Central 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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Listings are on Marco Island as well as Panama City Beach, Seagrove Beach, Siesta Key, Indian Shores, Cape San Blas, Destin, Seaside, Englewood, Punta Gorda and St. Petersburg. You will find rental condos and homes in Clearwater, Cape Coral, Venice, Ft Myers Beach, Panama City, Sarasota, Pensacola Beach, Punta Gorda Anna Maria Island. Find a rental in Indian Rocks Beach, and rentals in the Florida Keys, Marathon, Destin, Gasparilla Island, Sarasota and Boca Grande, Redington Beach condos. Florida Vacation Rentals Local Pages Alligator Point Fort Walton Beach Panama City Beach Anna Maria Island Gasparilla Island Pensacola Beach Bellaire Beach Grassy Key Perdido Key Beverly Hills Holmes Beach Pine Island Big Pine Key Homosassa Plantation Key Blue Mountain Beach Hudson Port Charlotte Boca Grande Indian Rocks Beach Punta Gorda Bokeelia Indian Shores Ramrod Key Bonita Springs Inlet Beach Redington Beach Bonita Beach Islamorada Rosemary Beach Bradenton Key Colony Beach Rotonda Bradenton Beach Key Largo Sanibel Island Cape Coral Key West Santa Rosa Beach Cape San Blas Largo Sarasota Captiva Layton Seacrest Beach Carrabelle Little Gasparilla Island Seagrove Beach Carillon Beach Long Boat Key Seaside Cape Haze Madeira Beach Shell Point Casey Key Marathon Siesta Key Cedar Key Marco Island St Petersburg Clearwater Matlacha Summerland Key Crystal River Mexico Beach Tampa Destin Naples Tavernier Englewood Navarre Beach Terra Ceia Estero New Port Richey Treasure Island Everglades City North Captiva Island Useppa Island Florida Keys Orlando Venice Beach Fort Myers Osprey Weeki Wachee Fort Myers Beach Palm Harbor Yankeetown You will enjoy visiting Key Largo FL, Anna Maria Island, Key West, Santa Rosa Beach, Seagrove Beach, Indian Rocks Beach, Panama City Beach, Siesta Key, Naples, Pensacola and St Petersburg. Visit Alligator Point, Indian Shores, Fort Walton, Islamorada, Sanibel Island, Siesta, Marco Island, Panama City and Englewood. All Florida rentals are USA; have docks and beachfront locations. In Texas, try Galveston or South Padre Island! Alabama has Gulf Shores, Orange Beach & Dauphin Island for a golf condo. Texas Vacation Rentals Local Pages Bayou Vista New Braunfels Corpus Christi North Padre Island Crystal Beach Port Aransas Galveston San Antonio Gilchrist South Padre Island Houston Surfside Beach Matagorda Alabama Vacation Rentals Local Pages Dauphin Island Gulf Shores North Perdido Beach Orange Beach Property Owners... click here for information on listing your rental property. Are you thinking of renting one of the above vacation properties? See our disclaimer. Links Link Exchange Sign-up form Ad Packages Contact Us Testimonials Property Managers FAQs Members Area Top Florida Gulf Coast Vacation Rentals lists property on Sanibel Island, Seaside, Bonita Beach, Captiva, Naples , Marco Island as well as Panama City Beach, Indian Shores, Cape San Blas, Destin, Seaside and St. Petersburg. You will find condominiums and villas in Clearwater Beach, Cape Coral, Venice, Ft Myers, South Padre Island, Punta Gorda and holiday rentals in the Florida Keys, Marathon, Gasparilla Island, a FL condo rental or 2 in Boca Grande, Key Largo or Indian Shores. You can go to Anna Maria Island, Key West, Santa Rosa Beach, St Petersburg, Pensacola Beach, Alligator Point, Fort Walton, Indian Rocks Beach, Seagrove Beach, Siesta Key, Ft Myers Beach and Englewood. All these condo rentals are in the USA; many are homes and beachfront locations with choice of condos bedrooms. sentosa

EUROPE TRAVELERS In Europe,

Gemtlichkeit Travel Newsletter Travel Newsletter Germany, Austria, Switzerland Home | About | Subscribe | CarRental | Rail | Air Tickets | ContactUs | Members | Search Wednesday, December 28, 2005 Gemütlichkeit Contact the editor Address changes Subscriptions Renewals Free sample issue Gift subscriptions Passwords Back Issue Archive Hotel Database The Travel Shopper Links to our rail, car rental, air and trip planning. Air Tickets Lowest consolidator fares Car Rental Guaranteed best rates European Rail Passes No service fee, no shipping charge Germany Deals Book weekend packages, bicycle tours, Christmas markets, and special interest trips Hotel Bookings Low rates, Large Selection. These hotel affiliates are two of the largest online hotel brokers in the world Insure Your Trip Compare prices of the top travel insurers Trip Planning: Knowledgeable and expert Vacation Rentals Top sources for vacation rental apartments, houses, villas, castles, and chalets Travel Stories Archive Paid subscribers log on here to access 10 years of back issues plusour database of some 800 hotels. Members Login Password Special Discounts for Travelers : Save on Books, Maps, Clothing, Luggage, Travel Accessories and much more! Click Here We're All About Travel to Germany, Austria & Switzerland This is the Internet home of Gemtlichkeit: The Travel Letter for Germany, Austria & Switzerland , published 10 times a year and the only English-language publication devoted solely to travel in these three countries. Our archives are packed with travel information, and access is free to subscribers . News Mobile Phone Strategies MOBILE PHONE SERVICE FOR EUROPE TRAVELERS In Europe, I use a mobile phone mainly to call ahead to book hotels, make the occasional restaurant reservation, and stay in touch with my office in Oregon, (though 99 percent of the latter can be done via e-mail). When it came time to buy a... Full Text >> View All News... THE GOMS OF SWITZERLAND At the headwaters of the Rhne river is a high Swiss valley of wooden farm buildings blackened by weather, breathtaking vistas, simple little hotels, and a time-honored... Read Full Story About Gemtlichket The Travel Letter for Germany, Austria, & Switzerland Now in its 17th year, Gemtlichkeit is the world's leading in-English source for travel info on Germany, Austria & Switzerland. Featuring: Best restaurants & hotels Country hideaways Backroads drives Regional cuisine Off-the-beaten-track travel finds Lowest car rental and rail prices 10% discount on travel gear, maps, & books Free access to our online archives Free access to online database of hotels Click here for a sample copy and more information. Questions? Telephone: 800.521.6722 Search: Free Newsletter Free, via email. The latest Germany, Austria and Switzerland travel dealsincluding air, hotel and rail. Enter your email address below. Click here tosee the latest issue of Europe Travel Alert. Planning Your Trip Savvy Gemtlichkeit subscribers and editors share their tips and advice on traveling in Europe. Ask the experts here Europe Travel Kiosk 30 Essential Destinations The 10 top cities or regions to visit in Germany, Austria & Switzerland, including hotel recommendations Introduction Germany Austria Switzerland Travel Info Travel stories, tips and advice from Gemut.com Car Rental Advice from Andy Mobile Phone Strategies More on DCC Hotel Altstadt Currency Update Holiday Gift Guide Europe Travel Alert - November 2005 Europe Travel Alert - October 2005 Prepaid Travel Cards Hiking in Switzerland Swiss Alps Hike Learn to Speak German North Sea Hotel Dynamic Currency Conversion Car Rental Rates Decline Kandersteg for Connoisseurs New Avis Contract Airline Baggage Update Airport Car Rental Taxes On the Fast Track Oktoberfest Tips Europe Travel Alert - September 15, 2005 Historic Train Ride Lufthansa Business Class Coming Attractions in Fall 2005 SuperTravel Links Austria Tourist Office Austrian Rail German Rail German Tourist Office Swiss Rail Switzerland Tourism Cities... Regions... Dozens More... Login

Asia Travel Newsletter :

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Golf Courses Golf Resorts And Golf Vacations PGA Tour Guide To Golf The official golf courses guide of the PGA TOUR Golf Course Features Home Golf Courses Resort & Travel -- Golf Resorts Golf Packages Golf Real Estate Dining & Entertainment Course Directions Golf Course Weather Golf News Golf Charities Junior Golf Golf Courses by Region Hawaii Golf Courses Illinois Golf Courses Jacksonville Golf Courses Georgia Golf Courses Myrtle Beach Golf Courses Orlando Golf Courses Daytona Beach Golf Courses California Golf Courses Tampa Golf Courses Sarasota Golf Courses Wisconsin Golf Courses COMING SOON '' Order By RegionName" Call ExecuteSQL(theQuery,cursortype,rs_main) Do while not rs_main.EOF -- Golf Interactive eyardage book Golf Vacations Golf Equipment Golf Careers Order Publications Publication Covers Play Fantasy Golf -- Golf Links Readers Survey -- PGA TOUR Guide to Golf About Us Publishers Media Kit Advertise With Us Contact Us Employment Opp. Disclaimer Company Login Ad Banners -- Privacy Policy -- -- Featured Golf Courses Ko Olina Golf Club Nestled along the sunny Leeward Coast Ko Olina Golf Club is one of many Hawaii Golf Courses previewed on PGA TOUR Guide to Golf. PGA TOUR Guide to golf is your golf course directory for not only ...more Classic Golf Courses Golf Resort Packages Now you can bookgolf resort packages and vacation packages with PGA TOUR Guide to Golf TRAVEL www.GuideToGolfTRAVEL.com Visit the Golf Shop top brand stand bags and travel covers shop for woods, irons, golf balls and more special internet deals on apparel and accessories Check Golf Weather Find Golf Directions!!! -- Turtle Bay Resort Golf Club Turtle Bay Resort Golf Club is one of many Hawaii Golf Courses ...more Golf Resorts Barefoot Resort & Golf Barefoot Resort & Golf offers a Coastal Carolina vacation experience nothing short of spectacular, featuring four championship golf courses, luxu ...more Golf Real Estate Driving to the ocean was never so easy Amelia Island Plantation This helpful Guide to Golf not only gives you the best Entertainment The 12,000-square foot Clubhouse Klemme photo The Bull at Pinehurst Farms Our Guide to Golf not only covers the best Golf Equipment ------ PGA TOUR Guide to Golf An officially licensed regional golf guide of the PGA TOUR providing extensiveinformation about golf courses, golf resorts, golf real estate and golf vacations. PGA TOUR Guide to Golf also providesonline or phone assisted bookings for golf resort packages, golf vacations, tee-times and vacation packagesthrough www.guidetogolfTRAVEL.com . Our golf course directory features Hawaii golfcourses, Illinois golf courses, South Carolina golf courses, Florida golf courses, California golf courses, Wisconsingolf courses and Georgia golf courses. Guide to Golf, Inc. · 13500 Sutton Park Drive South, Suite 201 · Jacksonville, FL 32224 phone: (904) 992-0099 · fax: (904) 992-1069 · email: reachus@guidetogolf.net © 2003 Guide to Golf, Inc. all rights reserved