Travel Advisory Travel Advisory


Avian Flu Virus H7N9

(Virus Selsema Burung H7N9)


The Ministry of Health Malaysia advice the public:
(Kementerian Kesihatan Malaysia (KKM) ingin menasihatkan orang awam seperti berikut):


a) Avoid visiting live bird or poultry markets whenever visiting countries with confirmed cases of avian influenza.

(Mengelakkan mengunjungi pasar yang menjual unggas hidup bila mengunjungi negara-negara yang terlibat dengan jangkitan avian influenza)

b) Travelers back from Anhui, Jiangsu, Henan, Zhejiang, Beijing and Shanghai, China with symptoms of fever, cough and difficulty breathing to wear mask and seek treatment urgently to the nearest health clinics or hospitals and inform your doctor about your recent travel to China.

(Mereka yang pulang dari wilayah Anhui, Jiangsu, Henan, Zhejiang, Beijing dan Shanghai, China dengan gejala pernafasan dinasihatkan untuk memakai topeng muka (mask) dan segera mendapatkan rawatan perubatan dan memaklumkan sejarah perjalanan mereka kepada doktor)

c) Do not touch any birds or animals found death without self-protective gears. Inform about any unexplained birds or animals death to the local Veterinary offices.
(Tidak memegang unggas yang ditemui mati tanpa alat perlindungan diri dan hendaklah melaporkan kejadian kematian unggas yang luar biasa ke Pejabat Veterinar yang terdekat).

d) For the poultry farmers always practice and follow Department of Veterinary Services guidelines and advice.

(Bagi penternak dan pengusaha ladang unggas hendaklah sentiasa patuh kepada nasihat dan panduan dari Jabatan Perkhidmatan Veterinar)


e) Always practice high level of hygiene and cleanliness by washing your hands often using soap and water or with hand sanitizer containing at least 60 % alcohol, especially after
coughing or sneezing.

(Selalu mengamalkan tahap kebersihan diri yang tinggi seperti kerap membasuh tangan dengan menggunakan air dan sabun atau sanitizer, terutamanya selepas batuk dan bersin)

f) To seek treatment urgently from nearest clinic when develop influenza-like illness (ILI), especially for those handling birds or poultry.

(Mendapatkan rawatan di klinik yang berhampiran dengan segera apabila mendapat gejala influenza-like illness (ILI), terutamanya bagi mereka yang terlibat dengan pengendalian unggas).


g) Report any ILI cluster to the nearest District Health Office.
(Melaporkan sebarang kejadian kluster ILI kepada Pejabat Kesihatan Daerah yang terdekat)



Disediakan oleh:


Kementerian Kesihatan Malaysia

16 April 2013


Yellow Fever


Yellow fever is an acute infectious disease. Recognised in two different forms i.e. urban and jungle. Urban Yellow Fever occurs in cities and is spread from mosquito to human. In the jungle form, Yellow Fever is spread from mosquitoes to monkeys and also to humans (zoonosis). Although reported cases of human disease is the principal indicator of disease risk, they may be absent (because of a high level of immunity in population) or not detected as a result of poor surveillance.

Major public health threat in endemic countries.

Travellers to endemic areas of Africa, Central and South America are at risk. The presence of the suitable vector, Aedes mosquito in Asia may contribute to its potential occurrence. Malaysia is vulnerable and receptive to Yellow fever transmission.

Causative agent: Arbovirus of the Genus Flavivirus and family Flaviviridae.

Mode Of Transmission: through the bite of infective Aedes aegypti mosquitoes.

Incubation Period: 3 - 6 days (or longer) after the bite of an infected mosquito.

Yellow fever endemic countries

South & Central America

BoliviaFrench GuianaSuriname
ColombiaPanamaTrinidad & Tobago



Burkina FasoNigeria
CameroonSao Tome & Principe
Central Africa RepublicSenegal
ChadSierra Leone
Ivory CoastSomalia
GhanaDemocratic Republic Of Congo
Guinea BissauUnited Republic of Tanzania
Guinea Equat 

Note: The list of endemic countries will be updated by Ministry of Health Malaysia regularly based on WHO list

Sign & Symptoms

Some are asymptomatic but most lead to an acute illness characterized by two phases. Initially there is fever, muscular pain, headache, chills, anorexia, nausea and/or vomiting, often with bradycardia.

About 15% of patients progress to a second phase after a few days, with resurgence of fever, development of jaundice, abdominal pain, vomiting and haemorrhagic manifestations,

Death may occur 10 - 14 days after the onset of illness.


Haemorrhagic manifestation including epistaxis, gingival bleeding, hematemesis (coffee ground or black), melena, and liver and renal failure. 20 ? 50% are fatal.


Symptomatic treatment. Advise rest, drink plenty of fluids and take regular painkillers (e.g. Paracetamol or Ibuprofen) to relieve symptoms of fever or aching

Specific treatment - None

Prevention & Precautions

Yellow fever vaccination requirement

  • A Yellow fever vaccination certificate is required from all visitors or delegates (Malaysians and Foreigners) coming from or going to/through Yellow fever endemic countries (As stated in International Health Regulations 2005 and Prevention And Control Of Infectious Disease Act. 1988).
  • Travellers or delegates without a valid Yellow fever vaccination certificate shall be quarantined upon arrival in Malaysia for a period not exceeding 6 days.
  • The period of validity of an international certificate of vaccination against Yellow fever is 10 years, beginning 10 days after the date of vaccination.
  • If a person is revaccinated before the end of this period, the validity is extended for a further 10 years from the date of vaccination.
  • If the revaccination is recorded on a new certificate, travellers or delegates are advised to retain the old certificate for 10 days until the new certificate becomes valid.

Reminder to Malaysian who wants to go to the endemic countries

  • Malaysians are advised to take the vaccination at least 10 days before the date of departure to endemic countries for protection against infection.
  • To carry the international certificate of vaccination during travel for health check.
  • To get the vaccination against Yellow fever disease at the Approved Yellow fever vaccinating Centres In Malaysia.
  • To report to Entry Point Health Office on arrival in Malaysia for health check.