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This includes: JE is a viral infection transmitted to humans from animals (mainly pigs and birds) by mosquitoes which typically breed in rice paddy fields, swamps and marshes, and predominantly feed between dusk and dawn.Those at increased risk include travellers who are staying for a month or longer during the transmission season, especially if travel will include rural areas with rice fields and marshland.Details of vaccination recommendations and requirements are provided below.

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This mostly occurs during sexual contact or as a result of blood-to-blood contact (for example from contaminated equipment during medical and dental procedures, tattooing or body piercing procedures, and sharing of intravenous needles).

Mothers with the virus can also transmit the infection to their baby during childbirth.

These vaccinations include for example measles-mumps-rubella (MMR) vaccine and diphtheria-tetanus-polio vaccine.

Country specific diphtheria recommendations are not provided here.

Prevention All travellers should take care with personal, food and water hygiene. Tetanus bacteria are present in soil and manure and may be introduced through open wounds such as a puncture wound, burn or scratch.

Prevention Travellers should thoroughly clean all wounds and seek appropriate medical attention.The information on these pages should be used to research health risks and to inform the pre-travel consultation.For advice regarding safety and security please check the UK Foreign and Commonwealth Office (FCO) website.Travellers should ideally arrange an appointment with their health professional at least four to six weeks before travel.However, even if time is short, an appointment is still worthwhile.Cholera can cause severe watery diarrhoea although mild infections are common. Prevention All travellers should take care with personal, food and water hygiene.

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