South America Travel

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Ski Vacation Packages Ski

Discount Ski & Snowboard Vacation Packages - Lodging, Lift Tickets & Ski Rentals. END HelpOnClick CODE -- Home | Hot Deals | Destinations | Trip Quote | Testimonials | About Us | Affiliates | Login Ski Vacation Packages Ski & Snowboard Vacation Packages in Eastern US & Canada Explore 29 of the best ski and snowboard resorts in the eastern US and Canada. Our resort guides feature photos, trail maps, ski area statistics, weather information and more. Our accommodation guides feature price ranges and descriptions to make your ski & snowboard vacation planning a breeze. Need Help? Our agents are available: Monday - Thursday 9AM - 6:30PM , Friday 9AM - 5:30PM EST Saturday 10AM - 4PM , Sunday 11AM - 4PM EST Call toll free, 888-754-2167, to talk to a Ski & Snowboard Vacation Specialist today. Ski Vacation Packages • Killington, VT Ski Vacations • Mt Snow, VT Ski Vacation • Okemo, VT Ski Vacations • Smugglers Notch, VT Ski Vacation • Stowe, VT Ski Vacations • Sugarbush, VT Ski Vacation • Stratton, VT Ski Package • Bolton Valley, VT Ski Package • Elk, PA Ski Vacations • Montage, PA Ski Vacations • Seven Springs, PA Ski Vacation • Shawnee, PA Ski Vacation • Jiminy Peak, MA Ski Packages • Mt Ste Anne, QC Ski Vacations • Mt Tremblant, QC Ski Vacation • Le Massif, QC Ski Vacations • Snowshoe, WV Ski Vacations • Sugarloaf, ME Ski Packages • Sunday River, ME Ski Package • Attitash, NH Ski Package • Loon, NH Ski Packages • Waterville Valley, NH Ski Packages • Hunter Mountain, NY Ski Package • Lake Placid, NY Ski Packages • Windham, NY Ski Packages • Wisp, MD Ski Package Travel Agents must click here to log on first Sugarloaf, ME "Any Sunday" at Sugarloaf - Arrive Sunday for 5 nights in February from $77 per person/per night. Seven Springs, PA 2 Night January Weekend Deal at Seven Springs from $69.50 per person/per night. Killington, VT "Presidents Week at the Big K" From $419 per person (Save up to $100 per person) Stowe, VT 2 Night January Weekend Deal at the Mountaineer Inn for $89.50 per person/per night. Subscribe to eNewsletter: Western Ski Vacations Golf Vacations tour operator online reservation software 2001-2005 Tours de Sport has a Blog ! You will find the latest on specials, destinations, reviews, press releases & more! View the Latest Posts to Tours de Sport's Blog- Click Here! Home | Hot Deals | Destinations | Trip Quote | Travel Insurance | Testimonials | Newsletter | Affiliates | About Us | Help | Featured Sites | Privacy Policy | Sitemap Tours de Sport Ski Vacations | 1-888-754-2167 | Email us

EUROPEAN VACATION RENTALS 1st

Avalon Travel Publishing > Special Interest Titles Home | About Us | Contact Us | Title Search | New Guidebooks For travelers with specific interests, Avalon Travel Publishing offers a variety of special interest titles. click here for more information GREAT AMERICAN MOTORCYCLE TOURS 2nd edition • Gary McKechnie Author and motorcyclist Gary McKechnie shares his top 20 rides, from the New England coast to the wide-open West. This award-winning guide includes information on side trips, scenic spots, and bike shops, as well as expert advice on packing, equipment, lodging options, and more. ISBN 1-56691-448-5 • $19.95 click here for more information WATCH IT MADE IN THE U.S.A. 3rd edition • Karen Axelrod & Bruce Brumberg Ever wonder how toothpaste gets into the tube? Watch It Made in the U.S.A. showcases nearly 300 factories and company museums, where readers can learn how their favorite products are made. ISBN 1-56691-431-0 • $19.95 click here for more information HOW TO KEEP YOUR VOLKSWAGEN ALIVE 19th edition • John Muir This classic manual of automotive repair equips VW owners with the knowledge to handle every situation they will come across in the life of their vehicle. For novice and veteran mechanics alike, this book takes the mystery out of diagnostic, maintenance, and repair procedures, and offers some chuckles along the way. ISBN 1-56691-310-1 • $25.00 click here for more information THE PRACTICAL NOMAD: How to Travel Around the World 3rd edition • Edward Hasbrouck Empowering, informative, and more relevant than ever, The Practical Nomad is the ultimate guide to independent, international travel. Travel expert, consumer advocate, and industry insider Edward Hasbrouck shares secrets and advice that will save you valuable time and money while helping to make your trip safe and successful. The Practical Nomad provides a global perspective that’s useful whether you’re a first-time trekker or an experienced explorer. ISBN 1-56691-433-7 • $21.95 click here for more information CALIFORNIA GOLF 11th edition • George Fuller California Golfers: Take your pick from 890 golf courses. Tee Time is now! You know your way around a putting green. You're mastering your hole-in-one. You model your swing after the legendary Jack Nicklaus. But do you know the best places to golf in California? ISBN: 1-56691-586-4 • $21.95 click here for more information THE PRACTICAL NOMAD GUIDE TO THE ONLINE TRAVEL MARKETPLACE 1st edition • Edward Hasbrouck Travel industry insider Edward Hasbrouck shares tips and tricks for using the Internet—today's most powerful—but most confusing-travel resource. ISBN 1-56691-250-4 • $17.95 ASIA IN THE SAN FRANCISCO BAY AREA 1st edition • The Asia Society A saavy and sophisticated guide from the Asia Society. Asia in the San Francisco Bay Area is the perfect companion for anyone interested in exploring the diverse Asian cultures that have shaped and enriched the San Francisco Bay Area. ISBN 1-56691-743-3 • $17.95 CALIFORNIA GOLF California Golfers: Take your pick from 890 golf courses. Tee Time is now! You know your way around a putting green. You're mastering your hole-in-one. You model your swing after the legendary Jack Nicklaus. But do you know the best places to golf in California? 11th edition • George Fuller EUROPEAN VACATION RENTALS 1st edition • Steenie Harvey European Vacation Rentals is the key to planning short- and long-term European vacation rentals in the most desirable locales, with options for families, couples, and solo travelers. ISBN 1-56691-567-8 • $17.95 CARIBBEAN VACATIONS 2nd edition • Karl Luntta Caribbean Vacations covers the top locales for diving, sportfishing, hiking, golfing, shopping, and relaxing. ISBN 1-56691-322-5 • $18.95 THE PEOPLE'S GUIDE TO MEXICO 12th edition • Carl Franz, edited by Lorena Havens & Steve Rogers The People's Guide to Mexico helps readers experience the real Mexico. It's filled with amusing stories, friendly advice, and all the practical information travelers need for an unforgettable journey. ISBN 1-56691-434-5 • $22.95 Archaeological Mexico 2nd edition • Andrew Coe Archaeological Mexico takes a comprehensive look at the significance, history, and ancient inhabitants of more than 50 important archaeological sites. The book is illustrated with dozens of detailed maps, illustrations, and photos. ISBN 1-56691-321-7 • $21.95 COLONIAL MEXICO 2nd edition • Chicki Mallan & Oz Mallan The colonial districts of cities such as San Miguel de Allende, Mérida, and Veracruz are revealed in Colonial Mexico . Readers will also enjoy in-depth coverage of historic architecture, indigenous arts and crafts, and regional festivals. ISBN 1-56691-320-9 • $21.95 THE WORLD AWAITS 2nd edition • Paul Otteson The World Awaits presents a unique philosophy of traveling simply and "threading" your way around the globe. It includes advice on transportation, communication, health, and safety. ISBN 1-56691-243-1 • $16.95 THE WAY OF THE TRAVELER 2nd edition • Joseph Dispenza Through short essays and affirmations, The Way of the Traveler provides inspiration to make every trip a journey to raise consciousness, grow spiritually, and have a deeper life experience. ISBN 1-56691-449-3 • $14.95 GENE KILGORE'S RANCH VACATIONS 6th edition • Gene Kilgore Ranch Vacations highlights more than 200 ranches in the U.S. and Canada, ranging from working dude ranches to large family-friendly resorts. It includes information on each location's activities, dining and lodging options, and rates. ISBN 1-56691-318-7 • $22.95 ADDITIONAL SPECIAL INTEREST TITLES Asia in New York City • The Asia Society • ISBN 1-56691-217-2 • $17.95 The Big Book of Adventure Travel • James C. Simmons • ISBN 1-56691-251-2 • $17.95 Into the Heart of Jerusalem • Arlynn Nellhaus • ISBN 1-56261-425-8 • $17.95 Staying Healthy in Asia, Africa, and Latin America • Dirk G. Schroeder • ISBN 1-56691-133-8 • $11.95 The 100 Best Small Art Towns in America • 3rd edition • John Villani • ISBN 1-56261-405-3 • $16.95 The World's Top Retirement Havens • Margaret J. Goldstein • ISBN 1-56261-377-4 • $16.95 Work Worldwide • 1st edition • Nancy Mueller • ISBN 1-56261-490-8 • $14.95 Yoga Vacations • 1st edition • Annalisa Cunningham • ISBN 1-56261-474-6 • $16.95 top

Asia Travel SINGAPORE HOTELS

Singapore Hotels & Resorts Reservation Service - Asia Travel Singapore Hotels, Resorts & Travel Reservation Up to 75% Discount Pay on Check-Out Last Minute Rooms Instant Confirmation -- Home Transfers Resort/Club Service Apt SINGAPORE HOTLINE (65) 6235 2498 Hotel Quick Search Last Minute Rooms Available Here!! Select Country Select Destination Select City Check-In Date 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2005 2006 2007 2008 No. Of Night(s) No. Of Room(s) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 1 2 3 4 5 Sort By Recommended Hotel Hotel Name Location // -- NEARBY ISLANDS • Sentosa • Batam • Bintan • Tioman OUTBOUND SERVICES • Tour Packages • Coaches to Malaysia • Kuala Lumpur Coach Package • Genting Coach Package OTHER SERVICES Meetings, seminars, staff retreat, conferences.... click here for details Star Cruise s Promotion ! click here for details Travel Information || About Asia Travel SINGAPORE HOTELS OF THE MONTH Robertson Quay Hotel Grand Central YMCA Orchard Peninsula Excelsior SGD 93nett Standard Room with breakfast per room per night Hurry Book Now!! SGD 105nett Sup erior Room with breakfast per room per night Hurry Book Now!! 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Click Here for assistance Alphabetical Listing of Hotels in Singapore ---------- Please Select ---------- Albert Court Hotel Allson Hotel Amara Hotel Beach Hotel Berjaya Hotel Broadway Hotel Carlton Hotel Changi Village Hotel Chinatown Hotel Copthorne Orchid Costa Sand Resort Pasir Ris Crown Hotel @ Orchard Garden Hotel Golden Landmark Hotel Goodwood Park Hotel Grand Copthorne Waterfront Grand Mercure Roxy Grand Plaza Parkroyal Holiday Inn Atrium Hotel 1929 Hotel 81 Bencoolen Hotel 81 Palace Hotel 81 Star Hotel Grand Central Hotel Miramar Hotel Phoenix Hotel Rendezvous Hotel Royal Hotel Royal @ Queens Hotel Supreme Le Meridien (Orchard) M Hotel Marina Mandarin Meritus Mandarin Meritus Negara New Park Hotel Novotel Clarke Quay Orchard Hotel Orchard Grand Court Orchard Parade Hotel Oxford Hotel Paramount Hotel Peninsula Excelsior Plaza Parkroyal Quality Hotel Raffles The Plaza RELC International River View Hotel Robertson Quay Hotel Royal Plaza on Scotts Shangri-La Rasa Sentosa Resort Sheraton Towers Sijori Resort South East Asia Hotel Summer View Hotel Swissotel Merchant Court Swissotel The Stamford Tai Hoe Hotel The Citybayview Hotel The Claremont Hotel The Elizabeth The Fragrance - Choo Chiat The Fragrance - Crystal The Fragrance - Emerald The Fragrance - Pearl The Fragrance - Ruby The Gallery Hotel The Inn at Temple Street The Pan Pacific The Regent The Ritz Carlton Millenia The Royal Peacock The Scarlet The Sentosa Resort & Spa The Sha Villa Tristar Inn York Hotel YMCA Orchard YWCA Fort Canning Lodge RECOMMENDED HOTELS HERE WITH UP TO 75% DISCOUNT ALL RATES DISPLAYED ARE NETT INCLUSIVE OF TAXES AND SERVICE CHARGE HOTEL NAME LOCATION CATEGORY RATE FROM BOOK HERE ALBERT COURT HOTEL Bugis SGD 125 Instant Confirmation GRAND COPTHORNE WATERFRONT River Valley SGD 155 Instant Confirmation HOLIDAY INN ATRIUM River Valley SGD 145 Instant Confirmation HOTEL 1929 Chinatown BOUTIQUE SGD 99 Instant Confirmation HOTEL GRAND CENTRAL Orchard SGD 105 Instant Confirmation MERITUS MANDARIN SINGAPORE Orchard SGD 210 Instant Confirmation ORCHARD HOTEL Orchard SGD 175 Instant Confirmation ORCHARD PARADE HOTEL Orchard SGD 170 Instant Confirmation SWISSÔTEL THE STAMFORD City Hall SGD 265 Instant Confirmation ALPHABETICAL LISTING OF HOTELS HOTEL NAME LOCATION CATEGORY RATE FROM BOOK HERE ALBERT COURT HOTEL Bugis SGD 125 Instant Confirmation ALLSON HOTEL Bugis SGD 135 Instant Confirmation AMARA HOTEL Chinatown Vicinity SGD 150 Reserve BEACH HOTEL Bugis Vicinity SGD 80 Instant Confirmation BERJAYA HOTEL Chinatown Vicinity BOUTIQUE SGD 128 Instant Confirmation BROADWAY HOTEL Little India SGD 69 Instant Confirmation CARLTON HOTEL City Hall SGD 160 Instant Confirmation CHANGI VILLAGE HOTEL (Airport Hotel) Changi SGD 125 Instant Confirmation CHINATOWN HOTEL Chinatown SGD 85 Instant Confirmation COPTHORNE ORCHID Newton Vicinity SGD 134 Instant Confirmation COSTA SAND RESORT PASIR RIS Pasir Ris BEACH CHALET SGD 135 Reserve CROWN HOTEL @ ORCHARD Orchard SGD 165 Instant Confirmation GARDEN HOTEL Newton Vicinity SGD 90 Instant Confirmation GOLDEN LANDMARK Bugis SGD 120 Instant Confirmation GOODWOOD PARK HOTEL Orchard SGD 215 Instant Confirmation GRAND COPTHORNE WATERFRONT River Valley SGD 155 Instant Confirmation GRAND MERCURE ROXY East Coast SGD 175 Instant Confirmation GRAND PLAZA PARKROYAL City Hall SGD 140 Reserve HOLIDAY INN ATRIUM River Valley SGD 145 Instant Confirmation HOTEL 1929 Chinatown BOUTIQUE SGD 99 Instant Confirmation HOTEL 81 BENCOOLEN Bugis Vicinity SGD 79 Instant Confirmation HOTEL 81 PALACE Geylang SGD 49 Instant Confirmation HOTEL 81 STAR Geylang SGD 49 Instant Confirmation HOTEL GRAND CENTRAL Orchard SGD 105 Instant Confirmation HOTEL MIRAMAR River Valley SGD 140 Instant Confirmation HOTEL PHOENIX Highly Recommended Orchard SGD 169 Instant Confirmation HOTEL RENDEZVOUS Orchard Vicinity SGD 163 Instant Confirmation HOTEL ROYAL Newton SGD 127 Instant Confirmation HOTEL ROYAL @ QUEENS Bugis Vicinity SGD 130 Instant Confirmation HOTEL SUPREME Orchard SGD 70 Instant Confirmation LE MERIDIEN-SINGAPORE Orchard SGD 170 Instant Confirmation M HOTEL Chinatown Vicinity SGD 181 Instant Confirmation MARINA MANDARIN SINGAPORE Marina SGD 205 Instant Confirmation MERITUS MANDARIN SINGAPORE Orchard SGD 210 Instant Confirmation MERITUS NEGARA Orchard SGD 180 Instant Confirmation NEW PARK HOTEL Little India SGD 110 Reserve NOVOTEL CLARKE QUAY River Valley SGD 186 Instant Confirmation ORCHARD HOTEL Orchard SGD 175 Instant Confirmation ORCHARD GRAND COURT Orchard Vicinity SGD 139 Instant Confirmation ORCHARD PARADE HOTEL Orchard SGD 170 Instant Confirmation OXFORD HOTEL Bugis Vicinity SGD 85 Instant Confirmation PARAMOUNT HOTEL East Coast SGD 134 Instant Confirmation PENINSULA EXCELSIOR Highly Recommended City Hall SGD 115 Instant Confirmation PLAZA PARKROYAL Bugis Vicinity SGD 125 Reserve QUALITY HOTEL Newton Vicinity SGD 79 Reserve RAFFLES THE PLAZA City Hall SGD 280 Instant Confirmation RELC INTERNATIONAL HOTEL Orchard Vicinity SGD 60 Reserve RIVER VIEW HOTEL River Valley SGD 130 Instant Confirmation ROBERTSON QUAY HOTEL Highly Recommended Clarke Quay SGD 93 Instant Confirmation ROYAL PLAZA ON SCOTTS Orchard SGD 175 Instant Confirmation SHANGRI-LA RASA SENTOSA RESORT Sentosa SGD 256 Reserve SHERATON TOWERS Newton SGD 190 Instant Confirmation SIJORI RESORT Sentosa SGD 100 Reserve SOUTH EAST ASIA HOTEL Bugis Vicinity SGD 68 Instant Confirmation SUMMER VIEW HOTEL Highly Recommended Bugis Vicinity SGD 85 Instant Confirmation SWISSÔTEL MERCHANT COURT Clarke Quay SGD 166 Instant Confirmation SWISSÔTEL THE STAMFORD City Hall SGD 265 Instant Confirmation TAI HOE HOTEL Little India SGD 60 Instant Confirmation THE CITY BAYVIEW HOTEL Bugis Vicinity SGD 105 Instant Confirmation THE CLAREMONT HOTEL Little India SGD 70 Instant Confirmation THE ELIZABETH Orchard SGD 152 Instant Confirmation THE FRAGRANCE HOTELS Geylang SGD 48 Instant Confirmation THE GALLERY HOTEL Highly Recommended River Valley SGD 125 Instant Confirmation THE INN AT TEMPLE STREET Chinatown SGD 108 Instant Confirmation THE PAN PACIFIC Highly Recommended Marina SGD 233 Instant Confirmation THE REGENT Orchard Vicinity SGD 215 Instant Confirmation THE RITZ-CARLTON, MILLENIA Marina SGD 361 Instant Confirmation THE ROYAL PEACOCK Chinatown SGD 85 Instant Confirmation THE SCARLET Chinatown Vicinity BOUTIQUE SGD 169 Instant Confirmation THE SENTOSA RESORT & SPA Sentosa SGD 232 Reserve THE SHA VILLA Orchard Vicinity BOUTIQUE SGD 122 Instant Confirmation TRISTAR INN Geylang Vicinity SGD 78 Instant Confirmation YORK HOTEL Orchard SGD 198 Instant Confirmation YMCA ORCHARD Highly Recommended Orchard SGD 85 Instant Confirmation YWCA FORT CANNING LODGE Orchard Vicinity SGD 90 Instant Confirmation 22, Cavenagh Road/Orchard Road #02-05,#01-04A (Hotel Grand Central), Singapore 229617 TEL : (65) 6235 2498 / (65) 6887 4347 , FAX : (65) 6235 7620 / (65) 6887 5489 Asia Travel Worldwide Hot Line Numbers: Hong Kong +852-27360922 Indonesia +62-21-5328682 China +86-21-63223855 Dubai +971-4-2941405 +971-4-2941407 Thailand +66-2-6797187 Philippines +(632) 635-5099; +(632) 635-7499; +(632) 914-4970 up to 72 Call from the USA, Dial : 1-877-367-6577 (Toll-Free) Call from UK, Dial : (44) 208-792-6789 Singapore/Malaysia +65-6732 4183 Call from the USA, Dial : 1-877-367-6577 (Toll-Free) Call from UK, Dial : (44) 208-792-6789 Scenic Destinations and Places of Interest in Singapore Browse and send electronic postcards to your friends Click here to send electronic birthday cards... 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South America Travel

Destinations: Tropical South 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 > Tropical South America Health Information for Travelersto Countries in Tropical South America On This Page Vaccines for Your Protection Diseases Found in Tropical South 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 Yellow Fever: Venezuela, South America (Released November 4, 2005) U.S. Department of State See all Traveler's Health travel notices Vaccines for Your Protection: Tropical South 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 Tropical South 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: your risk of malaria may be high in these countries, including some cities. See your health care provider for a prescription antimalarial drug. For details concerning risk and preventive medications, see Malaria Information for Travelers to Tropical South America . 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. As needed, booster doses for tetanus-diphtheria and measles . Required Vaccinations Yellow fever is present in this region and vaccination is recommended if you travel to the endemic zones in any of these countries. A certificate of yellow fever vaccination may be required for entry into certain countries if you have visited an endemic area. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements . Also, find the nearest authorized U.S. yellow fever vaccine center . Diseases found in Tropical South 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 South America, should take an antimalarial drug. Chloroquine is the recommended drug for Paraguay. Travelers to Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Peru, Suriname, and Venezuela 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 Tropical South America . Yellow Fever Yellow fever is present in this region and vaccination is recommended if you travel to the endemic zones. A certificate of yellow fever vaccination may be required for entry into certain countries if you have visited an endemic area. 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 Tropical South America 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). Brucellosis is occasionally seen in travelers, most commonly acquired through eating or drinking contaminated milk products. 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 other diseases carried by insects that also occur in this region. Epidemics of viral encephalitis and dengue fever occur in some countries in this area. Bartonellosis, or Oroya fever (a sand fly-borne disease), occurs in arid river valleys on the western slopes of the Andes up to 3,000 meters (9,842 feet). Louse-borne typhus, a rickettsial infection is often found in mountain areas of Colombia and Peru. Protecting yourself against insect bites ( see below ) will help to prevent these diseases. Schistosomiasis, a parasitic infection that can be contracted in fresh water in this region, is found in Brazil, Suriname, and north-central Venezuela. Do not swim in fresh water (except in well-chlorinated swimming pools) in these countries. (For more information, please see Swimming and Recreational Water Precautions .) If you visit the Andes Mountains, ascend gradually to allow time for your body to adjust to the high altitude, which can cause insomnia, headaches, nausea, and altitude sickness. In addition, use sunblock rated at least 15 SPF, because the risk of sunburn is greater at high altitudes. 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 Tropical South America : http://www.cdc.gov/travel/regionalmalaria/tropsam.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=plague.htm Yellow fever : 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=madcow.htm Cholera : 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 Schistosomiasis : 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 4, 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