Tunisian media reports that there have been 700 cases of measles (including 14 deaths) in Kasserine Governorate, Tunisia. Kasserine is in the north-west of the country and is not usually visited by tourists.
Advice for healthcare professionals
Travel may increase an individual’s risk of exposure to measles virus, and facilitate the spread of disease to unvaccinated and susceptible populations. The travel consultation provides healthcare practitioners with a valuable opportunity to ensure individuals are protected against the measles virus. Health professionals should consider vaccinating:
- All travellers who have not previously had two doses of a measles containing vaccine or prior measles infection.
- In particular, children and those who will be living or working closely with the local population at their destination, in countries with high endemnicity or recent outbreaks.
Advice for travellers
It should be confirmed that children have received their recommended doses of MMR at 12-13 months of age and again around three years four months. Consider vaccinating all unimmunised adults who have not had the disease themselves, particularly if they are going to be at higher risk. Two doses of MMR vaccine, at least one month apart, are required to give adequate protection.
Further information and advice can be found on the TRAVAX (for health professionals) and fitfortravel (for the general public) websites.