Immunisation advice please

[kiwichick]

I'm hoping someone can offer advice on what, if any, immunisation we'll need for our Panama Canal relocation cruise on the Noordam in April/May.

 

The order in which we visit the ports where immunisation is potentially required is: Colombia, Chile, Guatemala, Mexico.

 

The World Health Organisation website (http://www.who.int) lists the following advice for these ports, but I am unsure whether we'll be visiting the regions specified (i.e. on HAL-provided excursions) or whether we'll need yellow fever certificates for those places that state you need one if you come from somewhere that has yellow fever.

 

COLOMBIA

Capital: Bogotá

Altitude: 2600 m

Yellow fever: Vaccination is recommended for travellers who may visit the following areas considered to be endemic for yellow fever: middle valley of the Magdalena river, eastern and western foothills of the Cordillera Oriental from the frontier with Ecuador to that with Venezuela, Urabá, foothills of the Sierra Nevada, eastern plains (Orinoquia) and Amazonia.

Malaria: Malaria risk—P. falciparum (38%), P. vivax (62%)—is high throughout the year in rural/jungle areas below 800 m, especially in municipalities of the regions of Amazonia, Orinoquía, Pacífico and Urabá-Bajo Cauca. Transmission intensity varies by department, with the highest risk in Amazonas, Chocó, Córdoba, Guainía, Guaviare, Putumayo and the departments of Amazonas, Caquetá, Chocó Córdoba, Guainía, Guaviare, Meta, Nariño, Valle del Cauca, Vaupés and Vichada. Chloroquine-resistant P. falciparum exists in Amazonia, Pacífico and Urabá-Bajo Cauca. Resistance to sulfadoxine–pyrimethamine reported.

Recommended prevention in risk areas: III; in Amazonia, Pacífico and Urabá-Bajo Cauca, IV

 

CHILE

Capital: Santiago

Altitude: 520 m

Yellow fever: A yellow fever vaccination certificate is required from travellers coming from endemic areas and travelling to Eastern Island.

 

GUATEMALA

Capital: Guatemala City

Altitude: 1500 m

Yellow fever: A yellow fever vaccination certificate is required from travellers over 1 year of age coming from countries with infected areas.

Malaria:Malaria risk—predominantly due to P. vivax—exists throughout the year below 1500 m. There is moderate to high risk in the departments of Alta Verapaz, Baja Verapaz, Escuintla, Huehuetenango, Izabal, Petén, Quiché (Ixcan) and Retalhuleu.

Recommended prevention in risk areas: II

 

MEXICO

Capital: Mexico City

Altitude: 2250 m

Yellow fever: No vaccination requirements for any international traveller.

Malaria: Malaria risk—almost exclusively due to P. vivax—exists throughout the year in some rural areas that are not often visited by tourists. There is high risk of transmission in some localities in the states of Chiapas and Oaxaca; moderate risk in the states of Chihuahua, Sinaloa and Tabasco; and low risk in Campeche, Durango, Guerrero, Michoacán, Jalisco, Nayarit, Quintana Roo, Sonora, Veracruz and Yucatan.

Recommended prevention in risk areas: II

 

Thanks to anyone who takes the time to read and respond to this long-winded post! :)

[madelinerose]

Try this link:

 

http://www.cdc.gov/travel/