Cholera outbreaks have been reported recently in several countries, including Malaysia, Dominican Republic, Haiti, and Papua New Guinea. Precautions including travel vaccination, hand washing, and use of an alcohol based hand gel should be taken by visitors to these regions.
Those who are planning to visit for a long time or traveling into affected areas should especially consider vaccination, which involves two drinks given 1 to 6 weeks apart. In the Philippines, measles is a concern with more than 2,000 cases being reported in the first three months of the year. An immunization campaign is underway to try to stop the increasing incidence of the disease in the that country. Measles is easily spread through coughing and sneezing. Travelers should ensure that they have been fully vaccinated prior to visiting affected areas.
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