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Travel Health Advisory

Severe Acute Respiratory Syndrome: Global Activity

May 30, 2003

At this time, Health Canada is monitoring confirmed global reports of severe acute respiratory syndrome (SARS) outbreaks. Health Canada's recommendations for travellers are based on multiple sources of data including the World Health Organization (WHO) and country reports to the WHO. Recommendations are subject to change as more information becomes available.

For a list of counties currently reporting cases of SARS, visit the World Health Organization at http://www.who.int.

Recommendations

Due to the continued concern about the on-going level of local transmission, Health Canada recommends that Canadians planning to travel to Beijing and Tianjin in the People's Republic of China and Taiwan defer all travel until further notice and recommends alternate routing be considered, when possible, if transiting through these areas.

Due to the continued concern about limited spread of SARS in specific geographic areas, Health Canada recommends that Canadians defer all elective or non-essential travel to the provinces of Heibei, Shanxi, Inner Mongolia, Jilin, Guangdong in the Peoples Republic of China and to the Hong Kong Special Administrative Region.

Health Canada is aware that health authorities in these affected areas are making concerted efforts to contain the spread of SARS in their populations. Given the uncertainties of the current situation, Health Canada believes it is prudent to await the outcome of national and international control measures before undertaking travel to these destinations.

Travellers are advised that they will have to depend upon the local medical services in the countries where they reside or visit and are reminded that the health care services may be inadequate for the appropriate management of SARS. Globally, SARS transmissions settings have consistently been reported in hospitals. Travellers with chronic medical conditions who may have to seek medical care for those conditions may be at risk of exposure to SARS while in the hospital. Thus travellers are advised to consider this risk when travelling to areas for which Health Canada has posted a travel advisory. In the event that a traveller develops SARS, medical evacuation may be very difficult. Canadian Missions may not be able to assist Canadians with SARS with medical transportation out of the region or back to Canada.

Persons who are travelling or have travelled to these areas should monitor their health for 10 days following their departure from these areas. Should a fever AND one or more of the following occur - chills, muscle aches, feeling generally "unwell", headache, cough, shortness of breath or difficulty breathing - Health Canada recommends that medical advice be sought as soon as possible. Ill persons should call ahead to their personal physician or local public health unit/department for information about the appropriate Emergency Department or established SARS Centre they should visit for assessment. Travellers should inform their personal physician when and where they travelled, and indicate whether there was contact with someone who had these symptoms. While not all travellers with these symptoms have developed SARS, it is nevertheless important to ensure that if you do get these symptoms, you stay away from other people until you have been assessed for SARS. These actions are very important for stopping the spread of SARS.

Independent of the current international SARS outbreak, Health Canada routinely recommends that Canadian travellers seek an individual risk assessment consultation with their personal physician or a travel medicine clinic to determine their individual risks for illness.

Canadian travellers are reminded to practice good personal hygiene (e.g., good hand-washing practices) while travelling. Disease-causing micro-organisms can frequently be found on the hands. Hand-washing is the single most important procedure for preventing infections.

Canadian travellers are advised to continually monitor the latest Health Canada's travel advisories.

 

Last Updated : 2003-06-03 top