Human Swine Influenza in Mexico - Warning

This travel health notice, recommending that Canadians postpone elective or non-essential travel to Mexico is NO LONGER IN EFFECT. Click here for a list of current travel health advisories.

Released: April 27, 2009

• Travel Health Warning
• Recommendations for Travellers
• About Human Swine Influenza
• Don't Forget...
• Other Related Information

Travel Health Warning

The Government of Mexico has reported an outbreak of human swine influenza throughout Mexico. This strain of swine influenza virus has never been identified in humans before. The number of reported cases, as well as deaths, has risen steadily throughout the month of April and is now affecting most regions of Mexico.

As of April 27 2009, travellers from Canada are recommended to postpone elective or non-essential travel to Mexico until further notice.

The Public Health Agency of Canada along with the World Health Organization continues to monitor the situation in Mexico.  Please visit PHAC’s web site often for updates.

Recommendations for Travellers

Postpone elective or non-essential travel to Mexico until further notice

If you go to Mexico,

1. Wash your hands frequently
   1. By washing your hands with soap under warm running water, you will reduce your chance of getting the flu.
   2. Alcohol-based hand gel can also be used if soap and water are not readily available. It’s a good idea to keep some with you in your pocket or purse when you travel.
2. Practice proper cough and sneeze etiquette
1. Cover your mouth and/or nose to reduce the spread of germs. Remember to wash your hands afterwards.
3. Try to avoid contact with people who appear to have a respiratory illness
4. Monitor this website and the Mexican Ministry of Health website and the World Health Organization websites frequently for updates on the situation and recommendations.
5. Pay attention to local government and public health announcements including any movement restrictions and prevention recommendations.
6. Get vaccinated against seasonal influenza

7. If you are at risk of severe illness from influenza (for example, persons with chronic conditions such as diabetes, lung disease, heart disease, elderly or children under 2 years of age), see your health care provider before you travel.

If you develop symptoms of human swine influenza:

1. While on travel:
1. Seek medical care.
1. A list of physicians can be obtained through the nearest Canadian Embassy or consulate.  A listing of these establishments can be accessed through the web site of the Department of Foreign Affairs and International Trade .
2. When back in Canada:
1. If you develop respiratory illness with fever and cough within 7 days of your departure from Mexico, you are advised to:
1. Stay at home and avoid contact with others until 7 days have passed since your symptoms started
2. Wash your hands frequently
3. Cough and sneeze into your sleeve and not your hand
4. Contact your health care provider to inform him/her of your symptoms and recent travel history to Mexico and to help determine if treatment is recommended
2. Should your symptoms worsen:
1. Before seeking medical attention, it is recommended that you call ahead to your health care provider or urgent care facility to inform them of your symptoms and your recent travel history.

About Human Swine Influenza

• Swine influenza A H1N1 (swine flu) is a respiratory infection that causes outbreaks of influenza in pigs.
• Sporadic human infections with swine influenza have occurred in the past; however, these are usually caused by direct exposure to pigs.
• Sustained human –to- human transmission of swine influenza has not previously been documented.

Symptoms

• Usually includes symptoms similar to seasonal influenza (flu) including headache, chills, cough followed by fever, loss of appetite, muscle aches and fatigue, runny nose, sneezing, watery eyes and throat irritation.
• Nausea, vomiting and diarrhea may occur in adults as well as in children.
• In more severe cases, or in people with chronic conditions, complications such as pneumonia may develop.

Don't Forget...

1. Consult a health care provider, or visit a travel health clinic before you travel. It is best if this visit takes place at least 6 weeks before departure.

2. What to do if you get sick when you are travelling.

3. What to do if you get sick after you return to Canada.

4. Know what vaccines to get and when to get them.

Other Related Information

• Fact Sheet on Seasonal Influenza (Flu) and Travel from the Public Health Agency of Canada

• Public Health Agency of Canada – Information on Influenza

• Other information for Canadian travellers in Mexico, including accessing a list of possible physicians:  Department of Foreign Affairs and International Trade (DFAIT)