Recommendation for infection control before travelling

Recommendation for infection control before travelling

1.Travelling by Air

Have flu-like symptoms with or without tuberculosis like symptoms such as prolonged cough, weight loss, night sweat, fatigue, fever, and chest pain for more than 2 weeks. We strongly advise you to not travel at this stage, and for them to continue treatment with their current care team until his symptoms have resolved completely.

2.Dangerous communicable diseases according to the notification of the Ministry of Public Health of Thailand

The Ministry of Public Health of Thailand requires the following dangerous communicable diseases: This is a highly contagious disease and can spread quickly. If you find someone who is or is suspected of being a dangerous communicable disease. Must be communicated to the communicable disease control officer. And those who are or are suspected to be contagious or contact with the patient. For safety reasons it may be necessary to isolate the suspected person until medical proven that getting out of contagious stage.

Dangerous communicable diseases are as follows.

  1. Plague
  2. Smallpox
  3. Crimean-Congo hemorrhagic fever
  4. West Nile Fever
  5. Yellow fever
  6. Lassa fever
  7. Nipah virus disease
  8. Marburg virus disease
  9. Ebola virus disease-EVD
  10. Handra virus disease
  11. Sever Acute Respiratory Syndrome-SARS
  12. Middle East Respiratory Syndrome-MERS: Criteria for MERS screening are as follows: Fever with respiratory infections (such as coughing, sneezing, sore throat, dyspnea, pneumonia) and come from the Middle East or risk areas within 14 days before illness.
  13. Extensively drug-resistant tuberculosis(XDR-TB)

3.Questionnaire for infection control before entering Thailand

Travel Infectious Risk Assessment
Before going to Thailand
Yes No Not sure
Do you have any of these following symptoms?
– Cough
– Fever
– Runny nose
– Diarrhea
– Fever with Rash
Have you contacted closely with anyone with MERS, Influenza, tuberculosis or diphtheria
Have you has any past medical history of drug-resistant infection e.g. MRSA, MRSE, VRE, MDR, ESBL, CRE

4.Vaccination before travel to Thailand (reference from the Centers for Disease Control and Prevention)

Vaccine Who Needs It? Why?
*Malaria Some travelerswho may be spending a lot of time outside There is a risk of mosquito bites almost all year long all over Thailand.
Japanese Encephalitis Some travelerswho may be staying in Thailand for a long time, or planning to travel around the country. There have been reports of transmissions in Northern Thailand, as well as the coastal areas of Southern Thailand.
Typhoid Most travelers, especially those planning to travel to rural areas or are adventurous eaters. There is a risk of contamination through food or water.
Hepatitis A Most travelers. There is a high risk of contamination through food or water.
Rabies Some travelers , especially those who will come into contact with a lot of animals Although rabies is not a major risk in Thailand, it can be found in some animals, especially street dogs and cats.
Hepatitis B Some travelers , especially those who plan to get tattoos or piercings while traveling in Thailand Hepatitis B is transmitted through sexual contact, as well as through contaminated needles and other blood products.
Cholera Some travelers There is a risk for contamination through food or water, especially in areas where there is an active transmission.
Yellow Fever Only people who are traveling from countries with a risk of yellow fever contamination. There is no risk of yellow fever contamination in Thailand. However, the government of Thailand requires proof of vaccination against yellow fever from all travelers who are coming from countries that have a risk of contamination. To determine if you are one of these travelers, please see this list from the Centers for Disease Control and Prevention

Remark: *Malaria is found in the forest areas with anopheles mosquito only. Not found in urban areas. The most common infections are Tak, Kanchanaburi, Trad, Ratchaburi, Mae Hong Son, Yala, Sisaket, Chanthaburi. (Reference from https://www.Thaitravelclinic.com)

5. Infectious Diseases Situation Alert

Department of Disease Control: Weekly Disease Forecast No.151_Rabies (12-18 March 2018) provides the following information:

This year up to present, from the national disease surveillance system, the Department of Disease Control(DDC) has found 3 human rabies deaths. The deaths were in Surin, Songkhla and Trang provinces. All victims did not seek any rabies post-exposure treatment after dog bites. 

In 2017, there were 11 human rabies deaths. The DDC study showed that 82% of people who were bitten by dogs cleaned the wounds by themselves while only 18% sought medical treatment at the hospital. Around half of the biting dogs were stray and most of them (89.7%) did not receive any rabies vaccine or had no history of vaccination. 

The Department of Disease Control(DDC) strongly advises people to be aware that rabies is 100% fatal. Owners therefore should strictly follow the best cost-effective measure by bringing their 2-month-old dogs and cats to receive the first rabies vaccination and annually thereafter. In addition, DDC also advises parents to take care of their children and do not let them stay close to stray dogs and cats or those with unusual behavior. In case of finding suspected rapid dead dogs, cats or mammals or animals with furious or dump rabies, a report to the Department of Livestock Development at Tel.02-653-4415, Provincial Livestock Development Office, Community Leaders, Livestock Volunteers, or Village Health Volunteers, is crucial. 

A person bitten by a suspected rabid animal should immediately wash the wound with soap and water thoroughly and apply povidone iodine into the wound to kill the rabies virus and other pathogens. The person should then seek a medical attention for wound treatment and rabies post-exposure prophylaxis (PEP) as soon as possible. Delay in getting the PEP will be risky and might result in death. The suspected animal must be kept properly and observed for 10 days. If it dies within this observation period, the carcass must be sent to a laboratory for rabies examination.  

For queries or additional information, please call DDC hotline 1422 (source: www.ddc.co.th 

 

 

The Situation of Infectious Diseases in Thailand can be found on the following websites:

www.ddc.moph.go.th (Department of Disease Control, Ministry of Public Health, Thailand)

thaigcd.ddc.moph.go.th (Bureau of General Communicable diseases)

www.riskcomthai.org (Bureau of Risk Communication and Health Behavior Development)

beid.ddc.moph.go.th (Bureau of Emerging Infectious Diseases )

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