All of Sao Paulo is at risk for yellow fever, the World Health Organization says

Business Insider | 1/17/2018 | Sarah Dilorenzo, Associated Press
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SAO PAULO (AP) — The World Health Organization announced Tuesday that it now considers all of Sao Paulo state at risk for yellow fever, recommending that all international visitors to the state be vaccinated.

That puts the megacity of Sao Paulo on the list. But Brazil's Health Ministry said in a statement that it was not changing its own, recently updated map of at-risk areas, which includes only certain parts of the state and city. The ministry said that the WHO's more-cautious recommendation for foreigners was made in light of the fact that it is impossible to know where visitors might travel once they arrive in Sao Paulo state.

Antonio - Nardi - Official - Ministry - Reporters

Antonio Nardi, a senior official at the ministry, later told reporters it was the result of an "excess of concern."

The announcement comes as an outbreak is gathering steam in Brazil during the Southern Hemisphere summer rainy season and just weeks ahead of Carnival, a major draw for foreign tourists. Nardi noted that most Carnival activities happen in cities, not in the forested areas that are of most concern, and so visitors should be safe.

July - Cases - Fever - Brazil - Sao

Since July 2017, 35 cases of yellow fever have been confirmed in Brazil, 20 of them in Sao Paulo state and three in Rio de Janeiro state, according to Health Ministry data released Tuesday. In all, 20 people have died. Yellow fever is spread by the same mosquito that transmits other tropical diseases, including Zika.

Much of Brazil is considered at risk for the virus, but a corridor along the coast was long largely considered safe. Last year, however, Brazil saw an unusually large outbreak of the disease, including in areas not previously thought to be at risk. More than 770 people were infected, and more than 250 died. In response, the WHO began expanding its map of...
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