Aruba Health Overview

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Oranjestad

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Health

There are no special health requirements for visitors to Aruba, but travellers coming from yellow fever infected countries in Africa or the Americas, aged over six months, need an immunisation certificate. Aruba has experienced occasional outbreaks of dengue fever, a flu-like illness transmitted by Aedes mosquitoes that favour densely populated areas, therefore the use of insect repellent is advised. Visitors are warned that some types of fish, including some tropical reef fish, are poisonous when eaten, even cooked. Medical care is good in Aruba, which has one hospital, the Dr. H.E. Oduber Hospital, with three classes of service for patients depending on the level of their insurance. Health insurance is recommended. Food and water are considered safe.

View information on diseases: Dengue Fever

Dengue Fever

Cause: The dengue virus - a flavivirus of which there are four serotypes. Transmission: Dengue fever is transmitted by the Aedes aegypti mosquito, which bites during daylight hours. There is no direct person-to-person transmission. Monkeys act as a reservoir host in south-east Asia and west Africa. Nature of the disease: Dengue occurs in three main clinical forms: Dengue fever is an acute febrile illness with sudden onset of fever, followed by development of generalized symptoms and sometimes a macular skin rash. It is known as "breakbone fever" because of severe muscular pains. The fever may be biphasic (i.e. two separate episodes or waves of fever). Most patients recover after a few days; Dengue haemorrhagic fever has an acute onset of fever followed by other symptoms resulting from thrombocytopenia, increased vascular permeability and haemorrhagic manifestations; Dengue shock syndrome supervenes in a small proportion of cases. Severe hypotension develops, requiring urgent medical treatment to correct hypovolaemia. Without appropriate treatment, 40-50% of cases are fatal; with timely therapy, the mortality rate is 1% or less. Geographical distribution: Dengue fever is widespread in tropical and subtropical regions of central and south America and south and south-east Asia and also occurs in Africa; in these regions, dengue is limited to altitudes below 600 metres (2,000 feet). Risk for travellers: There is a significant risk for travellers in areas where dengue fever is endemic and in areas affected by epidemics of dengue. Prophylaxis (protective treatment): None. Precautions: Travellers should take precautions to avoid mosquito bites both during the day and at night in areas where dengue occurs. Source: WHO.