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Manitoba Travel Health Manual for Health Professionals

I – General Information

Introduction (Updated July 7, 2020)

Immunization Recommendations & Requirements (Updated Aug 12, 2020)

Guidelines for Development of Individual Immunization Schedules (Updated July 7, 2020)

Documentation (Updated Aug 12, 2020)

II – Immunization Recommendations & Biologicals

Routine Immunizations (Updated Aug 12, 2020)

Table 1 Polio Infected Countries (Updated Aug 21, 2020)

Table 2 Global Status of Polio (Updated Aug 21, 2020)

Travel Specific Immunizations

Cholera & Traveller’s Diarrhea: Dukoral (Updated May 18, 2017)

Hepatitis A (Updated July 8, 2020)

Hepatitis B (Updated July 8, 2020)

Hepatitis A+B (Twinrix) (Updated July 9, 2020)

Japanese Encephalitis (Updated July 8, 2020)

Meningococcal Meningitis (Updated July 6, 2020)

Rabies (updated November 23, 2016)

Tickborne Encephalitis

Tuberculosis (Updated June 26, 2020)

Typhoid (Updated July 7, 2020)

Yellow Fever (Updated Aug 12, 2020)

IV – Malaria

Etiology (Updated June 26, 2020)

Clinical Symptoms (Updated June 26, 2020)

Individual Risk Assessment (Updated June 26, 2020)

Risk of Acquiring Malaria (New June 26, 2020)

Protection Against Malaria (Updated June 26, 2020)

Anti-Malarial Medications for Chemoprophylaxis (New June 26, 2020)

Malaria Risk by Geographic Area (Updated June 26, 2020)

CATMAT Malaria Guidelines – Reference (Updated June 26, 2020)

Canadian Malaria Network (CMN) (Updated June 26, 2020)

V – Countries

Immunization/Disease Risk Chart (Updated Oct 30, 2019)

Specific Recommendations

(Please check this section routinely, as it may change frequently throughout the year)

On July 1, 2020 the World Health Organization (WHO) revised the Yellow Fever entry requirements. The country section of the Travel Health Manual has not yet been updated to reflect these changes. The most current WHO information on country specific Yellow Fever entry requirements and recommendations is available here.

The most current CATMAT Malaria recommendations from Jan 10, 2020 have been incorporated into the on-line TH Manual country section. This information is also available at the following link: CATMAT Appendix I: Malaria Risk and Recommended Chemoprophylaxis by Geographic Area

VII – Maps

Map 7-0 Chikungunya Fever (Updated April 23, 2020)

Map 7-1 Dengue Fever (Updated April 23, 2020)

Map 7-2 Hepatitis A (Updated April 23, 2020)

Map 7-3 Hepatitis B (Updated April 23, 2020)

Map 7-4 Japanese Encephalitis (Updated April 23, 2020)

Map 7-5 Malaria Endemic Countries (Updated April 23, 2020)

Map 7-6 Measles (Updated April 23, 2020)

Map 7-7 Meningococcal Meningitis Serogroups (Updated April 6, 2018)

Map 7-8 Meningococcal Meningitis Outbreaks (Updated April 23, 2020)

Map 7-9 Polio (Updated April 27, 2020)

Map 7-10 Tuberculosis (Updated April 27, 2020)

May 7-11 Yellow Fever Recommendations in Africa (Updated April 23, 2020)

Map 7-12 Yellow Fever Recommendations in America (Updated April 23, 2020)

Map 7-13 Tickborne Encephalitis (Updated April 27, 2020)

Disclaimer

The Winnipeg Regional Health Authority (WRHA) has compiled this manual utilizing current sources and has made every effort to ensure that the information in the manual is correct at the time of printing/posting. The provider of travel health services must take professional responsibility for the utilization of current information and advisories as well as application of such information to individual circumstances.

Please refer to appropriate websites (see Travel Manual Section VI, list of Travel Health Websites) for continual updates of travel information in addition to the information in this manual. The WRHA, its Board of Directors, management, staff and/or its Medical Staff shall not be liable for any damages, claims, liabilities, costs or obligations arising from the use or misuse of this material, whether such obligations arise in contract, tort, negligence, equity or statute law.

The WRHA does not warrant the quality, accuracy nor completeness of the information contained in this manual. Such information and services are provided "as is" without warranty or condition of any kind.

This manual is intended for use by health professionals only and is not intended for distribution to the public.

The original format and some of the content of this manual was based on the manual developed by the Capital Health Authority – Travel Health Service, Edmonton Alberta and was used with their permission.  The manual has since been revised to reflect updated information.