See your doctor at least 4-6 weeks before your trip to allow time for shots to take effect.
Hepatitis A or immune globulin (ITO).
Hepatitis B if you might be exposed to blood (for example, health-care workers), have sexual contact with the local population, stay longer than 6 months, or be exposed through medical treatment.
Meningococcal meningitis for travel to most of these countries from
December through June.
Yellow Fever
Rabies if you might be exposed to wild or domestic animals through your work or recreation.
Typhoid particularly if you are visiting developing countries in these
regions.
As needed, booster doses for tetanus-diphtheria, measles and a one-time dose of polio vaccine for adults.
TO STAY HEALTHY, PLEASE DO...
Wash hands often with soap and water.
Drink only bottled or boiled water, or carbonated (bubbly) drinks in cans and bottles. Avoid tap water, fountain drinks, and ice cubes. If this is not possible, make water safer by BOTH filtering through an “absolute 1- micron or less” filter AND adding iodine tablets to the filtered water.
Eat only thoroughly cooked food or fruits and vegetables you have peeled yourself. REMEMBER: BOIL IT, COOK IT, PEEL IT, AND OR FORGET IT!
Take your malaria prevention medication before, during, and after travel as directed.
Protect yourself from insects by remaining in well-screened areas, using repellents, (applied sparingly at 4-hour intervals) and pyrethrum
Impregnated mosquito nets, and wearing long-sleeved shirts and long pants from dusk through dawn.
To prevent fungal and parasitic infection, keep feet clean and dry, and do not go barefoot.
TO AVOID GETTING SICK...
Don’t eat food purchased from street vendors.
Don’t drink beverages with ice.
Don’t eat dairy products unless you know they have been pasteurized.
Don’t handle animals (especially monkeys, dogs, and cats), to avoid .bites and serious diseases (including rabies and plague).
Don’t swim in fresh water.
AFTER YOU HAVE RETURNED HOME...
Continue to take your antimalarial drug for 4 weeks. Travelers who
Become ill with a fever or flu-like illness while traveling in a Malaria-risk area and up to one year after returning home should seek prompt medical attention and should tell the physician their travel history.