Travel Vaccinations for North Korea

Crimean-Congo haemorrhagic fever (CCHF) is primarily spread to humans either by infected ticks or animal blood. Human-to-human transmission can also occur resulting from close contact with the blood, organs or other bodily fluids of an infected person.

Scrub typhus, also known as bush typhus, is a bacterial disease that is spread to people through bites of infected chiggers (larval mites). Common symptoms include fever, headache, body aches, and sometimes rash. It can usually be treated with antibiotics, however people with severe illness may develop organ failure and bleeding, which can be fatal if left untreated.

Chikungunya is a viral disease transmitted to humans by infected mosquitoes and it causes fever and severe joint pain. Other symptoms include muscle pain, headache, nausea, fatigue and rash. Joint pain is often debilitating and can vary in duration. The disease shares some clinical signs with Dengue, and can be misdiagnosed in areas where Dengue is common. There is no cure for the disease. Treatment is focused on relieving the symptoms.

A parasitic disease transmitted by the bite of an infected sandfly. Cutaneous Leishmaniasis (the most common): Causes skin lesions, mainly ulcers on exposed parts of the body, causing scars and serious disability. 90% of cases are in the Americas, the Mediterranean basin, the Middle East and Asia. Visceral Leishmaniasis (the most dangerous): Causes enlarged spleen and liver, anaemia, weight loss and irregular bouts of fever. Highly endemic in the Indian Subcontinent and East Africa. Mucotaneous (the least common): Causes partial or total destruction of the mucous membranes in the nose, mouth and throat. Most cases are found in Peru, Bolivia and Brazil.