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Destinations: East Asia | 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 >East Asia Health Information for Travelers to Countries in East Asia On This Page Vaccines for Your Protection Diseases Found in East Asia 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: Human Infection with Avian Influenza A (H5N1) Virus in Asia (Updated December 27, 2005) Recent Avian Influenza Outbreaks in Asia and Europe (Updated December 6, 2005) Interim Guidance about Avian Influenza A (H5N1) for U.S. Citizens Living Abroad (Updated November 18, 2005) Human Illness Associated With Contact With Pigs, China (Updated August 18, 2005) U.S. Department of State See all Traveler's Health travel notices Vaccines for Your Protection: East Asia 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 East Asia. 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. Japanese encephalitis , if you plan to visit rural farming areas and under special circumstances, such as a known outbreak of Japanese encephalitis. 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 East Asia . 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 , particularly if you are visiting developing countries in this region. 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 None. Diseases found in East Asia (risk can vary by country and region within a country; quality of in-country surveillance also varies) The preventive measures you need to take while traveling in East Asia depend on the areas you visit and the length of time you stay. You should observe the precautions listed in this document in most areas of this region. However, in highly developed areas of Japan , Hong Kong, South Korea, and Taiwan , you should observe health precautions similar to those that would apply while traveling in the United States. 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. Travelers to some areas in China, North Korea, and South Korea may be at risk for malaria. Travelers to malaria-risk areas in China, North Korea, and South Korea should take an antimalarial drug. For additional information on malaria risk and prevention, see Malaria Information for Travelers to East Asia . There is no risk of malaria in Japan, Taiwan, Hong Kong S.A.R. (China), Macau S.A.R. (China), and Mongolia. Yellow Fever There is no risk for yellow fever in East Asia. A certificate of yellow fever vaccination may be required for entry into certain of these countries if you are coming from countries 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 East Asia 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). Additional information: see the Safe Food and Water page for a list of links. Other Disease Risks Dengue , filariasis , Japanese encephalitis , leishmaniasis , and plague are diseases carried by insects that also occur in this region. Protecting yourself against insect bites ( see below ) will help to prevent these diseases. Avian influenza is also present in China. Outbreaks of severe acute pulmonary syndrome ( SARS ) occurred in mainland China, Hong Kong, and Taiwan in 2003. Avian influenza is present in the region. If you visit the Himalayan 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 SPF 15, 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 (mefloquine or doxycycline) 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 to1 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 Japanese encephalitis : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=jenceph.htm : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=lyme.htm Malaria information for Travelers to East Asia : http://www.cdc.gov/travel/regionalmalaria/eastasia.htm Malaria Frequently asked questions : http://www.cdc.gov/malaria/faq.htm Malaria Prescription Drugs : http://www.cdc.gov/travel/malariadrugs.htm : http://www.cdc.gov/ncidod/dvbid/arbor/index.htm Plague : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=plague.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=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: December 27, 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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Delta Vacations - Vacation packages to Las Vegas Maui Waikiki Hawaii Aruba Bahamas Orlando South Beach Florida Walt Disney World Europe Jamaica Caribbean Cancun Mexico All-Inclusive Family Beach Colorado Ski Membership log in E-mail address: Password: Remember me. Not A Member? Forgot Your Password? My Profile Related Links delta.com Vacation Protection Plan Special Group Rates SkyMiles Membership Last Minute Deals D e l t a V a c a t i o n s . c o m 2 0 0 4 Announcing New Service Package type Flight + Hotel Flight + Hotel + Car Hotel + Car or Transfer Flight + Car Preferred cabin Coach First Class Leaving from Departure date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Time anytime morning noon afternoon evening 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12am Going to Return date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Time anytime morning noon afternoon evening 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12am Adults 1 2 3 4 5 Children 0 1 2 3 4 Promo code (optional) Child 1 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Child 2 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Child 3 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Child 4 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 -- Announcing New Service Package type Flight + Hotel Flight + Hotel + Car Hotel + Car or Transfer Flight + Car Preferred cabin Coach First Class Leaving from Departure date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Time anytime morning noon afternoon evening 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12am Going to Return date Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Time anytime morning noon afternoon evening 1am 2am 3am 4am 5am 6am 7am 8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm 5pm 6pm 7pm 8pm 9pm 10pm 11pm 12am Adults 1 2 3 4 5 Children 0 1 2 3 4 Promo code (optional) Child 1 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Child 2 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Child 3 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Child 4 na under 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 Grand Cayman Grand Cayman Marriott Beach Resort Las Vegas, Nevada Paris Las Vegas Wednesday, December 28, 2005 Save $300 on a Golf and Spa Getaway Earn 10,000 Bonus Miles to London 3 Night Packages to Turks & Caicos from $790 Search all Last Minute Deals -- Announcing Daily Flight Service Salt Lake to Cancun begins 6/1/05 Atlanta to Moscow begins 6/1/05 -- Member Registration ® 2005 Delta Vacations. All rights reserved. delta.com | Site Map | About Us | Privacy Policy | Legal Notices | Customer Care | Web Compatibility | Travel Agents ### ISHQWEBCVGNET01 ### ### --
South America Travel
South America Travel Pictures | South America Travel Photos South America Get travel inspiration and travel suggestions for visiting South America. Fly your way! Book your flight to South America online - saving 40% or more! Countries: Argentina Belize Bolivia Brazil Chile Costa Rica Cuba Ecuador El Salvador Guatemala Honduras Netherlands Antilles Nicaragua Panama Paraguay Peru Surinam Trinidad & Tobago Uruguay Venezuela The first occurrence in my life of South America was when I read Tintin and the Suntemple at a very young age (I must have been around 9 years old). On the first page of the album, there is a map with the West side of South America and I can remember how far, remote and unreachable that area seemed to me. Callao was the magic name. In 1989, when I studied Spanish in Madrid, for the first time in my life South America came closer. People in my school were studying Spanish because they were planning to go to South America. At that time, I had travelled already here and there, mainly in Europe, and also in Asia and Africa. But still "thinking West" was still something I did almost not consider. Nevertheless, it took me less than a year to start working as a flight attendant and then North America came into quick reach. My first wish for a flight was to be South America. By that time, end 1990, I was already fascinated by the stories, the pictures, and moreover my Spanish has become fluent. The first visit to South America, which took me to Rio de Janeiro and Santiago de Chile, was above my expectations. From that time, it has been my favourite destination, and I spent many holidays and working trips in one of the many South American countries.My first holidays I went to Guatemala and Belize, and I was struck by the many colours everywhere, in the clothes of the people, the landscapes, the villages. People often ask me which is my favourite destination, and I always answer: South America. It has much more to offer than many people think. Its inhabitants are mostly extremely friendly, interesting, and interested. Therefore: welcome to the Colourful Continent! Go directly to: Africa Asia Europe North America Oceania Join our mailinglist: If you want to be updated about developments at Around the World in 80 Clicks, subscribe! Your E-mail address: Travel Forum Join others in discussions on South America Also on this site: read and sign the guestbook send us your suggestions ! send this site to a friend read about the background of this site publications on this site meet new friends for travel, dating or just fun! Around the World in 80 Clicks All rights reserved - www.traveladventures.org - 1999-2005 Share your comments