Updated on 15 September 2019
The Situation:
The Centers for Disease Control and Prevention updated their alert for dengue in Asia and
Pacific Island on 13 September. The alert, as follows, is currently at Alert Level 1 – Practice
Usual Precautions:
Dengue is an ongoing risk in many parts of Asia and the Pacific Islands (map). Travelers to
areas of risk should protect themselves by preventing mosquito bites. In addition, the
countries listed below are reporting higher-than-usual numbers of dengue cases, and
travelers visiting these countries may be at increased risk:
Bangladesh
Cook Islands
French Polynesia (Tahiti and Bora Bora)
Guam
Marshall Islands
Palau
Philippines
Singapore
Sri Lanka
Federated States of Micronesia (Yap Island)
Symptoms of Dengue Fever
Symptoms, which usually begin four to six days after infection and last for up to 10 days,
may include:
Sudden, high fever
Severe headaches
Pain behind the eyes
Severe joint and muscle pain
Fatigue
Nausea
Vomiting
Skin rash, which appears two to five days after the onset of fever
Mild bleeding (such a nose bleed, bleeding gums, or easy bruising)
Mitigating Factors to Apply:
Monitor local authorities for updates
Avoid mosquito bites
Wear long sleeve shirts, pants, socks and shoes when mosquitoes are most active
Use repellents such as DEET, picaridin, oil of lemon eucalyptus or IR3535
Avoid opening windows during times of high mosquito activity
Utilize mosquito nets where appropriate
Enroll in the Safe Traveler program (STEP) to receive warnings from the U.S.
Embassy or enroll in your preferred embassy alert system
Consider speaking to your healthcare provider regarding further preventative measures
DISCLAIMER and Hold Harmless
Disclaimer: LSDS gathers information from multiple sources and offers insight and perspective to travelers. Sources cannot be validated for accuracy in every instance. Travelers assume all risk associated with their travel and are responsible for the decisions associated with travel and for their own safety. Users of this reference document agree, to hold harmless LSDS (LLC) its employees and clients associated with any risk or injury incurred during travel.
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