Wednesday, January 8, 2014

Travel Warning:Yellow Fever in Sudan

As of December 3, 2013, the World Health Organization (WHO) has reported 44 suspected cases of yellow fever, including 14 deaths, from October 3 to November 24, 2013. Some of the cases have been laboratory-confirmed. The outbreak is located in West and South Kordofan states of Sudan. Sudan’s Federal Ministry of Health and WHO are planning a mass yellow fever vaccination campaign in the affected areas to control the outbreak.
Yellow fever is a disease caused a virus, which is spread through mosquito bites. Symptoms take 3–6 days to develop and include fever, chills, headache, backache, and muscle aches. About 15% of people who get yellow fever develop serious illness that can lead to bleeding, shock, organ failure, and sometimes death.
How can travelers protect themselves?
Travelers can protect themselves from yellow fever by getting yellow fever vaccine and preventing mosquito bites. Learn more about CDC’s yellow fever recommendations for Sudan on the Sudan destination page.
Get yellow fever vaccine:
  • Visit a yellow fever vaccination (travel) clinic and ask for a yellow fever vaccine.
    • You should receive this vaccine at least 10 days before your trip.
    • After receiving the vaccine, you will receive a signed and stamped International Certificate of Vaccination or Prophylaxis (ICVP, sometimes called the “yellow card”), which you must bring with you on your trip.
    • The vaccine lasts for 10 years.
    • In rare cases, the yellow fever vaccine can have serious and sometimes fatal side effects. People older than 60 years and people with weakened immune systems might be at higher risk of developing these side effects. Also, there are special concerns for pregnant and nursing women. Talk to your doctor about whether you should get the vaccine.
Prevent mosquito bites:
  • Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
  • Use an appropriate insect repellent as directed.
  • Higher percentages of active ingredient provide longer protection. Use products with the following active ingredients:
    • DEET (Products containing DEET include Off!, Cutter, Sawyer, and Ultrathon)
    • Picaridin (also known as KBR 3023, Bayrepel, and icaridin) (Products containing picaridin include Cutter Advanced, Skin So Soft Bug Guard Plus, and Autan [outside the US])
    • Oil of lemon eucalyptus (OLE) or PMD (Products containing OLE include Repel and Off! Botanicals)
    • IR3535 (Products containing IR3535 include Skin So Soft Bug Guard Plus Expedition and SkinSmart)
  • Always follow product directions and reapply as directed:
    • If you are also using sunscreen, apply sunscreen first and insect repellent second.
    • Follow package directions when applying repellent on children. Avoid applying repellent to their hands, eyes, and mouth.
  • Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). You can buy pre-treated clothing and gear or treat them yourself:
    • Treated clothing remains protective after multiple washings. See the product information to find out how long the protection will last.
    • If treating items yourself, follow the product instructions carefully.
    • Do not use permethrin directly on skin.
  • Stay and sleep in screened or air conditioned rooms.
  • Use a bed net if the area where you are sleeping is exposed to the outdoors.

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