Posts Tagged ‘Indonesia’

Mount Lokon Blows Top in Indonesia: Is Activity Increasing Worldwide?

Monday, July 18th, 2011 by

Reports from Sulawesi in Indonesia indicate that once again thousands are fleeing smoke, ash and lava from a spectacular eruption. Whether Indonesia, Chile, Iceland or Eritrea—volcanic activity is grabbing headlines and has made us wonder if world travelers are increasingly likely to encounter active volcanoes. We asked Robert Peckyno, webmaster for Volcano World at Oregon State University, what scientists think. He shared with us a Smithsonian analysis that convincingly concludes that the number of confirmed erupting volcanoes has leveled off between 50 and 70 per year over the past four decades. Researchers say that the impression of increased activity should be attributed to increased reporting and better communication all around the world.

Not content with this finding, some volcanologists and climatologists have started to study whether global climate change might accelerate volcanic activity. A recently published paper says “observations suggest that the ongoing rise in global average temperatures may already be eliciting a hazardous response from the geosphere.” Perhaps travel in the decades ahead will feature trips to enjoy volcanic fireworks and require aircraft to routinely skirt clouds of volcanic ash.

Photo by zadoc.

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Travel Bulletin Bali: Rabies Outbreak

Thursday, March 3rd, 2011 by

This week The Centers for Disease Control and Prevention (CDC) issued an advisory for anyone traveling to the island of Bali to take precautions against rabies; the disease has been uncomfortably common in the area since December 2008. Specifically the CDC is reminding travelers that the following activities may be risky:

  • Working closely with animals of unknown rabies exposure or vaccination history
  • Spending a lot of time in a rural area or participating in outdoor activities such as bicycling, camping, or hiking – activities which increase the risk for coming in contact with animals
  • Touching or playing with animals
  • Adopting animals with the intention of bringing them home to the United States

The CDC is advising travelers to consider a rabies vaccine if they are likely to encounter animals such as dogs, cats and bats; to avoid close contact with all animals including pets; and to act quickly if bitten or scratched by an animal.

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Travel Bulletin Indonesia: Merapi Erupts

Wednesday, October 27th, 2010 by

Mount Merapi erupted just before dusk on Tuesday, shaking the region and spawning more than 600 earthquakes.  According to a New York Times report, the eruption killed at least 29 people, and many others are being treated for respiratory issues and severe burns.  Tens of thousands of people have been driven from their homes, many of which no longer stand.  The area is covered in a white volcanic ash.  Officials are currently unsure if Merapi has ceased erupting or if larger explosions are imminent.  Meanwhile, police and volunteers are monitoring checkpoints surrounding the area to prevent locals from returning to their homes.

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Travel Bulletin Indonesia: Pressure Building at Mount Merapi

Tuesday, October 26th, 2010 by

The most volatile volcano in Indonesia has been experiencing increased activity in the past 24 hours.  On Monday, the Indonesian government raised the alert for Mount Merapi to the highest level and reported that the magma has risen to about 1km below the surface. About 500 volcanic earthquakes were recorded on the mountain over the weekend.  Officials have reported that there is pressure building behind a massive lava dome near the tip of the crater, and if the pressure is not released slowly, the area could experience a huge eruption.  You can learn more and keep abreast of the scientific monitoring by checking the Wikipedia article. The volcano is located on the border between Central Java and Yogyakarta, and residents within a six mile radius have been urged to evacuate.

Mount Merapi, which translates to Mountain of Fire, has erupted regularly since 1548.  Generally there have been smaller eruptions every two or three years, with larger ones occurring every 10 to 15 years.  Mount Merapi is one of the 16 Decade Volcanoes, which are chosen by the International Association of Volcanology and Chemistry of the Earth’s Interior (IAVCEI) for particular study because of their history of large, destructive eruptions and proximity to populated areas.

According to Altegrity International more than 300 people were evacuated from villages near the volcano.  But as the world was reminded by the recent volcanic eruption in Iceland, volcanic ash can cause medical problems and disrupt travel plans hundreds of miles away from the site of the activity.

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Travel Bulletin Indonesia: Rabies death toll on Bali reaches 100

Friday, October 15th, 2010 by

The death toll from an outbreak of rabies on Indonesia’s Bali tourist resort reached 100 on October 15th after a 40-year-old villager died overnight of the disease after he was hospitalized. The outbreak began in 2008, with officials killing some 200,000 stray dogs and vaccinating others against rabies. Several countries have issued travel advisories advising their nationals to be vaccinated against the disease and to avoid dogs roaming the country’s beaches.

Copyright © 2010, World Health Organization

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New Japanese Encephalitis Vaccine Reduces Side Effects

Wednesday, May 19th, 2010 by

Good news for travelers throughout Asia.  There is a new vaccine against Japanese encephalitis that significantly reduces typical side effects.

We all know that mosquitoes transmit some very serious viruses to humans. In addition to malaria and dengue fever, another mosquito-driven disease is Japanese encephalitis virus (JEV).  As reported by the World Health Organization (WHO) JEV is endemic in parts of China, India, the Republic of Korea, Japan, the Russian Federation, islands in the Torres Strait of Australia, Nepal, Thailand, Viet Nam, Cambodia, the Lao People’s Democratic Republic, the Philippines, Taiwan, Indonesia, Malaysia, and Sri Lanka. Its breakouts are generally most prevalent during the summer and fall.

There is no treatment available for this disease which can lead to permanent damage to the nervous system or death. Though many vacationers or expats will not find themselves in high-risk areas during peak times, it is recommended by the Centers for Disease Control (CDC) that anyone travelling to an endemic area during a possible transmission season or those who are headed toward a potentially dangerous area should be vaccinated for JEV.

Historically, the vaccine was toxic to some people — especially those with a history of allergy to wasp/bee stings.  Many doctors were hesitant to give the traditional vaccine and if they did, they would advise recipients to stay in a country with decent medical facilities in case they were one of the rare cases to develop an allergic reaction within 10 days of receiving the vaccine.  Fortunately for those over 18 years of age, there is now a new vaccine that does not cause those side-effects and can be given as safely as any of our other vaccines.

In summary: If you are over 18 years old and travelling to one of the high risk areas mentioned above, ask your doctor for the new non-allergic Japanese encephalitis vaccine.

Author: Charlie Easmon, MBBS
Charlie Easmon, MBBS is a General Practitioner whose practice has a strong focus on Travel Medicine.  He is a Regional Physician Advisor for HTH Worldwide and the Medical Director for The Number One Health Group on Harley Street in London and ALC Global Health Insurance.  He is a member of the Royal College of Physicians, UK and has a Diploma in Tropical Medicine and Hygiene from the University of Liverpool.   Dr. Easmon is an Honorary Lecturer at the London School of Hygiene and Tropical Medicine. 

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Means to End Chikungunya Menace? Report Raises Hope

Friday, February 19th, 2010 by

New Scientist magazine is reporting a scientific advance that may hold the key to defeating  a mosquito-borne virus that turned dangerous and deadly and has been spreading across the world for the past five years. Carried by the tiger mosquito and driven by the forces of global commerce, chikungunya  virus causes fever, headache, nausea as well as excruciating pain in smaller joints, earning it the nickname “knuckle fever.”  This virulent form first appeared in the islands of the Indian Ocean but has since invaded every continent by way of airports and sea ports.   The CDC highlights some specific reports of recent activity in Indonesia, Thailand and Malaysia on their website, where they also offer advice to clinicians and travelers. 

Now the U.S.  National Institutes of Health (NIH) are reporting a breakthrough in the search for a vaccine by using genetic engineering to create virus-like particles which perfectly mimic the virus without being infectious. Tests with Rhesus monkeys have shown the vaccine to be completely effective against chikungunya. Testing in humans is likely to begin in one to three years.

The NIH’s work with chikungunya  may have ushered in a new era of vaccine production that could prove to be safer and more effective than the many live virus vaccines that are in use today.  It may only be a matter of time before vaccines created from pieces of viruses will replace those derived from whole, live viruses. Diseases such as Kala Azar, sleeping sickness and Dengue fever that afflict travelers to tropical regions do not currently have effective vaccines.  In principle, the creation of vaccines from virus like particles could someday eliminate that problem.

Photo info: http://www.flickr.com/photos/deadmike/ / CC BY-NC-SA 2.0

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