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Recommended:

South and Central America

Hepatitis A, Hepatitis B, Typhoid; and depending on area and length of stay, Rabies and Malaria prophylaxis.

Mandatory:

Yellow Fever, if travelling to/from a country at risk of Yellow Fever transmission: Argentina, Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Paraguay, Peru, Senegal, Suriname, Venezuela

Zika virus:

Countries considered to pose a risk for Zika virus include: Bolivia; Brazil; Colombia; Ecuador; French Guiana; Guyana; Paraguay; Peru; Suriname; Venezuela

Colombia

Colorful colonial houses on a cobblestone street in Guatape, Antioquia in Colombia

Mandatory: Yellow Fever

Colombia is on the Australian Government’s list for needing a Yellow Fever vaccination for re-entry to Australia. Further information at: Australian Entry & Yellow Fever.  Prevalent in all areas <2,300 m (7,546 ft) in elevation, except the department of San Andrès y Providencia, and the capital city of Bogotá.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: None.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Colombia involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Yellow Fever, Zika, Malaria, and Dengue in Colombia. Malaria has been reported in all areas <1,700 m (5,577 ft) with none reported in Bogotá, Cartagena, and Medellin. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Colombia. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Costa Rica. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Venezuela

Venezuela is in turmoil. Carefully assess your need to travel to Venezuela. As of May 2018, due to a complete breakdown of health services infrastructure, the CDC recommends that travellers avoid all nonessential travel to Venezuela. The country is experiencing outbreaks of infectious diseases, and adequate health care is currently not available in most of the country.

Mandatory: Yellow Fever

Venezuela is on the Australian Governments list for needing a Yellow Fever vaccination for re-entry to Australia. Further information at: Australian Entry & Yellow Fever.  Yellow Fever is prevalent in all areas except areas >2,300m (7,546 ft) in elevation in the states of Merida, Tachira, and Trujillo; the states of Falcón and Lara; Margarita Island; the capital city of Caracas; and the city of Valencia.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: None.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Venezuela involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Yellow Fever, Zika, Malaria, and Dengue in Venezuela. Malaria has been reported in all areas <1,700 m (5,577 ft) and is present at the Angel Falls.  Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Venezuela. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Costa Rica. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Ecuador

Mandatory: Yellow Fever

Ecuador is on the Australian Governments list for needing a Yellow Fever vaccination for re-entry to Australia. Further information at: Australian Entry & Yellow Fever.  Highly prevalent in areas <2,300 m (7,546 ft) in elevation in the following provinces east of the Andes Mountains: Morona-Santiago, Napo, Orellana, Pastaza, Sucumbíos, and Zamora-Chinchipe.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: None.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Ecuador involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Yellow Fever, Zika, Malaria, and Dengue in Ecuador. Malaria has been reported in areas at altitudes <1,500 m (4,921 ft) in the provinces of Carchi, Esmeraldas, Morona Santiago, Orellana, and Pastaza. Rare cases of Malaria in other provinces in areas <1,500 m (4,921 ft). Malaria is currently not present in the cities of Guayaquil and Quito or the Galápagos Islands.  Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Ecuador. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Costa Rica. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Bolivia

Mandatory: Yellow Fever

The Ministry of Health of Bolivia states that all travellers visiting yellow fever risk areas must carry proof of yellow fever vaccination (ICVP). Bolivia is on the Australian Governments list for needing a Yellow Fever vaccination for re-entry to Australia. Further information at: Australian Entry & Yellow Fever   Yellow Fever is prevalent in all areas  <2,300 m (7,546 ft) in elevation and east of the Andes Mountains: the entire departments of Beni, Pando, Santa Cruz, and designated areas of Chuquisaca, Cochabamba, La Paz, and Tarija departments.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: If hiking or climbing up mountains, Acute Mountain Sickness (altitude sickness) may become an issue above 2500 metres. Physical fitness has no bearing on a person developing Acute Mountain Sickness; it is more about the rate of your ascent and the time spent sleeping at altitude. Following a medical review, which may include doing an in-practice Electro Cardiograph (ECG) of your heart, we may be able to prescribe you medication to minimise the effects of Acute Mountain Sickness.

 Not routinely recommended:  Rabies vaccination is only recommended for travellers in Bolivia involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Yellow Fever, Zika, Malaria, and Dengue in Ecuador. Malaria has been reported in all areas <2,500 m (8,202 ft) with none reported in the city of La Paz.  Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Bolivia. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Bolivia. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Brazil

The CDC have issued a Level 2 Alert (i.e. Practice Enhance Precautions) for Yellow Fever. “There is a large ongoing outbreak of Yellow Fever in most states of Brazil. Since early 2018, a number of unvaccinated travellers to Brazil contracted yellow fever; many of these travellers were infected on the island of Ilha Grande (Rio de Janeiro State). Several have died.” Get vaccinated for Yellow Fever at least 10 days before entering and take all precautions to avoid being bitten by mosquitoes – CDC

Mandatory: Yellow Fever

Brazil is on the Australian Governments list for needing a Yellow Fever vaccination for re-entry to Australia. Further information at: Australian Entry & Yellow Fever   Yellow Fever is prevalent in nearly all states of Brazil.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: None.

 Not routinely recommended:  Rabies vaccination is only recommended for travellers in Brazil involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Yellow Fever, Zika, Malaria, and Dengue in Brazil. The CDC report that Malaria has been identified “in all areas of the states of Acre, Amapá, Amazonas, Rondonia, and Roraima. Also present in the states of Maranhão, Mato Grosso, and Para, but rare cases in their capital cities. Rare cases in the rural areas of the states of Espirito Santo, Goias, Mato Grosso do Sul, Piaui, and Tocantins. Rare cases in the rural forested areas of the states of Rio de Janeiro and São Paolo. No malaria in the cities of Brasilia, Rio de Janeiro, São Paolo, and none at Iguaçu Falls.” Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Brazil. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Brazil. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Peru

South and Central America

Mandatory: Yellow Fever

Peru is on the Australian Governments list for needing a Yellow Fever vaccination for re-entry to Australia. Further information at: Australian Entry & Yellow Fever

Yellow Fever has been reported at elevations <2,300 m (7,546 ft) in the regions of Amazonas, Loreto, Madre de Dios, San Martin and Ucayali, Puno, Cusco, Junín, Pasco, and Huánuco, and far north of Apurimac, far northern Huancavelica, far north-eastern Ancash, eastern La Libertad, northern and eastern Cajamarca, northern and north-eastern Ayacucho, and eastern Piura.

Recommended: Hepatitis A&B, Typhoid, Malaria Prophylaxis, childhood vaccinations & adult boosters.

Suggested: If hiking or climbing up mountains, Acute Mountain Sickness (altitude sickness) may become an issue above 2500 metres. Physical fitness has no bearing on if a person may developing Acute Mountain Sickness; it is more about the rate of your ascent and sleeping at altitude. Following a medical review, which may include doing an in-practice Electro Cardiograph (ECG) of your heart, we may be able to prescribe you medication to minimise the effects of Acute Mountain Sickness.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Peru involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Yellow Fever, Zika, Malaria, and Dengue in Peru. Malaria has been reported in All departments <2,000 m (6,562 ft), including the cities of Iquitos and Puerto Maldonado and only the remote eastern regions of La Libertad and Lambayeque. Malaria has not been reported in the following areas: Lima Province; the cities of Arequipa, Ica, Moquegua, Nazca, Puno, and Tacna; the highland tourist areas (Cusco, Machu Picchu, and Lake Titicaca); and along the Pacific Coast. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Peru. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Peru. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.1

Argentina

Mandatory: Yellow Fever

Argentina is on the Australian Governments list for needing a Yellow Fever vaccination for re-entry to Australia. Further information at: Australian Entry & Yellow Fever

Recommended for travellers going to the Foz de Iguazu waterfall which is in a Yellow Fever endemic area, as well as other areas in the Corrientes and Missiones Provinces.

Recommended: Hepatitis A&B, Typhoid and childhood vaccinations & adult boosters.

Suggested: If hiking or climbing up high mountains, Acute Mountain Sickness (altitude sickness) may become an issue above 2500 meters. Physical fitness has no bearing on a person developing Acute Mountain Sickness; it is more about the rate of your ascent and sleeping at altitude. Following a medical review, which may include doing an in-practice Electro Cardiograph (ECG) of your heart, we may be able to prescribe you medication to minimise the effects of Acute Mountain Sickness.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Argentina involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: The CDC report the presence of Yellow Fever, Zika, and Dengue in Argentina. Please discuss your destinations and itinerary so that we can assess risk.

Pregnancy Warning: Zika is a risk in Argentina. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Argentina. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Chile

Mandatory: None.

Recommended: Hepatitis A, Typhoid and childhood vaccinations & adult boosters.

Suggested: Hepatitis B.

If hiking or climbing up high mountains like Aconcagua, Acute Mountain Sickness (altitude sickness) may become an issue above 2500 metres. Physical fitness has no bearing on a person developing Acute Mountain Sickness; it is more about the rate of your ascent and sleeping at altitude. Following a medical review, which may include doing an in-practice Electro Cardiograph (ECG) of your heart, we may be able to prescribe you medication to minimise the effects of Acute Mountain Sickness.

Not routinely recommended:  Rabies vaccination is only recommended for travellers in Chile involved in outdoor and other activities in remote areas that might bring them into direct contact with bats and other mammals (such as adventure travellers and cavers); and those with occupational risks (such as wildlife professionals and researchers). Carried by mammals including dogs.

Mosquito Protection Required: None.

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