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Why it may concern you


You can get hepatitis A through contaminated food or water in Greece, so talk to your doctor to see if the hepatitis A vaccine is right for you, according to the Yellow Book for Travellers, Destination Greece


Hepatitis A outbreaks occur throughout the world and sometimes in countries with a low risk for hepatitis A (including the US).


In Greece during the last year there has been a spike in HepatitisA  cases mostly in migrant and refugee populations  and in Greek workers in the hot spots and people of  the  Greek Coast Guard 

 
Health Information for Travelers to GreeceTraveler View

 You should be up to date on routine vaccinations while traveling to any destination. Some vaccines may also be required for travel.
You can get hepatitis A through contaminated food or water in Greece, so talk to your doctor to see if the hepatitis A vaccine is right for you.find that
Travelers
 to Greece

Vaccination for Hepatitits A

Recommended for all travellers to Greece over 1 year of age. find that

 

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Prevention
  • Wash your hands thoroughly and frequently with soap and water. If not available, use an alcohol-based hand sanitizer. Practice good body hygiene.


  • Drink boiled or treated water.
  • Eat well cooked foods and peel your own fruits.


 
 
How the disease is spread

Risk

Prevalence depends on local sanitary conditions. HAV circulates widely in populations living in areas with poor sanitation infrastructure.


**From poor sanitation areas to the industrialized places

In poor sanitation areas, persons often acquire the virus during childhood when the illness is asymptomatic (but still infective to others) or mild, and end up developing full immunity.

Large outbreaks in those areas and populations are rare,.though, in contrast, a large number of non-immune persons are found in highly industrialized countries where community wide outbreaks can occur when proper food handling or proper hygiene practices are not maintained including in daycare centres, prisons,

or mass gatherings.


Many countries are now including vaccination against Hepatitis A in their childhood vaccination schedules.
Symptoms

In many cases, the infection is asymptomatic – persons do not exhibit symptoms.

  • Those with symptoms usually get ill 15 to 50 days after exposure to the virus.

Symptoms include malaise, sudden onset of fever, nausea, abdominal pain, and jaundice after a few days.

The illness can range from mild to severe lasting from one to two weeks or several months. Severe cases can be fatal especially in older persons. 

  • Most infections are asymptomatic in children under six years of age, but infants and children can continue to shed the virus for up to six months after exposure to the virus, spreading the infection to others


Refugees free to move in towns and public places after their first 25 days


Greek islands.


.The authorities on the islands, and especially in Lesvos

 allow asylum seekers to go in and out if they have been detained for more than 25 days due to the recent  law adopted by the Greek Parliament on April 2,  blanket “restriction of movement” on new arrivals inside closed facilities at border entry points – such as the islands – for up to 25 days during reception and identification . The paradigm again is Lesvos, the island of "Solidarity", which silently follows its fate this year , and unquestionably 'absorbs" the migrants and refugees that are allowed to move in the islands. You see them more and more often in the market, the cafeterias, at the beach , in the souvlaki shops, the squares, in the islands' streeets. Still, locals from the countryside, near the accommodation centers complaint for their domestic farms, where from the migrants, as they say, steal their chicken, goats, turkeys and ...even peacocks. Some laughter the animals in the farm. The vast majority of asylum seekers are unable to leave the islands.   Greek2m, August 2016


Cafe owner , Lesvos: 



Hepatitis  A strke of cases in Refugee camps

Greek CDC epidemiological  reports
Accoding to the  Reports of  epidemiological data and the operations by the official website of KE.EL.P.NO
Since the beginning of 2016 the following have been reported:

A. Hepatitis A

Through the Mandatory Notification System in 2015 reported 15 outbreaks of hepatitis A sa refugees-immigrants, of whom 14 were hospitalized. The period 01/01/2016 to 08/10/2016 reported 69 cases, of which 60 were hospitalized, 3 not hospitalized, and 6 information is absent. Regarding the prevention of disease transmission, the measures taken mainly to the recording of close contacts of cases with a view to vaccination, with priority given to children aged <15 years, with special attention given to informing the public about compliance hygiene rules is the cornerstone for the prevention of disease transmission.

Source: Manos Konsolas| The Rhodes

The Hellinikon Sanitary Bomb 

"The conditions are out of control and present enormous risks to the public health," the mayors complained in a letter to Prime Minister Alexis Tsipras, in reference to the camp at Hellinikon, the site of Athens' old airport.

A total of 4,153 people, including many families, have been held there for the last month in miserable conditions.

Risk of epidemics rises in Greece on migrants populations all over the country

 “Cases of Hepatitis A, chicken pox, coughing and breathing problems, and head lice infestations have been reported among children and adults.“Given the increasing health concerns, particularly among the thousands of children spending their days in wet clothes without proper access to hygiene and warmth, we are increasing our efforts and bringing in extra medics from across Europe and beyond.” 

See more on the official announcement of IFCR

Extra medics drafted in, announces the Red Cross - IFRC  

Hepatitis A on refugee kid in Idomeni, 2016 

A 9 year old refugee child from Syria has been diagnosed with Hepatitis A at the open refugee camp of Greece’s borders with FYROM, Idomeni, the Greek Centers for Disease Control announced, and is transfered to a hospital of Thessaloniki
The kid had travelled with his family from Syria to Greece, and meanwhile stayed for a couple of days in Turkey, his parents realtives said  to the authorities and the Disease Control doctors.

“The Greek CDC(HCDCP), in collaboration with local health agencies, has taken all immediated actions for the prevention and the entrenchment of the disease in vulnerable refugee populations”, the organisation’s Press Release 

find that  on Greek2m Eye

In the camps:  Quested Hepatitis A vaccinantion supplies, insufficient and non coordinated vaccination coverage, left buy the Ministry of Health to the NGOs responsibility only   

Septemer 5, 2016

Lack of vaccine supplies denounce refugee camps' staff, despite epidemiological clusters all around the country 
Lack of Vaccines in the Hot Spots Not our authority,  has answered Keelpno President Theofilos Rosenberg , Real fm reported on September 6, 2016 
The Athens Medical Association by an official complaint insists that the Ministry of Health is endangering both public health and the lives of refugees,  denounces the criminal negligence  for the lack of vaccines in the accommodation centers / for hepatitis A.

The Ministry of Health , says the Medical Associalion sends the local authorities to NGOs despite the Emergency of communicable diseases for both local and refugee population  while cases  of hepatitis A in the reugee camps apear  all over the countrie and rise rapidly

In a letter sent by K. Protogeraki,  the Vice Regiol governor of the North Aegean Sea to the Greek CDC, HCDCP regarding Hepatitis A outbreak in the accommodation center in Lesvos, Moria, it is mentioned that

As mentioned features: "the Public Health Direction  Office in  Lesvos while asking for supplies the Health Ministry for more vaccines against hepatitis A, for the vaccination of the case contacts, and also the wider protection of the populations and the disease transmission protection, we were informed, when contacting the ministry that there are no vaccines available. Thereafter the Head of D / Directorate contacted the manager of Médecins du Monde in Moria Center where it was found that they did not information at all

We believe that cooperation and coordination of all auhtorities responsible  prevent them. "

ATHENS, August 2016 — Doctors Without Borders (MSF) has decried the high cost humanitarian organizations pay for vaccines – up to 20 times the normal prices – for vulnerable children in refugee settings. MSF and Save the Children are calling on drug companies to lower vaccine prices.

Humanitarian organizations have targeted pneumonia, along with polio, diphtheria and tetanus, in their efforts to vaccinate young children in Greek refugee camps. Pneumonia, according to an MSF news release, is the “single largest killer of children under five worldwide,” adding that it is a disease that “is particularly acute in humanitarian crises.”

by MSF official announcement, go to article

Hepa
titis
A
 
Take Care
in Greece


by FDA, a Bioterror agent

FDA: Hepatitis A virus (HAV) causes acute hepatitis in humans, and as a potential agent of bioterrorism (BT) it poses a threat to the safety of the blood supply.
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