Objectives
After completing this module, you should be more aware of:
· Why travel advice should include checking the traveller’s vaccination status in relation to the NHS routine immunisation programme;
· travel-associated factors in measles outbreaks;
· travel health precautions around travelling to large international events eg for pilgrims to Mecca or those attending the Rugby World Cup, Olympics or Paralympics in Japan;
· the concept of autochthonous disease transmission (ie locally transmitted) compared to travel-associated disease;
· the vectors involved in ‘exotic’ diseases now appearing in Europe;
· the changing habitats and behaviours or Aedes spp mosquitoes;
· how dengue fever is reappearing in Europe;
· dengue fever and severe dengue fever symptoms and treatment;
· the market authorisation indications for the dengue fever vaccine Dengvaxia, approved for use in Europe in December 2018;
· other diseases being transmitted in Europe: chikungunya, West Nile virus, tularaemia and Crimean-Congo haemorrhagic fever (CCHF)