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TRAVEL
ADVISORY:
Entry
Requirements:
A tourist card and multiple entry
visa are available. Contact the Embassy of Venezuela.
Vaccinations:
No vaccinations are required to
visit this country
Animal Hazards:
Animal hazards include snakes (vipers),
centipedes, scorpions, black widow spiders, brown recluse
spiders, banana spiders, and wolf spiders.
Chagas’
Disease:
This disease is endemic to rural areas in the northern
one-half of Venezuela. An extensive outbreak occurred
in Guarico State in 1986. In some areas up to 50% of the
population has been exposed. Chagas’ disease is
among the top 10 causes of death in Venezuelans over age
45. Risk occurs in those rural-agricultural areas where
there are adobe-style huts and houses that potentially
harbor the night-biting triatomid (assassin) bugs. Travelers
sleeping in such structures should take precautions against
nighttime bites. Unscreened blood transfusions are also
a source of infection and should be avoided.
Dengue
Fever:
Year-round risk is present in coastal and lowland urban
areas. Outbreaks of dengue occur regularly in central
and northern Venezuela, including Caracas. In February
2002, the CDC reported significant increase in cases of
dengue in many regions of the country, including Miranda,
Sucre, Merida, and Nueva Esparta (Margarita Island).
• The Aedes aegypti mosquitoes, which transmit dengue
fever, bite primarily during the daytime and are present
in populous urban areas as well as resort and rural areas.
All travelers should take protective measures against
daytime mosquito bites
Hepatitis:
All nonimmune travelers should receive
hepatitis A vaccine prior to visiting this country. Hepatitis
E is endemic, but levels are unclear. The carrier rate
of the hepatitis B virus in the general population is
estimated at 2% to 3%, but rates as high as 31% have been
found in some aboriginal populations (e.g., the Yucpa
Indians in Zulia State). Vaccination against hepatitis
B should be considered for stays over 3 months and by
short-term travelers desiring maximum protection. Travelers
should be aware that hepatitis B can be transmitted by
unsafe sex and the use of contaminated needles and syringes.
Hepatitis C is endemic.
Insects:
All travelers should take measures
to prevent evening and nighttime mosquito bites. Insect-bite
prevention measures include a DEET-containing repellent
applied to exposed skin, insecticide (permethrin) spray
applied to clothing and gear, and use of a permthrin-treated
bednet at night while sleeping.
Leishmaniasis:
Cutaneous leishmaniasis (CL) is widespread in rural areas
under 2,000 meters elevation, especially in rural west-central
areas. Transmission of CL has been reported at elevations
as high as 2,500 meters in the Andes. Except for a focus
in northern Bolivar State, visceral leishmaniasis is primarily
limited to northwestern and northern areas under 500 meters
elevation. All travelers to risk areas should take measures
to prevent insect (sandfly) bites, whixh occur primarily
during the night.
Malaria:
Risk is present year-round in most rural areas below 600
meters elevation. Risk of malaria is highest in the western,
southern, and eastern border areas. Risk is highest in
Bolivar and Sucre States. Most north-central areas, including
the Federal District and the states of Aragua, Carabobo,
Cojedes, Miranda, and Yaracuy, are risk-free. This includes
the major cities and resort areas of northern Venezuela.
Elevated risk in most malarious areas occurs with the
early months of the rainy season (which usually extends
from late May through November); however, in the Orinoco
Basin, the period of elevated risk may begin with the
onset of the dry season.
• Nationwide, P. vivax accounts for about 75% of
all cases, varying from 40% in Bolivar State to 99% in
Sucre State. A few cases caused by P. malariae occur.
Chloroquine-resistant falciparum malaria probably occurs
in most malarious areas.
• Prophylaxis with atovaquone/proguanil (Malarone),
mefloquine (Lariam), or doxycycline is recommended.
• All travelers should take measures to prevent
evening and nighttime mosquito bites. Insect-bite prevention
measures include a DEET-containing repellent applied to
exposed skin, insecticide (permethrin) spray applied to
clothing and gear, and use of a permthrin-treated bednet
at night while sleeping.
Marine
Hazards:
• Portuguese man-of-war, sea
wasps, and stingrays are found in the coastal waters of
Venezuela and could be a hazard to swimmers.
• Ciguatera poisoning is prevalent and can result
from eating coral reef fish such as grouper, snapper,
sea bass, jack, and barracuda. The ciguatoxin is not destroyed
by cooking.
• Scuba Diving-Hyperbaric Chamber Referral: Divers'
Alert Network (DAN) maintains an up-to-date list of all
functioning hyperbaric chambers in North America and the
Caribbean. DAN does not publish this list, since at any
one time a given chamber may be non-functioning, or its
operator(s) may be away or otherwise unavailable. Through
Duke University, DAN operates a 24-hour emergency phone
line for anyone (members and non-members) to call and
ask for diving accident assistance. Dive medicine physicians
at Duke University Medical Center carry beepers, so someone
is always on call to answer questions and, if necessary,
make referral to the closest functioning hyperbaric chamber.
In a diving emergency, or for the location of the nearest
decompression chamber, call 919-684-8111.
Onchocerciasis:
Risk occurs along fast-flowing rivers at elevations up
to 1,000 meters in the northcentral, northeast, and southern
regions. Up to 90% of the population is infected in some
southern regions. Travelers to these areas should take
measures to prevent insect (blackfly) bites.
Other
Diseases/Hazards:
AIDS/HIV (endemic; seroprevalence increasing rapidly among
women), angiostrongyliasis, brucellosis, echinococcosis,
fascioliasis, leptospirosis, mansonellosis, paragonimiasis,
tuberculosis, typhoid fever, Venezuelan hemorrhagic fever,
and helminthic diseases (due to hookworm, roundworm, whipworm,
and strongy-loides) are reported.
Schistosomiasis:
Risk is present year-round. Risk areas are limited to
north-central Venezuela, including the Federal District
(but not Caracas) and the surrounding states of Aragua,
Carabobo, Guarico, and Miranda. Travelers should avoid
swimming in freshwater lakes, ponds, or streams. Risk
may be elevated in periurban areas.
Travelers' Diarrhea:
High risk outside of Merida, Caracas, Maracaibo, and resort
areas. Water supplies in most urban areas are filtered
and chlorinated, but may be contaminated within the distribution
system. Travelers should follow food and drink precautions.
A quinolone antibiotic, combined with loperamide (Imodium),
is recommended for the treatment of acute diarrhea. Diarrhea
not responding to antibiotic treatment may be due to amebiasis,
giardiasis, or cryptosporidiosis.
Tuberculosis:
Tuberculosis is a major public health problem in this
country. Travelers planning an extended stay should have
a predeparture TB skin test (PPD test) and be re-rested
after leaving this country.
Typhoid
Fever:
Vaccination against typhoid fever is recommended for:
travelers venturing outside of tourist areas; long-term
travelers; adventure travelers; those wishing maximum
disease protection. Because the typhoid vaccines are only
60% to 70% effective, safe food and drink selection remain
important.
Venezuelan
Equine Encephalitis:
Mosquito-borne; highest risk located in northwestern areas,
primarily Zulia State. All travelers should take protective
measures against mosquito bites to prevent transmission
of this viral disease.
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