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~ Preparing and Orienting ~ Immunizations

More on Immunizations…


 F   Your local health department or the CDC (Centers for Disease Control) website [www.cdc.gov/travel/camerica.htm] can provide information on traveler’s immunizations.  The phone number for the CDC is 1-877-FYI-TRIP.

F   Always check with your physician.

 

Here are basic immunizations to ask your doctor about:

1)       Hepatitis A and B.

2)       Tetanus/Diphtheria booster

3)       Measles immunity

4)       Polio booster

5)       Typhoid vaccine

6)       Rabies—if you’re concerned about animal contact

 

Malaria prevention:

    1. Chloroquine is the commonly recommended medication for the region of Central America.  Consult a malaria map on the CDC website or travel doctor.
    2. Take steps to avoid mosquito bites.  Bring insect repellent containing some percentage of DEET, to help prevent both malaria and dengue fever, illnesses both transmitted by mosquito. (Repellant that is 20-30% DEET is effective and safe. Higher percentages can cause skin reactions.)  Wear loose-fitting, long sleeves and pants in the evenings.


Keeping Healthy in Honduras…


A Word about Diarrhea:

The majority of team members who come to Honduras do not get debilitating diarrhea.  Here are some recommendations:

    1. The best way to avoid diarrhea is to watch what you eat and drink.  Avoid unpeeled, raw fruits and vegetables, unless they have been properly treated in chlorine.  Anything that is well-cooked and hot is usually okay. Drink only bottled water.  Plenty of bottled water (in 5 gallon jugs) are provided to teams, at the worksite and where the team stays.  Team members should bring wide-mouth water bottles to make pouring from the big jug into little bottles easier.  Advise the local staff when the purified water is running low and they will purchase more.  Do not consume water from the tap.  Do not drink it or brush your teeth with it.

        Hot drinks (tea/coffee) generally are safe if prepared with boiled water.
        Ice is only safe if made with purified water.  Best to avoid ice unless told otherwise.
        Boiling water is a safe alternative, but one that is rarely needed with MEH teams.     
       
      (Vigorously boil the water for 5 minutes, and then allow it to cool without ice.)

    2. The CDC and the MEH medical consultant do not recommend taking preventive antibiotics to prevent traveler’s diarrhea, because this may cause resistant organisms to develop in your body.  It is recommended that a team carry an antibiotic, like Cipro, in case a team member gets an intestinal infection (traveler’s diarrhea). 
    3. Pack a few Imodium AD to help stop diarrhea just in case.
    4. Pepto-Bismol tablets (or the generic equivalent) are also helpful in case of general stomach upset.  These can be taken before or after each meal to prevent stomach upset also.

  General advice on health:

    1. Get in shape before you leave the USA/Canada
    2. Break in any new shoes a couple weeks before arrival in Honduras.
    3. Bring all your own personal medications with you in the original packaging.
    4. Avoid dehydration by drinking plenty of purified water. Avoid excessive amounts
      of caffeinated or sugary drinks. Purified water will always be made available.
    5. Avoid overheating.
    6. Protect yourself from the intense, tropical sun. Yes, the sun is DIFFERENT in
      Honduras. It burns the skin more quickly here, closer to the equator.
    7. Some work sites are in the sun, so bring a wide-brim hat (a baseball cap leaves
      your ears and neck exposed), good sun block (and reapply it often), and
      a light-weight shirt for sun protection.
    8. Don’t count on buying a hat in Honduras—they are not available everywhere and
      there is not always time and personnel for a shopping trip.
    9. Be sure to get plenty of rest. Give yourself and others permission to take
      breaks or to take a part of a day off for rest, if needed.
    10. Keep your feet dry and do not go barefoot (to prevent parasitic infections).
    11. Don’t suffer in silence. Please let others know when you are feeling ill, especially your host. There are recommended medical doctors available in Honduras, if needed.

Updated Feb. 2005

 


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