Americas - Argentina
Travel health report:
Argentina Health Advisory Updates
On October 27,
2008, the U.S. Embassy Buenos Aires released the following Warden
Message:
This Warden Message is to
alert American citizens traveling to or residing in Argentina of the
updated health advisory related to yellow fever, malaria, and
rabies.
Yellow Fever
"Travelers
are strongly advised to follow the existing
CDC yellow fever vaccination recommendations for Argentina:
· Yellow
fever vaccination (at least 10 days before your trip) is recommended
for all travelers older than 9 months of age who are traveling to
the northern and northeastern forested areas of
Argentina, including
Iguaçu Falls
and all areas bordering Paraguay
and Brazil.
These areas include:
o
All
departments of Misiones and
Formosa Provinces
o
Department
of Bermejo in Chaco
Province
o
Departments of Berón de Astrada, Capital, General Alvear, General
Paz, Ituzaingó, Itatí, Paso de los Libres, San Cosme, San Miguel,
San Martín, and Santo Tomé in Corrientes Province
o
Departments
of Valle Grande, Ledesma, Santa Bárbara, and San Pedro in
Jujuy Province
o
Departments
of General José de San Martín, Oran,
Rivadavia, and Anta in
Salta Province
·
The vaccine
is effective for 10 years. The complications from yellow fever
vaccine are greater for certain groups of people, such as those
younger than 9 months or older than 60 years, pregnant women, and
those whose immune systems are compromised. For more information
about these and other yellow fever vaccine precautions and
contraindications, please see the
prevention
information in the Yellow Fever section of CDC Health Information
for International Travel 2008. These travelers (or their parents)
should discuss the risks and benefits of vaccination for travel to
this area of Argentina with their physicians.
Malaria
"It should be noted that the incidence of malaria in Argentina is
very low but there is some risk in the areas mentioned below. Those
visiting the risk areas should exercise mosquito precautions for
short visits of only a few days and may want to consider medication
for visits of longer duration. Certainly, those concerned may always
take medication to provide the best possible protection. Please see
your physicians for medication options.
Malaria risk area in Argentina:
Rural areas of Salta and Jujuy province (along border with Bolivia)
and Misiones and Corrientes province (along border with Paraguay).
Drugs to prevent Malaria (Antimalarial drugs):
If you will be visiting a malaria risk area in Argentina,
chloroquine is the recommended antimalarial drug.
PROTECT
YOURSELF FROM MOSQUITO BITES
"Use insect
repellent on exposed skin surfaces when outdoors, particularly
during the day.
o
Repellents
containing 30% to 50% DEET (N,N-diethyl-m-toluamide) are recommended
for adults. Lower concentrations of DEET offer shorter-term
protection and require more frequent reapplication.
o
Repellents
containing picaridin are available in the United States in
formulations of up to 15% concentration, which require frequent
reapplication. Repellents with higher concentrations of picaridin
may be available in some regions outside the United States.
·
Wear
long-sleeved shirts and long pants when outdoors. Clothing may also
be sprayed with repellent containing permethrin or another
EPA-registered repellent for greater protection. (Remember: don't
use permethrin on skin.)
Rabies
"Buenos Aires is a
city of animal lovers and their pets. Consequently, the city and
province of Buenos Aires also harbor a large population of stray or
feral animals. Whenever you have a large concentration of canine and
feline animals interspersed with the human population, it is
inevitable that people will sustain the occasional animal bite.
Appropriate treatment of an animal bite for anyone who has never
received the rabies vaccine and is bitten by an animal with an
unknown rabies status involves injection of human rabies antibodies
at the wound site and a five injection series of rabies vaccine at
day 0, 3, 7, 14, and 28. A person who has previously completed the
rabies series requires only two booster shots of the rabies vaccine
on days 0 and 3. In addition, a tetanus injection should be given if
one has not been administered in the last five years and antibiotic
may be recommended to prevent infection. Special situations do exist
which may alter the treatment protocol and therefore, everyone who
is bitten should be seen by a qualified medical professional as soon
after the bite as is possible.
"Many
medical professionals (veterinarians and physicians) in the local
community will inform you that there is no rabies in Buenos Aires
(city and province) and it is true that there has not been a case of
rabies reported in four years. However, as rabies is a rapidly fatal
disease, no one should assume that their bite is from an uninfected
animal or that there is no risk of rabies in Buenos Aires. This is
especially true when dealing with aggressive stray or feral animals
as their rabies status cannot easily be verified and there is a
minute possibility of contracting rabies from these animals."
Travel Advisories
The Australian
Department of Foreign Affairs gives the following advice Australians
who are traveling, working or living in
Argentina: "Be a smart traveller. Before heading overseas, organise comprehensive travel
insurance and check what circumstances and activities are not
covered by your policy."
The British Foreign & Commonwealth Office gives the following advice
British people who are traveling, working or living in
Argentina
: "We
strongly recommend that you obtain comprehensive travel and medical
insurance before travelling. This should cover medical evacuation by
air ambulance. You should check any exclusions, and that your policy
covers you for all the activities you want to undertake."
The Canadian Foreign Affairs Office gives the following advice to
Canadians who are traveling, working or living in
Argentina
: "Do not
rely on your provincial health plan to cover costs if you get sick
or are injured while abroad. Out-of-country healthcare can be
costly, and your health plan will cover only part of the bill at
best. It is your responsibility to obtain supplementary travel
insurance and understand the terms of your policy. Some credit card
companies offer their holders health and travel insurance. Do not
assume that coverage is automatically included or that the card
alone provides adequate coverage."
The New Zealand Ministry of Foreign Affairs & Trade gives the
following advice to New Zealanders: "New Zealanders travelling or
resident in Argentina should have comprehensive medical and travel
insurance policies in place that include provision for medical
evacuation by air."
The U.S. Department of State gives the following advice to Americans
who are traveling, working or living in
Argentina: "We strongly urge
you to consult with their medical insurance company prior to
traveling abroad to confirm whether their policy applies overseas
and whether it will cover emergency expenses such as a medical
evacuation and overseas medical services. Please keep in mind that
Medicare does not cover any illness or injury that occurs outside of
the United States."
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