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Destinations: East Asia | CDC Travelers' Health Home About CDC Press Room Funding A-Z Index Centers, Institute & Offices Training & Employment Contact Us CDC en Español Search: Travelers' Health Travelers' Health Home > Destinations >East Asia Health Information for Travelers to Countries in East Asia On This Page Vaccines for Your Protection Diseases Found in East Asia Other Health Risks What You Need To Bring With You Staying Healthy During Your Trip After You Return Home For More Information Travel Notices in Effect Update: Human Infection with Avian Influenza A (H5N1) Virus in Asia (Updated December 27, 2005) Recent Avian Influenza Outbreaks in Asia and Europe (Updated December 6, 2005) Interim Guidance about Avian Influenza A (H5N1) for U.S. Citizens Living Abroad (Updated November 18, 2005) Human Illness Associated With Contact With Pigs, China (Updated August 18, 2005) U.S. Department of State See all Traveler's Health travel notices Vaccines for Your Protection: East Asia Routine Vaccinations Check with your healthcare provider: you and your family may need routine as well as recommended vaccinations. Before travel, be sure you and your children are up to date on all routine immunizations according to schedules approved by the Advisory Committee on Immunization Practice (ACIP). See the schedule for adults and the schedule for infants and children . Some schedules can be accelerated for travel. See your doctor at least 4–6 weeks before your trip to allow time for shots to take effect. If it is less than 4 weeks before you leave, you should still see your doctor. It might not be too late to get your shots or medications as well as other information about how to protect yourself from illness and injury while traveling. Recommended Vaccinations and Preventive Medications The following vaccines may be recommended for your travel to East Asia. Discuss your travel plans and personal health with a health-care provider to determine which vaccines you will need. Hepatitis A or immune globulin (IG). Transmission of hepatitis A virus can occur through direct person-to-person contact; through exposure to contaminated water, ice, or shellfish harvested in contaminated water; or from fruits, vegetables, or other foods that are eaten uncooked and that were contaminated during harvesting or subsequent handling. Hepatitis B , especially if you might be exposed to blood or body fluids (for example, health-care workers), have sexual contact with the local population, or be exposed through medical treatment. Hepatitis B vaccine is now recommended for all infants and for children ages 11–12 years who did not receive the series as infants. Japanese encephalitis , if you plan to visit rural farming areas and under special circumstances, such as a known outbreak of Japanese encephalitis. Malaria: if you are traveling to a malaria-risk area in this region, see your health care provider for a prescription antimalarial drug. For details concerning risk and preventive medications, see Malaria Information for Travelers to East Asia . Rabies , if you might have extensive unprotected outdoor exposure in rural areas, such as might occur during camping, hiking, or bicycling, or engaging in certain occupational activities. Typhoid , particularly if you are visiting developing countries in this region. Typhoid fever can be contracted through contaminated drinking water or food, or by eating food or drinking beverages that have been handled by a person who is infected. Large outbreaks are most often related to fecal contamination of water supplies or foods sold by street vendors As needed, booster doses for tetanus-diphtheria and measles . Required Vaccinations None. Diseases found in East Asia (risk can vary by country and region within a country; quality of in-country surveillance also varies) The preventive measures you need to take while traveling in East Asia depend on the areas you visit and the length of time you stay. You should observe the precautions listed in this document in most areas of this region. However, in highly developed areas of Japan , Hong Kong, South Korea, and Taiwan , you should observe health precautions similar to those that would apply while traveling in the United States. Malaria An Anopheles freeborni mosquito takes a blood meal. Malaria is always a serious disease and may be a deadly illness. Humans get malaria from the bite of a mosquito infected with the parasite. Prevent this serious disease by seeing your health care provider for a prescription antimalarial drug and by protecting yourself against mosquito bites. Travelers to some areas in China, North Korea, and South Korea may be at risk for malaria. Travelers to malaria-risk areas in China, North Korea, and South Korea should take an antimalarial drug. For additional information on malaria risk and prevention, see Malaria Information for Travelers to East Asia . There is no risk of malaria in Japan, Taiwan, Hong Kong S.A.R. (China), Macau S.A.R. (China), and Mongolia. Yellow Fever There is no risk for yellow fever in East Asia. A certificate of yellow fever vaccination may be required for entry into certain of these countries if you are coming from countries in South America or sub-Saharan Africa. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements . Also, find the nearest authorized U.S. yellow fever vaccine center . Food and Waterborne Diseases Avoid buying food or drink from street vendors, because it is relatively easy for such food to become contaminated. Make sure your food and drinking water are safe. Food and waterborne diseases are the primary cause of illness in travelers. Travelers’ diarrhea can be caused by viruses, bacteria, or parasites, which are found throughout East Asia and can contaminate food or water. Infections may cause diarrhea and vomiting ( E. coli , Salmonella , cholera , and parasites), fever ( typhoid fever and toxoplasmosis), or liver damage ( hepatitis). Additional information: see the Safe Food and Water page for a list of links. Other Disease Risks Dengue , filariasis , Japanese encephalitis , leishmaniasis , and plague are diseases carried by insects that also occur in this region. Protecting yourself against insect bites ( see below ) will help to prevent these diseases. Avian influenza is also present in China. Outbreaks of severe acute pulmonary syndrome ( SARS ) occurred in mainland China, Hong Kong, and Taiwan in 2003. Avian influenza is present in the region. If you visit the Himalayan Mountains, ascend gradually to allow time for your body to adjust to the high altitude , which can cause insomnia, headaches, nausea, and altitude sickness. In addition, use sunblock rated at least SPF 15, because the risk of sunburn is greater at high altitudes. Other Health Risks Injuries Motor vehicle crashes are a leading cause of injury among travelers. Protect yourself from motor vehicle injuries: avoid drinking and driving; wear your safety belt and place children in age-appropriate restraints in the back seat; follow the local customs and laws regarding pedestrian safety and vehicle speed; obey the rules of the road; and use helmets on bikes, motorcycles, and motor bikes. Avoid boarding an overloaded bus or mini-bus. Where possible, hire a local driver. What You Need To Bring With You Long-sleeved shirt, long pants, and a hat to wear whenever possible while outside, to prevent illnesses carried by insects (e.g., malaria , Dengue , filariasis , leishmaniasis , and onchocerciasis ). Insect repellent containing DEET . Bed nets treated with permethrin. For use and purchasing information, see Insecticide Treated Bednets on the CDC malaria site. Overseas, permethrin or another insecticide, deltamethrin, may be purchased to treat bed nets and clothes. Flying-insect spray to help clear rooms of mosquitoes. The product should contain a pyrethroid insecticide; these insecticides quickly kill flying insects, including mosquitoes. Iodine tablets and portable water filters to purify water if bottled water is not available. See Preventing Cryptosporidiosis: A Guide to Water Filters and Bottled Water for more detailed information. Sunblock, sunglasses, and a hat for protection from harmful effects of UV sun rays. See Skin Cancer Questions and Answers for more information . Prescription medications: make sure you have enough to last during your trip, as well as a copy of the prescription(s) or letter from your health-care provider on office stationery explaining that the medication has been prescribed for you. Always carry medications in their original containers, in your carry-on luggage. Be sure to bring along over-the-counter antidiarrheal medication (e.g., bismuth subsalicylate, loperamide) and an antibiotic prescribed by your doctor to self-treat moderate to severe diarrhea. See suggested over-the-counter medications and first aid items for a travel kit . Staying Healthy During Your Trip Travelers should take the following precautions To stay healthy, do... When using repellent on a child, apply it to your own hands and then rub them on your child. Avoid children's eyes and mouth and use it sparingly around their ears. Wash your hands often with soap and water or, if hands are not visibly soiled, use a waterless, alcohol-based hand rub to remove potentially infectious materials from your skin and help prevent disease transmission. In developing countries, drink only bottled or boiled water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes. If this is not possible, learn how to make water safer to drink . Take your malaria prevention medication before, during, and after travel, as directed. (See your health care provider for a prescription.) To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot, even on beaches. Always use latex condoms to reduce the risk of HIV and other sexually transmitted diseases. Protect yourself from mosquito insect bites: Wear long-sleeved shirts, long pants, and hats when outdoors. Wear long-sleeved shirts, long pants, and hats. Use insect repellents that contain DEET (N, N-diethylmethyltoluamide). For more information about insect repellents and correct use, see What You Need to Know about Mosquito Repellent on the CDC West Nile Virus site . If no screening or air conditioning is available: use a pyrethroid-containing spray in living and sleeping areas during evening and night-time hours; sleep under bed nets, preferably insecticide-treated ones. If you are visiting friends and relatives in your home country, see additional special information about malaria prevention in Recent Immigrants to the U.S. from Malarious Countries Returning 'Home' to Visit Friends and Relatives on the CDC Malaria site. Do not Do not eat food purchased from street vendors or food that is not well cooked to reduce risk of infection (i.e., hepatitis A and typhoid fever). Do not drink beverages with ice. Avoid dairy products, unless you know they have been pasteurized. Do not swim in fresh water to avoid exposure to certain water-borne diseases such as schistosomiasis. (For more information, please see Swimming and Recreational Water Precautions .) Do not handle animals, especially monkeys, dogs, and cats, to avoid bites and serious diseases (including rabies and plague). Consider pre-exposure rabies vaccination if you might have extensive unprotected outdoor exposure in rural areas. For more information, please see Animal-Associated Hazards . Do not share needles for tattoos, body piercing or injections to prevent infections such as HIV and hepatitis B. After You Return Home If you have visited a malaria-risk area, continue taking your antimalarial drug for 4 weeks (mefloquine or doxycycline) or seven days (atovaquone/proguanil) after leaving the risk area. Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever or flu-like illness either while traveling in a malaria-risk area or after you return home (for up to1 year), you should seek immediate medical attention and should tell the physician your travel history. For More Information For more information about these and other diseases, please check the Diseases page and CDC Health Topics A-Z Diseases carried by insects Dengue : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=dengue.htm Japanese encephalitis : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=jenceph.htm : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=lyme.htm Malaria information for Travelers to East Asia : http://www.cdc.gov/travel/regionalmalaria/eastasia.htm Malaria Frequently asked questions : http://www.cdc.gov/malaria/faq.htm Malaria Prescription Drugs : http://www.cdc.gov/travel/malariadrugs.htm : http://www.cdc.gov/ncidod/dvbid/arbor/index.htm Plague : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=plague.htm : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=yellowfever.htm Diseases carried in food or water : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=madcow.htm Cholera : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=cholera.htm Escherichia coli diarrhea : http://www.cdc.gov/ncidod/dbmd/diseaseinfo/escherichiacoli_g.htm Hepatitis A : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=hav.htm Schistosomiasis : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=schisto.htm Typhoid fever : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=typhoid.htm Diseases from person-to-person contact Hepatitis B : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=hbv.htm HIV/AIDS prevention : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=dis&obj=hivaids.htm HIV-infected travelers (in The Immunocompromised Traveler) : http://www2.ncid.cdc.gov/travel/yb/utils/ybGet.asp?section=special&obj=hivtrav.htm&cssNav=browseoyb Important: This document is not a complete medical guide for travelers to this region. Consult with your doctor for specific information related to your needs and your medical history; recommendations may differ for pregnant women, young children, and persons who have chronic medical conditions. Date: December 27, 2005 Content Source: National Center for Infectious Diseases, Division of Global Migration and Quarantine Destinations Vaccinations Diseases Yellow Book Safe Food and Water Illness and Injury Abroad Traveling with Children Cruise Ship and Air Travel Special Needs Travel Traveling with Pets Travel Medicine Clinics Yellow Fever Vaccination Clinics References and Resources Travelers' Health Automated Information Line PHONE: 877-FYI-TRIP toll free (Information about ordering the Yellow Book and International Certificates of Vaccination and recorded messages on travel-related health topics) VIA EMAIL: Contact Us Form Home | Policies and Regulations | Disclaimer | e-Government | FOIA | Contact Us Department of Health and Human Services Centers for Disease Control and Prevention,1600 Clifton Rd, Atlanta, GA 30333, U.S.A Tel: (404) 639-3311 / Public Inquiries: (404) 639-3534 / (800) 311-3435
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Japanese travel agency You are here: About > Travel > Japan for Visitors > Plan Your Trip to Japan > Travel Agency Travel Go Japan Essentials Clickable Map of Japan Japan Pictures Japan Travel Tips Japanese Geisha Japan 101 - Fact about Japan Articles & Resources Japan Maps Picture of Japan / Web cams Best of Japan / Attractions Hotels/Accommodations Tokyo / Cities / Regions Japanese Translators Japanese Culture Etiquette / Living in Japan Japan Weather / Geography Japan History / Samurai Japanese Penpal / Chat Plan Your Trip to Japan Air Travel / Train Travel Restaurants / Japanese Food Japanese Gift / Japan Books Buyer's Guide Before You Buy Top Picks Japanese Gifts Product Reviews Forums Help FREE Newsletter Sign Up Now for the Japan for Visitors newsletter! See Online Courses Search Japan for Visitors > Plan Your Trip to Japan > Travel Agency Travel Agency A list of travel agencies which offer tours to Japan and Japanese travel agencies abroad. Articles & Resources Sort By : Guide Picks | Alphabetical | Recent JAPAN TRAVEL BUREAU, Inc Information about Japan tours by JTB. Kinki Nippon Tourist Sevices and tour information by the International Travel Division of Kinki Nippon Tourist Inc. Nippon Travel This is one of the largest travel agencies in Japan. Nippon Travel has many oversea offices. Club Japan Offers planned and custom tours in Japan. Hotels and sightseeing information. Beltop Travel Service Provide services for foreign travelers. Famous for winter ski tours to Hokkaido. Databay Travel Offers tours to Tokyo and Kyoto. Gateway Holiday Japanese travel agency in the US. Sells discount tickets to Japan from the US. Inside Japan Operates inexpensive and interesting tours to Japan internationally. Japan Travel Bureau USA JTB USA On-line customer service. Information about branch offices in the US. Japan Tours Offers a number of tours to Japan from Australia. Tabibito Tabibito travel specializes in travel arrangements and tours for foreigners living in or visiting Japan Topic Index | Email to a Friend Our Story | Be a Guide | Advertising Info | Work at About | Site Map | Icons | Help User Agreement | Ethics Policy | Patent Info. | Privacy Policy | Kids' Privacy Policy ©2005 About, Inc., A part of the New York Times Company . All rights reserved. Around About New Video iPod - Review POLL: Must-Have Gadgets VIDEO: Portable Gaming VIDEO: Choosing a TV Hugh Hefner's Life What's Hot Japan Postcard - Japanese free email postcards - New Year's ... Japan Map - Nagano Prefecture Map - Map of Japan Universal Studios Japan Odaiba Photos Pictures of Japan - mount fuji picture - mt. fuji Photo Headlines Best Japan Photos in 2005 Which Japan photo gallery was viewed the most by visitors... Japanese New Year's Cards Sending New Year's cards to relatives, friends, teachers, classmates, and... Photo Gallery: Christmas Decorations in Japan Christmas in Tokyo Disneyland, Odaiba, Ebisu Garden Place, and more.... Christmas in Tokyo There are many fun events and beautiful Christmas illuminations to...
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South America Travel Guide : BootsnAll Travel Network Visit other BootsnAll sites: BootBlog | Bali | London | Australia | Written Road | Travel News Daily Home | Ask an Insider | Members Forum Plane Tickets | Youth Hostels | RTW Guide About Us | Advertising | Contact | RSS | Staff First Time Visitor? Home » South America South America Travel Guide Countries in South America Argentina - Buenos Aires , Patagonia , Bolivia - Brazil - Ceara , Florianopolis , Fortaleza , ... more Chile - Easter Island , Pucon , Puerto Montt , ... more Colombia - Bogota , Ecuador - Galapagos Islands , Quito , French Guiana - Guyana - Paraguay - Peru - Cuzco , Lima , Machu Picchu , ... more Suriname - Uruguay - Venezuela - BootsnAll Newsletters Sign up for any of BootsnAll's community, regional or deals newsletters. Why should you sign-up? Featured Country : Peru Peru Travel Stories Mountains, Ruins, and Recorders - Huaraz, Peru First Impressions of Peru - In and Around Lima, Peru Three Time's A Charm - Cuzco, Peru Cicada Nests Are A Girl's Best Friend - Lake Sandoval, Peru A Tour Etched in Heaven - Nazca, Peru Peru Nutz And Bolts Not so Coy with Cuy - Peru Peru Nutz and Bolts Lima Nutz and Bolts Cuzco Nutz and Bolts Peru Travelogue Peru - Part Seite (7) Peru - Part Cinco (5) Peru - Part Quatro (4) Peru - Part Tres (3) Peru - Part Dos (2) Peru Things To See And Do Lima: A Bargain-Hunter's Wonderland? You bet! - Lima, Peru In Ayacucho, Money Talks, When You Least Expect It - Ayacucho, Peru Inca Roots - Peru Peru Fast Facts - Peru Where is the Deepest Canyon in the World? - Arequipa, Peru Peru Traveller Reports On The Inca Trail - Inca Trail, Peru Discussions Recent South America Travel Stories Life on the Road in Porto Alegre - Porto Alegre, RS, Brazil Carl Winter finds out that life is full of surprises in Brazil. Brazilian Soccer Rules - Porto Alegre, RS, Brasil Carl Winter - and every other Gremio fan in the stadium - KNOWS that ref is a SOB. Mac Love in Brazil - Porto Alegre, RS, Brazil Carl Winter loves his computer - it just doesn't always feel the same way about him. Specialty of the House - Ecuador Conor Grennan represses his memories of his sister's guinea pig and opens his mouth for cuy. The Awkward, Shy Child - Asuncion, Paraguay Paraguay is not unlike the shy, awkward child in a large family where all the others get the attention More South America Travel Stories » Submit your own South America story! Home | Email BootsnAll | Become a Member | Top of page Travel Guides, Stories, Information, and Newsletters Africa Travel | Asia Travel | Pacific Travel | Europe Travel | North America Travel | Central America Travel | South America Travel | Middle East Travel Odds'n'Ends | Travel Book Reviews | Insiders | Travel Blogs | Travel Newsletters Around the World Travel Around the World Tickets | Around the World Travel Guide | Cheap International Plane Tickets | Around the World Travel Tips Airport Parking Reservations Philadelphia Airport Parking | Newark Airport Parking | Oakland Airport Parking | San Diego Airport Parking | Phoenix Airport Parking BootsnAll World Adventure Travel Tanzania Safari | Viet Nam Tours | Thailand Tour | China Tours | New Zealand Adventure | Australia Tours Youth Hostels Europe Hostels | New York Hostels | Paris Hostels | London Hostels | Amsterdam Hostels Eurail Eurail Passes | Britrail Passes | Eurail Travel | Eurail Tips Book Tickets, Hostels, Hotels and more anywhere in the world Search for Hotels | Traveler's Toolkit | Plane Tickets | Rent Cars | Search Youth Hostels | Travel Insurance | Learn Languages | Backpacker Tours | Cheap Tickets | Cruise and Vacation Packages | Cheap Hotels | Cheap Vacation Rentals | World Music Downloads | Travel Bookstore BootsnAll Travel Community websites, blogs and About the Company Press Kit | Advertise with us | Internships | TripPlanner Affiliate Partners | Link to Us | Join Us! | Privacy policy | BootBlog | Bali Travel | Australia Travel | BootsnAll TravelBlogs | Travel Writer's Resource | Travel Gear Blog | Eurail Blog | London Blog | BootsnAll Travel: Australia | UK and Europe Travel | Travel News Daily | World Travel Watch BootsnAll in Other Languages Chercher des Auberges De Jeunesse | Ricercare gli Ostelli di Gioventù | Busque para Albergues Juveniles de Juventud | Suchen Sie Jugendherbergen Suchen Sie Hotels --
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