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.

This country is in the African Meningitis Belt, an area where there are many cases of meningococcal disease. Meningococcal disease is a serious and sometimes fatal infection. Travellers who may be at high risk should consider getting vaccinated. High-risk travellers include those living or working with the local population (e.g., health care workers) or those travelling to crowded areas or taking part in large gatherings.

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 a risk of yellow fever in this country.

Country Entry Requirement*

  • Proof of vaccination is required if you are coming from or have transited through an airport of a country where yellow fever occurs.

Recommendation

  • Vaccination is recommended depending on your itinerary.
  • There is currently a shortage of the yellow fever vaccine in Canada. It is important for travellers to contact a designated Yellow Fever Vaccination Centre well in advance of their trip to ensure that the vaccine is available.
  • Discuss travel plans, activities, and destinations with a health care professional.
  • Protect yourself from mosquito bites.

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

Risk

Cholera is a risk in parts of this country.  Most travellers are at very low risk.

To protect against cholera, all travellers should practise safe food and water precautions.

Travellers at higher risk of getting cholera include those:

  • visiting, working or living in areas with limited access to safe food, water and proper sanitation
  • visiting areas where outbreaks are occurring

Vaccination may be recommended for high-risk travellers, and should be discussed with a health care professional.

Schistosomiasis can be spread to humans through freshwater sources contaminated by blood flukes (tiny worms). The eggs of the worms can cause stomach illnesses like diarrhea and cramps or urinary problems. Risk is generally low for most travellers. Avoid swimming in freshwater sources (lakes, rivers, ponds). There is no vaccine available for schistosomiasis.

  • 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 Central Africa, certain insects carry and spread diseases like African trypanosomiasis (sleeping sickness), Crimean-Congo hemorrhagic fever, dengue fever, leishmaniasis, lymphatic filariasis, malaria, onchocerciasis, 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.

Crimean-Congo haemorrhagic fever is a viral disease that typically causes fever, bleeding under the skin, and pain. Risk is generally low for most travellers. It is spread to humans though contact with infected animal blood or bodily fluids, or from a tick bite. Protect yourself from tick bites and avoid animals. There is no vaccine available for Crimean-Congo haemorrhagic fever.

  • In this country, dengue fever is a risk to travellers year-round.  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, global 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.

Visceral leishmaniasis (or kala azar) affects the bone marrow and internal organs. It is caused by a parasite spread through the bite of a female sandfly. It can also be transmitted by blood transfusion or sharing contaminated needles. If left untreated it can cause death. Risk is generally low for most travellers. Protect yourself from sandfly bites, which typically occur after sunset in rural and forested areas and in some urban centres. There is no vaccine or medication to protect against leishmaniasis.

Onchocerciasis (river blindness) is an eye and skin disease caused by a parasite spread through the bite of an infected female blackfly.  Onchocerciasis often leads to blindness if left untreated. Risk is generally low for most travellers. Protect yourself from blackfly bites, which are most common close to fast-flowing rivers and streams. There is no vaccine available for onchocerciasis although drug treatments exist.

Zika virus infection is a risk in this country. The mosquito that spreads the virus is found here.  

Travel recommendations:

All travellers should protect themselves from mosquito bites and other diseases spread by insects.   

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 the bite of an infected mosquito. There is no vaccine against malaria.
  • Protect yourself from mosquito bites. This includes covering up, using insect repellent and staying in enclosed air-conditioned accommodations. You may also consider pre-treating clothing and travel gear with insecticides and sleeping under an insecticide-treated bednet.
  • 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, birds, and bats. Certain infections found in some areas of Central Africa, like Ebola,  rabies, can be shared between humans and animals.

Monkeypox is a risk in this country. It is a viral disease that can cause serious illness.

Monkeypox is mainly spread to humans through direct contact with:

  • infected animals (mainly African rodents and non-human primates), by bite, scratch, or contact with their body fluids.

Human to human spread is not common but can occur through:

  • direct contact with the skin lesions or scabs of an infected person or materials contaminated by their lesions (such as bedding and clothing)
  • prolonged contact with a coughing or sneezing person with a rash due to monkeypox

Risk is generally low for most travellers. Wash your hands frequently and avoid contact with potentially infected animals and people.

PERSON-TO-PERSON INFECTIONS

Crowded conditions can increase your risk of certain illnesses. Remember to wash your hands often and practice 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.

HIV (Human Immunodeficiency Virus) is a virus that attacks and impairs the immune system, resulting in a chronic, progressive illness known as AIDS (Acquired Immunodeficiency Syndrome). 

High risk activities include anything which puts you in contact with blood or body fluids, such as unprotected sex and exposure to unsterilized needles for medications or other substances (for example, steroids and drugs), tattooing, body-piercing or acupuncture.

Tuberculosis is an infection caused by bacteria and usually affects the lungs.

For most travellers the risk of tuberculosis is low.

Travellers who may be at high risk while travelling in regions with risk of tuberculosis should discuss pre- and post-travel options with a health care professional.

High-risk travellers include those visiting or working in prisons, refugee camps, homeless shelters, or hospitals, or travellers visiting friends and relatives.

MEDICAL SERVICES AND FACILITIES

Health care is inadequate in Sudan.

You will likely need an emergency medical evacuation is case of serious illness or injury. However, it can also be difficult to obtain and air ambulances are usually not available on short notice.

There are no medical facilities to treat diving-related injuries in Port Sudan.

  • Avoid surgery in Sudan
  • Ensure that your health plan coverage includes Sudan

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.