Diseases potentially acquired by travel to East Africa
- David Murdoch, MD, MSc, DTM&H, FRACP, FRCPA, FFSc(RCPA)
David Murdoch, MD, MSc, DTM&H, FRACP, FRCPA, FFSc(RCPA)
- Clinical Microbiologist and Infectious Diseases Physician
- University of Otago, Christchurch
East Africa is comprised of Burundi, Comoros, Djibouti, Eritrea, Ethiopia, Kenya, Madagascar, Malawi, Mauritius, Mozambique, Réunion, Rwanda, Seychelles, Somalia, Tanzania, and Uganda. This region encompasses tropical rain forests in the west and center, desert areas in the north, and wooded steppes in the east.
Malaria — Malaria is a major risk for most travelers to East Africa. Endemic areas exist in all countries in this region except for the islands of Réunion and Seychelles and at altitudes over 2600 meters. Except for Mauritius, Plasmodium falciparum is the predominant cause of malaria, and chloroquine resistance is widespread. Within endemic areas, transmission occurs year round :
●Burundi – Risk throughout the year in the whole country
●Comoros – Risk throughout the year in the whole country
●Djibouti – Risk throughout the year in the whole country
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- ARTHROPOD-BORNE DISEASES
- Yellow fever
- Other viral hemorrhagic fevers
- - Ebola virus
- - Rift Valley fever
- - Crimean-Congo hemorrhagic fever
- African trypanosomiasis
- Chikungunya fever
- Zika virus
- FOODBORNE AND WATERBORNE DISEASES
- Travelers' diarrhea
- Hepatitis A and E
- OTHER INFECTIONS
- Meningococcal disease
- HIV infection
- Other sexually transmitted diseases
- Hepatitis B and C
- OTHER HAZARDS
- Snake bites
- High-altitude disease