The likelihood of new infections in travellers visiting the Santa Maria region in Cabo Verde remains moderate. Additional cases of shigellosis and other gastrointestinal infections are expected until the source of infection is identified, and effective control measures are put in place.

• Practice strict hand hygiene (regular hand washing and disinfection), especially before cooking, eating and after using the toilet.
  
• Consume well-cooked foods served hot. Avoid ready-to-eat foods, including unwashed fruits and vegetables, salads, and ice-containing products.
  
• Drink bottled or boiled water.
• If symptoms such as diarrhoea (including bloody diarrhoea), fever or stomach cramps occur during or after travel, seek prompt medical attention. Shigella can cause clinical symptoms even at a minimal perorally ingested dose (less than 100 germs). 

Prevention: Optimal mosquito protection 24/7, also against other mosquito-borne disease.

Vaccination: The Swiss Expert Committee for Travel Medicine (ECTM) recommends Qdenga® vaccination only for travelers over 6 years who have previously had a dengue infection, see ECTM statement.

In case of fever:

• Ensure adequate hydration and apply paracetamol products for symptomatic treatment.
• Avoid taking medications containing acetylsalicylic acid (e.g., Aspirin®), as this can increase the risk of bleeding during a dengue infection. However, do not stop taking medications containing acetylsalicylic acid if it is already part of your regular treatment for an underlying condition.