1. Being prepared, alert, and
mindful are the best ways to
promote health and safety
while away

2. IMMUNIZATIONS
…know what is recommended
http://wwwnc.cdc.gov/travel/destinations/list.htm

3. CDC
Website

4. Immunizations:
Contact your insurance company to see what is
covered and where is might cover
• Get the immunizations ASAP; 4-6 weeks before is
ideal, but anytime before is better than no
immunization
• Get the recommended prescriptions filled. Learn
which ones you take before and during travel, and
which you carry with you in case of stomach upset.

5. Medicines you may need:
The prescription medicines you take every day. Make
sure you have enough to last one week longer than the
duration of your trip.
Keep them in their original prescription bottles and
always in your carry-on luggage. Be sure to follow security
guidelines, if the medicines are liquids.
Note: Some drugs available by prescription in the US are illegal in other
countries. If your medication is not allowed in the country you will
be visiting, ask your health-care provider to write a letter on office
stationery stating the medication has been prescribed for you.

6. You WILL need:
Bottled water
In general, do not drink tap water
Always have water with you; hydrate often
Sun block and sunglasses for protection from
harmful effects of UV sun rays.

7. Protect yourself against insect
bites
Insect can carry various diseases….
Use insect repellent with 30%-50%
DEET.
Wearing long-sleeved shirts, long pants,
and a hat outdoors.

8. Do not go barefoot
To prevent fungal and parasitic
infections, keep feet clean and dry, and
do not go barefoot, especially on
beaches where animals may have
defecated.

9. Stay out of caves
Travelers should be aware of the
serious health risks associated with
visiting caves in certain areas of Africa.
These risks include infectious diseases
spread by bats. CDC advises people not
to enter any caves or mines where bats
may live

10. Be careful about food and water
Iodine tablets and portable water filters to
purify water may be necessary if bottled
water is not available.
Wash your hands often with soap and water,
especially before eating. If soap and water
are not available, use an alcohol-based hand
gel (with at least 60% alcohol).

11. Food safety
• Diseases from food and water are the leading cause of
illness in travelers. Follow these tips for safe eating and
drinking.
• Avoid unpasteurized dairy products.
• Many countries or portions of countries lack substantial
infrastructure for maintaining water purity. Travelers are
strongly encouraged to avoid drinking tap water or a
beverage that contains ice from an unknown source (even
alcoholic drinks). Bottles and bags of purified water are
widely available.

12. PEEL IT, HEAT IT OR FORGET IT!
It is also recommended that individuals
traveling in unknown areas avoid eating
untreated raw vegetables
fruits that cannot be peeled on the spot,
products containing mayonnaise
products containing eggs
pastry icing
unpasteurized dairy products

13. Foods that are considered safe:
Hot cooked food
fresh bread, dry
foods such as crackers
bottled carbonated beverages
coffee, tea, and beer are usually safe,
provided such food items are not
purchased from street vendors.

14.
All fruits and vegetables should be
washed thoroughly with detergent and
running water.
Those that will be eaten raw
one tablespoon of bleach per gallon
of water
 rinsed with potable water, and
allowed to air dry.

15. BECAUSE A RESTAURANT SERVES
IT, DOESN’T MEAN IT IS SAFE.
Have your local guide or tour
leader make judgments of
where it is safe to eat.

16. PREVENTION
Talk with a healthcare provider 4-6 weeks before
departure
Do whatever is recommended as a preventive measure.
Know as much as you can about health issues in the
place where you are traveling
Even in the most developed countries, like the United
States, there are areas with inadequate sanitation, health
risks and questionably prepared food.
Use your best judgment when away.
Carry sanitizer, sun-screen and insect repellent for
yourself. Very small packets are available.

17. Immunizations
Canada----------- Up-to date routine immunizations
France----------- Up-to date routine immunizations
Italy------------- - Up-to date routine immunizations
Ireland ---------- Up-to date routine immunizations
Spain------------ -Up-to date routine immunizations
Czech Republic- Up-to date routine immunizations
and hepatitis A

18. Greece
Routine immunizations
Malarial Precaution
talk to your doctor about taking medication
(depending on your medical history and type of travel)
use insect repellent with DEET
wear protective clothing
England, Scotland, & Jordan
Routine immunizations
Coronavirus concern (flu-like respiratory illness) –
 seek medical attention if experiencing flu-like symptoms.
 sanitize hands vigilantly.

19. China
Avian H7N9 flu concern
 fever, cough, shortness of breath – immediately seek medical
attention.
 do not touch birds, pigs or other animals. Eat fully cooked
food.
Polio booster are suggested
Routine immunizations

20. Japan & South Korea
Routine immunizations
 hepatitis A, typhoid and Japanese encephalitis (if
working on farms or with animals)
South Africa
Routine immunizations, hepatitis A, typhoid (rabies is
working with animals)
Malarial Precaution
 talk to your doctor about taking medication (depending on
your medical history and type of travel)
 use insect repellent with DEET
 wear protective clothing

21. Australia, Ecuador, Fiji, & Tanzania
Dengue Fever (mosquito transmitted fever, headache,
pain behind eyes, joint pain, rash nausea…can look like
measles)
 SEEK MEDICAL CARE IF YOU HAVE THE SYMPTOMS
 use insect repellent with DEET
 wear protective clothing
 Routine immunizations
Routine immunizations

22. Belize
Routine immunizations, hepatitis A, typhoid and
malarial medication, depending on districts of travel
Dengue Fever (mosquito transmitted fever, headache,
pain behind eyes, joint pain, rash nausea …can look
like measles)
SEEK MEDICAL CARE IF YOU HAVE THE SYMPTOMS
use insect repellent with DEET
wear protective clothing

23. Dominican Republic
Cholera precaution (bacterial diarrhea, dehydration)
 for severe diarrhea, seek medical care right away.
 Precautions:
 drink and use safe water (bottled water with unbroken seals,
canned or carbonated beverages)
 brush your teeth with bottled water ONLY
 wash hands and with soap and safe water or alcohol-based hand
cleaner
 cook food well
 Take a prescription antibiotic to take in case of diarrhea
 Take water purification tablets (found in camping store in U.S.)
 Bring oral rehydration salts (found in camping store in U.S.)
 Routine immunizations

24. We shall not cease from exploration,
and the end of all our exploring will be
to arrive where we started and know
the place for the first time.
T. S. Eliot
http://wwwnc.cdc.gov/travel/destinations/list.htm