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Health Advice for Travellers
Swiss Expert Committee for Travel Medicine

 

Health Advice for Travellers
Swiss Expert Committee for Travel Medicine

 

Health Advice for Travellers
Swiss Expert Committee for Travel Medicine

The US CDC has updated the areas at risk for chikungunya. As of 13 Jan 2026, there is a chikungunya travel health notice for outbreaks in (red = new compared to last update 16 Dec 2025):

  • Bangladesh
  • Cuba
  • Guangdong Province, China
  • Sri Lanka

 

Countries considered to have an elevated risk for chikungunya include:

  • Brazil
  • Bolivia
  • Colombia
  • India
  • Mexico
  • Nigeria
  • Pakistan
  • Philippines
  • Thailand

In addition to optimal mosquito bite prevention, the Swiss ECTM recommendation include:

 

Chikungunya vaccination is recommended for:

  • Persons >12 years of age travelling to an area with a chikungunya outbreak (see current outbreaks list of US CDC).
  • Laboratory workers who might be exposed to the virus.

 

Chikungunya vaccination may be considered for:

  • Persons >12 years travelling or moving to an area with elevated risk for chikungunya (see list of countries with elevated risk of US CDC) if planning to stay for an extended period of time or repeated stays (for example, cumulative period of 3 months or more).

 

Of note:

  • Two chikungunya vaccines have been licensed in Europe but not yet in Switzerland.
  • Consultation with a travel or tropical medicine specialist is advised.
  • For details, see ECTM statement for chikungunya recommendation or SOP.
CDC,13.1.2025 | Swiss ECTM
Nestlé issued consumer advisories and recalls for specific infant formula batches in multiple markets due to a potential quality issue involving an ingredient (ARA oil) and possible cereulide toxin contamination; advisories emphasize following country-specific batch lists and guidance.
If travelling with an infant or purchasing formula abroad, check national recall notices and the manufacturer’s batch/expiry information before use. Use only products from reputable retailers and follow preparation instructions (including hygiene and safe water). Seek medical care promptly if an infant develops persistent vomiting, diarrhea, lethargy, or signs of dehydration.
Nestlé, 11.01.2026
Environmental monitoring in Santa Catarina reported a substantial proportion of monitored coastal points as unsuitable for bathing, with elevated E. coli at several beaches. Authorities reported increased gastroenteritis linked to exposure to contaminated seawater and non-potable water, and advised avoiding swimming shortly after heavy rain and checking official water-quality updates before bathing.
Follow strict food and water hygiene. Only drink sealed bottled water or water that has been disinfected. Avoid ice of unknown origin. Eat thoroughly cooked food and peel fruit yourself. Wash hands regularly with soap and water or use hand sanitizer. Avoid swallowing seawater and avoid bathing in areas officially classified as unsuitable (especially after heavy rainfall). Seek medical advice if you develop severe diarrhea, fever, blood in stool, or signs of dehydration.
IMA, 09.01.2026
Guatemala confirmed a cluster of measles cases linked to a large religious mass gathering in Santiago Atitlán (Dec 2025), with cases detected in multiple departments and an epidemiological alert issued in early Jan 2026. Authorities implemented enhanced surveillance, active case finding, and vaccination response measures.

Measles spread quickly and can be dangerous - protection is simple: get vaccinated!

 

Swiss recommendations: All persons born after 1963 who have no documented protection against the infection (antibodies or 2 documented vaccinations) should be vaccinated twice with MMR vaccine at one month interval. In the event of an epidemic in the region or contact with a measles case, vaccination is recommended from the age of 6 months.

Red Cross Red Crescent, live update

One confirmed mpox case was detected in Mayotte on 08 Jan 2026 in a traveler arriving from Madagascar, where an mpox outbreak is ongoing.

 

In response, neighboring countries have implemented control measures:

  • Comoros requires travelers from Madagascar to present a medical certificate issued within five days prior to departure.
  • Mauritius has classified Madagascar as a country at risk and has introduced enhanced passenger screening.

 

Since 16 December 2025, Madagascar has reported approximately 100 suspected mpox cases and around 10 confirmed cases, with the Mahajanga coastal region in northwestern Madagascar remaining the outbreak epicenter.

Risk very low for general populations but moderate for at risk groups.

  • Avoid close, skin-to-skin contact with individuals who have, or may have, mpox, including anyone with a rash (pimples, blisters, scabs).
  • Wash hands frequently with soap and water or use an alcohol-based hand sanitiser at least 60% alcohol).
  • Avoid touching potentially contaminated personal items such as bedding, clothing, towels, cups, or eating utensils used by someone with suspected or confirmed mpox.
  • Avoid sexual contact with sick people; use condoms for up to 12 weeks if your sexual partner has had mpox.
  • Follow recommendations issued by local health authorities.
  • For people belonging to an at-risk group, vaccination may be indicated. See Mpox factsheet.
  • Avoid contact with animals in areas where mpox regularly occurs. Avoid eating or preparing meat from wild animals (bushmeat) or using products (creams, lotions, powders) derived from wild animals.
ARS, 8.1.2026 | Via BEACON, 10.1.2026

According to local media citing regional health director Dr. Seynabou Ndiaye, the Rift Valley fever (RVF) outbreak in Senegal’s Saint-Louis Region was declared over on 10 January 2026, with no patients remaining under surveillance.

 

The outbreak, declared on 21 September 2025, resulted in 360 confirmed cases from 5,196 tested samples, including 21 deaths (case fatality rate: ~5.8%). Nationwide, more than 500 confirmed human cases were reported by December 2025.

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