ADVICES

Related Travel Health Notices
  • Global Measles Notice – July 23, 2019
Consult a health care professional or visit a travel health clinic preferably six weeks before you travel.

ROUTINE VACCINES

Be sure that your routine vaccines, as per your province or territory, are up-to-date regardless of your travel destination.

Some of these vaccines include: measles-mumps-rubella (MMR), diphtheria, tetanus, pertussis, polio, varicella (chickenpox), influenza and others.

VACCINES TO CONSIDER

You may be at risk for these vaccine-preventable diseases while travelling in this country. Talk to your travel health professional about which ones are right for you.

Hepatitis A is a disease of the liver spread through contaminated food and water or contact with an infected person. All those travelling to regions with a risk of hepatitis A infection should get vaccinated.

Hepatitis B is a disease of the liver spread through blood or other bodily fluids. Travellers who may be exposed (e.g., through sexual contact, medical treatment, sharing needles, tattooing, acupuncture or occupational exposure) should get vaccinated.

Seasonal influenza occurs worldwide. The flu season usually runs from November to April in the northern hemisphere, between April and October in the southern hemisphere and year round in the tropics. Influenza (flu) is caused by a virus spread from person to person when they cough or sneeze or by touching objects and surfaces that have been contaminated with the virus. Get the flu shot.

Measles is a highly contagious viral disease. It can spread quickly from person to person by direct contact and through droplets in the air.

Anyone who is not protected against measles is at risk of being infected with it when travelling internationally.

Regardless of where you are going, talk to a health care professional before travelling to make sure you are fully protected against measles.

Rabies is a deadly illness spread to humans through a bite, scratch or lick from an infected animal. Vaccination should be considered for travellers going to areas where rabies exists and who have a high risk of exposure (e.g., are children, have an occupational risk, or in close contact with animals, including free roaming dogs in communities).

Yellow fever is a disease caused by a flavivirus from the bite of an infected mosquito.

Travellers get vaccinated either because it is required to enter a country or because it is recommended for their protection.

Risk

  • There is no risk of yellow fever in this country.

Country Entry Requirement*

  • Proof of vaccination is not required to enter this country.

Recommendation

  • Vaccination is not recommended.

About Yellow Fever
Yellow Fever Vaccination Centres in Canada
* It is important to note that country entry requirements may not reflect your risk of yellow fever at your destination. It is recommended that you contact the nearest diplomatic or consular office of the destination(s) you will be visiting to verify any additional entry requirements.

FOOD AND WATER-BORNE DISEASES

Travellers to any destination in the world can develop travellers’ diarrhea from consuming contaminated water or food.

In some areas in East Africa, food and water can also carry diseases like cholera, hepatitis A, schistosomiasis and typhoid. Practise safe food and water precautions while travelling in East Africa. Remember: Boil it, cook it, peel it, or leave it!

  • Travellers’ diarrhea is the most common illness affecting travellers. It is spread from eating or drinking contaminated food or water.
  • Risk of developing travellers’ diarrhea increases when travelling in regions with poor standards of hygiene and sanitation. Practise safe food and water precautions.
  • The most important treatment for travellers’ diarrhea is rehydration (drinking lots of fluids). Carry oral rehydration salts when travelling.

Typhoid is a bacterial infection spread by contaminated food or water. Risk is higher among children, travellers going to rural areas, travellers visiting friends and relatives or those travelling for a long period of time.

Travellers visiting regions with a risk typhoid, especially those exposed to places with poor sanitation should speak to a health care professional about vaccination.

INSECTS AND ILLNESS

In some areas in East Africa, certain insects carry and spread diseases like African trypanosomiasis (sleeping sickness), chikungunya, Crimean-Congo hemorrhagic fever, dengue fever, leishmaniasis, lymphatic filariasis, malaria, onchocerciasis (river blindness), Rift Valley fever, West Nile virus and yellow fever.

Travellers are advised to take precautions against bites.

There is currently a risk of chikungunya in this country. Chikungunya is a virus spread through the bite of an infected mosquito. Chikungunya can cause a viral disease that typically causes fever and pain in the joints. In some cases, the joint pain can be severe and last for months or years.

Protect yourself from mosquito bites at all times. There is no vaccine available for chikungunya.

  • In this country, dengue fever may occur sporadically. It is a viral disease spread to humans by mosquito bites.
  • Dengue fever can cause severe flu-like symptoms. In some cases, it can lead to dengue haemorrhagic fever, which can be fatal.
  • The level of risk of dengue fever changes seasonally, and varies from year to year. After a decline in reported dengue cases worldwide in 2017 and 2018, numbers have been steeply rising again.
  • Mosquitoes carrying dengue typically bite during the daytime, particularly around sunrise and sunset.
  • Protect yourself from mosquito bites. There is no vaccine or medication that protects against dengue fever.

MALARIA

  • There is a risk of malaria throughout the year in the whole country.
  • Malaria is a serious and occasionally fatal disease that is spread by mosquitoes. There is no vaccine against malaria.
  • Protect yourself from mosquito bites. This includes covering up, using insect repellent and staying in well-screened air-conditioned accommodations. You may also consider sleeping under an insecticide-treated bednet or pre-treating travel gear with insecticides.
  • See a health care provider or visit a travel health clinic, preferably six weeks before you travel to discuss the benefits of taking antimalarial medication and to determine which one to take.

ANIMALS AND ILLNESS

Travellers are cautioned to avoid contact with animals, including dogs, monkeys, snakes, rodents, and bats. Certain infections found in some areas in East Africa, like avian influenza, Ebola, and rabies, can be shared between humans and animals.

PERSON-TO-PERSON INFECTIONS

Crowded conditions can increase your risk of certain illnesses. Remember to wash your hands often and practise proper cough and sneeze etiquette to avoid colds, the flu and other illnesses.

Sexually transmitted infections (STIs) and HIV are spread through blood and bodily fluids; practise safer sex.

MEDICAL SERVICES AND FACILITIES

Medical facilities are basic on Anjouan, Grande Comore and Mohéli islands. Medical supplies and prescription medications are limited. The frequent interruption of electricity and water supplies can affect hospitals. Medical evacuation, which can be very expensive, may be necessary in the event of serious illness or injury. Make sure you get travel insurance that includes coverage for medical evacuation and hospital stays.

Travel health and safety

KEEP IN MIND…

The decision to travel is the sole responsibility of the traveller. The traveller is also responsible for his or her own personal safety.

Be prepared. Do not expect medical services to be the same as in Canada. Pack a travel health kit, especially if you will be travelling away from major city centres.