"Alan S" wrote in message
news:tppn23ljfbetp2bqj64d1mejnopps2jvb9@4ax.com...
> Hi All
>
> I'm in the process of planning a world trip that includes
> Chile, Peru, Mexico (maybe Guatemala) and Brazil in Latin
> America. Later it will continue to Egypt, India, Thailand
> and Cambodia.
>
> In reading the various WHO sites I'm getting a little
> confused with the different shots requirements for each of
> the South American countries.
>
> I have a medical condition which means I cannot accept live
> virus innoculations; nor should I expose myself
> unnecessarily to mosquito-borne (or similar) disease.
Your really should be talking with your doctor about this issue.
http://www.travmed.com/maps/country.epl?c=Mexico In part:
Dengue Fever: Dengue occurs in most areas below 1,200 meters elevation, but
recently dengue has been reported in the city of Taxco, 1,700 meters
elevation. The risk of dengue is currently greatest in the southern and
central Pacific urban coastal areas and in extreme northeastern Mexico.
Increased risk may occur during the rainy season, from July through October.
This disease is transmitted by the Aedes aegypti mosquito, but the Asian
"tiger mosquito" (Aedes albopictus ) may also transmit the virus. All
travelers to risk areas below 1,200 meters elevation are advised to take
precautions against daytime mosquito bites.
. Mexico is currently experiencing increased reports of dengue following
hurricane Kenna from the Pacific and hurricane Isidoro from the Gulf of
Mexico. The increased rains have provided excellent breeding conditions for
mosquitoes. The government of Mexico is actively responding to the current
outbreak with mosquito control activities including spraying of mosquito
breeding sites and increased public health education. Mosquito control
measures are being implemented along the Pacific coast in the states of
Sinaloa, Nayarit, and Jalisco. In the state of Sinaloa, measures are being
implemented in the city of Mazatlán, and in the municipalities of Escuinapa
and El Rosario. Along the Gulf of Mexico, measures are being implemented in
the states of Campeche and Yucatán. To date this year, Mexico has reported
8,363 laboratory confirmed cases of dengue.
Influenza: Risk extends from November to March in areas north of the Tropic
of Cancer and throughout the year in areas south of that. The flu vaccine is
recommended for all travelers over age 50; all travelers with chronic
disease or a weakened immune system; travelers of any age wishing to
decrease the risk of this illness; pregnant women after the first trimester.
Malaria: Malaria is endemic in rural areas under 1,000 meters elevation, and
is more
widespread than most travelers realize. The disease, however, has been
eliminated from large urban areas and the major international resorts. The
incidence of malaria is highest in the south, including the states of
Chiapas, Oaxaca, Guerrero, Quintana Roo, and Campeche, and in Sinaloa State
on the Pacific Coast. Lesser-risk areas include Michoacan and Tabasco
states. Most cases reported from tourist centers occur in the vicinity of
Huatulco Bay (Pochutla region of Oaxaca). P. vivax accounts for more than
99% of infections, the remainder attributed to P. falciparum. No cases of
chloroquine-resistant malaria have been reported. Falciparum infections
appear to be limited to rain
forest areas near the borders with Belize and Guatemala.
. Malaria precautions are recommended for overnight stays in many rural
areas at low altitude, especially in
southern Mexico. Persons staying overnight at the following archaeological
sites should take consider chloroquine prophylaxis: Palenque, Bonampak,
Uxmal, Kabah, Labna, Sayil, Edzna, Coba, and Tulum.
. Chloroquine is not recommended when visiting the major resort areas of
Acapulco, Ixtapa, Mazatlan, Cancun, Cozumel, and Merida on the Pacific and
Gulf coasts. travelers to these areas should take measures to prevent insect
bites. These protective measures will also help prevent dengue fever and
leishmaniasis.
TB
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