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South Sudan

October 2017

Related Travel Health Notices

Consult a health care provider or visit a travel health clinic preferably six weeks before you travel.

Vaccines

Routine Vaccines

Be sure that your routine vaccines, as per your province or territory, are up-to-date regardless of your travel destination.

Some of these vaccines include: measles-mumps-rubella (MMR), diphtheria, tetanus, pertussis, polio, varicella (chickenpox), influenza and others.

Vaccines to Consider

You may be at risk for these vaccine-preventable diseases while travelling in this country. Talk to your travel health provider about which ones are right for you.

Hepatitis A

Hepatitis AExternal link is a disease of the liver spread through contaminated food and water or contact with an infected person. All those travelling to regions with a risk of hepatitis A infection should get vaccinated.

Hepatitis B

Hepatitis BExternal link is a disease of the liver spread through blood or other bodily fluids. Travellers who may be exposed (e.g., through sexual contact, medical treatment, sharing needles, tattooing, acupuncture or occupational exposure) should get vaccinated.

Influenza

Seasonal influenzaExternal link occurs worldwide. The flu season usually runs from November to April in the northern hemisphere, between April and October in the southern hemisphere and year round in the tropics. Influenza (flu) is caused by a virus spread from person to person when they cough or sneeze or by touching objects and surfaces that have been contaminated with the virus. Get the flu shot.

Measles

MeaslesExternal link is a highly contagious viral disease and is common in most parts of the world.

Be sure your measles vaccination is up-to-date regardless of your travel destination.

Meningococcal disease

This country is in the African Meningitis Belt, an area where there are many cases of meningococcal disease. Meningococcal diseaseExternal link is a serious and sometimes fatal infection. Travellers who may be at high risk should consider getting vaccinated. High-risk travellers include those living or working with the local population (e.g., health care workers) or those travelling to crowded areas or taking part in large gatherings.

Polio

There is a risk of polio in this country. 

Recommendations:

  • Be sure that your vaccination against polio is up to date. Polio is part of the routine vaccine schedule for children in Canada.
  • One booster dose of the polio vaccine is recommended as an adult. 

Rabies

RabiesExternal link is a deadly illness spread to humans through a bite, scratch or lick from an infected animal. Vaccination should be considered for travellers going to areas where rabies exists and who have a high risk of exposure (i.e., close contact with animals, occupational risk, and children).

Yellow Fever - Country Entry Requirements

Yellow fever is a disease caused by a flavivirus from the bite of an infected mosquito.

Travellers get vaccinated either because it is required to enter a country or because it is recommended for their protection.

Risk

  • There is risk of yellow fever in this country.

Country Entry Requirement*

  • Proof of vaccination is not required to enter this country.

Recommendation

  • Vaccination is recommended.
  • There is currently a shortage of the yellow fever vaccine in Canada. It is important for travellers to contact a designated Yellow Fever Vaccination Centre well in advance of their trip to ensure that the vaccine is available.
  • Discuss travel plans, activities, and destinations with a health care provider.
  • Protect yourself from mosquito bitesExternal link.

About Yellow FeverExternal link
Yellow Fever Vaccination Centres in Canada

* It is important to note that country entry requirementsExternal link may not reflect your risk of yellow fever at your destination. It is recommended that you contact the nearest diplomatic or consular officeExternal link of the destination(s) you will be visiting to verify any additional entry requirements.

Food/Water

Food and Water-borne Diseases

Travellers to any destination in the world can develop travellers' diarrheaExternal link from consuming contaminated water or food.

In some areas in Central Africa, food and water can also carry diseases like choleraExternal link, hepatitis AExternal link, schistosomiasisExternal link and typhoidExternal link. Practise safe food and water precautionsExternal link while travelling in Central Africa. Remember: Boil it, cook it, peel it, or leave it!

Cholera

Risk

Cholera External linkis a risk in parts of this country.  Most travellers are at very low risk.

For protection of cholera

All travellers should practise safe food and water precautions.External link

Cholera vaccination

Travellers at higher risk should discuss with a health care provider the benefits of getting vaccinated.

Travellers at higher risk include those:

  • visiting, working or living in areas with limited access to safe food, water and proper sanitation
  • visiting areas where outbreaks are occurring.

 

Schistosomiasis

SchistosomiasisExternal link can be spread to humans through freshwater sources contaminated by blood flukes (tiny worms). The eggs of the worms can cause stomach illnesses like diarrhea and cramps or urinary problems. Risk is generally low for most travellers. Avoid swimming in freshwater sources (lakes, rivers, ponds). There is no vaccine available for schistosomiasis.

Travellers' diarrhea

  • Travellers' diarrheaExternal link is the most common illness affecting travellers. It is spread from eating or drinking contaminated food or water.
  • Risk of developing travellers’ diarrhea increases when travelling in regions with poor standards of hygiene and sanitation. Practise safe food and water precautions.
  • The most important treatment for travellers' diarrhea is rehydration (drinking lots of fluids). Carry oral rehydration salts when travelling.

Typhoid

TyphoidExternal link is a bacterial infection spread by contaminated food or water. Risk is higher for children, travellers going to rural areas, visiting friends and relatives or travelling for a long period of time. Travellers visiting regions with typhoid risk, especially those exposed to places with poor sanitation should speak to a health care provider about vaccination.

Insects

Insects and Illness

In some areas in Central Africa, certain insects carry and spread diseases like African trypanosomiasis (sleeping sickness), Crimean-Congo hemorrhagic feverExternal link, dengue feverExternal link, leishmaniasisExternal link, lymphatic filariasisExternal link, malariaExternal link, onchocerciasisExternal link, Rift Valley feverExternal linkWest Nile virusyellow feverExternal link and Zika.External link

Travellers are advised to take precautions against bitesExternal link.

African trypanosomiasis

African trypanosomiasis (sleeping sickness) is caused by a parasite spread through the bite of a tsetse fly. Tsetse flies usually bite during the day and the bites are usually painful. If untreated, the disease is eventually fatal. Risk is generally low for most travellers. Protect yourself from bites especially in game parks and rural areas. Avoid wearing bright or dark-coloured clothing as these colours attract tsetse flies. There is no vaccine available for this disease.

Leishmaniasis, viceral

Visceral leishmaniasisExternal link (or kala azar) affects the bone marrow and internal organs. It is caused by a parasite spread through the bite of a female sandfly. It can also be transmitted by blood transfusion or sharing contaminated needles. If left untreated it can cause death. Risk is generally low for most travellers. Protect yourself from sandfly bites, which typically occur after sunset in rural and forested areas and in some urban centres. There is no vaccine or medication to protect against leishmaniasis.

Onchoceriasis

Onchocerciasis (river blindness) is an eye and skin disease caused by a parasite spread through the bite of an infected female blackfly.  Onchocerciasis often leads to blindness if left untreated. Risk is generally low for most travellers. Protect yourself from blackfly bites, which are most common close to fast-flowing rivers and streams. There is no vaccine available for onchocerciasis although drug treatments exist.

Zika virus infection

Zika virus infection is a risk in this country. The mosquito that spreads the virus is found here.  

Travel recommendations:

All travellers should protect themselves from mosquito bites and other diseases spread by insects.   

Malaria

  • There is a risk of malaria throughout the year in the whole country.
  • MalariaExternal link is a serious and occasionally fatal disease that is spread by the bite of an infected mosquito. There is no vaccine against malaria.
  • Protect yourself from mosquito bites. This includes covering up, using insect repellent and staying in enclosed air-conditioned accommodations. You may also consider pre-treating clothing and travel gear with insecticides and sleeping under an insecticide-treated bednet.
  • See a health care provider or visit a travel health clinic, preferably six weeks before you travel to discuss the benefits of taking antimalarial medication and to determine which one to take.

Animals

Animals and Illness

Travellers are cautioned to avoid contact with animals, including dogs, monkeys, snakes, rodents, birds, and bats. Certain infections found in some areas of Central Africa, like ebola,  rabiesExternal link, can be shared between humans and animals.

Person-to-Person

Person-to-Person Infections

Crowded conditions can increase your risk of certain illnesses. Remember to wash your handsExternal link often and practice proper cough and sneeze etiquette to avoid colds, the fluExternal link and other illnesses.

Sexually transmitted infections (STIs) and HIVExternal link are spread through blood and bodily fluids; practise safer sex.

HIV

HIV (Human Immunodeficiency Virus) is a virus that attacks and impairs the immune system, resulting in a chronic, progressive illness known as AIDS (Acquired Immunodeficiency Syndrome). 

High risk activities include anything which puts you in contact with blood or body fluids, such as unprotected sex and exposure to unsterilized needles for medications or other substances (for example, steroids and drugs), tattooing, body-piercing or acupuncture.

Tuberculosis

TuberculosisExternal link is an infection caused by bacteria and usually affects the lungs.

For most travellers the risk of tuberculosis is low.

Travellers who may be at high risk while travelling in regions with risk of tuberculosis should discuss pre- and post-travel options with a health care provider.

High-risk travellers include those visiting or working in prisons, refugee camps, homeless shelters, or hospitals, or travellers visiting friends and relatives.

Outbreak Monitoring

MONITORING:

Cholera

Updated: October 3, 2017

The World Health Organization has confirmed an outbreak of cholera in this country. For more information read the weekly bulletin on outbreaksExternal link.

Keep in Mind...

The decision to travel is the sole responsibility of the traveller. The traveller is also responsible for his or her own personal safety.

Be prepared. Do not expect medical services to be the same as in Canada. Pack a travel health kitExternal link, especially if you will be travelling away from major city centres.