Vacation Packages Preferred Hotels














MouseSavers.com - Disneyland Vacation Package Discount Great deals on all things Disney! Find out how to save on: Walt Disney World Disneyland Disneyland Resort Hotels Disneyland Resort Vacation Packages Preferred Hotels Near Disneyland Other Nearby Hotels Tickets & Passes Meals, Snacks & Drinks Other Disneyland Savings Disney Cruise Line Transportation for Your Disney Vacation Other Disney Travel Savings Discount Disney Shopping Mall Live Disney Shows Disney Freebies Disneyland Resort Paris Disney Parks in Asia Disney's Vero Beach/Hilton Head Non-Disney Theme Parks & Attractions More information: About MouseSavers Frequently Asked Questions Trip Reports and Articles Links Testimonials Privacy Policy & Legal Stuff Contact Mary Discounts on Disneyland Vacation Packages LAST UPDATE: 11/30/05 - MOST RECENT ADDITIONS ARE IN RED Many times Disneyland vacation packages are actually a good value for the money -- particularly the specially-priced seasonal package offers. On this page you'll find details on the standard Disneyland packages, as well as current discounted packages. Most of the packages listed below can be booked online at Disneyland.com . However, I find the online reservations system to be confusing and clunky. Also, you really have to dig around online to find out the restrictions and cancellation fees, etc. If you're going to spend the money to buy a vacation package, I strongly recommend using a travel agent who specializes in Disney travel . It costs you nothing, and you can sit back, relax, and have all the vacation planning and hassle taken care of by someone else. Standard 2006 Disneyland Packages Standard 2005 Disneyland Packages January-April 2006 Package Specials United Airlines Kids Fly Free Promo Fall 2005 - "One Night FREE" Package Special Packages for Disneyland Annual Passholders Last Minute Expedia Packages Standard 2006 Disneyland Packages Standard 2006 Resort Magic packages include these benefits: Stay at Disney's Paradise Pier, Disneyland Hotel, or Grand Californian Park Hopper tickets Mickey's Toontown Morning Madness* - A special experience which allows guests to enjoy and interact with Disney Characters in Mickey's Toontown one hour before it opens to the public. One Early Entry* to a select land in Disneyland - Guests enjoy select attractions one hour before public opening. Preferred Seating at selected attractions in Disney’s California Adventure: Muppet Vision 3D, It’s Tough to Be a Bug!, Disney’s Aladdin – A Musical Spectacular! and Golden Dreams 50th Anniversary Guidemap – an exact reproduction of the map from the opening day of Disneyland on July 17, 1955 (one per package) Exclusive! Walt Disney Travel Company collectible pin and lanyard (one per person) Exclusive! Walt Disney Travel Company Luggage Tags (one per person) Exclusive! Walt Disney Travel Company California Fun Book (one per package) *Mickey's Toontown Morning Madness and One Early Entry are based on availability, do not operate daily, and are subject to change without notice. All attractions and entertainment, prices, types and features of tickets, special offers and events, and age ranges may be seasonal and are subject to change without notice. To book a 2006 package, please contact a Disney Specialist travel agent . Standard 2005 Disneyland Packages Standard 2005 Resort Magic packages include these benefits: Stay at Disney's Paradise Pier, Disneyland Hotel, or Grand Californian Disneyland Resort Hotel self-parking and Fitness Center access Park Hopper tickets NEW! Mickey's Toontown Morning Madness* - A special experience which allows guests to enjoy and interact with Disney Characters in Mickey's Toontown one hour before it opens to the public. NEW! One Early Entry* to a select land in Disneyland - Guests enjoy select attractions one hour before public opening. Preferred Seating at select shows in Disney's California Adventure Exclusive! Walt Disney Travel Company collectible pin and lanyard (one per person) Exclusive! Walt Disney Travel Company California Diamond Fun Book (one per package) *Mickey's Toontown Morning Madness and One Early Entry are based on availability, do not operate daily, and are subject to change without notice. All attractions and entertainment, prices, types and features of tickets, special offers and events, and age ranges may be seasonal and are subject to change without notice. Please note that all 2005 Disneyland packages are subject to a $100 cancellation fee! That's right, even if you book one day and cancel the next, they will charge you $100. This is imposed by Disney. Thanks to Small World Vacations for info. To book a 2005 package, please contact a Disney Specialist travel agent . January-April 2006 Package Specials Purchase a Disneyland Resort vacation package for arrivals January-April, 2006 and choose from one of three special offers: Everyone Plays at the Kids Price * - Get any three-day or longer adult Disneyland Resort Park Hopper Bonus Ticket at the kids price. Valid for arrivals 1/3/06-4/25/06. OR Kids Play FREE * - With every adult Disneyland Resort Park Hopper Bonus Ticket of three days or longer, receive a FREE child’s (ages 3-9) Disneyland Resort Park Hopper Bonus Ticket good for the same number of days. Valid for arrivals 1/3/06-4/25/06. OR Receive a $150 Disneyland Resort Gift Card ** - Guests who stay 4 nights or longer at one of the hotels of the Disneyland Resort will receive a $150 Disneyland Resort Gift Card. The Disneyland Resort Gift Card is a convenient way to purchase merchandise, food and more at Disneyland Resort theme parks and the hotels of the Disneyland Resort. Valid for arrivals 1/4/06 – 4/22/06. *Travel must be booked by 4/23/06 and completed by 4/27/06. Book a minimum 2-night Disneyland Resort vacation package with an Adult (ages 10+) Disneyland Resort Park Hopper Bonus Ticket of 3 days or longer and receive one free child (ages 3-9) Disneyland Resort Park Hopper Bonus Ticket. Or, receive an Adult Disneyland Resort Park Hopper Bonus Ticket of 3 days or longer at the same price as a Child's Disneyland Resort Park Hopper Bonus ticket of 3 days or longer. Only one free child ticket per qualifying adult ticket purchased at regular price. The Child Park Hopper Bonus Ticket will allow the same number of days of theme park admissions and will be subject to the same restrictions as the corresponding Adult Park Hopper Bonus Ticket. First day of use must occur on or before 4/27/06. These tickets expire 13 days after the first day of use or May 9, 2006, whichever occurs first, and each day of use constitutes one full day of use. Tickets may not be sold or transferred for commercial use. Restrictions apply. All offers, events, tickets, age ranges, services, attractions and entertainment may be seasonal and are subject to change without notice. **Travel must be booked by 4/21/06 and completed by 4/27/06. Offer applied one time per reservation. Not combinable with other hotel offers or discounts. Disneyland Resort Gift Card may not be applied toward package or hotel price. Subject to availability, advance reservations required. To book a special January-April 2006 package, please contact a Disney Specialist travel agent . United Airlines Kids Fly Free Promo United Airlines is offering a "Kids Fly Free" promotion for travel between 1/3/06 and 4/27/06. With this promo, one child (age 2-11) flies "free" per one a paid adult airfare , when you buy a Disneyland vacation package. Sounds great, right? Unfortunately, however, this package isn't a great deal in many cases , because it requires you to choose certain fare classes for the adult ticket(s), which are usually MUCH more expensive than the cheapest discounted advance-purchase ticket(s). Often it would be cheaper to book a discounted adult and child fare instead. However, I'm listing this offer because it occasionally works out to be a good deal in certain circumstances. The "Kids Fly Free" promo can be combined with the "Everyone Plays at the Kids Price" or "Kids Play FREE" offer above . Applies to packages purchased from selected cities only and must be booked by 4/7/06. You must arrive at Disneyland by 4/25/06 and travel must be completed by 4/27/06. Blackout dates apply and packages are subject to availability. You can book a "Kids Fly Free" package online at Disneyland.com . Fall 2005 - "One Night FREE" Package Special Guests who purchase a 4-night or longer Disneyland Resort Magic vacation package for arrivals most dates 8/28/05 through 12/19/05* get one night FREE! *Blackout dates apply, including Thanksgiving week. Book a minimum four-night Disneyland Resort Magic vacation package with tickets included and get one night FREE (pay for three or more nights, get one free). Offer subject to availability, advance reservations required, restrictions apply. All attractions and entertainment, prices, types and features of tickets, special offers and events, and age ranges may be seasonal and are subject to change without notice. Thanks to Small World Vacations for info. To book a "One Night FREE" package, please contact a Disney Specialist travel agent . Packages for Disneyland Annual Passholders Now Disneyland Annual Passholders can purchase Disneyland Resort packages without purchasing tickets. Packages may also include meals, tours, accommodations and other exclusive items that make your visit to the Disneyland Resort truly magical. 2005 packages include: Accommodations at one of the hotels of the Disneyland Resort Preferred Seating to select shows at Disney's California Adventure New! Mickey's Toontown Morning Madness! Guests can enter Toontown an hour before the general public. Special 2005 Walt Disney Travel Company collectible pin and lanyard (one per person) Special Walt Disney Travel Company Luggage Tag Special Walt Disney Travel Company California Fun Book (one per package) Call (800) 824-1146 or (714) 520-5060 to book these packages. Last Minute Packages to Disneyland through Expedia Some of the last-minute Expedia packages are a good value, especially if you need airfare. Sometimes it costs less to buy one of these packages than it would to buy the airfare alone. Definitely worth a look if you're interested in a low-cost getaway to Disneyland. Back to the home page Back to top Content of MouseSavers.com is © Mary Waring & MouseSavers 2001-2005. No part of this website may be reproduced in whole or in part without permission.



cruise vacation along rivers

Barge cruise - european river and canal barge cruises, theme cruises - Golf, wine and family cruises, luxury barge cruise vacation along rivers and canals in France, Scotland, Ireland, England and Germany, GoBarging with European Waterways - website design, search engine optimisation, internet marketing by transform e business solutions UK, 360 virtual tours by www.360-virtual.com GoBarging with European Waterways Luxury Barge cruises in Europe Hello, and welcome to our GoBarging website. We'd like to introduce you to the European waterways, to the world of GoBarging. Our luxury hotel barges cruise the inland waterways of seven European countries, along canals, rivers, lakes and lochs. This is an opportunity to visit these countries and experience life there, from a truly unique perspective. Take our video tour for a taste of a unique barging experience Your floating hotel cruises gently along, while you relax, enjoy the fine wines and excellent cuisine, the company of fellow passengers - new friends, family, or old acquaintances. Take a guided tour around the many castles, markets, battlefields and ancient monuments, or go off exploring on your own. Whatever you do, our dedicated and highly trained professional staff will be there to look after you. Our Captains ensure a safe and yet exciting passage along your chosen route, our Chefs prepare a wide range of exquisite food to suit every taste, our Tour guides are knowledgeable and enthusiastic, and our stewards & stewardesses ensure that our high standards are maintained throughout your cruise. Travel the route of Rick Stein's French Odyssey on Anjodi and Rosa - now showing on BBC2 TV, with accompanying BBC Book Please use our website to explore our GoBarging world. We offer many ways to navigate the website and find out about our barges. Use the side menu to visit our Europe cruise map to see the countries where we cruise, click on a region and find out more about it, and the barges which cruise there. If you are new to barging, have a look at our Barging Video, take a tour of our Barge fleet and read our GoBarging FAQ to find out more about barge cruises on the European Waterways. You can then use our Cruise guide to find a country, region and barge of your choice. Every barge page has its own menu, offering you lots of information on the unique merits of each barge. We offer a wide range of Theme cruise charters too, from Golf cruises to Wine cruises, and our Theme Cruise guide will help you to find a theme cruise to suit your needs. Our site map contains links to all pages, and a short description of each, offering another quick route to explore our website. We provide cruise rates and you can check availability for any barge and your preferred cruise dates. You can request a brochure, download a copy, or have one mailed, and why not subscribe to our monthly newsletter the Lockkeeper, where we feature different barges each month, provide cruise news and offers. So, welcome once again, and we hope this website gives you a taste for our unique barging world. For reservations or more information including a full colour brochure, contact Go Barging on International + 44 1784 482439, UK 0178 448 2439, USA 1 800 394 8630, Canada 1888 342 1917,fax: (+44) 1784 483072 or e-mail sales@GoBarging.com website design,search engine optimisation,internet marketing by transform ebusiness solutions uk



European Vacation

Amazon.com: Lonely Planet Europe On A Shoestring (Lonely Planet Europe on a Shoestring): Books: Sarah Johnstone,China Williams,Reuben Acciano Your Store Books See All 32 Product Categories Your Account | Cart | Wish List | Help | Advanced Search | Browse Subjects | Bestsellers | The New York Times® Best Sellers | Magazines | Corporate Accounts | Amazon Shorts | Bargain Books | Used Books | Textbooks Search Amazon.com Books Web Search Join Amazon Prime and ship Two-Day for free and Overnight for $3.99. Already a member? Sign in . or Sign in to turn on 1-Click ordering. A9.com users save 1.57% on Amazon. Learn how . More Buying Choices 54 used & new from $17.59 Available for in-store pickup now from $26.99 Price may vary based on availability Enter your ZIP Code: Have one to sell? See larger image Share your own customer images Publisher: learn how customers can search inside this book. Lonely Planet Europe On A Shoestring (Lonely Planet Europe on a Shoestring) (Paperback) by Sarah Johnstone , China Williams , Reuben Acciano (7 customer reviews) List Price: $26.99 Price: $17.81 & eligible for FREE Super Saver Shipping on orders over $25. See details You Save: $9.18 (34%) Availability: Usually ships within 24 hours. Ships from and sold by Amazon.com. Want it delivered Thursday, December 29? Choose One-Day Shipping at checkout. See details 54 used & new available from $17.59 Better Together Buy this book with Europe by Eurail 2005, 29th (Europe By Eurail) byLaVerne Ferguson-Kosinski today! Total List Price: $45.94 Buy Together Today: $36.76 Customers who bought this book also bought Europe by Eurail 2005, 29th (Europe By Eurail) by LaVerne Ferguson-Kosinski Lonely Planet Europe Phrasebook by Mikel Morris The Rough Guide to First-Time Europe 5 (Rough Guide Travel Guides) by Louis CasaBianca Party Europe 2005 (PartyEurope)- The supplemental guide to fun and social travel by Doug Bell Backpacking Through Europe by Paul Bradley Explore Similar Items : in Books , in DVD , and in Magazine Subscriptions Editorial Reviews Book Description Can't choose between the northern lights in Lapland, fairytale castles in Transylvania, picturesque beaches on the Mediterranean coast or the bright lights of Paris and London? Then why not try them all! Written for backpackers by backpackers, this guide lets you go further, stay longer and pay less for a trip of a lifetime. • FIND YOUR WAY - inspiring itineraries and hundreds of maps help you plan your modern-day Grand Tour • EAT, DRINK & BE MERRY - extended listings for cheap and chic sleeps, tasty budget eats, uber-cool bars and world-famous clubs, with hand-picked splurge suggestions • BE IN THE KNOW - our culture coverage puts everything from ancient Greece to flamenco dancing in context • SEE ANOTHER SIDE - discover wife carrying in Finland, cheese rolling in Britain and tomato fights in Spain with our lowdown on the strange world of Europe's festivals From the Publisher Europe is a chameleon; its colours change rapidly. One day you can be on the cobbled streets of a medieval city, the next atop a snowcapped peak. Nowhere else greets you with such a swift succession of different languages and menu changes. With more than 30 national cultures on a modest landmass, Europe frequently dazzles even Europeans. Dubbed a living museum for the way its past and present coexist, this wealthy continent offers the charms of quaint Amsterdam and Prague alongside the buzz of modern metropolises such as Berlin and London. Postmodern buildings such as the Guggenheim in Bilbao have quickly taken a place beside Barcelona's still unfinished Sagrada Familia and older architectural icons like the ancient Parthenon. Europe's appeal lies not just in an influential, often bloody past and a largely peaceful present, but also in its mix of culture and nature. Botticelli and Picasso masterpieces aren't far from the countryside or popular beaches. You can follow the footsteps of characters you read about in textbooks or blaze your own trail in the Alps. Whether you dream of experiencing the romance of Paris, absorbing the chaos of Istanbul or downing a few beers in Belgium, this multifaceted continent can satisfy your tastes. Just as the EU has expanded east, so too has the traveller's itinerary and many formerly communist countries - even those outside of the EU - have been more open to tourism. The new colours that these destinations reveal, show how diverse the European cultural palette is, but for budget travellers there's a bonus. While Europe usually requires a longer, thicker shoestring than elsewhere, many of these recent hot locations are among the continent's cheapest. Product Details Paperback: 1324 pages Publisher: Lonely Planet Publications; 4th edition (February, 2005) Language: English ISBN: 1740597796 Product Dimensions: 7.8 x 6.0 x 1.9 inches Shipping Weight: 2.1 pounds. ( View shipping rates and policies ) Average Customer Review: based on 7 reviews. ( Write a review. ) Amazon.com Sales Rank: Today: #2,666 in Books Yesterday: #2,502 in Books (Publishers and authors: improve your sales ) Customers interested in this title may also be interested in: Sponsored Links: What is this? Travel Right With Expedia Save on Flights, Hotels, Vacations, Cruises, Cars and Trip Extras! www.Expedia.com Travel ORBITZ: Book Travel Faster & Easier Save on Flights, Packages & More! www.ORBITZ.com CheapTickets Compare Prices for Hotels, Flights, Packages, Car Rentals & More www.CheapTickets.com Feedback Customers who viewed this book also viewed Let's Go 2005 Europe (Let's Go Europe) by Stuart J. Robinson Let's Go 2006 Europe (Let's Go Europe) by Inc. Let's Go Rick Steves' Europe Through the Back Door 2005 (Rick Steves' Europe Through the Back Door) by Rick Steves Rick Steves' Europe Through the Back Door 2006 : The Travel Skills Handbook (Rick Steves' Europe Through the Back Door) by Rick Steves Rite of Passage: Tales of Backpacking 'Round Europe (Lonely Planet Journeys (Travel Literature)) by Lisa Johnson Explore Similar Items : in Books , in DVD Spotlight Reviews Write an online review and share your thoughts with other customers. 17 of 17 people found the following review helpful: A "must" for every money-conscious European tourist , June 6, 2005 Reviewer: Midwest Book Review (Oregon, WI USA) - See all my reviews For those who feel that a trip to Europe would simply be beyond their means, Europe On A Shoestring: Big Trips On Small Budgets is a 1324-page travel guide that lives up to its title. Packed cover-to-cover with itineraries, a practical directory, easy-to-use maps, an expanded index, recommended sights and activities, and so much more, Europe On A Shoestring focuses both on seeing the best Europe has to offer and on keeping costs down to an affordable level, from eating and sleeping cheap to affordable festivals and wonderful cultural activities. Covering nations from Morocco, Spain and Portugal to Turkey, Greece and Cyprus, Finland, Sweeden and Norway, Iceland, Ireland, the United Kingcom, Belarus, the Ukraine, and of course all the countries located in between, Europe On A Shoestring is a "must" for every money-conscious European tourist. Was this review helpful to you? ( Report this ) Customer Reviews Average Customer Review: Write an online review and share your thoughts with other customers. No guidebook is perfect... , December 19, 2005 Reviewer: Julia Webber "nerd" (South Bohemia, Czech Republic) - See all my reviews ... but I find the Lonely Planet guides to be better than most. Obviously this book covers a very large area, so it goes for breadth rather than depth. If you want to explore a country outside the major cities, get a local guide. This book contains a good amount of details about major Western countries- specifically Britain, Germany, France, Spain and Italy. If you are planning on travelling through the Balkans, Eastern Central Europe, the Baltics or Scandinavia, you should know that this guide only provides information about the major cities and tourist centers, and will not guide you away from the beaten path. Also, be aware that the book does not include Belarus or the Ukraine. Lonely Planet provides excellent maps, directions to attractions, and instructions for using the local transport (very useful), along with a language guide. Their advice regarding where to go and what to see, along with what to stay away from, is usually quite good. The main problem with this book is price inaccuracies. Naturally, prices change, so it is to be expected that the restaraunt, hotel and attraction prices cited in the guide may not be entirely accurate, but a person should be able to take it as truth when a guide says that ________ is the cheapest place to get food/accomodation/internet access... Lonely Planet misses a lot of budget traveler's gems and focuses mainly on expensive things in city centers. If you take the metro/bus/whatever a few stops away from the center in most of these towns, you can find hostels/restaraunts/internet cafes which are much cheaper than those listed in the book. It's worth the 10 extra minutes of travel time if you truly need to travel "on a shoestring." Was this review helpful to you? ( Report this ) 1 of 2 people found the following review helpful: Great Guide Inside!! , December 11, 2005 Reviewer: Adhitya Mulya "history buff" (Abidjan - Cote d'Ivoire) - See all my reviews This book is really useful. However, the problem wih Lonely Planet in general is that you need to buy he most updated version everytime because things change and the lonely planet people know this. And they keep updating it. Luckyly this edition is the newest one because it has the wedding of prince of denmark in it which is pretty recent. All in all this is an excellent bok! Was this review helpful to you? ( Report this ) 10 of 10 people found the following review helpful: Good Overview , September 6, 2005 Reviewer: Carolyn Howarter (germany) - See all my reviews This book is really great for young people seeing Europe on a tight budget, as the title suggests. It is also suitable for families as it gives hotel and camping options in addition to hostels. One of my favorite aspects of it are the quick tips, which are very useful, and the mini history lessons for each country. The book also includes how to say basic words (hello, goodbye, please, thank you) in each language as well as a little phrase book in the back. The book is incredibly helpful in planning trips because it also gives a suggested daily budget and whether or not a visa is needed to enter a country. However, since it highlights so many countries, it is not ideal if you are staying mostly in one country. None of the sections go very in depth on the small towns in each country. For most travellers, that is not a problem. If you are staying in a country for a semester or a year though, you might want to also buy a book specific to where you are. Was this review helpful to you? ( Report this ) 5 of 6 people found the following review helpful: Just what I needed! , August 9, 2005 Reviewer: Samwise (Atlanta, GA) - See all my reviews Contains almost every info I'd like to know. Because it covers so many countries/cities, it missed a few details that I thought should be included. But overall, I'd say this is more than enough as a survival guide in Europe! Was this review helpful to you? ( Report this ) 5 of 5 people found the following review helpful: I now know what europe is , June 30, 2005 Reviewer: Deepth Dinesan "Happy" (Bangalore,India) - See all my reviews - Easy to read - Complete routes for eastern europe,western europe scandinavian... - Comprehensive - Well written on culture . Was this review helpful to you? ( Report this ) See all 7 customer reviews... Listmania! Savvy Traveller : A list by "jlee008" surrender to the flow 3 : A list by Valerie Santiago Train Traveling Basics : A list by "traintraveling" Create a Listmania! list So You'd Like to... Travel to Europe : A guide by Darius Peczek , Eternal Traveller Lose Yourself in Europe : A guide by Amy , Who Did the Same and Found Something Better Use Eurailpass to visit 17 Countries : A guide by Bill Keeley , Ultimate Tourist Create a So You'd Like to... guide Look for similar items by category Subjects > Travel > Europe > General Subjects > Travel > General > Guidebooks Subjects > Travel > Guidebook Series > Lonely Planet Subjects > Travel > Specialty Travel > Budget Travel Look for similar items by subject Europe - General Travel Travel - Foreign i.e., each book must be in subject 1 AND subject 2 AND ... This Book and You Sign in to rate this item Write a Review | Write a So You'd Like To... Guide | Tell a Friend About This Item | Rate This Item Favorite Magazines! Explore our Magazine Subscriptions store. Visit the DVD Store Rick Steves - Best of Travels in Europe (British Isles/France/Spain & Portugal/Germany, Austria & Switzerland/Italy/Greece, Turkey, Israel & Egypt) DVD ~ Rick Steves Spec tacular Readers Never misplace your reading glasses again with the hip and stylish magnetic readers from CliC . Make a Big Impression Create the perfect keepsake from your trip with a large format print from Shutterfly . Suggestion Box Your comments can help make our site better for everyone. If you've found something incorrect, broken, or frustrating on this page, let us know so that we can improve it. Please note that we are unable to respond directly to suggestions made via this form. If you need help with an order, please contact Customer Service . Please mark as many of the following boxes that apply: Product information is missing important details. Product information is incorrect. Propose corrections using our Online Catalog Update Form . The page contains typographical errors. 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Italy Travel and Tourism

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All the Regions - Aosta Valley Apulia Basilicata Calabria Campania Corsica Emilia Romagna French French Riviera Friuli Venezia Julia Latium Liguria Lombardy Marche Molise Paris Piedmont Republic of San Marino Sardinia Sicily Switzerland The Abruzzi The Vatican city Trentino South Tyrol Tuscany Umbria Venetia - All the Province - Agrigento Alessandria Ancona Aosta Arezzo Ascoli Piceno Asti Auvergne Avellino Balagne Balagne Bari Belluno Benevento Bergamo Bologna Bolzano Burgundy Brescia Bretagne Brindisi Cagliari Campobasso Carbonia-Iglesias Caserta Catania Catanzaro Centre - Val-de-Loire Chieti The Vatican city Como West Corsica Central Corsica South Corsica Cosenza French Riviera East Coast Cremona Crotone Cuneo Enna Ferrara Florence Foggia Forl - Cesena Frosinone Genoa Gorizia Grosseto The grand Valinco Ile de France Imperia Isernia L'Aquila La Spezia Languedoc-Roussillon Latina Lecce Livorno Lucca Macerata Mantua Massa Carrara Matera Medio Campidano Messina Milan Modena Naples Normandy Novara Nuoro Ogliastra Olbia-Tempio Oristano Padua Palermo Paris Parma Pavia Pays de Loire Perugia Pesaro - 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Taiwan Travel

ACUTE VIRAL INFECTION - TAIWAN - Travel Medicine Program - Public Health Agency of Canada Travel Health Advisory ACUTE VIRAL INFECTION - TAIWAN Health Canada is currently monitoring an extensive outbreak of hand, foot and mouth disease (HFMD) in Taiwan, reported to be caused by enterovirus 71(EV71). Cases have been reported in all regions of Taiwan, with the highest number from the Northern Region. Various reports indicate that the total number of children affected throughout the island by HFMD is between 60,000 and 300,000. According to reports, a total of 55 children have died. Taiwanese health authorities are conducting an epidemiological investigation of the cause with assistance from the US Centers for Disease Control and Prevention. The cause and extent of the epidemic remains to be confirmed. In the meantime, parents have been warned by Taiwanese authorities not to bring their children to public places where they can be exposed to the virus. Enterovirus 71 was initially recognized as the cause of outbreaks of aseptic meningitis (inflammation of the lining of the brain) and encephalitis (inflammation of the brain) in children in California between 1969 and 1972, and has subsequently been reported in Sweden, Australia, Japan, Hong Kong, Bulgaria, Hungary, France, and the states of New York, Alaska, Arkansas, and Pennsylvania. The mode of transmission is presumed to be similar to most enteroviruses, that is, predominantly fecal-oral spread. Most symptomatic infections occur in children less than 6 years old, and very young children have a disproportionately high number of cases of encephalitis. Regardless, it is apparent that the spectrum of clinical illness has varied considerably among outbreaks of infection reported from different locations. In this particular outbreak, deaths have occurred in children as old as 12 years old. There is no specific treatment for EV71. The management of the illness is on a symptomatic basis. Until the exact cause of this outbreak is more clearly defined and the causative virus is clearly identified, families travelling with small children to Taiwan should take the following precautions: Avoid all crowded areas. Wash hands before eating. Observe strict personal hygiene, including thorough washing of the hands after defecation and before handling food or caring for children. Ensure cleanliness in the home and clean all shared toys carefully. The Travel Medicine Program wishes to remind travellers to this area to follow good hand washing practices. Additional information will be posted as soon as it becomes available. Revised July 16, 1998 [ Information for Travellers ] [ Information for Travel Medicine Professionals ] Last Updated: 1998-07-16 Important Notices




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