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

Air Travel Air Travel

Cruise Ships/Air: Index | 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 > Cruise Ships and Air Travel Air Travel andCruise Ships Information and recommendations for travelers. Air Travel Interim Guidance for Airline Cleaning Crew, Maintenance Crew, and Baggage/Package and Cargo Handlers for Airlines Returning from Areas Affected by Avian Influenza A (H5N1) Updated Dec 9, 2005! Interim Guidance for Airline Flight Crews and Persons Meeting Passengers Arriving from Areas with Avian Influenza Updated October 31, 2005 Spraying Aircraft for Insects - Disinsection Tuberculosis Risk on Aircraft Guidelines for the Management of Airline Passengers Exposed to Meningococcal Disease Information for health care providers Tips for Travelers and Consumers about Airport and Airline Security On U.S. TSA (Transportation Security Administration) Web site SARS Information for Airline, Airport, and Air Travel Workers Cruise Ship Travel and Health CDC Vessel Sanitation Program (VSP) Protects passenger and crew health by minimizing the risk of gastrointestinal illness aboard cruise ships. Posts inspection scores and outbreak information Summary of Sanitation Inspections of International Cruise Ships ("Green Sheet") Sanitation Inspection Scores Database Obtain sanitation inspection scores of international cruise ships Cruise Ship Travel Recommendations from Health Information for International Travel Preliminary Guidelines for the Prevention and Control of Influenza-Like Illness Among Passengers and Crew Members on Cruise Ships, August 1999 (982 KB) SARS-related information: Prevention, Identification and Management of Suspect & Probable Cases of Severe Acute Respiratory Syndrome on Cruise Ships Guidelines For Cruise Ship Passengers and Crew Members Date: December 9, 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

Family Vacation

Ely Minnesota Resorts Family Vacations Fishing & Golf MN Our Ely Minnesota resort, offers a fantastic Minnesota vacation, whether you are looking for an unforgettable resort getaway for your group a fishing vacation or just an evening of fun and entertainment with your family. Free Internet Business Center Ely Minnesota, gateway to the famed Boundary Waters Canoe Area Wilderness , has been known for years as the "Canoe Capital of the World." Read what people who have been here, have to say about Ely . There is no denying that summer has been the most popular time to vacation in the Ely area. Now that the new Grand Ely Lodge has arrived, it's not just for summer anymore. We are a four season resort with year round activities including hiking, biking, canoeing , Minnesota snowmobiling and ice fishing. The Grand Ely Lodge offers casual dining and a complete complement of meeting facilities for groups of all sizes. Pick a season...we'll help you plan your perfect Minnesota Resort getaway and let you enjoy your stay at one of the country's most beautiful and adventurous natural settings. Located on scenic Shagawa Lake across from the historic Pioneer Mine, Grand Ely Lodge is just one mile from downtown Ely. The full-activity lodge is located on ten acres in the beautiful north woods among the many pristine lakes that cover Minnesota's northland. Hiking, biking and snowmobile trails abound and the fishing and wildlife make each day an adventure. Listen to the sounds of Spring in the north country as it appears from under its blanket of snow. View area wildlife, smell the flowers, and then relax in one of our 61 comfortably equipped rooms - most with a spectacular view of Shagawa Lake. Check-in time is 4 p.m. and check-out time is at noon. If Summer is your choice to visit the northland, you're bound to be enjoying our great outdoors. Berry picking, boating, fishing, golfing, hiking, biking or just enjoying the beauty of northeastern Minnesota are several ways to spend a day or week! Get Flash! Macromedia.com An explosion of color awaits you in the Fall. Explore the area during what many feel is our most beautiful time of the year. This could be the perfect time and place to hold your next business retreat! For those who love to venture out in the snow, winter wonderland's playground awaits you! Hundreds of miles of well-groomed trails await the cross-country skiers and snowmobiles that visit the Ely area each winter. Snowshoeing, dog sledding and ice fishing are also popular winter-time activities L ODGING R ESERVATIONS A CTIVITIES D INING M EETINGS M ARINA L OCATION O UR B ROCHURE S PECIALS /P ACKAGES G RAND G IVEAWAY W HAT P EOPLE S AY L OCAL L INKS F ISHING/ H UNTING W EATHER C ONTACT U S S ITE M AP H OME Grand Ely Lodge www.grandelylodge.com The finest of Minnesota Resorts - Four Season Resort Vacations 400 North Pioneer Road Ely, Minnesota 55731 800-365-5070 218-365-6565 Fax 218-365-2840 2005Grand Ely Lodge Designed by Midwest Captions, Inc .

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Gulf Coast Florida Rentals by Owner on the Gulf Coast of Florida Beach Rental Gulf Coast / Florida Rentals is mostly Florida vacation properties. With numerous homes & condos for rent, all by their owners. These vacation home rentals make for perfect getaways, golf vacations... Naples, Destin, Seagrove Beach, Panama City Beach, Pensacola Beach, Sarasota, St Petersburg, Siesta Key, Marco Island, Cape Coral, Bonita Springs... wherever in Florida. Whether you are looking for a FL hot spot condo or relaxed Naples beach rentals, our golf condos all along the Florida / Gulf Coast beaches stretching from Cape San Blas to Perdido Key to Clearwater Beach, to Marco Island, Sanibel Island, Indian Rocks Beach, to the Florida keys... are sure to please! 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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