HFRS caused by hantaviruses occurs in all Chinese provinces and municipalities except for Qinghai and Xinjiang. Hantaviruses are transmitted to man from a variety of rodents by inhalation of infected body fluids such as urine, saliva and feces. Hantavirus usually does not infect travelers. ProMED, November 1 and 24, 2000. At least 95 people have died so far as a result of an outbreak that began last month in Guinea.
Yellow fever is transmitted by mosquitoes.
It is endemic in Guinea and vaccination is recommended for all travelers to this country. Travelers should also use insect repellents. CDC, MMWR, vol. Most cases are from the southwestern province of Jizan, but an increasing number are being reported form the contiguous Asir region. Official reports from Yemen suggest ongoing transmission over a large area, whereas the outbreak in Saudi Arabia is more circumscribed and appears to be abating.