Your Destination. Your Healthy Travel Plan.

Before going abroad, the PLU Health Center can help you to put together an individualized plan to make sure that you stay healthy while abroad. The information listed below is, in most cases, a recommendation for travelers and not a requirement.  You will need to think about:

	Immunizations
	Risk of Malaria
	Insect-borne diseases
	Other Considerations like Animal Hazards, food dangers, or water-borne illnesses.

Risks will vary depending on itinerary, length of stay, style of travel, season of the year, and personal health issues.

Each person has a different risk tolerance.  Individual travel counseling is encourage. Consultation is required to obtain travel vaccinations or medications from the Student Health Center.

Routine immunizations should be up to date before traveling to any destination. These include tetanus-diphtheria-pertussis (booster dose within the last ten years), MMR (measles-mumps-rubella), hepatitis B, varicella (if there is no history of chicken pox) and influenza (yearly vaccine).

Destinations

• Australia
• Austria
• Botswana
• Brazil
• Caribbean
• China (People's Republic)
• Costa Rica
• Denmark
• Dubai/U.A.E.
• Ecuador
• Egypt
• United Kingdom

	Australia
	Routine
	No Risk
	Dengue Fever, Murray Vally Encephalitis, Ross River Fever, Tick-borne diseases
	Animal hazards (snakes, spiders, crocodiles), Heat/Sun-related illness and injury, Marine hazards (jellyfish, sharks, stingrays), Chiguatera poisoning from reef fish

	Austria
	Routine
	No Risk
	Tick-borne diseases
	Avian Influenza

	Botswana
	Routine, Hepatitis A, Polio, Typhoid, *Rabies
	Mainly northern districts from November to June, Chloroquine resistant
	African Sleeping Sickness, Dengue Fever, Rift Valley Fever, Tick-borne diseases, West Nile Virus
	Animal hazards (snakes, spiders, scorpions), Food and beverage precautions, Heat/Sun-related illness and injury, HIV (37% incidence), Schistosomiasis (avoid fresh water swimming and bathing), Tuberculosis (260/100,00 active cases)

	Brazil
	Routine, Hepatitis A, Polio, Typhoid, Yellow Fever, Rabies*
	Most forested areas below 3,000 ft. within “Legal Amazonia” including urban areas
	Chagas’ disease, Dengue Fever, Leishmaniasis, Onchocerciasis, Yellow Fever
	Food and beverage precautions (avoid uncooked or raw Seafood, reef fish, un-pasteurized dairy products), Heat/Sun-related illness and injury, Measles (2007 Outbreak), Schistosomiasis (avoid fresh water swimming and bathing), Tuberculosis (25/100,00 active cases)

	Caribbean
	Routine, Hepatitis A, Typhoid
	No Risk
	Dengue Fever
	Food and beverage precautions, Heat/Sun-related illness and injury, HIV (2nd most affected area in the world), Marine hazards (jellyfish, sharks, stingrays), Chiguatera poisoning from reef fish.

	China (People's Republic)
	Routine, Hepatitis A, Typhoid, Rabies*, Japanese Encephalitis*
	No Risk in usual tourist areas, Risk in rural areas below 4,900 ft. in warm weather, mixed resistance to chloroquine
	Dengue Fever, Japanese Encephalitis, Leishmaniasis, Tick-borne diseases
	Air Pollution, Altitude Sickness (over 8,000 ft.), Avian Influenza (including human cases), Food and beverage precautions, Tuberculosis (45/100,000 active cases)

	Costa Rica
	Routine, Hepatitis A, Typhoid, Rabies*
	Low risk year-round in rural areas below 1,600 ft. increased risk May to November, Majority of cases from Limon province, Chloroquine sensitive
	Chagas’ Disease, Dengue Fever, Leishmaniasis, Myiasis
	Food and beverage precautions, Head/Sun-related illness and injury, Traffic accident rate among the highest in the world, Water Safety (Strong costal riptides with ~250 drowning incidents per year)

	Denmark
	Routine
	No Risk
	Tick-borne diseases in warmer months
	Avian Influenza

	Dubai/U.A.E.
	Routine, Hepatitis A, Typhoid
	Limited risk in area bordering Oman
	Leishmaniasis
	Brucellosis--avoid un-pasteurized dairy products, Food and beverage precautions, Heat/Sun-related illness and injury, Strict medication restriction

	Ecuador
	Routine, Hepatitis A, Typhoid, Yellow Fever, *Rabies
	Areas below 4,900 ft. No risk in Galapagos Islands, Chloroquine resistant
	Chagas' Disease, Dengue Fever, Leishmaniasis, Onchocerciasis, Yellow Fever
	Altitude Sickness (over 8,000 ft.), Food and beverage precautions, Avoid undercooked crustaceans—Lung Fluke, Heat/Sun-related illness and injury, Tuberculosis (50/100,000 active cases)

	Egypt
	Routine, Hepatitis A, Meningococcal Meningitis, Polio, Typhoid, *Rabies (Serious concern especially of dogs in urban areas)
	Very limited risk in El Faiyum area
	Leishmaniasis, Rift Valley Fever, West Nile Fever
	Animal hazards (snakes, scorpions, and spiders), Avian Influenza (including human cases), Food and beverage precautions, Heat/Sun-related illness and injury, Hepatitis C (less than 15% prevalence), Schistosomiasis (avoid fresh water swimming/bathing), Tuberculosis (13/100,000 active cases)

	United Kingdom
	Routine
	No Risk
	Tick-borne diseases in warmer months
	Avian Influenza, Traffic is left-sided

*Rabies vaccine is recommended for occupational exposure, adventure travelers; especially individuals who will be more than 24 hours from a reliable source of post-exposure vaccine. Animal bites and scratches should be washed immediately with soap and water and a medical provider consulted.

**Japanese Encephalitis vaccine is recommended for travelers anticipating spending extensive time (usually considered to be > 4 weeks) in risk areas, or who will have unprotected outdoor evening and nighttime exposure such as bikers, campers and certain occupations.