South America Travel

Destinations: Mexico, Central America | CDC Travelers' Health Home About CDC Press Room Funding A-Z Index Centers, Institute & Offices Training & Employment Contact Us CDC en Español Search: Travelers' Health Travelers' Health Home > Destinations > Mexico and Central America Health Information for Travelers to Countries in Mexico and Central America On This Page Vaccines for Your Protection Diseases Found in Mexico and Central America Other Health Risks What You Need To Bring With You Staying Healthy During Your Trip After You Return Home For More Information Travel Notices in Effect Update: Dengue and Travelers (Updated November 3, 2005) U.S. Department of State See all Traveler's Health travel notices Vaccines for Your Protection: Mexico and Central America Routine Vaccinations Check with your healthcare provider: you and your family may need routine as well as recommended vaccinations. Before travel, be sure you and your children are up to date on all routine immunizations according to schedules approved by the Advisory Committee on Immunization Practice (ACIP). See the schedule for adults and the schedule for infants and children . Some schedules can be accelerated for travel. See your doctor at least 4–6 weeks before your trip to allow time for shots to take effect. If it is less than 4 weeks before you leave, you should still see your doctor. It might not be too late to get your shots or medications as well as other information about how to protect yourself from illness and injury while traveling. Recommended Vaccinations and Preventive Medications The following vaccines may be recommended for your travel to Mexico and Central America. Discuss your travel plans and personal health with a health-care provider to determine which vaccines you will need. Hepatitis A or immune globulin (IG). Transmission of hepatitis A virus can occur through direct person-to-person contact; through exposure to contaminated water, ice, or shellfish harvested in contaminated water; or from fruits, vegetables, or other foods that are eaten uncooked and that were contaminated during harvesting or subsequent handling. Hepatitis B , especially if you might be exposed to blood or body fluids (for example, health-care workers), have sexual contact with the local population, or be exposed through medical treatment. Hepatitis B vaccine is now recommended for all infants and for children ages 11–12 years who did not receive the series as infants. Malaria: if you are traveling to a malaria-risk area in this region, see your health care provider for a prescription antimalarial drug. For details concerning risk and preventive medications, see Malaria Information for Travelers to Central America and Mexico . Rabies , if you might have extensive unprotected outdoor exposure in rural areas, such as might occur during camping, hiking, or bicycling, or engaging in certain occupational activities. Typhoid vaccine. Typhoid fever can be contracted through contaminated drinking water or food, or by eating food or drinking beverages that have been handled by a person who is infected. Large outbreaks are most often related to fecal contamination of water supplies or foods sold by street vendors Yellow fever , for travelers to endemic areas in Panama As needed, booster doses for tetanus-diphtheria and measles . Required Vaccinations None. Diseases found in Mexico and Central America (risk can vary by country and region within a country; quality of in-country surveillance also varies) Malaria An Anopheles freeborni mosquito takes a blood meal. Malaria is always a serious disease and may be a deadly illness. Humans get malaria from the bite of a mosquito infected with the parasite. Prevent this serious disease by seeing your health care provider for a prescription antimalarial drug and by protecting yourself against mosquito bites ( see below ). Your risk of malaria may be high in these countries, including some cities. Travelers to malaria-risk areas, including infants, children, and former residents of Mexico and Central America, should take an antimalarial drug. Chloroquine is the recommended drug for Mexico, Belize, Guatemala, El Salvador, Nicaragua, Honduras, Costa Rica, and the Bocas Del Toro Province of Panama. Travelers to Darién Province and San Blas Province in Panama (including the San Blas Islands) should take one of the following antimalarial drugs: (listed alphabetically): atovaquone/proguanil, doxycycline, mefloquine, or primaquine (in special circumstances). For additional information on malaria risk and prevention, see Malaria Information for Travelers to Central America and Mexico . Yellow Fever Yellow fever is present only in Panama in this region. A certificate of yellow fever vaccination may be required for entry into certain countries in the region if you have visited Panama, Trinidad & Tobago, or an endemic area in South America or sub-Saharan Africa. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements . Also, find the nearest authorized U.S. yellow fever vaccine center . Food and Waterborne Diseases Avoid buying food or drink from street vendors, because it is relatively easy for such food to become contaminated. Make sure your food and drinking water are safe. Food and waterborne diseases are the primary cause of illness in travelers. Travelers’ diarrhea can be caused by viruses, bacteria, or parasites, which are found throughout this region and can contaminate food or water. Infections may cause diarrhea and vomiting ( E. coli , Salmonella , cholera , and parasites), fever ( typhoid fever and toxoplasmosis), or liver damage ( hepatitis). Gnathostomiasis (roundworms) has increased in Mexico, with many cases being reported from the Acapulco area, infection has been reported in travelers. Humans become infected by eating undercooked fish or poultry, or reportedly by drinking contaminated water. Additional information: see the Safe Food and Water page for a list of links. Other Disease Risks Dengue , filariasis , leishmaniasis , onchocerciasis , and American trypanosomiasis (Chagas disease) are diseases carried by insects that also occur in this region. Myiasis (botfly) is endemic in Central America. Protecting yourself against insect bites ( see below ) will help to prevent these diseases. Other Health Risks Injuries Motor vehicle crashes are a leading cause of injury among travelers. Protect yourself from motor vehicle injuries: avoid drinking and driving; wear your safety belt and place children in age-appropriate restraints in the back seat; follow the local customs and laws regarding pedestrian safety and vehicle speed; obey the rules of the road; and use helmets on bikes, motorcycles, and motor bikes. Avoid boarding an overloaded bus or mini-bus. Where possible, hire a local driver. What You Need To Bring With You Long-sleeved shirt, long pants, and a hat to wear whenever possible while outside, to prevent illnesses carried by insects (e.g., malaria , Dengue , filariasis , leishmaniasis , and onchocerciasis ). Insect repellent containing DEET . Bed nets treated with permethrin. For use and purchasing information, see Insecticide Treated Bednets on the CDC malaria site. Overseas, permethrin or another insecticide, deltamethrin, may be purchased to treat bed nets and clothes. Flying-insect spray to help clear rooms of mosquitoes. The product should contain a pyrethroid insecticide; these insecticides quickly kill flying insects, including mosquitoes. Iodine tablets and portable water filters to purify water if bottled water is not available. See Preventing Cryptosporidiosis: A Guide to Water Filters and Bottled Water for more detailed information. Sunblock, sunglasses, and a hat for protection from harmful effects of UV sun rays. See Skin Cancer Questions and Answers for more information . Prescription medications: make sure you have enough to last during your trip, as well as a copy of the prescription(s) or letter from your health-care provider on office stationery explaining that the medication has been prescribed for you. Always carry medications in their original containers, in your carry-on luggage. Be sure to bring along over-the-counter antidiarrheal medication (e.g., bismuth subsalicylate, loperamide) and an antibiotic prescribed by your doctor to self-treat moderate to severe diarrhea. See suggested over-the-counter medications and first aid items for a travel kit . Staying Healthy During Your Trip Travelers should take the following precautions To stay healthy, do... When using repellent on a child, apply it to your own hands and then rub them on your child. Avoid children's eyes and mouth and use it sparingly around their ears. Wash your hands often with soap and water or, if hands are not visibly soiled, use a waterless, alcohol-based hand rub to remove potentially infectious materials from your skin and help prevent disease transmission. In developing countries, drink only bottled or boiled water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes. If this is not possible, learn how to make water safer to drink . Take your malaria prevention medication before, during, and after travel, as directed. (See your health care provider for a prescription.) To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot, even on beaches. Always use latex condoms to reduce the risk of HIV and other sexually transmitted diseases. Protect yourself from mosquito insect bites: Wear long-sleeved shirts, long pants, and hats when outdoors. Wear long-sleeved shirts, long pants, and hats. Use insect repellents that contain DEET (N, N-diethylmethyltoluamide). For more information about insect repellents and correct use, see What You Need to Know about Mosquito Repellent on the CDC West Nile Virus site . If no screening or air conditioning is available: use a pyrethroid-containing spray in living and sleeping areas during evening and night-time hours; sleep under bed nets, preferably insecticide-treated ones. If you are visiting friends and relatives in your home country, see additional special information about malaria prevention in Recent Immigrants to the U.S. from Malarious Countries Returning 'Home' to Visit Friends and Relatives on the CDC Malaria site. Do not Do not eat food purchased from street vendors or food that is not well cooked to reduce risk of infection (i.e., hepatitis A and typhoid fever). Do not drink beverages with ice. Avoid dairy products, unless you know they have been pasteurized. Do not swim in fresh water to avoid exposure to certain water-borne diseases such as schistosomiasis. (For more information, please see Swimming and Recreational Water Precautions .) Do not handle animals, especially monkeys, dogs, and cats, to avoid bites and serious diseases (including rabies and plague). Consider pre-exposure rabies vaccination if you might have extensive unprotected outdoor exposure in rural areas. For more information, please see Animal-Associated Hazards . Do not share needles for tattoos, body piercing or injections to prevent infections such as HIV and hepatitis B. After You Return Home If you have visited a malaria-risk area, continue taking your antimalarial drug for 4 weeks (chloroquine, doxycycline, or mefloquine) or seven days (atovaquone/proguanil) after leaving the risk area. Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever or flu-like illness either while traveling in a malaria-risk area or after you return home (for up to 1 year), you should seek immediate medical attention and should tell the physician your travel history. For More Information For more information about these and other diseases, please check the Diseases page and CDC Health Topics A-Z Diseases carried by insects Dengue : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=dengue.htm : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=lyme.htm Malaria information for Travelers to Mexico and Central America : http://www.cdc.gov/travel/regionalmalaria/camerica.htm Malaria Frequently asked questions : http://www.cdc.gov/malaria/faq.htm Malaria Prescription Drugs : http://www.cdc.gov/travel/malariadrugs.htm : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=yellowfever.htm Diseases carried in food or water : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=cholera.htm Escherichia coli diarrhea : http://www.cdc.gov/ncidod/dbmd/diseaseinfo/escherichiacoli_g.htm Hepatitis A : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=hav.htm : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=schisto.htm Typhoid fever : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=typhoid.htm Diseases from person-to-person contact Hepatitis B : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=hbv.htm HIV/AIDS prevention : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=hivaids.htm HIV-infected travelers (in The Immunocompromised Traveler) : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=special&obj=hivtrav.htm&cssNav=browseoyb Important: This document is not a complete medical guide for travelers to this region. Consult with your doctor for specific information related to your needs and your medical history; recommendations may differ for pregnant women, young children, and persons who have chronic medical conditions. Date: November 3, 2005 Content Source: National Center for Infectious Diseases, Division of Global Migration and Quarantine Destinations Vaccinations Diseases Yellow Book Safe Food and Water Illness and Injury Abroad Traveling with Children Cruise Ship and Air Travel Special Needs Travel Traveling with Pets Travel Medicine Clinics Yellow Fever Vaccination Clinics References and Resources Travelers' Health Automated Information Line PHONE: 877-FYI-TRIP toll free (Information about ordering the Yellow Book and International Certificates of Vaccination and recorded messages on travel-related health topics) VIA EMAIL: Contact Us Form Home | Policies and Regulations | Disclaimer | e-Government | FOIA | Contact Us Department of Health and Human Services Centers for Disease Control and Prevention,1600 Clifton Rd, Atlanta, GA 30333, U.S.A Tel: (404) 639-3311 / Public Inquiries: (404) 639-3534 / (800) 311-3435

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Germany Vacation Packages - Reviews of Germany Travel Packages - TripAdvisor Germany Vacation Packages and Hotel Deals Sign in • Sign up Home > Europe > Germany > SmartDeals > All travel offers Germany tourism: Overview Hotels Flights Attractions Deals Forums Maps, etc. Discount hotels | Hotel + air deals | All travel offers Search (e.g., Boston hotels, Las Vegas, Paris art museum) Germany Germany Overview Germany Hotels Flights to Germany Germany Deals Discount hotels Hotel + air deals All travel offers Germany Attractions Germany Forums Germany Maps Germany Discount Hotels Germany Vacation Packages Free Newsletter Get deals, news and articles on Germany Plus weekend trip ideas from your hometown e-mail this page to a friend Germany vacation packages Acapulco vacation packages Alaska vacation packages Amsterdam vacation packages Anaheim vacation packages Arizona vacation packages Aruba vacation packages Aspen vacation packages Atlanta vacation packages Atlantic City vacation packages 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Saxony -- Bautzen -- Chemnitz -- Dresden -- Kotschlitz -- Leipzig -- Meerane -- Meissen -- Plauen -- Zwickau ---------- Saxony-Anhalt -- Brehna -- Dessau -- Halle -- Ilsenburg -- Magdeburg -- Merseburg -- Quedlinburg -- Stolberg -- Wittenberg -- Worlitz ---------- Schleswig-Holstein -- Ahrensburg -- Bad Bramstedt -- Gross Wittensee -- Helgoland -- Husum -- Neumunster -- Norderstedt -- Quickborn -- Sankt Peter-Ording ---------- -- Sylt ---- Westerland ---------- -- The Baltic Coast ---- Flensburg ---- Glucksburg ---- Hohwacht ---- Kiel ---- Lubeck ---- Schleswig ---- Timmendorfer Strand ---------- Thuringia -- Altenburg -- Eisenach -- Erfurt -- Friedrichroda -- Gera -- Gotha -- Jena -- Lindau -- Meiningen -- Oberhof -- Weimar -- Zeulenroda ---------- Verden (Aller) Featured specials - December 28, 2005 Germany : Book Best Available Room. 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Spain Travel Guides Map

In-Spain.info - Culture in Spain Information on Spain - Travel Spain - Spain Tourism - Map of Spain - Spanish Travel Guide - Spanish Phrases You are here: Home > At a Glance > Spanish Culture Search this site with Google: Web in-spain.info Tell a friend about this site ySpanish Culture While in Spain, be prepared for late lunches and dinners and late evenings out on the town. We've found that taking a siesta in the afternoons helps in getting adjusted to the Spanish schedule. Do's and Don'ts Don't be surprised at how rapidly people speak. We found our Spanish skills are severely tested on many occasions. And don't forget to lisp your z's and internal c's. (For example, Ibiza is pronounced Ee-BEETH-a). Don't complain about cigarette smoke in bars—be aware you'll either be laughed at or shown the door. And don't expect to find "No Smoking" sections in restaurants, either. There is no such thing in Spain. Spaniards often tell us that people who complain about such things are "afraid of life". Do carry some small change—you'll need it to use the public bathrooms. Don't wear shorts in churches; wear them only on beaches and at beach resorts. Women may be the object of unwanted attention more than in Northern Europe, particularly if they're traveling alone or visiting Andalusia or the southern Mediterranean coast. The Best response is no response at all—any attention given is likely to be misinterpreted. Do try to see the fastest ball game in the world, pelota (jai alai), played mainly in Bilbao and Guernica. Do be aware that the penalties for drug possession are severe, and convicted offenders can expect jail sentences. Tipping Tipping is a great tradition in Spain. While practically all establishments currently include a surcharge for service it is still common to leave something of a tip. This custom, common in bars and restaurants, has extended to hotel porters, theatre ushers and taxi drivers, though in none of these cases is it obligatory nor will anyone recriminate a client for not tipping. Smoking Smoking is commonplace amongst men and women in Spain, and do not expect to find many non-smoking areas designated in bars and restaurants. Smoking is also common in fast food restaurants, shops and malls. You probably won't get a polite answer if you ask someone to stop smoking a cigarette for whatever reason. For smokers, this will not be a problem, but non-smokers may find this uncomfortable. Cigarettes and cigars are reasonably cheap, and at the moment average about 2€ per packet. Your Ad Here Book your holiday: Hotels in Spain Car Hire in Spain Organised Tours in Spain Basic Info Spanish News Headlines Spanish News Weekday Roundup Spanish Flags Postal Service Travel & Transport Map of Spain Transport in Spain Tourist Information If things go wrong Hotel Accommodation Spanish Tourist Offices - Wordwide Spanish Culture Spanish Culture Spanish Time Dress codes Spain Travel Guides Map of Spain Spain - Home | Spain at a glance | Spain region guide | Best of Spain | Learn Spanish Phrases | Special Features | Hotels in Spain | Map of Spain All content © 2003 In-Spain.info All Rights Reserved. If you notice any errors on this site, please report them to webmaster@in-spain.info . You can add a link to this site here. Site Map - Useful Travel Links - Spain related links Looking for car hire in Malaga and Andalucia? Try Malaga car hire for great deals! Looking for hotels in Marbella and the rest of the Costa del Sol? Try Hotels in Marbella for top savings!