Spread through the bite of an infected mosquito. chronic liver/kidney disease haemophiliacs men who have sex with men people who change partners frequently people who inject drugs. Risk is highest for those with underlying medical conditions where there is increased risk of severe disease e.g. Risk is higher for long stays, frequent travel and for children (exposed through cuts and scratches), those who may require medical treatment during travel. Spread through infected blood and blood products, contaminated needles and medical instruments and sexual intercourse. chronic liver/kidney disease haemophiliacs men who have sex with men people who inject drugs. Risk is higher where personal hygiene and sanitation is poor. Spread through consuming contaminated food and water or person to person through the faecal-oral route. Risk is higher if mixing with locals in poor, overcrowded living conditions. Spread person to person through respiratory droplets. No yellow fever vaccination certificate required for this country
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