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

Germany Travel Guide Travel

Germany Travel Guides - Yahoo! Travel Guide UK Travel Home Travel Guides Flights Hotels Holidays Car Hire City Breaks Ski & Snow Search the Travel Guides : Search all Hotels Restaurants Attractions Germany Travel Guide Travel > Guides > Europe > Germany Germany Germany wears its riches well: elegant big-city charm, small picture-postcard towns, pagan-inspired harvest festivals, a wealth of art and culture and the perennial pleasures of huge tracts of forest, delightful castles and fine wine and beer are all there for the savouring. More information about Germany More Germany pictures Explore Germany Germany Guides Introduction Not to miss Facts for the Traveller History Getting there & around Popular Cities in Germany Munich Frankfurt Berlin Dresden Hamburg Cologne Heidelberg Leipzig Stuttgart Nuremberg Duesseldorf Garmisch-Partenkirchen Hanover Kiel Oberammergau See all Cities in Germany Inside the Germany Travel Guide Top Restaurants in Germany Atlantic-Restaurant, Hamburg Yahoo! User Rating Kempinski Hotel Atlantic's restaurant is a popular venue for business meals and festivities. As well as fine dishes like lobster, vierländer duck and venison, the restaurant offers impeccable service and a grand view of Lake Alster. … Da Claudio, Nuremberg Rossini, Düsseldorf Rossini Degustazione, Hanover Osteria Enoteca, Frankfurt Top Hotels in Germany Le Meridien Grand Hotel, Nuremberg Dorint Kongress Hotel, Cologne City Hilton, Munich Hotel Martha-Hospiz, Dresden Bülow Residenz Hotel Dresden, Dresden Top Attractions in Germany Potsdamer Platz, Berlin Yahoo! User Rating After the fall of the Wall in 1989, Potsdamer Platz turned from a deserted wasteland into Europe's biggest building site as urban planners worked to create an ultra-modern city centre in the middle of a reunited Berlin. The only remnants … Pergamon-Museum, Berlin Kölner Dom, Cologne Residenz, Munich Heidelberger Schloss, Heidelberg Expert reviews See all articles(3) Visiting Germany German Information Centre : From the German Embassy. TravelNotes.org Overview Columbus Guides Germany Reference and Travel Guide CountriesAndCities.com Search the web for more information about Germany Hotels Offers From supplier -- Prices from: munich £309.25 for 5 night(s), munich From Opodo - Hotels munich germany £64.53 for 1 night(s), munich germany From Opodo - Hotels Munich £271.25 Flemings for 5 night(s), Munich From Octopustravel.com Munich £339.88 1st. 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Search for discounted offers from hundreds of the UK's top travel companies at This is Travel. www.thisistravel.co.uk "2,250 Hotels in Germany Online" Save up to 70% on one-star to five-star hotels in Germany . For each hotel there are photos, descriptions and location plans available. No reservation fee, you pay at the hotel. www.booking.com "Find German Supplier of Germany " Find lists of suppliers and exporters of all kinds of agricultural products on the official web site of the Central Marketing Organization of German Agricultural Industries - CMA. www.cma-exportservice.com Advertise here Yahoo! Travel Guides – All you need to know before you go! Popular Travel Guides in Germany Munich Travel Guide Frankfurt Travel Guide Berlin Travel Guide Dresden Travel Guide Hamburg Travel Guide Cologne Travel Guide Heidelberg Travel Guide Leipzig Travel Guide Stuttgart Travel Guide Nuremberg Travel Guide Popular Hotels in Germany Le Meridien Grand Hotel, Nuremberg Dorint Kongress Hotel, Cologne City Hilton, Munich Hotel Martha-Hospiz, Dresden Bülow Residenz Hotel Dresden, Dresden Hotel Schloss Eckberg, Dresden An der Messe, Frankfurt Hotel Robert Mayer, Frankfurt Pension Aller, Frankfurt Raskolnikoff Pension, Dresden Popular Restaurants in Germany Da Claudio, Nuremberg Rossini, Düsseldorf Atlantic-Restaurant, Hamburg Rossini Degustazione, Hanover Osteria Enoteca, Frankfurt Austria, Berlin Yamato, Leipzig Ristorante Bellotto, Dresden Planwirtschaft, Dresden Grand Café Coselpalais, Dresden Popular Attractions in Germany Potsdamer Platz, Berlin Pergamon-Museum, Berlin Kölner Dom, Cologne Residenz, Munich Heidelberger Schloss, Heidelberg Klostergasthof Andechs, Munich Hygieia-Brunnen, Hamburg Unter den Linden, Berlin Frauenkirche (Domkirche zu unserer lieben Frau), Munich Brandenburger Tor, Berlin - cheap airfare

European vacations, call 1-415-446

Europe Vacation Travel, Luxury Cruises, Tours and Europe Hotel Guide Europe Vacation Travel, Luxury Cruises, Tours and Europe Hotel Guide Site Index Europe Vacation Guide: Romantic Europe Tours and Honeymoons Europe Luxury Vacations, Travel, Tours and Cruise Consultants European vacations, call 1-415-446 5252 to book. Open every day! Other Places in Europe Albania Andorra Austria Vacations Belarus Belgium Vacations Bosnia-Herzegovina Bulgaria Croatia Vacations Czech Republic Denmark Vacations England Vacations Estonia Finland Vacations France Vacations Georgia Germany Vacations Greece Vacations Hungary Vacations Iceland Ireland Vacations Italy Vacations Latvia Liechtenstein Lithuania Luxembourg Vacations Macedonia Monaco Vacations Netherlands Vacations Norway Vacations Poland Vacations Portugal Vacations Romania Vacations Russia Vacations Slovakia Slovenia Spain Vacations Sweden Vacations Switzerland Vacations Turkey Vacations Ukraine United Kingdom Vacations Wales Vacations Luxury Cruise Guides Luxury Cruises World Luxury Cruises European River Cruises Europe Cruises Mediterranean Guide Travel Agent Career Opportunities Europe Vacation, Travel and Luxury Cruise Guides In this section you will find great Europe luxury resorts and hotels . All-inclusive Europe luxury vacations . We also specialize Romantic European river cruises . You'll find fabulous h oneymoon destinations in the guide. Europe luxury y achting vacations. Europe cruises . Europe g uided tours ---Plus tons of enjoyable maps , virtual tours and streaming videos---You will find everything here except the sunscreen. Travelwizard.com offers custom, premium class, personalized, luxury travel related services, exclusive boutique vacation destinations and exotic tours designed specifically for the sophisticated traveler . Imagine people watching at a sidewalk cafe, viewing the world's most famous pieces of art or visiting historic sites like Vatican City, Big Ben, the Eiffel Tower or the Acropolis. We've been customizing European vacation itineraries for discriminating travelers for more than 20 years. European Villas, former European palaces, elegant European hotels and yachts are part of Europe's unique accommodations that provide the perfect base for exploring the character of Europe. 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We are recommended by the Discovery Travel Channel, the Today Show, Conde Nast Traveler, Forbes Magazine, ESPN TV, Fine Living TV, Neiman Marcus Awards Program and National Geographic. Our Virtuoso Europe Vacation Specialists offer exclusive insider connections and industry expertise on luxury vacations- along with the guidance and know-how you require to make educated travel choices. We are very innovative, add valuable solutions that consistently exceed our customers expectations and strive to always provide the ultimate travel experience. Europe vacations are by far the most popular for a number of reasons. The diversity of the European cultures, incredible history, romantic settings, fine cuisine, excellent yachting, water sports, skiing resorts, mountain climbing, bicycling tours, winery tours, you name it, Europe has it all! Vacationing in Europe is a great way to experience many countries, meet interesting people, try their wonderful cuisine, and see some of the finest art in the world. A paradise of sun, sea, rivers, mountains and lakes. A land of historic treasures from the world's ten greatest civilizations. The Mediterranean, Aegean, and the Black Seas, the French Riviera, the Italian Riviera all beckon you. Europe is a must! Travelwizard.com was picked by the NBC Today Show to orchestrate the perfect honeymoon destination for their " Throws a Wedding " show. We are very proud that the Today Show turned to Travelwizard.com to find the perfect honeymoon. Travelwizard.com's renowned South Pacific specialists designed the perfect honeymoon to Turtle Island, in Fiji that was chosen for the NBC Today Show. Click here for Europe Hotels and Luxury Villas Europe vacation destinations requires minimal planning, but offers a spectacular experience! A European vacation is perfectly suited for all lifestyles. Whether you want a romantic European vacation, a natural or adventurous experience by day, sleep in a luxurious hotel by night, racing along the Autobahn, taking wine tasting classes in Bordeaux or cooking classes in Tuscany, you'll find it all in Europe! Europe vacation cruising and Europe yachting and barge trips are becoming extremely popular, and a great way for families to enjoy Europe at its finest. Advance planning Europe vacation will save time and money; make a short list of places you want to see and activities you hope to undertake. Do a little research with this site and its links to the sites of individual countries. Apply for a passport if you don't have one. The process is not difficult. Details are found in the Planning Your Trip section for U.S. passports. When you know where you want to go, how much time you have and how much you can spend, consult with one of our travel consultants, especially if it's your first international trip. 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Book Your Europe Vacation Submit a vacation planner to our Europe Travel Specialists Client Testimonials about our services Search Your Vacation, Tour or Cruise Luxury Europe Accommodations Europe Luxury Hotels European Hotels European Luxury Villas Europe Luxury Tours Virtuoso Scandinavia Luxury Vacation Virtuoso Europe Luxury Vacation Central Eastern & Western England & Ireland Tours Ireland Luxury Tours Monaco Luxury Tours Scandinavia Luxury Tours Russia Luxury Tours Greece Luxury Tours Portugal Tour Packages Spain & Morocco Tour Packages Escape to Europe Cruises France Luxury Tours Italy Luxury Tours Europe Train Vacations Europe River Cruises Eastern Europe Packages Europe Bike Vacations Europe Ski Vacations Europe Active Vacations Moderatly Priced Europe Tours England & Ireland Tours France Vacations Italy Tours Central & Eastern Europe Tours European River Cruises Europe Luxury Cruises Royal Caribbean Europe Cruises NCL Europe Cruises Crystal Cruises Northern Europe Virtuoso Luxury European Cruises Western Europe Cruises European River Cruises Luxury Cruises World Luxury Cruises Helpful Travel Links Other Helpful Travel Links Instant Passports in 24 hours Travelex Luxury Travel Insurance CSA Luxury Travel Insurance Travel Guard Insurance Travel Safety Expert Current Travel Warnings Travel Agent Career Opportunities Bookmark this page Submit Free, Full Service Europe Vacation Planner Here Click here to save money, time and stress planning, making reservations, or booking your Europe vacation with our full service Virtuoso Travel Consultants . 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Asia travel, Deluxe travel

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