CDC Travelers' Health ​Update ,  Travelers’ diarrhea (TD) is the most common travel-related illness. In otherwise healthy adults, TD is rarely serious or life-threatening, but it can certainly make for an unpleasant trip. Take steps to avoid TD when you travel.     Full article.

Prevent • Only drink water that you know is safe; otherwise, stick to bottled or boiled drinks. Avoid ice. • Only eat food that is cooked and served hot, peeled by you, or factory-sealed.  Self-Treatment • Drink fluids. • Consider over-the-counter diarrheal medications. • If TD continues for more than 2-3 days, seek health care and tell the provider where you traveled to. Only take antibiotics if recommended by a doctor.

Travel Tip “How can I contact the local US embassy?”  This is a question we get asked a lot. 1. Contact a US embassy or consulate directly: • From the US or Canada: 1-888-407-4747 • From other countries: 00-1-202-501-4444 2. Enroll with the US Department of State's Smart Traveler Enrollment Program (STEP). It’s a FREE service that allows US citizens traveling or living abroad to receive the latest security updates for their location.

Travel Health Notices 9/27-10/23

Level 2: Practice Enhanced Precautions Updated Ebola in Democratic Republic of the Congo October 18, 2019 Polio in the Philippines October 08, 2019 Updated Yellow Fever in Nigeria October 07, 2019 Level 1: Practice Usual Precautions Dengue in the Mediterranean Region October 09, 2019 Chikungunya in Ethiopia October 08, 2019 Updated Dengue in Asia and the Pacific Islands October 08, 2019 Updated Dengue in the Americas October 03, 2019 XDR Typhoid Fever in Pakistan September 30, 2019

Clinician Updates

Interim CDC Guidance for Polio Vaccination for Travel to and from Countries Affected by Poliovirus – Requirements and Recommendations

What to Know: Polio vaccine recommendations affect the following countries: Afghanistan, Angola, Benin, Burma (Myanmar), Central African Republic, Democratic Republic of the Congo, Ethiopia, Ghana, Indonesia, Mozambique, Niger, Nigeria, Pakistan, Papua New Guinea, the Philippines, and Somalia. Long-term travelers (staying longer than 4 weeks) in Afghanistan, Burma, Indonesia, Nigeria, Pakistan, Papua New Guinea, and Somalia may be required to show proof of polio vaccination when leaving these countries.  To meet this requirement, long-term travelers (4 weeks or longer) should receive the polio vaccine between 4 weeks and 12 months before their date of departure from these polio-infected countries. Recommended vaccines are those that CDC encourages to protect health, even if a country does not require them. A required vaccine is one that a traveler must have in order to enter or leave the country. How to Counsel Your Patients: Clinicians are encouraged to err on the side of caution by ensuring patients are prepared for any requirements they may face when leaving polio-infected countries. Full update.

	CDC Yellow Book 2020 Featured Chapter: Food and Water Precautions What to Know: This chapter highlights food and water precautions for international travelers. Read up on recommendations for your patients to avoid contaminated food and water, tips to follow when selecting food and beverages abroad, and suggestions for avoiding diseases and other health risks associated with water recreation.

Safe travels from CDC Travelers' Health!