Please see below for two new alerts of interest: Locally acquired dengue – Big Island, Hawaii. (notified by Phyllis Kozarsky, CDC). As of October 30th, authorities have reported two confirmed and four probable, locally acquired cases of dengue. This situation is not entirely new as small local outbreaks have occurred in 2001 and 2011. Aedes albopictus is the local vector and mosquito activity is considered low. With regard to travelers acquiring dengue in Hawaii, there are two dengue ex Hawaii cases (September 2015) in the GeoSentinel® database. Travelers to Hawaii should use daytime mosquito bite protection. Emerging foci of cutaneous leishmaniasis (L. major) in western regions of Senegal including Dakar and Thies (notified by Eric Caumes, Paris). Leishmania are successful in adapting to new zoogeographical zones so further expansion can be expected. Transmission is via the short-lived, mainly night-active, phlebotomine sandfly. Travelers to Senegal should protect 24/7 against arthropod bites.
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Please see below for two new alerts of interest: Locally acquired dengue – Big Island, Hawaii. (notified by Phyllis Kozarsky, CDC). As of October 30th, authorities have reported two confirmed and four probable, locally acquired cases of dengue. This situation is not entirely new as small local outbreaks have occurred in 2001 and 2011. Aedes albopictus is the local vector and mosquito activity is considered low. With regard to travelers acquiring dengue in Hawaii, there are two dengue ex Hawaii cases (September 2015) in the GeoSentinel® database. Travelers to Hawaii should use daytime mosquito bite protection. Emerging foci of cutaneous leishmaniasis (L. major) in western regions of Senegal including Dakar and Thies (notified by Eric Caumes, Paris). Leishmania are successful in adapting to new zoogeographical zones so further expansion can be expected. Transmission is via the short-lived, mainly night-active, phlebotomine sandfly. Travelers to Senegal should protect 24/7 against arthropod bites.