the second time with mpox in Spain.

On May 26, 2023, the Vall d'Hebron (Barcelona) and Ramón y Cajal (Madrid) hospitals confirmed two patients had been reinfected with mpox.

EL PAIS reported these are the first mpox reinfection cases in Spain.

According to the Carlos III Health Institute, there have been 56 mpox cases in Spain since the beginning of 2023.

Previous reports in 2023 confirmed secondary mpox cases in Chicago, Il, Paris, France, and Seoul, South Korea.

May 29, 2023 • 8:00 am CDT
Florida Dept of Health RSV case map May 20, 2023

The Pan American Health Organization (PAHO) recently reported Respiratory Syncytial Virus (RSV) cases in Latin America and the Caribbean for Epidemiological Week #18 of 2023.

As of May 24, 2023, the PAHO confirmed RSV activity has remained low throughout most of the Americas.

However, in Brazil and Southern Cone, RSV activity, after showing an increase in recent weeks, a decreasing trend has been observed. 

In the U.S., Florida’s RSV season is longer than the rest of the nation and has distinct regional patterns. However, as of late May 2023, Florida has not reported an RSV outbreak.

RSV is a common respiratory virus that usually causes mild, cold-like symptoms.

However, according to the Florida Department of Health, young children and older adults, especially those with certain underlying health conditions, are at higher risk for severe illness from RSV.

RSV is a vaccine-preventable disease in older adults, and RSV monoclonal antibody therapies were approved for infants in 2023.

May 29, 2023 • 6:45 am CDT

The U.S. Centers for Disease Control and Prevention recently released preliminary Tuberculosis (TB) cases data that the U.S. is also experiencing a disease resurgence.

The CDC reported that TB disease cases increased by 5% in 2022 to 8,300 cases.

TB cases have recently increased in California, New York, and Texas.

Healthcare providers and communities disproportionately affected by TB are recommended to.... Think. Test. Treat TB.

According to the WHO 2022 Global TB Report, an estimated 1.6 million people died from TB, an increase of 4.5% in one year. 

As of May 29, 2023, the 100-year-old Bacille Calmette-Guérin (BCG) vaccine is not widely used in the U.S. However, it is often given to infants and small children in other countries where TB is common.

There are over ten versions of the BCG vaccine used globally.

May 28, 2023 • 9:32 am CDT
US CDC May 26, 2023

The U.S. CDC reissued it's Alert - Level 2, Practice Enhanced Precautions travel advisory regarding U.S. residents returning from Matamoros, Mexico, who were diagnosed with suspected fungal meningitis infections that have led to severe illness and death.

As of May 26, 2023, the CDC stated people should cancel any elective procedure that involves an epidural injection of an anesthetic in Matamoros, Mexico until there is evidence that there is no longer a risk for infection at these clinics.

Furthermore, all medical and surgical procedures carry some risk, and complications can occur regardless of where treatment is received.

The risk of complications depends on the destination, the facility where the procedure is being performed, and whether you are in good physical and psychological condition for the procedure(s). 

And learn how to minimize risks if you are considering traveling to another country for medical care, says the CDC.

May 26, 2023 • 2:29 pm CDT
by Simon

The Chilean Ministry of Health recently issued a health alert in Arica, Parinacota, Tarapacá, Antofagasta, Atacama, Coquimbo, Valparaíso, and the Metropolitan Region, for the risk of Aedes aegypti mosquitos transmitting viruses such as yellow fever, dengue, chikungunya, zika, and malaria.

The health alert empowers the strengthening of the surveillance system and the adoption of opportune measures for the control of mosquitoes and viruses.

“The Ministry of Health is taking the necessary measures,” Fernando Leanes, representative of the World Health Organization and the Pan American Health Organization in Chile, told CNN Chile on May 4, 2023.

In South America, the Stamaril® yellow fever vaccine is generally available.

Other travel vaccines are listed by Vax-Before-Travel.

May 26, 2023 • 8:52 am CDT
by Peter Mellow

Are you an international traveler looking for an undiscovered, safe destination to visit? According to the U.S. Department of State, the Republic of the Marshall Islands could be an option.

With about six thousand annual visitors in 2019, these Pacific Islands are undiscovered.

This U.S. Territory includes 29 atolls and over 1,200 islands, famous for its numerous shipwrecks.

On May 23, 2023, the State Department's Level 1 travel advisory confirmed without COVID-19 restrictions, visitors to this Oceanic retreat should exercise standard precautions.

Should Americans need assistance, the U.S. Embassy in the Marshall Islands is located at Mejen Weto, Ocean Side, Majuro, Marshall Islands.

However, non-emergency consular services were recently suspended indefinitely. For questions and inquiries, call 247- 4011 or email [email protected].

From a health perspective, there was a shortage of necessary medical supplies and medications in April 2023.

And the U.S. CDC suggests various routine vaccinations before visiting the Marshall Islands.

May 26, 2023 • 7:02 am CDT
ECDC flu data May 26, 2023

The ECDC and the WHO Regional Office for Europe jointly reported influenza transmissions have significantly decreased.

As of May 21, 2023, the percentage of all sentinel primary care specimens from patients presenting with symptoms that tested positive for an influenza virus decreased to 2% from 4% in the previous week, which is below the epidemic threshold set at 10%.   

And 15 of 39 countries or areas reported low intensity; there were no reports of medium or higher intensity, with only 2 of 38 countries across the Region reporting widespread activity. 

Both the ECDC and WHO suggest international travelers speak with a healthcare provider about flu shot options for the forthcoming 2023-2023 influenza season.



May 26, 2023 • 6:07 am CDT
WHO COVID-19 data dashboard

The WHO's Weekly Epidemiological Update #144 provides an overview of the global, regional, and country-level COVID-19 cases and related fatalities.

As of May 25, 2023, nearly 2.3 million new cases and almost 15,000 fatalities were reported in the last 28 days, a decrease of 21% and 17%, respectively, compared to the previous 28 days.

The global situation is mixed at the regional level, with increases in reported cases seen in the WHO African and Western Pacific Regions and increases in fatalities in the African, the Americas, South-East Asia, and Western Pacific Regions. 

Disaggregated data are still accessible on the WHO COVID-19 dashboard, where the entire dataset is available for download.