MEDICAL ALERT from FEMERAID International – August 2025
Dear Knights and Dames, 


FEMERAID International – the health service institution of the Sovereign Order of Saint John of Jerusalem, Knights of Malta, Federation of the Autonomous Priories (KMFAP) – provides all our Knights and Dames a monthly newsletter with recommendations on latest outbreaks and risks around the world. 

Please find below the most significant current medical alerts worldwide. Kindly review the relevant epidemiological information before your holiday travel. Should you require further medical information or guidance on how to protect yourself, feel free to reach out to us at secretary.general@femeraid.org or call +35699068790 

Femeraid International Operational Office 

AFRICA 
Congo (DRC): Cholera outbreak, select safe food and water, consider vaccination 
Congo: Mpox infections, avoid contact with sick people 
Djibouti: Polio detected, booster recommended, carry proof of vaccination 
Ghana: Mpox infections, avoid contact with sick people 
Guinea: Diphtheria in Kankan region, ensure vaccination is up to date 
Kenya: Chikungunya outbreak in Mombasa county, avoid mosquito bites 
Madagascar: Chikungunya, avoid mosquito bites 
Mauritius: Ongoing increase in chikungunya, avoid mosquito bites 
Mozambique: Mpox infections detected, avoid contact with sick people 
Nigeria: Increase in cholera, select safe food and water, consider vaccination. Yellow fever infections in southern states, vaccination recommended, avoid mosquito bites. 
Sierra Leone: Mpox outbreak, avoid contact with sick people 
Somalia: Cholera infections, select safe food and water, consider vaccination 
Tanzania: Mpox infections, avoid contact with sick people 
Zimbabwe: Increase in malaria, avoid mosquito bites and consider preventive medication 

AMERICA 
Belize: Increase in dengue, avoid mosquito bites 
Bolivia: Increase in measles, ensure vaccination is up to date 
Colombia: Increasing dengue, avoid mosquito bites. Increasing pertussis, ensure vaccination is up to date. Yellow fever in multiple departments, vaccination recommended, avoid mosquito bites. 
Cuba: Chikungunya in Matanzas province, avoid mosquito bites 
Honduras: Increase in respiratory illnesses, ensure vaccinations are up to date, follow hygiene measures 
Paraguay: Increase in respiratory illnesses, ensure vaccinations are up to date, follow hygiene measures 
Peru: Increasing pertussis, check vaccination status. Yellow fever infections increasing, vaccination recommended, avoid mosquito bites. 
Uruguay: Increase in varicella (chickenpox), ensure vaccination is up to date, follow hygiene measures 

ASIA & THE PACIFIC 
Afghanistan: Increase in Crimean-Congo haemorrhagic fever, avoid tick bites, follow hygiene measures 
American Samoa (US): Dengue infections reported, avoid mosquito bites 
Asia & the Pacific: Bird flu infections in several provinces, avoid contact with birds, follow hygiene measures 
Australia: Increase in respiratory illnesses, ensure vaccinations are up to date, follow hygiene measures 
Bangladesh: Bird flu infections reported in Chattogram and Khulna divisions, avoid contact with birds, follow hygiene measures. Increasing chikungunya in Dhaka city, avoid mosquito bites. Cambodia: Bird flu in several provinces, avoid contact with birds, follow hygiene measures. Increasing dengue, avoid mosquito bites. 
India: Nipah virus in Kerala state, avoid contact with sick people, select safe food and beverages 
Indonesia: Increasing leptospirosis, avoid contaminated water 
Japan: Increased heat, minimize exposure, stay hydrated 
Kiribati: Dengue outbreak, avoid mosquito bites 
Mongolia: Increase in measles infections, ensure vaccination is up to date 
Myanmar: Increased dengue activity, avoid mosquito bites 
New Caledonia (France): Rise in leptospirosis; avoid contaminated water 
Papua New Guinea: Polio in Lae and Port Moresby, booster recommended, carry proof of vaccination 
Solomon Islands: Diarrheal outbreak in some areas, maintain hygiene, select safe food and water 
South Korea: Potential delays in accessing healthcare 
Sri Lanka: Increase in chikungunya, avoid mosquito bites 
Thailand: Increase in hand, foot and mouth disease, pay attention to hygiene 
Tuvalu: Dengue outbreak, avoid mosquito bites 
Vietnam: Increased dengue activity, avoid mosquito bites 

EUROPE & CIS
France: Chikungunya in several regions, avoid mosquito bites 
Greece: Crimean-Congo haemorrhagic fever in Thessaly region, avoid tick bites, follow hygiene measures 
Kyrgyzstan: Increase in measles, ensure vaccination is up to date 
Romania: Rabies in Iasi county, avoid contact with animals, consider pre-exposure vaccination, seek prompt treatment if exposed 
Ukraine: Increase in measles, ensure vaccination is up to date 

MIDDLE EAST & NORTH AFRICA
Iraq: Increase in Crimean-Congo haemorrhagic fever infections, avoid contact with animals Israel: Increase in measles, ensure vaccination is up to date 
Sudan: Cholera outbreak, select safe food and water, consider vaccination 


6 August 2025