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South 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

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CLIA | Cruise Line International Association | Cruise Vacation Travel Packages For 160 years, Cunard has worked to make the art of cruising indistinguishable from the art of living well. Travel the world on the Queen Elizabeth 2 and the Queen Mary 2 and experience British elegance while recalling the golden age of sea travel. Lush tropical rain forests, exotic wildlife, exciting places to visit and the transit from the Caribbean Sea to the Pacific Ocean through one of the world's historic marvels add up to a unique cruise destination. STRONG 3RD QUARTER PASSENGER GROWTH EXTENDS 2005 TREND FOR CLIA-MEMBER CRUISE LINES read more Register to receive the latest cruise vacation news and information on special offers Click here to sign up PASSPORTS REQUIRED TO ENTER THE UNITED STATES Read further -- Search for any city or US zip code Search by Destinations All Destinations Africa - Southern Alaska Antarctica Australia/New Zealand Bahamas Baltic/Russia Bermuda Black Sea British Isles/Ireland Canary Islands/North Africa Caribbean Costa Rica Cruises to Nowhere East Coast Europe - Western Far East/Orient Greek Isles/Aegean Hawaii India Israel/Egypt Mediterranean - West Mexico New England/Canada Panama Canal Red Sea/Suez Canal River - Amazon River - China River - Europe Scandinavia, North Cape South America South Pacific/Tahiti Southeast Asia Trans-Atlantic Trans-Pacific West Coast World Cruises Search by Cruise Lines All Cruise Lines Carnival Cruise Line Celebrity Cruises Costa Cruises Crystal Cruises Cunard Line Disney Cruise Line Holland America Line MSC Cruises Norwegian Coastal Voyage Norwegian Cruise Line Oceania Cruises Orient Lines Princess Cruises Radisson Seven Seas Cruises Royal Caribbean International Seabourn Cruise Line Silversea Cruises Swan Hellenic Windstar Cruises Search by Length of Cruise All Cruise Lengths 3-7 days 8-14 days 15-21 days 22+ days Why choose a CLIA Certified Cruise Counsellor? Find a CLIA affiliated travel agent in your area Search Tips Site designed by RampageInteractive / Web Services by TheDestination Group Digital Site Map

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Travel to Russia - *Escorted St. Petersburg tours* HOME | TOUR GUIDES | ESCORTED TOURS | SHORE EXCURSIONS | VISAS | CLIENTS | RUSSIA TRAVEL GUIDE | HOTELS The State Hermitage Museum St. Petersburg City of St. Petersburg Destination guide for independent and cruise travel to Russia City of Moscow Cultural capital of Russia Michael's Palace St. Nicholas Cathedral Stroganoff Palace Palace Square Hermitage Theater If you are going to travel to Russia or need first-hand information about Moscow and St. Petersburg - this site is for you! Your Personal Travel Concierge Planning a trip to Russia can be strenuous and time-consuming. As many experts agree, engaging a company with local expertise can save time, money and offer a high level of flexibility. With over 12 years of experience serving foreign guests who choose Moscow and St. Petersburg as their destination, we are ready to alleviate your burden of making travel arrangements half a world away. We are a St. Petersburg based tour operator offering top-rated service at a reasonable price. Our art-savvy tour guides will introduce you to the world-famous art exhibits and bustling nightlife of Russia's both capitals. Our friendly drivers will meet you at the airport and get you to your hotel at any time of day or night. Our free travel concierge will help you plan every detail of your trip making sure your visit to Russia is enjoyable and fun. Russia Travel Guide To help you prepare for your trip even further, we have created a comprehensive Travel Guide where you can get the latest news and practical advice on travel in Russia. Our Guide features information on Moscow, St. Petersburg and the Greater Area, and covers such topics as transportation, money, arrivals guide, museums, and many others. It is an indispensable companion both for first-time and seasoned travelers. For more information visit Russia Travel Guide , St. Petersburg City Guide , Moscow City Guide . Private Escorted Tours Our tours are designed for those seeking to maximize their time in Russia. We are delighted to offer individual and group tour programs of any duration tailored to your unique interests and tastes. Whether you are coming on a business trip or as a tourist, we have a variety of tour options to accommodate even the most demanding time schedule. During the tour you will be accompanied by one of our licensed guides who will ensure that you visit the venues of your own choice at your preferred pace with all of your questions or concerns being addressed right away. For more information visit Escorted Russian Tours . Cruise Shore Excursions We offer individual and group shore excursions in Moscow and St. Petersburg for both sea and river cruisers. Regardless of whether you will stay for only a few hours or for 2 weeks, we will tailor your tour program according to your individual needs. This high level of flexibility will be especially appealing for those travelers who wish to avoid all the inconvenience of ship-organized group tours and prefer to spend less while experiencing more. Read what our clients say and get in touch with us before you book the cruise tour package. For more information visit Baltic Shore Excursions , St. Petersburg Shore Excursions , Moscow Shore Excursions . Russia Travel Services Russian Visas : Free tourist visa invitation letters for customers booking our tours. Russian Hotels : Online hotel reservation system for Moscow and St. Petersburg hotels. Folk Show and Ballet Tickets : Get front of the line tickets for performances in Moscow and St. Petersburg. Official capital of Russia Red Square The Dashkov House Ivan the Great Tower Annunciation Cathedral Kremlin Cathedrals 2005 Optima , B. Konyushennaya St., 9 suite 9. St. Petersburg 191186 Russia. Tel/fax: +1 253 5507816 E-mail SITE MAP | TERMS | FAQ's | GLOBAL RESOURCES