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)
Cholera & Traveller’s Diarrhea: Dukoral (Updated May 18, 2017)
Hepatitis A (Updated July 8, 2020)
- Hepatitis A and Typhoid Fever (Vivaxim) (Updated May 18, 2017)
Hepatitis B (Updated July 8, 2020)
Hepatitis A+B (Twinrix) (Updated July 9, 2020)
Japanese Encephalitis (Updated July 8, 2020)
- Table 3 Japanese Encephalitis (Updated Oct 17, 2019)
Meningococcal Meningitis (Updated July 6, 2020)
- Table 4 Meningococcal Meningitis (Updated Aug 21, 2020)
Rabies (updated November 23, 2016)
Tuberculosis (Updated June 26, 2020)
- Table 4a Country Specific Recommendations for Post Travel Mantoux Testing (Updated Sept 21, 2015)
Typhoid (Updated July 7, 2020)
- Typhoid Fever and Hepatitis A (Vivaxim) (Updated May 18, 2017)
Yellow Fever (Updated Aug 12, 2020)
III – Other Illnesses & Health Considerations
Information for All Travellers
Altitude Sickness (Updated Oct 29, 2019)
Chikungunya Fever (Updated July 7, 2020)
- Table 4c: Countries Where People Have Become Infected with Chikungunya Virus (Updated July 7, 2020)
Pregnancy & Travel (Immunization Issues) (Updated July 7, 2020)
Zika Virus (Updated July 7, 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)
- Oral anticoagulation therapy (New June 26, 2020)
- Antimalarial prescription checklist (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)
(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
VI – Fact Sheets & Forms
Altitude Sickness (Updated Nov 20, 2018)
AMS Referral Form for Primary HCP to Specialized TH Clinic (New Oct 29, 2019)
Chloroquine (Updated Nov 12, 2019)
Doxycycline (Updated Sept 21, 2017)
Dukoral (Updated June 12, 2017)
Hepatitis A (Updated Nov 1, 2016)
Hepatitis B (Updated Nov 1, 2016)
Insect Precautions (Updated Feb 12, 2016)
Japanese Encephalitis (Updated Aug 19, 2020)
Malaria Prescription Referral Form (Updated June 26, 2020)
Malarone (Updated May 11, 2018)
Mefloquine (Updated May 18, 2016)
Meningococcal Meningitis (Updated Feb 7, 2017)
Polio (Updated Sept 24, 2018)
Sexually Transmitted Infections
Tuberculosis (Updated June 26, 2020)
Twinrix (Updated Nov 1, 2016)
Yellow Fever (Updated Sept 22, 2016)
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)
VIII – References
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.
