Travel Alert Japan post earthquake-tsunami

March 11, 2011 Japan was hit by an 8.9 earthquake and tsunami. Flood waters and standing waters pose various risks, including infectious diseases, chemical hazards, and injuries. Increased incidence of Diarrheal diseases, Tetanus, Diphtheria, Typhoid, Polio, Hepatitis A & B, Meningitis, and Measles, Mumps, Rubella can arise after a natural disaster. Radiation is also a risk in Japan now. The adverse health effects of radiation exposure can range from mild effects, such as skin reddening, to serious effects such as cancer and death, depending on the amount of radiation absorbed by the body, the type of radiation, the route of exposure, and the length of time a person was exposed. Travelers should be aware and properly protected before traveling to Japan. In January 2010, Haiti was hit by a 7.0 earthquake. It is estimated that 230,000 people died and 300,000 people were injured. Cholera was first detected in October 2010, and to date 3759 deaths have been reported. The outbreak is expected to continue for a period of years unless the current poor water and sanitation conditions are resolved. Increased incidence of Tetanus, Diphtheria, Typhoid, Polio, Hepatitis A & B, Meningitis, Tuberculosis and Measles, Mumps, Rubella have been reported. Even before the earthquake, Haiti had the highest tuberculosis rate in the Americas. In normal times, Haiti sees about 30,000 new cases of tuberculosis each year. Dengue Fever and Malaria are both endemic in Haiti. Travelers should be aware and properly protected against present diseases in Haiti.