Yellow Fever: Threat to Asia-Pacific Region

Yellow fever: threat to the Asia-Pacific Region Jack Woodall Centre for Health Sciences Federal University of Rio de Janeiro Brazil (Formerly WHO Geneva) ASIA

Imported Yellow fever Europe ,[object Object],[object Object],[object Object],[object Object]

Importations of other mosquito-borne viruses from Africa into the Asia-Pacific region ,[object Object],[object Object],[object Object],[object Object]

So if Europe , why not Asia-Pacific ? All of tropical Asia is infested with the yellow fever vector mosquito, Aedes aegypti

Map 2. * * range of Aedes aegypti

Population (x1000) at risk for YF in the Asia-Pacific region - more than 2 billion * UNDP Population estimates for 2006-7 * Burma (Myanmar) & Papua New Guinea n/a Bangladesh 143 910 Malaysia 27 720 Bhutan 659 Nepal 25 887 Cambodia 13 400 Pakistan 159 570 China: Macau SAR Hong Kong SAR Taiwan 526 6 926 22 859 Philippines Singapore Sri Lanka 88 706 4 484 19 886 India 1 134 023 Thailand 65 306 Indonesia 224 905 Viet Nam 84 156 Laos 5 874 Yemen 21 220 TOTAL 2 001 271

Yellow fever activity, 2008 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Direct flights from Dubai to Asia-Pacific cities Pakistan (Karachi) 2:00 hrs India (Mumbai) 2:30 hrs Bangladesh (Dhaka) 4:15 hrs Sri Lanka (Colombo) Thailand (Bangkok) 4:15 hrs 6:15 hrs Malaysia (Kuala Lumpur) 7:00 hrs Singapore 7:00 hrs Philippines (Manila) 8:00 hrs Indonesia (Jakarta) 8:20 hrs

Travel times (including connections) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vaccine situation (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vaccine situation (2) ,[object Object],[object Object],[object Object]

Vector control situation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Hospital situation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Containment situation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

YF contingency plan? ,[object Object],[object Object],[object Object],[object Object],[object Object]

THE RISK OF YELLOW FEVER INTRODUCTION INTO THE ASIA-PACIFIC REGION IS GREATER THAN AT ANY TIME IN HISTORY! What are we going to do about it?

Yellow Fever: Threat to Asia-Pacific Region

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