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South America Travel
Destinations: Temperate 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 >Temperate South America Health Information for Travelersto Countries in Temperate South America On This Page Vaccines for Your Protection Diseases Found in Temperate 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) Dengue, Tropical and Subtropical Regions (Released June 9, 2005) U.S. Department of State See all Traveler's Health travel notices Vaccines for Your Protection: Temperate South America Check with your healthcare provider: you and your family may need routine as well as recommended vaccinations. Routine 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 Temperate 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: 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 Temperate South America . Rabies , pre-exposure vaccination, 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 vaccination is recommended if you are traveling to northeastern forest areas in Argentina. As needed, booster doses for tetanus-diphtheria and measles . Required Vaccinations None. Diseases found in Temperate 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. Your risk of malaria may be high in some provinces of Argentina. In Argentina, you are at risk for malaria only in rural areas in the northern provinces bordering Bolivia and Paraguay. For additional information on malaria risk and prevention, see Malaria Information for Travelers to Temperate South America . There is no risk for malaria in Chile, the Falkland Islands, and Uruguay. Yellow Fever Yellow fever is present only in the northeastern forest areas of Argentina in this region. A certificate of yellow fever vaccination may be required for entry into certain countries in the region if you have visited endemic areas in South or Central America, Trinidad & Tobago, 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 Temperate 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). Additional information: see the Safe Food and Water page for a list of links. Other Disease Risks Dengue , American trypanosomiasis (Chagas disease) , and leishmaniasis are diseases carried by insects that also occur in this region. In 2002, locally transmitted cases of dengue fever occurred for the first time in Chile on Easter Island. Protecting yourself against insect bites ( see below ) will help to prevent these diseases. Rodent-borne hantavirus pulmonary syndrome has been identified in the north-central and southwestern regions of Argentina and in Chile. 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 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 in Argentina, continue taking your chloroquine for 4 weeks 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 Temperate South America : http://www.cdc.gov/travel/regionalmalaria/temsam.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=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 : 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
European Vacation Ideas for
Benelux and Beyond - Northern European Vacation Ideas for the Benelux Countries You are here: About > Travel > Europe for Visitors > Benelux Countries > Benelux and Beyond - Northern European Vacation Ideas for the Benelux Countries Travel Go Europe Essentials European Vacation Planning Map Europe Travel 101 - Before you Go European Distances The Best of Europe European Photo Gallery Articles & Resources Europe Travel Planning What to do In Europe Lodging - Hotels and More European Travel Maps Sex and Nudism Travel Photography Transportation Benelux Countries France Germany Austria Switzerland Greece Italy and Malta Travel Info Scandinavian Travel Spain and Portugal United Kingdom and Ireland Buyer's Guide Before You Buy Top Picks Italy Travel Guidebooks Europe Travel Guidebooks German Travel Guidebooks Product Reviews Forums Help FREE Newsletter Sign Up Now for the Europe for Visitors newsletter! See Online Courses Search Europe for Visitors Benelux and Beyond - Northern European Vacation Ideas for the Benelux Countries 5 Countries in 14 days? Why Not? If you have a short vacation and want to travel through the most varied cultural landscapes in a short time, why not consider Benilux--Belgium, Netherlands, and Luxembourg--along with adjacent pieces of the bookend countries of France and Germany? Short distances and the availability of high speed rail connections mean that you won't spend all your time looking out a window on a moving landscape. Plus, Benelux rail 'n drive packages give you the flexibility to see it all by train and car. The Benelux countryside is flat and watery--you can bike or walk on tow paths along the many canals to observe calming rural vistas for hours. Benelux Countries - Benelux Rail Map Benelux Map © 2005 by James Martin, licensed to About Why Benelux? Benelux is compact. It's 123 miles between Brussels and Amsterdam, 184 miles between Paris and Brussels--and both of these destinations are served by high speed rail that'll speed you between Paris and Brussels in one hour and 25 minutes. Folks in Benelux countries are quite likely to speak English , since the local languages are confined to a relatively small goegraphic area. Benelux hospitality is legendary --you might want to consider a farm stay while you're there--especially if you have kids--to test the friendliness of the natives and get a feeling for what it's like (more below). Variety - and France and Germany are just across the border. Not only do you have three countries to visit, all within an hour or so travel time between each other, center to center, but France and Germany are easily visited as well. Lille, just across the border in France, was a European capital of Culture for 2004, and it's a major rail hub for high speed trains. Koln (Cologne) and its famous cathedral are also close, and the landscape around Trier--a colonial capital under Roman Emperor Augustus in 16 BC and Germany’s oldest city--is beautiful, and the city isa good starting point for trips into theMosel Valley and cruises on the scenic Mosel River, Germany’s mainwine-producing region--just in case you get tired of the almost infinite varietyof Beer styles you find in Belgium that is. Getting to the Benelux Countries You'll probably start your vacation from a large city. Major airports usually offer the best fares from the US, so you'll probably be starting from Paris, Frankfurt, or Amsterdam. If you find a good fare to London (or wish to add that city to your visit), you can take the Eurostar from London to either Paris or Lille, and continue your Benelux vacation from there. Getting Around the Benelux Countries While rail is highly recommended, and trains can get to most cities in the Benelux countries, you might want to also view a little of the countryside. Rail 'n Drive passes make this easy. Plan Your Benelux Adventure Transportation Rail Passes (Including Rail 'n Drive Passes) for Benelux, France and Germany. Thalys - High Speed Train Information - The thick blue line on the map is the Thalys route. Eurostar - All About the Eurostar - London to Lille, Paris, and Brussels. If your end point is Brussels, you'll get a free pass to any other stop in Belgium, just in case you wish to avoid Brussels altogether. Destinations in or Accessable from Benelux Lille, France Reims and the Champagne Region of France Belgium: Belgium Guide | Belgium Map | Belgium Pictures Netherlands: NetherlandsGuide | NetherlandsMap | Amsterdam Guide Luxembourg: Luxembourg Guide Cologne, Germany Dusseldorf Germany Frankfurt, Germany Trier, Germany Farm Stays in Belgium Many "farm" stays don't set you down in a real, working farm. I've found the Spreeuwenburg farm in a perfect location in the Belgian countryside not so far from the Netherlands border and nearby to the justly famous old smuggler house turned into a restaurant bar, Roste Muis. Read more: A Pleasant and Inexpensive Farm stay in Belgium . Benelux - The Final Word I hope you'll check out the Benelux countries. The major cities are interesting and chock full of art from old masters. Belgium cuisine is considered one of the best in Europe, and the beer is outstanding as well. Amsterdam is an amazing city, and if you want to visit a city that's mostly ignored by tourists, look into Antwerp, Belgium. Peter Paul Ruben's house makes an outstanding visit--and even Antwerp's main train station is worthy of the label "Railway Cathedral." From James Martin , Your Guide to Europe for Visitors . FREE Newsletter. Sign Up Now! Advertisement Most Popular Europe Map - Distances Between Cities in Western Europe Europe's Best Nudist Beaches Europe Picture Galleries Italy Pictures Europe Travel 101 - Before You Travel to Europe for the Firs... 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