Asian Countries Enhance Entry Screening for Mpox
Americas
In 2024, more than 11 million cases of dengue fever were reported in many countries. Of these, 6,250 people have died from their infections. This represents a 235% increase compared to the same period in 2023. Within one week, nearly 84,000 new cases emerged in Argentina, Barbados, Bolivia, Brazil, Colombia, Costa Rica, El Salvador, the Dominican Republic, French Guiana, Grenada, Guadeloupe, Guatemala, Guyana, Honduras, Martinique, Mexico, Nicaragua, Panama, Paraguay, Peru, Saint Barthelemy, Trinidad and Tobago, the United States, and the Virgin Islands.
The state Department of Health has reported 11 cases of Oropouche fever in several counties. All the infections occurred in travellers who had visited Cuba, where this virus is widely transmitted. The virus that causes Oropouche Fever is usually transmitted in the Amazon Basin of South America, where it may cause large and explosive disease outbreaks. The virus is transmitted through mosquito, tick, and midge bites. When these insects become infected with the virus, the virus can be transmitted to animals (sloths, marsupials, primates, and birds) and humans through the insect bite. Transmission to humans is primarily by the bite of the midge. The bite of the midge carrying the Oropouche virus feels like a sharp prick, and an irritation or lump may appear and last for a few hours or days. Symptoms include fever, headache, muscle and joint pain, pain behind the eyes, chills, and vomiting.
On 21 August, Porto Velho's air quality reached critical levels, with PM2.5 microparticles soaring to 56.5 micrograms per cubic metre. The smoke has been pervasive, even affecting residents indoors. The worsening air quality is largely attributed to rampant forest fires. Residents were advised to stay indoors and minimise outdoor activities due to the severe health risks posed by the polluted air.
Europe
On 23 August, at least three people were killed and several others injured in a knife attack during a festival in Solingen's Fronhof area The festival was part of the city's 650-year anniversary celebrations. The suspect, a 26-year-old Syrian national named Issa Al H, has surrendered to police, admitting to the attack. He is under investigation for murder, attempted murder, and suspected ties to the Islamic State (IS).
Starting 1 September, new European Union regulations limit liquid containers in hand luggage to 100 ml at all European airports. Travellers must also pack liquids in a transparent plastic bag with a maximum volume of 1 litre. Exceptions are made for medicines and liquid baby food. It's advisable to check with your airline to see if your travel plans are affected and to allow extra time at the airport for luggage checks and security screening.
On 25 August, firefighters successfully contained a large forest fire on the Portuguese island, which had been burning for 11 days. Despite bringing the blaze under control, authorities announced that they would remain on site to prevent any potential flare-ups. The fire, which began on 14 August, spread over 5,000 hectares of vegetation, primarily in steep and hard-to-reach mountainous areas. The fire also spread to the municipality of Camara de Lobos. Over 160 people were evacuated in Faj? das Galinhas due to the risk of smoke inhalation. During a wildfire, travellers must ensure evacuation from high-risk regions. If travelling to any affected area, wear facemasks or other respiratory protective equipment to avoid inhalation of any smoke present. Persons with pre-existing heart and lung conditions should remain indoors, if possible until air quality improves.
Middle East and Asia Pacific
On 22 August, at least 11 policemen were killed in a bandit attack in the Kacha area of Rahim Yar Khan. The bandits launched rockets on police vans in the riverine area known for criminal activities. Two police vans carrying over 20 officers were trapped in rainwater due to the attack. Emergency operations were carried out, and five missing officers were later rescued. The area was immediately cordoned off, and investigations were launched by authorities. The Kacha region has long been a stronghold for bandit groups, making it difficult for provincial governments in Sindh and Punjab to maintain law and order. Many countries advise their citizens to avoid all travel to Punjab due to the dangerous safety and security situation.
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On 23 August, at least 11 people were killed and 16 others injured when an Indian bus travelling from Pokhara to Kathmandu plunged into the Marsyangdi River in Ambukhaireni. The bus veered off while travelling along the Prithvi Highway, a route known for its sharp turns and challenging driving conditions, especially during the monsoon season. Rescue operations were launched by emergency personnel, and the injured were airlifted to nearby hospitals for urgent medical attention. Investigations are underway, with initial reports suggesting that wet road conditions and potential brake failure may have contributed to the accident.?
As of 25 August, at least 20 people have died due to flash floods triggered by heavy rainfall in east Bangladesh, including Feni, Noakhali, Cumilla, and Moulvibazar. More than 5.2 million people have been affected, and emergency operations are ongoing. The situation has worsened as many rivers have exceeded the danger level, leading to the inundation of houses. Emergency personnel, including the army and navy, are working to rescue stranded individuals by boat. Thousands of people have been evacuated, and government buildings and schools have been converted into emergency shelters for displaced people. Over 25,000 residents have sought refuge in relief camps in Feni alone. Travellers are advised to avoid non-essential travel to the flood-affected areas as there may be power outages and damage to infrastructure, such as roads, transportation, and communication systems. Several roadways in the affected areas may not be accessible. Avoid contact with flood water due to the possible risk of contamination. Engaging in marine activities can be dangerous at this time. Be cautious and consult local meteorological reports wherever available through local media (TV, radio, and local alerts). Follow any other advice from local authorities.
Health authorities have recorded the highest number ever of people infected with leptospirosis (approximately 3,500 cases) so far this year. Of these, 323 people have died from their infections. Leptospirosis is ubiquitous throughout most of the world. It is acquired through skin exposure (especially if there are open wounds) to water or damp soil that has been contaminated by an infected animal’s urine. For travellers, this exposure is higher after a period of heavy rainfall or flooding. Travellers can reduce the risk of exposure to leptospirosis during floods or heavy rainfall by avoiding contact with flood waters, e.g., wearing waterproof boots and other protective clothing. Other activities that may increase the risk of exposure include recreational water activities, such as rafting or swimming during floods.
On 22 August, the National Police Chief ordered the deployment of officers in all 42,029 barangays across the Philippines to enhance public safety. Police units will intensify patrolling, particularly in vulnerable and remote areas, to curb crime, terrorism, and illegal drug activities. The duration of this operation is yet to be determined. Travellers should exercise caution, stay vigilant, and report any suspicious activity to the police.
Southeast and East Asian countries have implemented new entry screenings to prevent monkeypox spread. In Indonesia, the Health Ministry requires foreign nationals to undergo strict health checks and complete a questionnaire on medical history, contacts, and recent travel. Non-compliant or sick individuals are denied entry. South Korea's Disease Control Agency introduced border screenings for arrivals from eight African nations, requiring symptom reporting. Singapore added temperature and visual checks at Changi and Seletar airports, with similar measures at sea checkpoints. Monkeypox symptoms include fever, rash, and swollen lymph nodes. Preventive measures involve handwashing and avoiding contact with wild animals and sick people.
Africa
On 26 August, Denmark announced a new strategy for Africa involving opening the embassies in Senegal, Tunisia, and Rwanda and increasing its diplomatic presence in Egypt, Kenya, South Africa, Nigeria, and Ghana. The embassies in Burkina Faso and Mali will close due to instability in the Sahel region. The strategy also focuses on increasing trade and investment with Africa, including strengthening Danish funds supporting business and investment in the region. Denmark will also enhance support for climate adaptation and allocate over DKK 1 billion for bilateral water projects. Efforts to combat irregular migration will receive DKK 1.1 billion, with a focus on migration management and border control. Cultural exchanges will be supported with DKK 50 million. The aim is to strengthen ties with Africa amid growing geopolitical significance and competition from China and Russia.
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MBBS Doctor from services institute of medical sciences
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