TRAVEL
ADVISORY:
Entry
Requirements:
Proof of U.S. Citizenship Required if from USA
Tickets and Documents for return or onward travel
Marine Hazards:
Swimming related hazards include jellyfish, spiny sea
urchins, and coral. Travelers should avoid swimming or
wading in freshwater ponds, lakes, or streams.
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.
Other Diseases/Hazards:
Bancroftian filariasis (mosquito-borne; may be a threat;
travelers should prevent insect bites), intestinal helminthic
infections (ancylostomiasis, ascariasis, strongyloidiasis,
and trichuriasis), rabies, sexually transmitted diseases,
including HIV, typhoid fever, and viral encephalitis.
Travelers'
Diarrhea:
Low to moderate risk. In urban and resort areas, the hotels
and restaurants generally serve reliable food and potable
water. A quinolone antibiotic, combined with loperamide
(Imodium), is recommended for the treatment of acute diarrhea.
Typhoid
Fever:
Typhoid vaccine is recommended, especially for long-term
travelers, adventure travelers, and those wishing maximum
disease protection. Because the typhoid vaccines are only
60% to 70% effective, safe food and drink guidelines should
continue to be observed.
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