1887
Rapid communication Open Access
Like 0

Abstract

We report two yellow fever cases in unvaccinated French travellers in Brazil in January and March 2018, respectively; one exposed during an excursion in Minas Gerais and the other in Ilha Grande. Both presented with fever, hepatitis, thrombocytopenia and leucopenia. Yellow fever diagnosis was based on RT-PCR and serological tests. Both patients recovered within a few days. The increasing occurrence of cases in unvaccinated travellers highlights the need to reinforce vaccination recommendation for travellers at-risk.

Loading

Article metrics loading...

/content/10.2807/1560-7917.ES.2018.23.21.1800240
2018-05-24
2024-04-27
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.21.1800240
Loading
Loading full text...

Full text loading...

/deliver/fulltext/eurosurveillance/23/21/eurosurv-23-21-1.html?itemId=/content/10.2807/1560-7917.ES.2018.23.21.1800240&mimeType=html&fmt=ahah

References

  1. Hamer DH, Angelo K, Caumes E, van Genderen PJJ, Florescu SA, Popescu CP, et al. Fatal yellow fever in travelers to Brazil, 2018. MMWR Morb Mortal Wkly Rep. 2018;67(11):340-1.  https://doi.org/10.15585/mmwr.mm6711e1  PMID: 29565840 
  2. Gossner CM, Haussig JM, de Bellegarde de Saint Lary C, Kaasik Aaslav K, Schlagenhauf P, Sudre B. Increased risk of yellow fever infections among unvaccinated European travellers due to ongoing outbreak in Brazil, July 2017 to March 2018. Euro Surveill. 2018;23(11):18-00106.  https://doi.org/10.2807/1560-7917.ES.2018.23.11.18-00106  PMID: 29560853 
  3. ProMED-mail. PAHO/WHO Epidemiological update: yellow fever. Archive Number 20180329:5716763. 29 March 2018. Available from: http://www.promedmail.org
  4. European Centre for Disease Prevention and Control (ECDC). Yellow fever amongst travellers returning from South America, March 2017. Stockholm: ECDC; 2017. Available from: https://ecdc.europa.eu/en/publications-data/yellow-fever-among-travellers-returning-south-america-march-2017
  5. Wouthuyzen-Bakker M, Knoester M, van den Berg AP. GeurtsvanKessel CH, Koopmans MP, Van Leer-Buter C, et al. Yellow fever in a traveller returning from Suriname to the Netherlands, March 2017. Euro Surveill. 2017;22(11):30488.  PMID: 28333617 
  6. Newman AP, Becraft R, Dean AB, Hull R, Backenson B, Hale G, et al. Notes from the field: fatal yellow fever in a traveler returning from Peru – New York, 2016. MMWR Morb Mortal Wkly Rep. 2017;66(34):914-5.  https://doi.org/10.15585/mmwr.mm6634a5  PMID: 28859053 
  7. Ministeria da Saude [Ministry of Health]. Febre amarela: Ministério da Saúde atualiza casos no país [Yellow fever: Ministry of Health updates cases in the country]. Brazil. 28 Mar 2018. Available from: http://portalms.saude.gov.br/noticias/agencia-saude/42916-febre-amarela-ministerio-da-saude-atualiza-casos-no-pais-5.
  8. Centers for Disease Control and Prevention (CDC). Yellow fever. Atlanta: CDC; 2018. Available from: wwwnc.cdc.gov/travel/yellowbook/2018/infectious-diseases-related-to-travel/yellow-fever
  9. European Centre for Disease Prevention and Control (ECDC). Assessing the yellow fever outbreak in Angola – European Medical Corps mission undertaken in the framework of the European Union Civil Protection Mechanism, 10-20 May 2016. Stockholm: ECDC; May 2016. Available from: https://ecdc.europa.eu/sites/portal/files/media/en/publications/Publications/yellow-fever-angola-joint-ecdc-mission-report-2016.pdf
  10. Centers for Disease Control and Prevention (CDC). Yellow fever vaccine. Atlanta : CDC; Mar 2018. Available from: https://www.cdc.gov/yellowfever/vaccine/index.html
  11. de la Haut C. Santé Publique [Public Council of Health]. Recommandations sanitaires pour les voyageurs, 2017. [Health recommendations for travellers, 2017]. France. 06 Jun 2017. Available from: http://invs.santepubliquefrance.fr/Publications-et-outils/BEH-Bulletin-epidemiologique-hebdomadaire/Archives/2017/BEH-hors-serie-Recommandations-sanitaires-pour-les-voyageurs-2017.
  12. Flaherty G, Md Nor MN. Travel itinerary uncertainty and the pre-travel consultation--a pilot study. J Travel Med. 2016;23(1):tav010.  https://doi.org/10.1093/jtm/tav010  PMID: 26782127 
/content/10.2807/1560-7917.ES.2018.23.21.1800240
Loading

Data & Media loading...

Submit comment
Close
Comment moderation successfully completed
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error