Mexico

• Vaccinations: Hepatitis A, Hepatitis B, Typhoid, Rabies

• Travelers should also be up to date for Measles/Mumps/Rubella (MMR), Diphtheria/Pertussis/Tetanus (DPT)

Rabies vaccination if traveling to rural areas.

• Travel warnings for: Traveler’s Diarrhea, Malaria, Dengue, Filariasis, Leishmaniasis, Onchocerciasis, Chagas’ disease, Histoplasmosis, Leptospirosis, Gnathostomiasis, Schistosomiasis, Cryptosporidiosis.

Traveler’s Diarrhea usually results from ingestion of toxin-producing E. coli, or Giardia, Cryptosporidia, Entamoeba histolytic.  Travelers with diarrhea should avoid dehydration by maintaining adequate intake of water and sodium containing food such as potato chips and soup. If the diarrhea persists,  you should seek medical evaluation and consideration of treatment with antibiotics.

Malaria risk is limited to areas along the borders with Belize and Guatemala and medication prophylaxis is generally not needed but travelers should protect themselves from insect bites.

Dengue, Filariasis, Leishmaniasis, Onchocerciasis (River blindness), and American trypanosomiasis (Chagas’ disease) carried by insects in rural areas so travelers to rural areas should avoid insect bites and use insect repellent with DEET (30%-50%)

Histoplasmosis avoid bat guano or bird droppings.

Leptospirosis: avoid swimming in fresh water.

Gnathostomiasis commonly called roundworms have been reported in the Acapulco area and travelers should avoid undercooked fish or poultry and use bottled drinking water.

Schistosomiasis avoid swimming in fresh water.

Cryptosporidiosis risk can be prevented by drinking bottled water.

Posted on November 3, 2008

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