BELIZE DOMINICAN REPUBLIC

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1 ELIZE You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in elize, regardless of where you are eating or staying. You can get typhoid through contaminated food or water in elize. CDC recommends this vaccine for most You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC When traveling in elize, you should avoid mosquito bites to prevent malaria. You may need to take prescription medicine before, during, and after your trip to prevent malaria, depending on your travel plans, such as where you are going, when you are traveling, and if you are spending a lot of time outdoors or sleeping outside. Talk to your doctor about how you can prevent malaria while traveling. For more information on malaria in elize, see malaria in elize. DOMINICN REPULIC You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella and your yearly flu shot Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in the Dominican Republic, regardless of where you are eating or staying. You can get typhoid through contaminated food or water in the Dominican Republic. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural

2 areas, or if you You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC When traveling in the Dominican Republic, you should avoid mosquito bites to prevent malaria. You may need to take prescription medicine before, during, and after your trip to prevent malaria, depending on your travel plans, such as where you are going, when you are traveling, and if you are spending a lot of time outdoors or sleeping outside. Talk to your doctor about how you can prevent malaria while traveling. For more information on malaria in the Dominican Republic, see malaria in the Dominican Republic. EL SLVDOR You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in El Salvador, regardless of where you are eating or staying. You can get typhoid through contaminated food or water in El Salvador. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC lthough the risk of malaria is low in El Salvador, you should avoid mosquito bites to prevent malaria. Some travelers to certain areas who are at higher risk for complications from malaria (such as pregnant women) may need to take extra precautions, like antimalarial medicine. Talk to your doctor about how you can prevent malaria while traveling. For more information on malaria in El Salvador, see malaria in El Salvador. GHN

3 You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Yellow Fever Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella Health recommendation: Yellow fever is a risk in Ghana, so CDC recommends this vaccine for all travelers who are 9 months of age or older. Country entry requirement: The government of Ghana requires proof of yellow fever vaccination for all travelers, except infants. See more information on yellow fever recommendations and requirements for Ghana. Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in Ghana, regardless of where you are eating or staying. You will need to take prescription medicine before, during, and after your trip to prevent malaria. Your doctor can help you decide which medicine is right for you, and also talk to you about other steps you can take to prevent malaria. See more detailed information about malaria in Ghana. You can get typhoid through contaminated food or water in Ghana. CDC recommends this vaccine for most You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC Meningitis (Meningococcal disease) GREECE Ghana is part of the meningitis belt of sub- Saharan frica (see map). CDC recommends this vaccine if you plan to visit Ghana during the dry season (December June), when the disease is most common You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella outbreaks occur throughout the world and sometimes in countries with a low risk for hepatitis

4 (including the US). You can get hepatitis through contaminated food or water in Greece, so talk to your doctor to see if the hepatitis vaccine is right for you. You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC GUTEML You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in Guatemala, regardless of where you are eating or staying. You can get typhoid through contaminated food or water in Guatemala. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC When traveling in Guatemala, you should avoid mosquito bites to prevent malaria. You may need to take prescription medicine before, during, and after your trip to prevent malaria, depending on your travel plans, such as where you are going, when you are traveling, and if you are spending a lot of time outdoors or sleeping outside. Talk to your doctor about how you can prevent malaria while traveling. For more information on malaria in Guatemala, see malaria in Guatemala.

5 HITI You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in Haiti, regardless of where you are eating or staying. You will need to take prescription medicine before, during, and after your trip to prevent malaria. Your doctor can help you decide which medicine is right for you, and also talk to you about other steps you can take to prevent malaria. See more detailed information about malaria in Haiti. You can get typhoid through contaminated food or water in Haiti. CDC recommends this vaccine for most You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC MLYSI You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella and your yearly flu shot. Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in Malaysia, regardless of where you are eating or staying. You can get typhoid through contaminated food or water in Malaysia. CDC recommends this vaccine for most

6 You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC Japanese Encephalitis You may need this vaccine if your trip will last more than a month, depending on where you are going in Malaysia and what time of year you are traveling. You should also consider this vaccine if you plan to visit rural areas in Malaysia or will be spending a lot of time outdoors, even for trips shorter than a month. Your doctor can help you decide if this vaccine is right for you based on your travel plans. See more in- depth information on Japanese encephalitis in Malaysia. When traveling in Malaysia, you should avoid mosquito bites to prevent malaria. You may need to take prescription medicine before, during, and after your trip to prevent malaria, depending on your travel plans, such as where you are going, when you are traveling, and if you are spending a lot of time outdoors or sleeping outside. Talk to your doctor about how you can prevent malaria while traveling. For more information on malaria in Malaysia, see malaria in Malaysia. PERU You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in Peru, regardless of where you are eating or staying. You can get typhoid through contaminated food or water in Peru. CDC recommends this vaccine for most Yellow Fever You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC When traveling in Peru, you should avoid mosquito bites to prevent malaria. You may need to take prescription medicine before, during, and after your trip to prevent malaria, depending on your travel plans, such as where you are going, when you are traveling, and if you are spending a lot of time outdoors or sleeping outside. Talk to your doctor about how you can prevent malaria while traveling. For more information on malaria in Peru, see malaria in Peru. Yellow fever is a risk in certain parts of Peru, so CDC recommends the yellow fever vaccine for travelers 9 months of age or older to these areas. For more information on this recommendation, see yellow fever recommendations and requirements for Peru.Your doctor can help you decide if this vaccine is right for you

7 based on your travel plans. UGND You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella (MMR) vaccine, diphtheria- tetanus- pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, Get travel and medicines because there is a risk of these diseases in the country you are visiting. Yellow Fever CDC recommends this vaccine because you can get hepatitis through contaminated food or water in Uganda, regardless of where you are eating or staying. You will need to take prescription medicine before, during, and after your trip to prevent malaria. Your doctor can help you decide which medicine is right for you, and also talk to you about other steps you can take to prevent malaria. See more detailed information about malaria in Uganda. You can get typhoid through contaminated food or water in Uganda. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you Health recommendation: Yellow fever is a risk in Uganda, so CDC recommends this vaccine for all travelers who are 9 months of age or older. Country entry requirement: The government of Uganda also requires proof of yellow fever vaccination if you are traveling from a country with risk of yellow fever (this does not include the US - for complete list, see Countries with risk of yellow fever virus (YFV) transmission.) See more information on yellow fever recommendations and requirements for Uganda. You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC Meningitis (Meningococcal disease) Uganda is part of the meningitis belt of sub- Saharan frica (see map). CDC recommends this vaccine if you plan to visit Uganda during the dry season (December June), when the disease is most common.

8 ZMI You should be up to date on routine vaccinations while traveling to any destination. Some may also be required Make sure you are up- to- date on routine before every trip. These include measles- mumps- rubella (MMR) vaccine, diphtheria- tetanus- pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, Get travel and medicines because there is a risk of these diseases in the country you are visiting. CDC recommends this vaccine because you can get hepatitis through contaminated food or water in Zambia, regardless of where you are eating or staying. You will need to take prescription medicine before, during, and after your trip to prevent malaria. Your doctor can help you decide which medicine is right for you, and also talk to you about other steps you can take to prevent malaria. See more detailed information about malaria in Zambia. You can get typhoid through contaminated food or water in Zambia. CDC recommends this vaccine for most Yellow Fever You can get hepatitis through sexual contact, contaminated needles, and blood products, so CDC Health recommendation: CDC does not recommend yellow fever vaccine for most travelers to Zambia. However, you might consider this vaccine if you are staying a long time or will be heavily exposed to mosquitoes. Country entry requirement: The government of Zambia requires proof of yellow fever vaccination upon arrival if you are traveling from a country with risk of yellow fever (this does not include the US - see complete list: Countries with risk of yellow fever virus (YFV) transmission. ) For more information on recommendations and requirements, see yellow fever recommendations and requirements for Zambia. Your doctor can help you decide if this vaccine is right for you based on your travel plans.

Plan early - get your vaccinations in time for full protection. To prepare for your trip, schedule an appointment: (910) 347-2154, option #2.

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