Abstract
Since December 2016, Brazil has faced a large outbreak of yellow fever with ca 1,500 confirmed human cases. In the first 2 months of 2018, Brazil reported almost as many cases as in 2017 as a whole. In these 2 months, five imported cases were reported among unvaccinated European travellers. Three had travelled to Ilha Grande, a popular destination among European tourists. Physicians and European travellers visiting Brazil should follow yellow fever vaccination recommendations.
Highlights
Since December 2016, Brazil has faced a large outbreak of yellow fever with ca 1,500 confirmed human cases
Between 1999 and 2017, only seven travel-associated yellow fever (YF) cases have been reported in the scientific literature among unvaccinated European travellers, none of them returning from Brazil [10]
The increase in YF transmission in central and southeastern Brazil has resulted in the occurrence of travelrelated cases among unvaccinated European and South American travellers who visited popular tourist destinations where the virus is circulating intensely
Summary
BA: Bahia; MG: Minas Gerais; RJ: Rio de Janeiro; SP: São Paulo; NA: not available. average 2.4 million travellers arriving every year from Brazil to Europe [9]. Between 1999 and 2017, only seven travel-associated YF cases have been reported in the scientific literature among unvaccinated European travellers, none of them returning from Brazil [10]. One case travelled to Mairiporã, São Paulo state, another to Minas Gerais and the other three cases reported a travel to Ilha Grande in the Angra dos Reis municipality, an island situated off the coast of Rio de Janeiro. Between 1 January and 13 March 2018, Brazil reported 40 YF cases, including 14 deaths, from Angra dos Reis municipality, accounting for the highest case numbers in Rio de Janeiro state [11]. Five of the six cases reported a travel to Ilha Grande, Angra dos Reis municipality [12,13]
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Schedule a callMore From: Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin
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