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Travel medicine update - yellow fever in Paraguay and Brazil

Between 15 January and 5 February 2008, five human cases of yellow fever were reported from Paraguay, two of which were fatal.

All five of the cases originated from the San Pedro area and had participated in hunting activities. A further eight suspected cases have also been reported from the same area.

These are the first human cases of yellow fever to be reported in Paraguay since 1974. The Ministry of Health of Paraguay, in co-operation with the Pan American Health Organization, has initiated enhanced surveillance of cases of fever and jaundice, and a vaccination campaign is under way in the affected area.

Both Health Protection Scotland and NaTHNaC have extended their yellow fever recommendations for Paraguay, advising vaccination against yellow fever for individuals over 9 months of age travelling to forested areas of the east and west; those visiting Iguaçu Falls; and also those travelling to the rural area of San Pedro, in the central east of Paraguay.

The growing outbreak in Brazil now stands at 26 confirmed human cases, including 13 deaths, with the last case reported on 28 January, in the states of Distrito Federal, Goiás and Mato Grosso do Sol. Seven suspected cases including five deaths are under investigation.

Iguacu falls

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