Tag: Monkeypox

  • Canada Issues New Travel Advisory Due To Monkeypox

    Canada Issues New Travel Advisory Due To Monkeypox

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    As monkeypox spreads globally, the Canadian government has issued a travel advisory for Canadians traveling overseas. The new Level 2 travel advisory suggests Canadians should practice enhanced health precautions following the emergence of monkeypox. 

    The Canadian government released the travel advisory on June 7, 2022. 

    The Full Details Of The Level 2 Travel Advisory 

    According to the Canadian government, a Level 2 travel health notice “indicates an increased risk to travellers or certain groups of travellers (for example, pregnant women, campers, people visiting friends and relatives) and reminds them to practise enhanced health precautions.”

    Canadian flag and Parliament buildings in Ottawa in the background

    The Canadian government suggests all Canadians should follow these precautions:

    • Use personal protective equipment—such as masks—to minimize the spread of monkeypox
    • Delaying all travel until the risk is lower
    • Avoiding higher-risk activities 
    • Taking recommended vaccinations for some groups 
    • Washing hands at all times, especially after being in close contact with some people
    • Being careful if you’re attending mass gatherings or parties 
    • Being aware of any symptoms, such as a new rash 

    The Canadian government has issued the advisory if you’re traveling to these destinations:

    • Argentina
    • Australia
    • Austria
    • Belgium
    • Bolivia
    • The Czech Republic
    • Denmark
    • Finland
    • France
    • Germany
    • Hungary
    • Ireland
    • Israel
    • Italy
    • Malta
    • Mexico
    • Morocco
    • Netherlands
    • Norway
    • Portugal
    • Slovenia
    • Spain
    • Sweden
    • Switzerland
    • The United Arab Emirates
    • United Kingdom
    • United States
    Toronto City Skyline, Ontario, Canada

    The Canadian government says: “During your travel, you may be subject to procedures at your destination put in place to limit the spread of monkeypox, such as isolation, should you become infected. You may have limited access to timely and appropriate health care should you become ill, and may experience delays in returning home.”

    “PHAC is working closely with international, provincial, and territorial health partners to gather information on this evolving issue. Further investigations are underway to determine the likely source of infection and to limit further onward spread.”

    The Canadian government says you should see a healthcare professional if you develop symptoms when you’re traveling. In addition, if you have monkeypox symptoms during the flight: “tell the flight attendant before you land or the border services officer as you enter the country.”

    What Is Monkeypox?

    The Canadian government states: “Monkeypox is a disease that is caused by a virus. It is regularly found in parts of Central and West Africa, where it has been re-emerging in recent years”

    They suggest monkeypox can spread in three ways:

    • From animals to humans
    • From person to person
    • Through direct contact with contaminated objects
    Young Female Traveler Looking Concerned At The Airport While Wearing A Surgical Face Mask And Holding A Red European Passport, Covid 19 Pandemic

    In addition, monkeypox can spread from person to person via close contact in the following ways:

    • Scabs or skin lesions (which may resemble chickenpox)
    • Body fluids or blood 
    • Mucosal surfaces (including eyes, mouth, throat, and rectum.)
    • Contaminated clothing or linens
    • Respiratory droplets (coughs and sneezes) may transmit the monkeypox virus, but scientists are still learning.

    However, the Canadian government suggests that: “symptoms usually last between 14 and 28 days. Monkeypox is usually a mild, self-limited disease. In rare situations, people may become very sick and death may occur.”

    They add: “Treatment for monkeypox is mainly supportive. Vaccines and medications for prevention and treatment are not commercially available at this time.”

    Have Other Countries Issued Travel Advisories? 

    The Canadian government isn’t the first nation to introduce a travel advisory for monkeypox. The United States issued a travel advisory due to monkeypox almost two weeks ago.

    The CDC advises Americans to avoid:

    • Close contact with sick people, particularly those with skin or genital lesions.
    • Touching any dead or live wild animals, such as rats, squirrels, monkeys, and apes.
    • Handling all materials used by monkeypox-infected individuals as they could be contaminated.

    We will keep you updated on how monkeypox may affect travelers going forward. 

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    Disclaimer: Current travel rules and restrictions can change without notice. The decision to travel is ultimately your responsibility. Contact your consulate and/or local authorities to confirm your nationality’s entry and/or any changes to travel requirements before traveling.  Travel Off Path does not endorse traveling against government advisories

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  • CDC Issues Travel Advisory Traveling To These Countries Due To Monkeypox

    CDC Issues Travel Advisory Traveling To These Countries Due To Monkeypox

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    Are we in the early days of a new global health emergency? After several monkeypox outbreaks were registered across Europe this week, and Belgium going as far as imposing a strict 21-day quarantine for travelers with a confirmed infection, the CDC has now issued a travel warning to a number of destinations due to the emerging threat.

    Monkeypox is a disease classed by the World Health Organization as being of ‘global public health importance‘. Although it mostly affects countries in West and Central Africa, it is also present in other parts of the world, and the identification of new clusters in Europe and North America, where it is not yet endemic, is worrying health experts.

    CDC Formally Recognizes The New Global Health Threat

    Adding weight to the other health warnings issued by countries like the UK, the U.S. Centers for Disease Control and Prevention – CDC has formally recognized monkeypox as a potentially disruptive pathogen, and emitted its own travel alert to a number of destinations in Europe and beyond. According to the CDC, cases have been reported in the following states:

    • Australia
    • Austria
    • Belgium
    • Canada
    • England
    • France
    • Germany
    • Israel
    • Italy
    • Netherlands
    • Portugal
    • Scotland
    • Spain
    • Sweden
    • Switzerland
    Gaudi's La Sagrada Familia In Barcelona, Catalonia, Spain

    Besides the above, monkeypox has already reached the United States as well, less than a month after the first infection clusters were identified in Europe. For that reason, the CDC has added the affected countries to the Level 2 category, stopping short of slapping a Level 3 travel warning due to monkeypox.

    This means that, when traveling to all European countries listed, as well as Australia, Canada and Israel, U.S. citizens should now ‘practice enhanced precautions’ to avoid monkeypox. This is a first for these destinations, as monkeypox had been mostly limited to a number of African nations up until recently.

    Young Man Wearing A Face Mask On A Balcony In An Unspecified European City

    Out of the CDC-flagged countries, Belgium has been the first to act, enacting a mandatory 21-day quarantine requirement for travelers with a confirmed monkeypox infection. The ECDC, the European equivalent to the CDC, is also monitoring the situation closely, as the case count across Europe exceeds 100 – with a large concentration of those in Spain and Portugal.

    Curiously, recent cases have not been linked to travel to Central or West African countries, ‘where monkeypox usually occurs’, such as the Democratic Republic of the Congo and Nigeria. This is a strong indication there is community transmission within Europe and North American continents.

    Young Female Traveler By The Boarding Gate At The Airport

    LGBTQ+ Americans Should Exercise Increased Caution When Traveling From Now On

    Corroborating other findings by health authorities in foreign countries, the CDC mentions a considerable portion of cases have been reported among men who have sex with men, as sexual interaction with an infected individual increases transmission dramatically. In fact, the first European clusters were likely spread by risky sexual behavior at 2 raves.

    Because of early infection trends, gay travelers should exercise increased caution, considering Spain happens to be one of the safest destinations for them, and thus a leader in LGBTQ+ tourism. That said, anyone can be infected, regardless of gender or sexual orientation, as ‘cases were also reported in people live in the same household as an infected person’.

    Couple Of Young Men Embracing Themselves While Holding Up An LGBTQ+ Flag At The Beach Seen From A Car Boot

    How Is Monkeypox Transmitted And What Does The CDC Now Advises?

    All it takes is coming into close contact with a person with an active infection, and particularly visible rashes and scabs caused by the disease. It can also be transmitted via bodily fluids such as pus or blood from open lesions, which are common throughout the course of infection. Scientists have not yet established whether it can be passed on through semen.

    While most patients will recover without any long-term complications, monkeypox scabs can leave scars behind once they fall off, and seriously disrupt travel plans. Following in the steps of Belgium, the Dominican Republic, one of the preferred vacation spots for Americans, has also issued a preventive alert due to monkeypox.

    Female Traveler Watching Her Phone While Wearing A Face Mask At The Airport

    As the World Health Organization states, people are most infectious when they have symptoms, much like Covid, and ‘normally for between two and four weeks’. Touching clothing, bedding, towels and contaminated objects such as cutlery and dishes have been equally recognized as precursors to infection.

    When visiting Spain, France, Portugal, or any other destination on the list, the CDC now advises travelers to avoid:

    • Close contact with sick people, particularly those with skin or genital lesions;
    • Touching any dead or live wild animals, such as rats, squirrels, monkeys and apes;
    • Handling all materials used by monkeypox-infected individuals as they could be contaminated.
    Young Female Traveler Looking Concerned At An Airport

    Risk To The General Public Remains Low As Of Now

    Despite the warnings, the CDC maintains that the ‘risk to the general public is low’. Regardless, travelers are advised to seek immediate medical attention when developing any known monkeypox symptoms. Those can manifest through fever, chills, tiredness and new, syphilis-like lesions on any part of the body.

    The latest CDC advice deals a fresh blow to Europe, which only recently started reopening following the Covid crisis. While monkeypox is not a novel virus like Covid, it has the potential to spread quickly and trigger a new era of tightened health protocols for travelers. So far, the World Health Organization has not declared it a global health emergency.

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    Disclaimer: Current travel rules and restrictions can change without notice. The decision to travel is ultimately your responsibility. Contact your consulate and/or local authorities to confirm your nationality’s entry and/or any changes to travel requirements before traveling.  Travel Off Path does not endorse traveling against government advisories

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  • What Travelers Need To Know About The Monkeypox Virus Spreading In Europe

    What Travelers Need To Know About The Monkeypox Virus Spreading In Europe

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    Just when you thought the world was ready to move on, and pandemic scares were well behind you, more trouble is brewing… This week, multiple reports have emerged of monkeypox virus outbreaks in Europe that are already prompting fears of a new global health emergency, especially in countries where the disease is not endemic.

    As defined by the CDC, monkeypox is closely linked to the variola virus, which causes smallpox, and was first discovered in the continent of Africa in the late 1950s. While it has been circulating in a number of African nations ever since, where it is considered endemic, its surge in the Northern Hemisphere, where it is not yet rooted, is at the very least concerning.

    Couple Of Travelers Looking Bored And Sad With Their Luggages Out On The Street

    Here is everything travelers need to know about Europe’s new potential health crisis, how it started, which countries are most affected, how dangerous this virus is, and how it is already impacting travel:

    So Where Do We Begin?

    Although monkeypox is not a novel pathogen like Covid-19, having been present in several African nations since its identification over 60 years ago, its sudden spread in Europe strongly indicates new community transmission in the continent. That is particularly worrying, as unlike citizens of 9 Sub-Saharan countries, herd immunity has not been achieved.

    Aerial View Of Malaga Bullring Harbor, Malaga, Spain

    But where is it coming from and how did it reach Europe’s shores? As Dr. David Heymann, a leading advisor to the World Health Organization inferred, Europe’s new potential health threat can be traced back to ‘risky sexual behavior’ at two recent mass events that took place on the continent in recent days.

    Corroborating Heyman’s findings, initial outbreaks were only reported among gay and bisexual men who attended raves in Belgium and Spain, but how exactly did the virus get there when attendees had no recent travel history in affected African nations? Interestingly enough, the UK was the first to report new clusters on May 7, and the virus could have in fact spread from there.

    Iconic London Red Telephone Booth With Elizabeth Tower Big Ben Clock In The Background And Red London City Bus, Westminster, City Of London, United Kingdom

    Since then, 56 cases have been identified in England. The UK government has called the current outbreak ‘significant and concerning‘, while still maintaining that the risk to the population remains ‘low’. Infections are usually associated with travel to West Africa, though recent cases have no travel links to any West African country.

    As the UK government frames it, ‘it is possible they acquired the infection through community transmission’. Like in Belgium and Spain, recent cases were predominantly found in gay and bisexual populations, with no deaths occurring so far. Still, any individual can be affected, regardless of gender or sexual orientation.

    Sad Tired Woman Sitting In The Airport, Missed Or Cancelled Flight Concept

    Where Is It Present?

    Besides the UK, Spain, and Belgium, monkeypox clusters have been found in several other nations in Europe and beyond, with the latest ECDC case count, published May 20, being:

    • Belgium (2 cases)
    • France (1 case)
    • Italy (1 case)
    • Portugal (14 cases)
    • Spain (7 cases)
    • Sweden (1 case)

    Since then, cases in Spain have already bumped up to over 30, while the UK is already managing an outbreak of more than 50 cases, as mentioned above. However, as this is a rapidly-evolving situation, any data and information provided in this article can and will change, especially as more infections are confirmed.

    Plaza De Espana In Seville, Spain

    So far, these are the European countries where clusters have already been identified. A majority of them are in Western Europe, though monkeypox will likely spread further into Eastern Europe due to community transmission. Over in North America, new cases have also been identified, with 3 so far in Canada and 1 in the United States.

    How Dangerous Is Monkeypox And How Is It Transmitted?

    Although it is not traditionally described as a sexually transmitted disease, monkeypox can be passed on during sex, regardless of protective measures, although the practice of not wearing condoms seems to increase infection risks. It can also be transmitted through close contact with someone who’s infectious or even contaminated clothing or linens.

    As Dr. Heymann states, monkeypox usually spreads when there is close contact with the lesions of someone who is infected, with sexual contact having amplified that transmission. Symptoms include the following:

    Young Woman Scratching Rash On Her Arm, Concept Image For Monkeypox Stories
    • Fever
    • Body rashes
    • Headaches
    • Muscle aches
    • Backaches
    • Swollen lymph nodes
    • Chills
    • Exhaustion

    Monkeypox rashes change during the course of infection and look a lot like chickenpox or syphilis. In the later stages of the disease, it forms a scab and then falls off, with some patients being left with scars afterward. Despite the unpleasant symptoms and the skin lesions, most people will recover with no long-term complications and ‘within a few weeks.

    The fatality rate, gauged from cases in highly-affected countries in Africa, vary from 1% to 15%, and the highest risk of death is among young children. In a large study of 300 patients in the Democratic Republic of Congo, where most monkeypox cases are centered, the overall mortality rate was 10%, with unvaccinated children accounting for 15-20% of victims.

    Children Carrying Luggage At The Airport

    How Is Monkeypox Affecting Travel?

    Despite having scrapped all Covid entry requirements this week, Belgium has become the first country in the world to introduce a mandatory 21-day quarantine for confirmed monkeypox patients, in response to the global surge. At present, close contacts are not being required to isolate, though they are ‘encouraged to remain vigilant’.

    As a government statement reads, ‘infected persons will have to go into contact isolation until the injuries have healed’ and other symptoms subsided. The UK, one of the worst-hit countries, is also urging the infected to isolate for 21 days, though the British government stopped short of issuing a quarantine mandate for infected travelers.

    Grand Place Bruxelles In Brussels, Belgium During The Evening

    As of yet, no travel bans have been enacted and Belgium, and most of Europe, remain open. Considering this is a new epidemiological concern and the actual number of infections is probably much higher than officially reported, travelers are urged to be cautious and educate themselves about prevention methods.

    The smallpox vaccine remains a strong protective barrier against monkeypox and other similar viruses. Travelers can find official information via the links below:

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    ↓ Join the community ↓

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    Disclaimer: Current travel rules and restrictions can change without notice. The decision to travel is ultimately your responsibility. Contact your consulate and/or local authorities to confirm your nationality’s entry and/or any changes to travel requirements before traveling.  Travel Off Path does not endorse traveling against government advisories

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