Global & Disaster Medicine

Archive for August, 2016

Louisiana: Several deaths have been reported and more than 20,000 have had to be rescued since Friday in some of the worst flooding the state has ever seen. And at least 11,000 have hunkered down in shelters to wait out the floods.

Fox News


Louisiana: Ochsner Medical Center Baton Rouge (O’Neal campus) transferred approximately 40 critically ill patients to other Ochsner facilities due to severe weather and flooding around the hospital.

Ochner Press Release

8/14/16

Ochsner Provides Family Hotline for Transfers  BATON ROUGE (4 pm) –

Earlier this afternoon, Ochsner Medical Center Baton Rouge (O’Neal campus) transferred approximately 40 critically ill patients to other Ochsner facilities due to severe weather and flooding around the hospital. An additional 10-15 are expected to be transferred shortly, as a precautionary measure, to ensure ongoing continuity of care effective immediately.
Ochsner has established a hotline for family members needing information on the new location of a patient. Family can call 504-842-3198 and will need to provide a patient’s date of birth to receive information about their condition and location. If the patient has not yet been moved, they will receive condition and an update on the intended location and potential arrival time. We continue to monitor the water levels and the situation with local and state officials. We have not made a decision to transport additional patients at this time.
Patient safety is our highest priority. We will remain in contact with our Office of Emergency Preparedness to ensure that military vehicles and air transport support will be available should we need it. Ochsner Baton Rouge medical personnel remain on site and the facility has power, water and adequate supplies to care for our remaining patients and staff.
We are still assessing the total impact of the severe weather and flooding. As we have information on our ability to reopen our Emergency Room and the ability to staff and open some of our Health Centers tomorrow, we will provide those updates to the media, on our website and via social media. All staff is encouraged to check their email for staffing updates as well. Ochsner patients can have confidence that their medical records are safe and available via MyOchsner as well as at any Ochsner location. Ochsner has an electronic medical record system and can offer continuous care regardless of where you see an Ochsner doctor.
Ochsner is committed to serving its community during this difficult time and fully appreciates the support of its dedicated staff and the larger Baton Rouge community.
Please follow us on social media: Facebook: Ochsner Health System, Twitter: @OchsnerHeatlh, Newsroom: news.ochsner.org for updates as additional information becomes available.
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Louisiana: Governor’s Emergency Proclamation – STATE OF EMERGENCY – HEAVY RAIN AND FLOODING

Governor of Louisiana

EXECUTIVE DEPARTMENT
PROCLAMATION NUMBER 111 JBE 2016
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STATE OF EMERGENCY – HEAVY RAIN AND FLOODING
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WHEREAS,  the Louisiana Homeland Security and Emergency Assistance and Disaster Act, La. R.S. 29:721, et seq., confers upon the Governor of the State of Louisiana emergency powers to deal with emergencies and disasters, including those caused by fire, flood, earthquake or other natural or manmade causes, in order to ensure that preparations of this State will be adequate to deal with such emergencies or disasters and to preserve the lives and property of the people of the State of Louisiana;
WHEREAS,  when the Governor determines that a disaster or emergency has occurred, or the threat thereof is imminent, La. R.S. 29:724(B)(1) empowers the Governor to declare a state of emergency by executive order or proclamation, or both;
WHEREAS,  a flash flood watch is in effect for all of southeastern Louisiana until at least Saturday morning, with rainful accumulations of seven to ten inches likely, with some areas expected to receive more;
WHEREAS, this weather event has resulted in school, road and/or state office closures in the following parishes: Ascension, East Baton Rouge, East Feliciana, Iberia, Iberville, Livingston, St. Helena, St. James, St. Tammany, Tangipahoa, Washington, Lafayette, St. Martin and West Baton Rouge, with ongoing reports of additional parishes affected or expected to be affected; and
WHEREAS, the severe weather is expected to continue and the State anticipates assistance will be needed for parishes to respond to this continuing threat.
NOW THEREFORE, I, JOHN BEL EDWARDS, Governor of the State of Louisiana, by virtue of the authority vested by the Constitution and the laws of the State of Louisiana, do hereby order and direct as follows:
SECTION 1:  Pursuant to the Louisiana Homeland Security and Emergency Assistance and Disaster Act, La. R.S. 29:721 et seq., a state of emergency is hereby declared to exist statewide as a result of this event, the effects of which continue to threaten the lives and property of the citizens of the State.
SECTION 2:  The Director of the Governor’s Office of Homeland Security and Emergency Preparedness is hereby authorized to undertake any activity authorized by law which he deems appropriate in response to this declaration.
SECTION 3:  All departments, commissions, boards, agencies and officers of the State, or any political subdivision thereof, are authorized and directed to cooperate in actions the State may take in response to the effects of this severe weather event.
SECTION 4:   This order is effective upon signature and shall remain in effect from Friday, August 12, 2016 until Saturday, September 10, 2016 unless terminated sooner.
IN WITNESS WHEREOF, I have set my hand officially and caused to be affixed the Great Seal of Louisiana, at the Capitol, in the City of Baton Rouge, on this 12th day of August, 2016.
/s/John Bel Edwards __________________________________________ GOVERNOR OF LOUISIANA


Louisiana: Information and Assistance during the Floods by the Parish Office of Homeland Security & Emergency Preparedness

Louisiana Emergency Management Agency

 

ROAD CLOSURE INFORMATION

DISASTER ASSISTANCE INFORMATION

  • To register for Federal Disaster Assistance click here.
  • For Disaster Assistance Information click here

DISASTER RECOVERY CENTER INFORMATION

No emergency information at this time.

SMALL BUSINESS ADMINISTRATION (SBA) INFORMATION

No emergency information at this time.

PROCLAMATIONS

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No proclamation information at this time. –>

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SHELTER INFORMATION

For shelter information contact your Parish OHSEP.

STATE OFFICES CLOSURE INFORMATION

State employees should be aware of the following phone numbers to call, which will be updated with information regarding office closures: 1.800.360.9660 or 225.342.0498.

AUGUST 2016 FLOOD AERIAL PHOTOS

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No proclamation information at this time. –>

  • Please click the picture below to access the 2016 August Heavy Rain and Flooding Event aerial pictures. This is an interactive map, click and zoom to locate an area.

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Press Release:

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IMPORTANT INFORMATION SOURCES:

    Click the hyperlinks below for important information

    • For lists of flood alerts across the state from the National Weather Service: click here
    • For contact information for local Office of Emergency Preparedness: click here
    • For regular updates through social media: facebook,   twitter
    • ALERT FM – Emergency Alerts Weather App now available for iPhone and iPad in the Apple iTunes Store!

      click image to download

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State of Louisiana Proclamations, Press Releases, and Updates

October 4, 2013
Governor Jindal Urges Louisianians to Get A Game Plan for
Tropical Storm Karen, Holds Unified Command Group Meeting

January 14, 2013
Governor Bobby Jindal Declares State of Emergency for Severe Weather And Flooding

November 30, 2012

Press Release: As Hurricane Season Ends, GOHSEP Encourages Families to Keep Focused on Preparedness for All Hazards

November 21, 2012

Press Release: Louisiana Emergency Managers Deploying to Assist New York, New Jersey Following Hurricane Sandy

November 7, 2012

Press Release: GOHSEP Deploying Emergency Management Teams to New York, New Jersey to Assist with Response to Hurricane Sandy

October 28, 2012

Press Release: GOHSEP Assisting Maryland, Pennsylvania in Responding to Hurricane Sandy

October 26, 2012

Press Release: FEMA Approves Louisiana’s Request to Extend Registration Deadline for Hurricane Isaac Aid

September 28, 2012

Press Release: Hurrican Isaac Damaged almost 59,000 Residences in Louisiana

September 14, 2012

Press Release: FEMA Approves Individual Assistance for Three Additional Louisiana Parishes Impacted by Hurricane Isaac

September 7, 2012

PHOTO RELEASE: Oil mats and tar balls present on Elmer’s Island following Hurricane Isaac

September 7, 2012

Press Release: LDWF Reopening Three Wildlife Management Areas Sept. 8

September 7, 2012

Press Release: Louisiana awarded $3.4 million grant to assist unemployed

September 7, 2012

Press Release: State Agencies Continue Response Efforts to Assist Communities Impacted by Hurricane Isaac

September 7, 2012

PHOTO RELEASE: Closing the back levee breach in Plaquemines Parish

September 7, 2012

Press Release: CCCD set to resume toll operations this weekend

September 7, 2012

Press Release: Food banks, Red Cross seeking donations

September 6, 2012

Press Release: Five more Louisiana parishes eligible for Disaster Unemployment Assistance

September 6, 2012

Press Release: Algiers to Canal Street Ferry resumes operations

September 6, 2012

Press Release: Gov. Jindal Holds Unified Command Group, Updates on State Response to Isaac

September 6, 2012

Press Release: FEMA Approves Individual Assistance for Five Louisiana Parishes Impacted by Hurricane Isaac

September 6, 2012

Press Release: DCFS Announces USDA Approval of Automatic Replacement of Partial Regular SNAP Benefits for August

September 5, 2012

Press Release: DCFS Releases Federal Monthly Income Guidelines for DSNAP

September 5, 2012

Press Release: Gov. Jindal Holds Unified Command Group, Updates On State Response to Isaac

September 5, 2012

Press Release: Construction work resumes on Interstates 10 and 12

September 5, 2012

Press Release: State government offices to remain closed in St. John the Baptist and Plaquemines parishes Thursday and Friday

September 5, 2012

Press Release: St. Charles, Tangipahoa parishes now eligible for Disaster Unemployment Assistance

September 5, 2012

Press Release: Health Department Advises Residents Using Private Wells in Hurricane-Affected Areas of Risks, Testing Options

September 4, 2012

Press Release: DCFS Extends 1-888-LAHELP-U Hours to 24/7 Due to DSNAP High Call Volume

September 4, 2012

Press Release: LDWF Closes a Portion of Coastal Waters Due to the Emergence of Oil on Adjacent Beaches

September 4, 2012

Press Release: DCFS Announces DSNAP Locations, Alphabetic Order of Service

September 4, 2012

Press Release: DEQ warns residents to exercise caution around floodwater

September 4, 2012

Press Release: State government offices to remain closed in St. John the Baptist and Plaquemines parishes Wednesday

September 4, 2012

Press Release: Gov. Jindal Holds Unified Command Group, Updates On State Response to Isaac

September 4, 2012

Press Release: Health Department Emphasizes Precautions Residents Should Take During Hurricane Cleanup

September 4, 2012

Press Release: LDWF Reopening Lake Ramsey WMA Sept. 4

September 4, 2012

Press Release: DCFS Receives Waiver to Allow Hot Foods to be Purchased with SNAP, DSNAP Cards

September 4, 2012

Press Release: DHH Continues Phasing Down Medical Special Needs Shelter Operations as Residents Return to their Communities

September 3, 2012

Press Release: Gov. Jindal Holds Unified Command Group, Updates On State Response to Isaac

September 3, 2012

Press Release: DOTD resumes ferry service at Edgard/Reserve

September 3, 2012

Press Release: CCCD resumes ferry service at Chalmette; Algiers still without power

September 3, 2012

Press Release: As More Residents Return Home, Health Officials Emphasize Heat Stroke Risk

September 3, 2012

Press Release: Louisiana requests $3.4 million for cleanup jobs assistance

September 3, 2012

Press Release: Disaster Supplemental Nutrition Assistance Program Approved for Nine Parishes Following Hurricane Isaac

September 3, 2012

Press Release: Louisiana Schools Open Tuesday

September 3, 2012

Press Release: Louisiana Residents Affected by Isaac Can Apply for Temporary Housing Assistance

September 2, 2012

Press Release: DOTD has cleared debris from all state roadways

September 2, 2012

Press Release: Louisiana Workforce Commission sends teams to help evacuees at shelters in North Louisiana

September 2, 2012

Press Release: Interstate 10 open from Baton Rouge to New Orleans

September 2, 2012

Press Release: DHH Phases Down Medical Special Needs Shelter Operations as Residents Return to their Communities

September 2, 2012

Press Release: DNR Fuel Team Provides Fuel Station Listings

September 2, 2012

PHOTO RELEASE: DCFS and LWC Heads Tour Shelter

September 2, 2012

PHOTO RELEASE: Ongoing Flood Conditions in Southeastern Louisiana

September 2, 2012

PHOTO RELEASE: Pearl River Lock #2 in St. Tammany Parish

September 2, 2012

Press Release: State Deploys Resources to St. Tammany to Assist with Evacuation Efforts

September 2, 2012

Press Release: Disaster Unemployment Assistance available for victims of Hurricane Isaac

September 1, 2012

Press Release: Louisiana Requests DSNAP Benefits for Four More Parishes

September 1, 2012

Press Release: More Louisiana Residents Now Eligible for Post-Isaac Recovery Assistance from FEMA

September 1, 2012

Press Release: DEQ encourages residents to dispose of storm debris

September 1, 2012

Press Release: Health Department Issues Comprehensive List of Water Systems Under Boil Advisory following Hurricane Isaac

September 1, 2012

Press Release: DHH Urges Residents to Protect Themselves from West Nile Virus during Hurricane Isaac Recovery

September 1, 2012

Press Release: DOTD reopens Interstate 10 from Baton Rouge to New Orleans, with lane restrictions due to flood water in LaPlace

September 1, 2012

Press Release: Local Isaac Relief Volunteers Still Urgently Needed, Reminded to Register First

September 1, 2012

Press Release: State Reopened Some Louisiana Oyster Beds Today

September 1, 2012

Press Release: State Department of Agriculture and Forestry Updates Efforts in Aftermath of Hurricane Isaac

September 1, 2012

Press Release: Health Officials Warn Residents to Be Careful of Heat-Related Illnesses While Cleaning Up Storm Debris

September 1, 2012

Press Release: LDWF Advises Residents to Remain Alert for Wildlife Displaced by Flooding

August 31, 2012

Press Release: State of Louisiana Requests Federal Aid for an Additional 18 Parishes

August 31, 2012

Press Release: Louisiana Requests Disaster Supplemental Nutrition Assistance Program Benefits for Five Parishes after Hurricane Isaac

August 31, 2012

PHOTO RELEASE: Aerial Photos of Flooding in Grand Isle due to Hurricane Isaac

August 31, 2012

Press Release: Louisiana Workforce Commission Web Site Back Up

August 31, 2012

Press Release: LDWF Wildlife Management Areas and Refuges Reopening Sept. 1, Habitat Damage Assessment Continues

August 31, 2012

PHOTO RELEASE: Aerial Photos of Louisiana Flooding from Hurricane Isaac

August 31, 2012

Press Release: Elmer’s Island to Remain Closed

August 31, 2012

Press Release: Office of Conservation Oversees Resumption of Drilling at Texas Brine Site

August 31, 2012

All Louisiana Workforce Commission systems down

August 31, 2012

Press Release: Plaquemine ferry returns to service, White Castle and Edgard/Reserve remain closed

August 30, 2012

Press Release: LDWF Confirms Alligator Harvest Season Opening Sept. 1 in East Zone, Sept. 5 in West Zone

August 30, 2012

Press Release: Health Department Issues Comprehensive List of Water Systems Under Boil Advisory following Hurricane Isaac

August 30, 2012

Press Release: Louisiana National Guard Opening Sites to Provide Food, Water, Supplies to Residents in Storm-Affected Communities

August 30, 2012

Press Release: Agriculture and Forestry Continues Response to Isaac

August 30, 2012

PHOTO RELEASE: Photos of Louisiana Flooding from Hurricane Isaac

August 30, 2012

PHOTO RELEASE: Flood Waters in St. John the Baptist Parish

August 30, 2012

UPDATED: State government offices to remain closed in 16 Louisiana parishes Friday, reopening in all others

August 30, 2012

PHOTO RELEASE: LDWF Agents Rescue More Than 1,500 in Aftermath of Hurricane Isaac

August 30, 2012

PHOTO RELEASE: International Levee Breach in Plaquemines Parish to Help Drain Flood Waters

August 30, 2012

Press Release: Call 2-1-1 to Locate Loved Ones at State-Run Shelters

August 30, 2012

Strain: Hire only licensed arborists to work on storm-damaged trees

August 30, 2012

Press Release: DOTD reopens all state routes in East Baton Rouge, East Feliciana and Pointe Coupee parishes

August 30, 2012

Press Release: DOTD announces priority routes for Tangipahoa Parish

August 30, 2012

Press Release: State Issues Boil Advisories in Response to Hurricane Isaac

August 30, 2012

Media Advisory: Tangipahoa Residents Should Call 2-1-1 for Latest Sheltering and Evacuation Information

August 30, 2012

Press Release: DOTD announces open routes for drivers traveling to New Orleans

August 29, 2012

Press Release: State Issues Additional Boil Advisories in Response to Hurricane Isaac

August 29, 2012

Press Release: State Issues Boil Advisories in Response to Hurricane Isaac

August 29, 2012

Governor Jindal Holds Unified Command Group Meeting, Updates on Storm Response

August 29, 2012

Press Release: State government offices to remain closed statewide Thursday

August 29, 2012

Press Release: DOTD reminds motorists to use the 511 Traveler Information System for road closure information

August 29, 2012

Press Release: Health Department Reminds Residents to Be Aware of West Nile Virus Threat, Take Precautions

August 29, 2012

Press Release: State Health Department Offers Safety Tips to Prevent Injuries, Accidents during Storm Cleanup

August 29, 2012

Press Release: Debit Card Fees Waived This Week For Unemployment Claimants, Some DCFS Program Recipients

August 29, 2012

Press Release: DOTD announces priority routes for south Louisiana during Hurricane Isaac

August 28, 2012

State Officials Ask Residents to Report Oil, Oily Material or Oiled Debris

August 28, 2012

State government offices to close statewide Wednesday

August 28, 2012

LDWF Closes Rockefeller Wildlife Refuge in Cameron Parish

August 28, 2012

Press Release: September SNAP Benefits to be Issued Early to Assist Those Impacted by Isaac

August 28, 2012

Governor Jindal Outlines Preparations, Urges Federal Government to Issue Full Disaster Declaration

August 28, 2012

Governor Jindal Issues Executive Order Outlining Emergency Procedures for Conducting State Business

August 28, 2012

Governor Bobby Jindal Issues Executive Order on the Use of State Vehicles to Transport Non-State Employees During an Emergency

August 28, 2012

Press Release: Gov. Jindal Issues Health-Focused Executive Orders to Aid Isaac Response

August 28, 2012

Press Release: EPA Grants Louisiana Partial Fuel Waiver Request

August 28, 2012

Press Release: State of Louisiana Requests Title 32 Designation for up to 8,000 Members of Louisiana National Guard

August 28, 2012

Higher Education Prepares for Isaac

August 27, 2012
DEQ Requests Fuel Waiver from EPA in Advance of Isaac

August 27, 2012
State Closes Louisiana Oyster Beds in Advance of Isaac

August 27, 2012
Office of Conservation Issues Order for Operators to Take Precautionary Steps

August 27, 2012
LDWF Reminds Residents to Report Tropical Storm Isaac-Related Fish Kills

August 27, 2012
Residents Urged to Use Caution when Operating Generators

August 27, 2012

Gov. Jindal: Today is Day to Take Precautions, Evacuate

August 27, 2012

Price Gouging Law in Effect Following State of Emergency Declaration

August 27, 2012

Storm Prep: Protect tax records and financial documents during emergencies

August 26, 2012

Press Release: Gov. Jindal Urges Louisianians to Get Prepared for Tropical Storm Isaac, Encourages Voluntary Evacuations in Hurricane Watch Areas

[ PDF]

August 26, 2012

Executive Proclamation: Governor Bobby Jindal Declares State of Emergency for Tropical Storm Isaac

[ PDF]

August 24, 2012

Press Release: GOHSEP Crisis Action Team Monitoring Tropical Storm Isaac

June 25, 2012

Press Release: STATE AGENCIES OUTLINE RESPONSE TO T.S. DEBBY

June 23, 2012

Press Release: STATE MONITORS TROPICAL STORM DEBBY

March 23, 2012

Executive Proclamation: STATE OF EMERGENCY – SEVERE WEATHER AND FLOODING

March 22, 2012

Press Release: UPDATE: STATE AGENCY RESPONSE TO SEVERE WEATHER

March 21, 2012

Press Release: STATE AGENCIES RESPOND TO SEVERE WEATHER

March 20, 2012

Press Release: LOUISIANA BRACES FOR MORE SEVERE WEATHER

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PREPAREDNESS + SAFETY TIPS

  • For preparedness tips visit: www.GetAGameplan.org
  • Do not walk through flowing water, as drowning is the number one cause of flood deaths. Six inches of moving water can knock you off your feet;
  • Do not drive your car through a flooded area, as it does not take much water to carry away a vehicle. Do not drive around road barriers, because you do not know if the road of a bridge has been washed out;
  • Stay away from power lines and electrical wires, as electrical current can travel through water. Report downed power lines to your utility company.

A Texas resident who recently traveled to an area of Miami with local Zika transmission has tested positive for the virus.

Texas DOH

“…This is the first Texas case to be linked to travel within the continental United States….”

 


Nepal: A bus filled with people traveling home slipped off a narrow mountain road Monday, killing at least 33 and injuring 28 more.

EMS1

https://www.youtube.com/watch?v=6Cd7X3BPf4o

 


A wildfire that has ripped through several Lake County neighborhoods has grown to 4,000 acres and torched 175 structures

KCRA

 


Milwaukee, WI: A traffic stop that led to a death, then a night of protest and violence.

Washington Post

“…four officers were hurt, and a 16-year-old girl was hit by what was thought to be crossfire, suffering non-life-threatening injuries…..17 people were arrested, most for civil disobedience but four on burglary charges. Six businesses were burned, and seven squad cars were damaged….”


Resurgence of malaria in Venezuela due to economic collapse

NY Times

 


Cyclospora cases linked with travel to Mexico: 204 cases reported in the UK since 1 June 2016

UK Department of Health

Investigations are ongoing after an increase in cases of food and water bug, Cyclospora, associated with travellers returning from Mexico.

Public Health England (PHE) is advising people planning on travelling to the Riviera Maya coast in Mexico to be aware of the risk of infection from a food and water bug, Cyclospora.

PHE is aware of an increase in Cyclospora cases linked with travel to Mexico. There have been 204 cases reported in the UK since 1 June 2016, with 148 cases from holidaymakers who stayed in a number of different hotels and resorts on the Riviera Maya coast. Investigations into the source of infection are ongoing.

Infection can cause frequent, watery diarrhoea, abdominal cramping, bloating, nausea, flatulence, low-grade fever, loss of appetite and weight. Individuals with underlying immune deficiency can be at risk of more severe infection.

Travellers to Mexico are strongly advised to maintain a high standard of food, water and personal hygiene, even if staying in high-end resorts. There is no risk of the bug being passed from person to person.

Advice for travellers

Infection is transmitted through consumption of food or water that is contaminated by Cyclospora. Foods often implicated in outbreaks include soft fruits like raspberries and salad products such as coriander, basil and lettuce.

Travellers are advised to:

  • ensure drinking water is bottled, boiled, or filtered with a special filter designed for purifying drinking water
  • avoid uncooked berries, unpeeled fruit, salad leaves and fresh herbs since these are difficult to clean
  • ensure food is freshly prepared, thoroughly cooked and eaten hot whenever possible

On return from Mexico, if you have any symptoms such as those described above you should seek medical attention and tell your GP about your travel history. The infection is diagnosed by testing of stool samples, and although most cases resolve on their own, antibiotics can be given to treat severe or prolonged infections.

Dr Katherine Russell, Head of Travel and Migrant Health at PHE, said:

Following the link with travel to Mexico, the UK travel industry has been informed and we are sharing information with the Mexican health authorities to support their investigations.

Get medical advice for any symptoms, either during your holiday or after you return. Symptoms can include: diarrhoea, appetite loss, stomach cramps and pain, bloating, increased wind, weight loss, nausea or tiredness. If you are ill when you get home, remember to tell your GPabout your travel history.

Dr Vanessa Field, Deputy Director of the National Travel Health Network and Centre (NaTHNaC), said:

It is very important to reinforce the need for travellers going to tropical or subtropical countries, including Mexico, to follow good food and water hygiene advice at all times on holiday, even if staying in high-end, all-inclusive resorts. Avoid buffets and choose recently prepared, thoroughly cooked food that is served piping hot. Avoid fresh uncooked berries or unpeeled fruit and any salad items not washed in safe water. Remember that drinks may also contain uncooked herbs, vegetables or fruit.

Cyclospora cayetanensis is a protozoan parasite that infects humans. Infection is acquired from food or water contaminated by the parasite. Because this organism is not infectious until approximately 10 days after they are passed in faeces, person-to-person transmission does not occur.

Read advice about food and water hygiene and specific advice for travellers to Mexico on the NaTHNaC website.

General information on Cyclospora is available on the NHS Choices website.

Clinical and travel guidance for health professionals is available on the PHEwebsite.


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