| TRAVEL:
Entry Requirements:
U.S.
citizens must have a passport or proof of citizenship.
A tourist card or visa is required.
HIV Test: Not
required.
Vaccinations: None
required.
Cholera:
This disease is active in this country.
Although cholera vaccination is not required for entry
if arriving directly from the U.S. or Canada, it may be
required if arriving from a cholera-infected area, or
required for on-going travel to other countries in Latin
America, Africa, the Middle East, or Asia.
Dengue
Fever:
Endemic
year-round, countrywide, with risk elevated during the
rainier months (usually May through December). All travelers,
however, should take measures to prevent mosquito bites.
Hepatitis:
Hepatitis
A vaccine is recommended for nonimmune travelers. Hepatitis
E status is unclear. The hepatitis B carrier rate in the
general population is estimated at 0.7% to 1.4%. Vaccination
against hepatitis B is recommended for long-term travelers.
Leishmaniasis:
Scattered
cases of cutaneous leishmaniasis occur countrywide in
rural areas, but most cases are reported from the western
or west-central areas. Visceral leishmaniasis not reported.
All travelers should take measures to prevent sandfly
bites.
Other Diseases/Hazards: Cysticercosis,
filariasis (may occur in the extreme northeast), histoplasmosis
(from exposure to bat guano), leptospirosis, mansonellosis
(increased incidence in northwestern Darien), measles,
paragonimiasis (from raw freshwater crabs or crayfish),
rabies (currently a minor threat to humans; dogs account
for most human exposure), tick-borne rickettsioses (spotted
fever group), toxoplasmosis (usually transmitted by infective
cat feces), tuberculosis (incidence declining), typhoid
fever, viral encephalitis, and intestinal helminth infections,
including strongyloidiasis, are reported.
Travelers'
Diarrhea:
Variable
risk. All water sources outside major hotels should be
considered potentially contaminated. A quinolone antibiotic
is recommended for the treatment of diarrhea. Diarrhea
not responding to antibiotic therapy may be due to a parasitic
disease such as amebiasis or giardiasis. Cryptosporidiosis
may occur.
Yellow
Fever:
This
country is in the Yellow Fever Endemic Zone. Vaccination
is recommended for travel to rural areas. No cases reported
since the 1940s. |