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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

On 4 September 2025, an Ebola virus disease (EVD) outbreak caused by the Zaire ebolavirus species was declared in the Kasai Province, Bulape Health district, with at least 42 cases reported (including 20 cases laboratory-confirmed cases ); 16 people have died (CFR 38%), including 4 health care workers. This is the 16th Ebola outbreak in the Democratic Republic of Congo (DRC).

 

The first known index case was a pregnant woman who presented at Bulape General Reference Hospital on 20 August 2025 with symptoms of high fever, bloody diarrhoea, haemorrhage and extreme weakness. She died on 25 August from multiple organ failure. The source of acquisition is unknown.

 

The affected region, located several hundred kilometers south of Kinshasa, is difficult to raccess due to poor road infrastructure. International organisations have arrived on site. Containment efforts are currently complicated by unsafe burial practices and limited contact tracing (currently only about 19%), as people are fleeing to other areas. For details, see references below.

 

The last EVD outbreak documented in the DRC was in August 2022, in Beni Health Zone, North Kivu province, but concerned only one case. In the same year, other five cases had been reported from Mbandaka city, Equateur province. In 2007 and 2008, there were EVD outbreaks affecting Kasai province, including the Bulape and Mweka health zones in 2007. In the country overall, there have been 15 outbreaks since the disease was first identified in 1976.

 

Map of affected health zone, as of 4 September 2025:

 

ebola.png

Follow media and official reports.

 

The affected area is difficult to access, making the risk for travellers very low. People visiting the affected area should follow these precautions:

General preventive measures:

  • Wash hands regularly and carefully using soap and water (or alcohol gel if soap is unavailable).
  • Avoid contact with sick people who have symptoms, such as fever, muscle pain, and rash.
  • Avoid contact with blood and other body fluids
  • Avoid visiting healthcare facilities in the filovirus-affected areas for nonurgent medical care or non-medical reasons.
  • Avoid contact with dead bodies or items that have been in contact with dead bodies, participating in funeral or burial rituals, or attending a funeral or burial. 
  • Avoid handling, cooking, or eating bush/wild meat (meat of wild/feral mammals killed for food).
  • Wash and peel fruit and vegetables before consumption.
  • Avoid visiting mines or bat caves and contact with all wild animals; alive or dead, particularly bats.
  • If visiting mines or caves inhabited by fruit bat colonies, wear gloves and other appropriate protective clothing, including masks and eye protection.
  • Practice safer sex.

 

Vaccination against Ebola is not available for travelers. For humanitarian missions, consultation with a  travel medicine specialist is recommended to assess vaccinations options (Ebola vaccination is available at the University Hospital in Geneva).

While in the outbreak area and for 21 days after leaving:

  • Watch for symptoms.
  • Follow quarantine requirements by your local health authorities if applicable.

 

In case of symptoms such as fever >38° C, headache, diarrhea, bleeding symptoms etc. during travel and until 21 days after being in the affected area: 

  • Separate yourself from others (isolate) immediately.
  • Do not travel.
  • Contact by phone local health authorities or a healthcare facility for advice (e.g. tropical institute or university hospital infectious disease unit) Always state that you may have had a possible exposure to Ebola (incubation period: 2-21 days). 
Ministry of Health, DRC, 6.9.2025 | WHO DON, 5.9.2025 | MSF, 10.9.2025

More than 1’300 hepatitis A cases have been reported in 2025, including two deaths. The largest numbers of cases have been recorded in Prague (436), Central Bohemia (202), and the Moravian-Silesian Region (118).

The outbreak is most pronounced among young children in socially excluded communities, but cases are also occurring among homeless people and residents of hostels and similar facilities.

 

Also neighboring countries see an increase of hepatitis A cases, see EpiNews 24.7.2025.

Vaccination against hepatitis A is recommended for people visiting friends and relatives in remote rural areas and/or where hygiene conditions are poor.
Outbreak News Today, 6.9.2025
  • Since late July 2025, South Africa’s Ministry of Health has reported more than 30 measles cases per week, signaling a sustained rise in infection rates.
  • From the start of the outbreak in January 2025, approximately 741 laboratory-confirmed measles cases have been documented through 22 August, which is roughly double the typical incidence.
  • A significant majority of these cases—503—occurred in Gauteng Province, with most affecting children under 14 years of age.

Measles outbreaks are currently being reported in multiple countries worldwide.

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.

National Institute for Communicable Disease, 29.8.2025

A 68-year-old man from Tonila, Jalisco, contracted rabies after being bitten by a cow in May 2025.

 

Although Mexico became the first country in the world to receive validation from WHO for eliminating dog-transmitted rabies as a public health problem. (Mexico is free from human rabies transmitted by dogs), the virus circulates in the country:

 

In 2024, rabies was confirmed in 257 cattle, 14 horses, 6 sheep, 1 goat, 23 hematophagous bats (Desmodus rotundus), 3 insectivorous bats, and 1 frugivorous bat. 

Prevention: Avoid contact with animals and do not feed them! Travelers are advised to get a pre-exposure vaccination, especially those at higher risk, such as individuals working with animals, riding two-wheelers, visiting remote areas, young children, cave explorers, or anyone who may come into contact with bats.

 

Behavior after exposure: After an animal bite/scratch: immediately wash the wound with water and soap for 15 minutes, then disinfect and in any case visit a high-quality medical center for post-exposure vaccination as soon as possible!

Via Beacon, 1.9.2025
On 29 August 2025, the New York City Health Department announced that the Central Harlem community cluster of Legionnaires’ disease has ended. In total, there have been 114 cases of Legionnaires’ disease associated with this cluster; 90 people have been hospitalized; six remain hospitalized; and, seven people have died.
NYC Health, 29.8.2025

A measles outbreak in East Java, Indonesia, has caused 17 deaths, mostly among children, with 16 of those deaths occurring in Sumenep district. Media reports, citing the Sumenep District Health Agency, say that 16 of the deceased were not immunized and one had not finished the vaccination series.

 

As of 17 Aug 2025, a total of 2035 cases have been reported in Sumenep since the start of 2025, primarily affecting children under seven years old.

 

Measles outbreaks are currently being reported in multiple countries worldwide.

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.

Via BEACON, 26.8.2025
According to media, two Russian tourists were diagnosed with chikungunya infection upon returning from a stay in Sri Lanka.

Optimal mosquito protection 24/7, also in cities (also against other mosquito-borne diseases such as Zika, dengue).

 

Two vaccines against chikungunya are licensed in Europe but not yet in Switzerland: Vimkunya® (virus-like particle vaccine) and Ixchiq® (live-attenuated vaccine. The Swiss Expert Committee for Travel Medicine is currently preparing a statement. The US CDC has published the recommendations, see LINK.

 

In case of fever:

  • Ensure adequate hydration and take paracetamol products. Stronger pain killers may be necessary in case of arthropathy.
  • Avoid taking medications containing acetylsalicylic acid (e.g., Aspirin®), as this can increase the risk of bleeding during certain viral infections. However, do not stop taking medications containing acetylsalicylic acid if it is already part of your regular treatment for an underlying condition.
Media, 3.9.2025

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