Make sure to check Travel Notices in Effect for this area.

The following vaccinations and health recommendations are taken from the
Center for Disease Control and Prevention, www.CDC.gov .

Recommended Vaccinations and Preventative Medications:

• Hepatitis A or immune globulin (IG)
• Hepatitis B
• Japanese encephalitis
• Malaria
• Rabies
• Typhoid vaccine
• Yellow Fever
• As needed, booster doses for tetanus-diphtheria and measles.

Required Vaccinations:

• For detailed information, see Comprehensive Yellow Fever Vaccination Requirements.

 

Health Risks:

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. All travelers to malaria-risk areas in Haiti and the Dominican Republic, including infants, children, and former residents of these islands, should take an antimalarial drug. All travelers to Haiti are at risk for malaria, except no risk in the cruise port of Labadee (Labadie). Travelers to rural areas of the Dominican Republic are at risk for malaria, with the highest risk in provinces bordering Haiti. In addition, risk in all areas of La Altagracia Province, including Punta Cana and Bavaro Beach (Updated October 21, 2005). Travelers to malaria-risk areas in Haiti and Dominican Republic should take chloroquine to prevent malaria.

There is no risk for malaria in: Anguilla (U.K.), Antigua & Barbuda, Bahamas, Barbados, Bermuda (U.K.), Cayman Islands (U.K.), Cuba, Dominica, Grenada, Guadeloupe, Jamaica, Martinique (France), Montserrat (U.K.), Netherlands Antilles, Puerto Rico (U.S.), St. Kitts & Nevis, St. Lucia, St. Vincent & the Grenadines, Trinidad & Tobago, Turks & Caicos (U.K.), Virgin Islands (U.K., U.S.).

For additional information on malaria risk and prevention, see the CDC's Malaria Information for Travelers to the Caribbean.

Yellow Fever:

Yellow fever is present only in Trinidad & Tobago in this region. A certificate of yellow fever vaccination may be required for entry into certain countries in the region if you have visited Trinidad & Tobago or an endemic area in South America or sub-Saharan Africa. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements.

Food and Waterborne Diseases:

Make sure your food and drinking water are safe. Food and Waterbornee diseases are the primary cause of illness in travelers. Travelers’ diarrhea can be caused by viruses, bacteria, or parasites, which are found throughout the Caribbean 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). Illness caused by a parasitic worm (Angiostrongylus cantonensis) can occur in this region. People can get infected by eating raw or undercooked snails or slugs that are infected with the parasite.

Other Disease Risks:

Dengue is transmitted by mosquitoes in this region. Protecting yourself against insect bites will help to prevent this disease.

Cutaneous larval migrans is a risk for travelers with exposures on beaches and leptospirosis is present. Eosinophilic meningitis caused by Angiostongylus cantonensis occurred in travelers to Jamaica. Anthrax occurs in Haiti. Other infections that tend to occur more often in longer-term travelers (or immigrants from this region) include lymphatic filariasis (Dominican Republic and Haiti), cutaneous leishmaniais (Dominican Republic), tuberculosis (Haiti), HIV (Haiti), and hepatitis B (Haiti and the Dominican Republic). There remains very limited risk of schistosomiasis in few areas. Other hazards for travelers include toxic fish poisoning.

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
• Insect repellent containing DEET.
• Bed nets treated with Permethrin.
• Flying-insect spray to help clear rooms of mosquitoes. The product should contain a pyrethroid insecticide; these insecticides quickly kill flying insects, including mosquitoes.
• Portable water filters to filter or purify water. See Preventing Cryptosporidiosis: A Guide to Water Filters and Bottled Water for more detailed information.
• Sun Block, sunglasses, and a hat for protection from harmful effects of UV sun rays.
• 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.
• New security measures were implemented on August 10, 2006, regarding what passengers may carry onto the airplane. Up-to-date information may be obtained at the Transportation Security Administration’s Guidance For Airline Passengers Fact Sheet and Frequently Asked Questions.

To stay healthy on your trip, make sure to:

• 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 filtered water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes.
• 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.
• Protect yourself from mosquito insect bites:
  • Wear long-sleeved shirts, long pants, and hats when outdoors.
  • Use insect repellents that contain DEET (N, N-diethylmethyltoluamide).
  • 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.
• Avoid poultry farms, bird markets, and other places where live poultry is raised or kept.

 

More detailed information on this region is available at www cdc.gov