Travel and health: recommendations 2024

The new features of the 2024 edition mainly concern:

Vaccinations

Measles: Due to the large-scale outbreaks of the disease worldwide, people planning to travel abroad are strongly advised to update their measles vaccinations.
Typhoid fever : The live attenuated oral vaccine (Vivotif) can now be used to vaccinate travellers aged at least 5 years going to risk areas, according to a 3-dose vaccination schedule (1 capsule 15 days before departure, then on D3 and D5, to be swallowed on an empty stomach).
Tick-borne encephalitis: in the event of departure not allowing a complete primary vaccination schedule to be carried out, travelers can benefit from a rapid 2-dose vaccination schedule (D0 and, depending on the vaccine administered, D7 or D14). The 3^e dose can be carried out later.
Invasive meningococcal infections (IIM): outside endemic areas (particularly sub-Saharan Africa), vaccination against IIM ACWY and IIM B must be considered on the basis of the vaccination recommendations of the destination countries (accessible on the WHO website) .
Mpox : in the event of travel to areas where the virus is circulating, pre-exposure vaccination may be offered to people at very high risk, in particular men with multiple partners who have sex with men.
Dengue : To date, it is not recommended in France to vaccinate travelers against dengue.

Malaria

Simplified recommendations are proposed for “conventional” travelers (stay of less than a month in good conditions without overnight stay in a rural area). It is necessary to inform travelers of the importance of seeking immediate advice in the event of a fever within 3 months after return and to report their stay in an endemic area.

Traveler’s diarrhea

It is recalled that preventive antibiotic treatment is not indicated. Azithromycin remains the first-line curative treatment, particularly in dysenteric syndromes and severe non-dysenteric diarrhea during or after a stay in Asia.

Cholera prevention

The importance of scrupulously respecting the rules of personal hygiene (hand washing) and food hygiene with respect to water and food is recalled. In view of the epidemic outbreaks observed on a global scale (including the Comoros archipelago), anticholera vaccination, generally not recommended for travelers, can be considered, particularly for stays in poor hygienic conditions. Specialist advice from an international vaccination center can help assess personal risk.

Furthermore, the table of potentially serious imported diseases with epidemic risk has been updated.