Panama
• Vaccinations: Hepatitis A, Hepatitis B, Typhoid, Rabies, Yellow Fever
• Travelers should also be up to date for measles/mumps/rubella (MMR), diphtheria/pertussis/tetanus (DPT), Polio
• Rabies vaccination if traveling to rural areas.
• Yellow fever vaccination is recommended but not required prior to entry into Panama.
• Travel warnings for: Malaria, Dengue, Filariasis, Leishmaniasis, Onchocerciasis, Chagas’ disease, Histoplasmosis, Leptospirosis, Schistosomiasis, Cryptosporidiosis.
• Malaria risk in all areas except Panama City and the canal zone.
• Chloroquine is NOT an effective antimalarial drug in Panama.
• Atovaquone/proguanil, doxycycline, or mefloquine can be used and this should be discussed with your doctor.
• Dengue, Filariasis, Leishmaniasis, Onchocerciasis (River blindness), and American trypanosomiasis (Chagas’ disease) carried by insects and travelers 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.
• Schistosomiasis avoid swimming in fresh water.
• Cryptosporidiosis risk can be prevented by bottled water.
Posted on November 3, 2008
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