General Advice

*Dengue Fever- is the most important viral disease transmitted by mosquitoes afflicting humans in the world. Dengue is a severe infection of short duration that is highly contagious, but rarely fatal. It usually affects older children and adults with fever, violent headache, and severe pains in the muscles and joints occurring about a week after exposure. It lasts about 4-7 days; recovery is generally complete although convalescence may be long. A more severe form, Dengue Haemorrhagic Fever (DHF), involves internal bleeding and is sometimes associated with severe shock (the Dengue Shock Syndrome (DSS)), and occurs most frequently in infants and young children. There is no specific treatment for Dengue Fever. Read More

*Malaria Prophylaxis- Depending on the destination, prophylaxis against malaria is often recommended. Depending on your distination, a antimalarial medication will be prescribed. It if very important that the medication is begun at least one week prior to your departure. Additionally, it is necessary to continue the medication for a few weeks after your trip is over. A DEET containing mosquito repellant is essential. DEET stays on clothing even after it is washed. Therefore spraying DEET on your clothes, a hat and if needed mosquito netting isan important part of the strategy to repel an infection. Read More

*West Nile Virus - Most human infections with WNV or other arboviruses are asymptomatic. Most people who have WNV with symptoms have fevers, headaches, stiff neck, muscle aches, joint aches, and fatigue. Severe infections can cause infection of the brain resulting in, confusion or other changes in mental status, nausea, vomiting, severe stiff neck, paresis or paralysis, sensory deficits, altered reflexes, abnormal movements, convulsions, and coma. West Nile meningitis or encephalitis cannot be distinguished clinically from some other central nervous system infections. Read More

*Equine Encephalitis - is a relatively common illness. Most folks who are infected have no symptoms. Those that do start to experience symptoms about two weeks after the bite. One type of illness that occurs feels like the flu. There is no specific treatment, but in severe cases see your doctor. The second type of illness creates an inflammation of the brain. presenting with headaches, disorientation, and sometimes death. These travelers will need to seek care immediately. Read More

*Prevention A DEET containing mosquito repellant is essential. DEET stays on clothing even after it is washed. Therefore spraying DEET on your clothes, a hat and if needed mosquito netting is an important part of the strategy to repel an infection. Malaria is the one illness that can be prevented by taking medication starting before you travel, in addition to using a DEET mosquito repellant.

*CDC Alerts Check this link for the latest CDC alerts before you travel..