Asia and Pacific Islands health Alert

Updated on 15 September 2019


The Situation:

The Centers for Disease Control and Prevention updated their alert for dengue in Asia and

Pacific Island on 13 September. The alert, as follows, is currently at Alert Level 1 – Practice

Usual Precautions:


Dengue is an ongoing risk in many parts of Asia and the Pacific Islands (map). Travelers to

areas of risk should protect themselves by preventing mosquito bites. In addition, the

countries listed below are reporting higher-than-usual numbers of dengue cases, and

travelers visiting these countries may be at increased risk:

  • Bangladesh

  • Cook Islands

  • French Polynesia (Tahiti and Bora Bora)

  • Guam

  • Marshall Islands

  • Palau

  • Philippines

  • Singapore

  • Sri Lanka

  • Federated States of Micronesia (Yap Island)






Symptoms of Dengue Fever

Symptoms, which usually begin four to six days after infection and last for up to 10 days,

may include:

  • Sudden, high fever

  • Severe headaches

  • Pain behind the eyes

  • Severe joint and muscle pain

  • Fatigue

  • Nausea

  • Vomiting

  • Skin rash, which appears two to five days after the onset of fever

  • Mild bleeding (such a nose bleed, bleeding gums, or easy bruising)


Mitigating Factors to Apply:

  • Monitor local authorities for updates

  • Avoid mosquito bites

  • Wear long sleeve shirts, pants, socks and shoes when mosquitoes are most active

  • Use repellents such as DEET, picaridin, oil of lemon eucalyptus or IR3535

  • Avoid opening windows during times of high mosquito activity

  • Utilize mosquito nets where appropriate

  • Enroll in the Safe Traveler program (STEP) to receive warnings from the U.S.

  • Embassy or enroll in your preferred embassy alert system

  • Consider speaking to your healthcare provider regarding further preventative measures


DISCLAIMER and Hold Harmless

Disclaimer: LSDS gathers information from multiple sources and offers insight and perspective to travelers. Sources cannot be validated for accuracy in every instance. Travelers assume all risk associated with their travel and are responsible for the decisions associated with travel and for their own safety. Users of this reference document agree, to hold harmless LSDS (LLC) its employees and clients associated with any risk or injury incurred during travel.

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