Recommended chemoprophylaxis: Areas with malaria except cities of Amsterdam and Georgetown: Atovaquone-proguanil, doxycycline, mefloquine, or tafenoquine.4 Cities of Amsterdam and Georgetown: None (practice mosquito avoidance). Rare cases in Boaco, Chinandega, Esteli, Jinotega, Leon, Matagalpa, and Nueva Segovia. See Health Information for Travelers to Guatemala. See Health Information for Travelers to Saint Pierre and Miquelon (France). Recommendations: Recommended for all travelers ≥9 months of age traveling to areas south of the Sahara Desert (see Map 4-13). Areas with malaria: Rare cases along Guatemalan border. See Health Information for Travelers to Tunisia. Malaria species: P. falciparum, P. vivax, P. Knowlesi, P. malariae, and P. ovale. Map 2-29. The CDC states that this includes:. See Health Information for Travelers to Thailand. Rare cases in other parts of the country. See Health Information for Travelers to Palau. Malaria transmission areas in Peru, Health Information for Travelers to Philippines, Health Information for Travelers to Pitcairn Islands (U.K.), Health Information for Travelers to Poland, Health Information for Travelers to Portugal, Health Information for Travelers to Puerto Rico (U.S.), Health Information for Travelers to Qatar, Health Information for Travelers to Romania, Health Information for Travelers to Russia, Health Information for Travelers to Rwanda, Health Information for Travelers to Réunion (France), Health Information for Travelers to Saint Helena (U.K.), Health Information for Travelers to Saint Kitts and Nevis, Health Information for Travelers to Saint Lucia, Health Information for Travelers to Saint Pierre and Miquelon (France), Health Information for Travelers to Saint Vincent and the Grenadines, Health Information for Travelers to Samoa (formerly Western Samoa), Health Information for Travelers to San Marino, Health Information for Travelers to Saudi Arabia, Health Information for Travelers to Senegal, Health Information for Travelers to Serbia, Health Information for Travelers to Seychelles, Health Information for Travelers to Sierra Leone, Health Information for Travelers to Singapore, Health Information for Travelers to Sint Eustatius, Health Information for Travelers to Sint Maarten, Health Information for Travelers to Slovakia, Health Information for Travelers to Slovenia, Health Information for Travelers to Solomon Islands, Health Information for Travelers to Somalia, Health Information for Travelers to South Africa, Health Information for Travelers to South Georgia and the South Sandwich Islands (U.K.), Health Information for Travelers to South Korea, Health Information for Travelers to South Sudan, Health Information for Travelers to Spain, Health Information for Travelers to Sri Lanka, Health Information for Travelers to Sudan, Health Information for Travelers to Suriname, Health Information for Travelers to Sweden, Health Information for Travelers to Switzerland, Health Information for Travelers to Syria. See Health Information for Travelers to Peru. All areas <2,500 m (8,202 ft). No malaria in the cities of Brasilia, Rio de Janeiro, São Paolo, and none at Iguaçu Falls (see Map 2-06). Until supply returns around the end of 2018, the manufacturer has made an alternative yellow fever vaccine, Stamaril, available at certain locations. See Health Information for Travelers to Nepal. Serious adverse events can occur following yellow fever vaccination. Present in Kruger National Park (see. Rare seasonal cases May–September in Ha, Lhuentse, Monggar, Punakha, Trashigang, Trongsa, Tsirang, Yangtse, and Wangdue. None in the city of Phnom Penh or at the temple complex at Angkor Wat. Requirements: Required for arriving travelers from all countries if travelers is ≥9 months of age. See Health Information for Travelers to Singapore. This lifetime validity applies automatically to all existing and new certificates, beginning 10 days after the date of vaccination. See Health Information for Travelers to Tanzania. Present throughout the country and in Roatán and other Bay Islands. Recommendations: Recommended for all travelers ≥9 months of age traveling to the following areas <2,300 m (7,546 ft) in elevation and east of the Andes Mountains: the entire departments of Beni, Pando, Santa Cruz, and designated areas (see Map 2-02) of Chuquisaca, Cochabamba, La Paz, and Tarija departments. None in Antigua, Guatemala City, or Lake Atitlán. See Health Information for Travelers to Mali. Requirements: This country has not stated its YF vaccination certificate requirements. Health Information for Travelers to São Tomé and Príncipe. Rare local cases in other parts of Alajuela, Heredia, Limón, and Puntarenas Provinces. See Health Information for Travelers to Guyana. The information was accurate at the time of publication; however, this information is subject to change at any time as a result of changes in disease transmission or, in the case of YF, changing country entry requirements. None in Sana’a. All areas. Recommendations: Recommended for all travelers ≥9 months of age, except as mentioned below. Areas with malaria: Rare cases in São Tiago Island. No malaria in city of Windhoek. Areas with malaria except cities of Amsterdam and Georgetown: Atovaquone-proguanil, doxycycline, mefloquine, or tafenoquine. See Health Information for Travelers to Mozambique. See Health Information for Travelers to Easter Island (Chile). The government of Niger recommends vaccine for travelers departing Niger. Vaccine is recommended for people aged 9 months or older and who are traveling to or living in areas at risk for yellow fever virus in Africa and South America. It comprises a single vaccination in the upper arm and gives you lifelong protection. Yellow fever vaccine recommendations in Brazil According to International Health Regulations, yellow fever vaccine must be administered at certified yellow fever vaccination … Malaria transmission areas in Kenya, Health Information for Travelers to Kenya, Health Information for Travelers to Kiribati, Health Information for Travelers to Kosovo, Health Information for Travelers to Kuwait, Health Information for Travelers to Kyrgyzstan, Health Information for Travelers to Latvia, Health Information for Travelers to Lebanon, Health Information for Travelers to Lesotho, Health Information for Travelers to Liberia, Health Information for Travelers to Libya, Health Information for Travelers to Liechtenstein, Health Information for Travelers to Lithuania, Health Information for Travelers to Luxembourg, Health Information for Travelers to Macau SAR (China), Health Information for Travelers to Madagascar, Health Information for Travelers to Madeira Islands (Portugal), Health Information for Travelers to Malawi, Health Information for Travelers to Malaysia, Health Information for Travelers to Maldives, Health Information for Travelers to Malta, Health Information for Travelers to Marshall Islands, Health Information for Travelers to Martinique (France), Health Information for Travelers to Mauritania, Health Information for Travelers to Mauritius, Health Information for Travelers to Mayotte (France), Health Information for Travelers to Mexico, Health Information for Travelers to Micronesia, Federated States of, Health Information for Travelers to Moldova, Health Information for Travelers to Monaco, Health Information for Travelers to Mongolia, Health Information for Travelers to Montenegro, Health Information for Travelers to Montserrat (U.K.), Health Information for Travelers to Morocco, Health Information for Travelers to Mozambique, Health Information for Travelers to Namibia, Health Information for Travelers to Nauru, Health Information for Travelers to Nepal, Health Information for Travelers to The Netherlands, Health Information for Travelers to New Caledonia (France), Health Information for Travelers to New Zealand, Health Information for Travelers to Nicaragua, Health Information for Travelers to Niger, Health Information for Travelers to Nigeria, Health Information for Travelers to Niue (New Zealand), Health Information for Travelers to Norfolk Island (Australia), Health Information for Travelers to North Korea, Health Information for Travelers to North Macedonia, Health Information for Travelers to Northern Mariana Islands (U.S.), Health Information for Travelers to Norway, Health Information for Travelers to Pakistan, Health Information for Travelers to Palau, Map 2-21.
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