1. Being prepared, alert, andmindful are the best ways topromote health and safetywhile away
2. IMMUNIZATIONS …know what is recommendedhttp://wwwnc.cdc.gov/travel/destinations/list.htm
4. Immunizations:Contact your insurance company to see what is covered and where is might cover• Get the immunizations ASAP; 4-6 weeks before is ideal, but anytime before is better than no immunization• Get the recommended prescriptions filled. Learn which ones you take before and during travel, and which you carry with you in case of stomach upset.
5. Medicines you may need: The prescription medicines you take every day. Make sure you have enough to last one week longer than the duration of your trip.Keep them in their original prescription bottles and always in your carry-on luggage. Be sure to follow security guidelines, if the medicines are liquids.Note: Some drugs available by prescription in the US are illegal in other countries. If your medication is not allowed in the country you will be visiting, ask your health-care provider to write a letter on office stationery stating the medication has been prescribed for you.
6. You WILL need:Bottled water In general, do not drink tap water Always have water with you; hydrate oftenSun block and sunglasses for protection from harmful effects of UV sun rays.
7. Protect yourself against insect bitesInsect can carry various diseases….Use insect repellent with 30%-50% DEET.Wearing long-sleeved shirts, long pants, and a hat outdoors.
8. Do not go barefootTo prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot, especially on beaches where animals may have defecated.
9. Stay out of cavesTravelers should be aware of the serious health risks associated with visiting caves in certain areas of Africa. These risks include infectious diseases spread by bats. CDC advises people not to enter any caves or mines where bats may live
10. Be careful about food and waterIodine tablets and portable water filters to purify water may be necessary if bottled water is not available.Wash your hands often with soap and water, especially before eating. If soap and water are not available, use an alcohol-based hand gel (with at least 60% alcohol).
11. Food safety• Diseases from food and water are the leading cause of illness in travelers. Follow these tips for safe eating and drinking.• Avoid unpasteurized dairy products.• Many countries or portions of countries lack substantial infrastructure for maintaining water purity. Travelers are strongly encouraged to avoid drinking tap water or a beverage that contains ice from an unknown source (even alcoholic drinks). Bottles and bags of purified water are widely available.
12. PEEL IT, HEAT IT OR FORGET IT!It is also recommended that individuals traveling in unknown areas avoid eating untreated raw vegetables fruits that cannot be peeled on the spot, products containing mayonnaise products containing eggs pastry icing unpasteurized dairy products
13. Foods that are considered safe: Hot cooked food fresh bread, dry foods such as crackers bottled carbonated beverages coffee, tea, and beer are usually safe, provided such food items are not purchased from street vendors.
14.  All fruits and vegetables should be washed thoroughly with detergent and running water. Those that will be eaten raw one tablespoon of bleach per gallon of water  rinsed with potable water, and allowed to air dry.
15. BECAUSE A RESTAURANT SERVES IT, DOESN’T MEAN IT IS SAFE.Have your local guide or tour leader make judgments of where it is safe to eat.
16. PREVENTIONTalk with a healthcare provider 4-6 weeks before departureDo whatever is recommended as a preventive measure.Know as much as you can about health issues in the place where you are travelingEven in the most developed countries, like the United States, there are areas with inadequate sanitation, health risks and questionably prepared food.Use your best judgment when away.Carry sanitizer, sun-screen and insect repellent for yourself. Very small packets are available.
18. Greece Routine immunizations  Malarial Precaution talk to your doctor about taking medication  (depending on your medical history and type of travel) use insect repellent with DEET wear protective clothing England, Scotland, & Jordan Routine immunizations Coronavirus concern (flu-like respiratory illness) –   seek medical attention if experiencing flu-like symptoms.    sanitize hands vigilantly.
19. China Avian H7N9 flu concern  fever, cough, shortness of breath – immediately seek medical attention.  do not touch birds, pigs or other animals. Eat fully cooked food. Polio booster are suggested Routine immunizations
20. Japan & South Korea Routine immunizations  hepatitis A, typhoid and Japanese encephalitis (if working on farms or with animals)South Africa Routine immunizations, hepatitis A, typhoid (rabies is working with animals) Malarial Precaution  talk to your doctor about taking medication (depending on your medical history and type of travel)  use insect repellent with DEET  wear protective clothing
21. Australia, Ecuador, Fiji, & Tanzania Dengue Fever (mosquito transmitted fever, headache, pain behind eyes, joint pain, rash nausea…can look like measles)  SEEK MEDICAL CARE IF YOU HAVE THE SYMPTOMS  use insect repellent with DEET  wear protective clothing  Routine immunizations Routine immunizations
22. BelizeRoutine immunizations, hepatitis A, typhoid and malarial medication, depending on districts of travelDengue Fever (mosquito transmitted fever, headache, pain behind eyes, joint pain, rash nausea …can look like measles) SEEK MEDICAL CARE IF YOU HAVE THE SYMPTOMS use insect repellent with DEET wear protective clothing
23. Dominican RepublicCholera precaution (bacterial diarrhea, dehydration)  for severe diarrhea, seek medical care right away.  Precautions:  drink and use safe water (bottled water with unbroken seals, canned or carbonated beverages)  brush your teeth with bottled water ONLY  wash hands and with soap and safe water or alcohol-based hand cleaner  cook food well  Take a prescription antibiotic to take in case of diarrhea  Take water purification tablets (found in camping store in U.S.)  Bring oral rehydration salts (found in camping store in U.S.) Routine immunizations
24. We shall not cease from exploration,and the end of all our exploring will beto arrive where we started and knowthe place for the first time. T. S. Eliothttp://wwwnc.cdc.gov/travel/destinations/list.htm