If your travel plans in Botswana include outdoor activities, take these steps to stay safe and healthy during your trip. Beste Reisezeit für Camping-Reisen Informationen zum Campen in Nambia und Botswana. Möchte man eine grüne Oase mit Tieren vorfinden, kommt man im April. Wenn Sie eine Rundreise mit dem Allradwagen und Dachzelt planen oder sich einer unserer Kleingruppen-Safaris anschließen möchten, dann sollten Sie die Hauptregenzeit (Januar – März) meiden. Im Juni/Juli ist es am kältesten, aber schon kurze Zeit später im Oktober misst man trockene 40 Grad. Chobe, Moremi, Sibuyu. This work assessed interventions and epidemiological characteristics of malaria in Botswana, during a period of decreasing transmission intensity. Bat bites may be hard to see. Saving Lives, Protecting People. Daher ist vor einer Reise in ein Malariagebiet unbedingt eine ärztliche Beratung zu empfehlen. Animal bites and scratches can lead to serious diseases such as rabies. Note: Javascript is disabled or is not supported by your browser. (Many crashes are caused by inexperienced motorbike drivers.). Check your entire body for ticks after outdoor activity. werden gefälschte Medikamente verkauft, die im besten Fall ohne Wirkstoff sind, im schlimmsten Fall schädliche Substanzen enthalten. 08.03.2021 - Namibia: Malaria, Hepatitis, Tuberkulose und HIV-Fälle Malaria Namibia verzeichnete im Jahr 2020 12.507 Malariafälle. Die Landzunge reicht im Süden bis Botswana, im Norden bis Angola, die Westgrenze bildet der Kwando und die Region Kavango und die Ostengrenze Sambia und Simbabwe. In jedes Reisegepäck gehört eine Reiseapotheke, um die kleinen gesundheitlichen Probleme schnell selbst in den Griff zu bekommen. Das angenehmste Wetter in Botswana herrscht in der Zeit von April bis Oktober. Seit die Nationalstraße B8 ganzjährig befahrbar ist, ist der 400 Kilometer lange Caprivi-Zipfel in Namibias Nordosten zunehmend ein touristisches Ziel geworden. Botswana ist ein ganzjähriges Reiseziel mit beinahe 360 Sonnentagen im Jahr. Considerations when choosing a drug for malaria prophylaxis (Yellow Book). For more detailed information on avoiding bug bites, see Avoid Bug Bites. If you become ill with a fever either while traveling in a malaria-risk area or after you return home (for up to 1 year), you should seek immediate medical attention and should tell the doctor about your travel history. Make sure you are up-to-date on all routine vaccines before every trip. Stay and sleep in air-conditioned or screened rooms. a) Hohes ganzjähriges Risiko in den Regionen nördlich von Maun, einschließlich Okavango-Delta und Nationalparks wie Chobe, Moremi und Sibuyu. Wash your hands often, especially before eating. Eat and drink regularly, wear loose and lightweight clothing, and limit physical activity during high temperatures. If you need help finding a travel medicine specialist, see Find a Clinic. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. As you've posted above, the only truly malaria-free safari destinations are the Eastern Cape and Madikwe in South Africa. By Harald Braun; In Allgemein, Botswana Informationen, Namibia News; Malaria im Okavango Delta ( Bericht von Gisela Mair ) Wie sieht es mit Malaria im Okavango Delta aus. Ständig und überall Klänge und Geräusche in der Natur, Tag und Nacht. Reduce your risk by sticking to safe food and water habits. Choose larger vehicles, which may provide more protection in crashes. Botswana entzückt mit endlosen Weiten und einer faszinierenden Tierwelt. Chobe, Moremi, Sibuyu. Anteil von Plasmodium falciparum, dem Erreger der gefährlichen Malaria tropica, >99%. Botswana; Botswana: Impfungen - Malaria - Gesundheitsrisiken ... Malaria. Botswana: Andere Regionen Okavango Delta gehört zum Reiseziel Botswana. Gerne stehen wir Ihnen zur telefonischen oder schriftlichen If you need to touch your face, make sure your hands are clean. Botswanas Gesundheitswesen gilt als eines der besten Afrikas. Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home. Die Verwendung von Kondomen sowie sterilen Spritzen und Nadeln ist unbedingt erforderlich. Im Mai müssen Sie nachts in der Kalahariregion mit 5 bis 10 °C rechnen, im Okanvangodelta mit 11 bis 14 °C. This dose does not count as part of the routine childhood vaccination series. Botswana Reisetipps ★ Alles, was Sie wissen müssen Einreisebestimmungen Visum Malaria Währung Expertentipps für Ihre Safari Jetzt informieren! Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use. Very cold temperatures can be dangerous. Recommended; see websites below for more detailed immunization advice. Die heißeste Zeit ist von Oktober bis März. Pack as light as possible, and leave at home any item you could not replace. Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings. Avoid overcrowded, overloaded, top-heavy buses and minivans. If you choose to drive a vehicle in Botswana, learn the local traffic laws and have the proper paperwork. Der meiste Regen fällt zwischen Januar und März. Botswana Related Maps. It’s best to be prepared to prevent and treat common illnesses and injuries. Note: Yellow fever vaccine availability in the United States is currently limited. Avoid riding on motorcycles or motorbikes, especially motorbike taxis. Always pay close attention to the flow of traffic, especially when crossing the street. Also tell your doctor if you were bitten or scratched by an animal while traveling. Traffic flows on the left side of the road in Botswana. Strukturiert ist die Gesundheitsversorgung auf drei Ebenen. Auf keinen Fall können die Informationen auf dieser Internetseite die individuelle ärztlich Beratung ersetzen. If your doctor prescribed antimalarial medicine for your trip, keep taking the rest of your pills after you return home. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. Malaria is always a serious disease and may be a deadly illness. To prevent infections, wear shoes on beaches where there may be animal waste. Be especially careful during summer months and at high elevation. Mehrere hundert Gesundheitsposten, die vielfach mobil sind und auch abgelegene Dörfer besuchen, gewährleisten fast überall eine medizinische Versorgung. Talk with your doctor about taking prescription or over-the-counter drugs with you on your trip in case you get sick. Anfänger, die das erste Mal auf Safari-Tour gehen, sollten die Sommermonate in der Trockenzeit bevorzugen, gleiches gilt für Personen, die große Hitze nicht vertragen. The dose does not count toward the routine 2-dose series. Areas with drug resistant Malaria: P. falciparum malaria is resistant to chloroquine. Learn actions you can take to stay healthy and safe on your trip. Die starken Regenfälle der letzten Wochen haben in Botswana zu vermehrten Malaria-Fällen geführt.Obgleich Botswana im Kampf gegen Malaria in den vergangenen Monaten bereits große Fortschritte erzielt hatte, berichten die Gesundheitsbehörden nun, dass derzeit vermehrt Erkrankungen registriert werden. ... (Standby) zu empfehlen. Hervorragende Zeit für Wildblumenblüte, brilliantes, grünes Blattwerk überall. Carry the IDP and a US-issued driver's license at all times. Medikamente sollten Sie ein mehrsprachiges Formular für den Zoll mit sich führen. Hinweis: Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries. Rabid dogs are commonly found in Botswana. Areas with malaria: Present in the following subdistricts: Botete, … Die Wahl des Malariamedikaments ebenso wie evt. Consider rabies vaccination before your trip if your activities mean you will be around dogs or wildlife. Travelers may need to schedule appointments well in advance and visit a clinic some distance away. In vielen Reiseländern Bitte beachten Sie: Ca. Als malariafrei gilt Gaborone und der untere südliche Landesteil. Mückenschutz: zusätzlich ist auf jeden Fall der Schutz vor Mückenstichen wichtig. A district-level, random effects model with Poisson regression was used … If you receive medical or dental care, make sure the equipment is disinfected or sanitized. Für Südafrika & Botswana finden Sie die Infos in Corona in Südafrika & Botswana. Für diese notwendigen Do not wear expensive clothing or jewelry. ärztlichen Beratung getroffen werden. Officially Botswana is considered to be a malarial zone so it is likely that most doctors will advise you to take malaria medication if you come.. For this reason, some items on this page will be unavailable. Do not use a cell phone or text while driving (illegal in many countries). If you are not feeling well after your trip, you may need to see a doctor. Required if traveling from a country with risk of YF virus transmission and ≥1 year of age, including transit in an airport located in a country with risk of YF virus transmission.1. If possible, choose hotel rooms between the 2nd and 6th floors. National passive malaria surveillance data for five years (2008–2012) were analysed. In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes. Die kälteste von Mai bis August, wobei die zweite Maihälfte, Juni und Juli mit Abstand die kältesten Monate sind. Despite significant variation from year to year – with a higher number of malaria cases in 2014, 2016 and 2017 – the country has continued to report an overall decline in both cases and deaths since 2000. Avoid driving at night; street lighting in certain parts of Botswana may be poor. Carry contact information for the nearest. Some of these vaccines include. Bei Kindern gelten teilweise andere Empfehlungen. Depending on the medicine you take, you will need to start taking this medicine multiple days before your trip, as well as during and after your trip. Botswana has in the recent past 10 years made tremendous progress in the control of malaria and this informed reorientation from malaria control to malaria elimination by the year 2020. In den Monaten Mai August liegen die Tagestemperaturen zwischen 20 und 25 °C. Starke Thermik verursacht Stürme und lässt erste Gewitterschaue… Expert opinion suggests a possible risk for your patients. Use the Healthy Travel Packing List for Botswana for a list of health-related items to consider packing for your trip. Erkundigen Sie sich vor Reisean… Do not swim in freshwater in developing areas or where sanitation is poor. If you are bitten or scratched by a dog or other mammal while in Botswana, there may be limited or no rabies treatment available. Für Reisen in den Norden Namibias und Reisen nach Botswana wird das Thema Malariaprophylaxe immer wieder heiß diskutiert. Avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers. Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable. Individualreisen, die verzaubern +49 … interMEDIS / Pechel. Obey lifeguards and warning flags on beaches. Abweichungen von den Empfehlungen müssen im Rahmen einer individuellen Follow your doctor’s instructions for taking the pills; some need to be started before you leave. Consider purchasing travel health and medical evacuation insurance. Schistosomiasis and leptospirosis, infections that can be spread in fresh water, are found in Botswana. Wildbeobachtung ist durchschnittlich gut. If you are going to a risk area, fill your malaria prescription before you leave, and take enough with you for the entire length of your trip. Urlauber kommen nach Botswana, um genau das zu erleben. See our information page about avoiding bug bites for some easy tips to avoid them. Considerations when choosing a drug for malaria prophylaxis, Other Tickborne Spotted Fever Rickettsial Infections, Map: Dengue risk in the Americas and the Caribbean, Map: Dengue risk in Africa and the Middle East, information page about avoiding bug bites, Association for International Road Travel, National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), Division of Global Migration and Quarantine (DGMQ), Obtención de atención médica en el extranjero, Zika: A CDC Guide for Travelers infographic, Guidelines for US Citizens and Residents Living in Areas with Zika, Introduction to Travel Health & the CDC Yellow Book. Hauptbrutzeit für viele der bunten Zugvogelarten. Some prescription drugs may be illegal in other countries. If you are bitten or scratched by an animal, immediately: Consider buying medical evacuation insurance. Talk to your doctor about which malaria medication you should take. Botswana has made impressive progress in reducing indigenous malaria transmission, from a reported 71 000 cases in 2000 to 533 in 2018. Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. (Malaria bei Wikipedia) That includes needles for tattoos, piercings, and acupuncture. Yellow Fever. Cover exposed skin by wearing long-sleeved shirts, long pants, and hats. Kein Malaria Risiko im südlichen Botswana. Die Ausbreitung der Atemwegserkrankung COVID-19 führt auch in Botsuana zu verstärkten Einreisekontrollen, Gesundheitsprüfungen und Einreisesperren. Bring the medicines you will need from the United States to avoid having to buy them at your destination. Call. Mosquitoes carrying chikungunya bite during the day and night, both indoors and outdoors, and often live around buildings. Travelers should avoid all travel to Botswana. Consider learning basic first aid and CPR before travel. ... Beste Reisezeit – Namibia mit Kindern. Sehr geringes Risiko in der Südhälfte des Landes. Traveling pets should be supervised closely and not allowed to come in contact with local animals. Es kommt jedoch immer auf die persönliche, gesundheitliche Konstitution, die eigenen Prioritäten und die Safari-Erfahrung an. Am besten schützt man sich durch lange helle Kleidung und Mückenschutzmittel als Spray oder Lotion und achtet auf mückenfreie Schlafräume. U.S. Department of Health & Human Services, African Sleeping Sickness (African Trypanosomiasis), Campers, adventure travelers, or cave explorers (spelunkers), Veterinarians, animal handlers, field biologists, or laboratory workers handling animal specimens. Bei der Vorbereitung auf unsere Selbstfahrerreise durch Namibia und Botswana haben wir uns natürlich auch mit der Frage auseinandergesetzt wie es mit Malaria im Okavango Delta, Etosha Nationalpark oder Caprivi aus. Use an appropriate insect repellent (see below). Malaria is a risk in some parts of Botswana. Die beste Reisezeit für Botswana ist eigentlich jederzeit, denn das subtropische, kontinentale Wüstenklima sorgt ganzjährig für warme Temperaturen zwischen 25 und 35°C. Vaccines cannot protect you from many diseases in Botswana, so your behaviors are important. Januar ist die Mitte der sogenannten Regenzeit mit spektakulären Nachmittagsgewittern und warmen Tagen (Durchschnitt über 30°) und Nächten (Durchschnitt über 20°). Recommendations: None. Get any driving permits and insurance you may need. Follow these tips to avoid getting sick or spreading illness to others while traveling: Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen. zur Malariaprophylaxe, Malaria Risk. Although bed bugs do not carry disease, they are an annoyance. Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Talk to your doctor about which items are most important for you. If you are seriously injured, emergency care may not be available or may not meet US standards. You will be subject to the destination website's privacy policy when you follow the link. Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Botswana. Botsuana ist ein Malarialand. A list of accredited facilities is available at their website (www.jointcommissioninternational.org). Die meisten Touristen kommen nach Botswana, um in den Nationalparks Tiere in freier Wildbahn zu beobachten. Raubtiere jagen die sich rasch entwickelnden Jungtiere ihre je… Be sure to. Many of these diseases cannot be prevented with a vaccine or medicine. In dieser Periode ist es trocken, tagsüber ist es warm bis heiß, nachts kalt. März 2020 ein Einreiseverbot für Reisende unter anderem aus Deutschland verhängt. For more information on bed bugs, see Bed Bugs. Im Juni/Juli ist es am kältesten, aber schon kurze Zeit später im Oktober misst man trockene 40 Grad. CDC recommends that travelers going to certain areas of Botswana take prescription medicine to prevent malaria. The country initiated elimination strategies in October 2012. Namibia und Botswana eignen sich prima für Camping-Reisen. Infants 6 to 11 months old should also be vaccinated against Hepatitis A. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing. CDC recommends that travelers defer all cruise travel worldwide. Map Disclaimer - The boundaries and names shown and the designations used on maps do not imply the expression of any opinion whatsoever on the part of the Centers for Disease Control and Prevention concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. If you stop taking your medicine too soon, you could still get sick. When on motorbikes or bicycles, always wear a helmet. Für botsuanische Staatsangehörige und Rückkehrer mit gültigem Aufenthaltstitel gilt eine 14-tägige Quarantänepflicht. Trauma care centers are uncommon outside urban areas. Increased risk for travelers spending a lot of time outdoors or visiting game parks, traveling during warmer months when the vector is more active, Mosquitoes carrying dengue bite during the day and night, both indoors and outdoors, and often live around buildings, Leading cause of febrile illness among travelers returning from the Caribbean, South America, and South and Southeast Asia, Risk for travelers generally low but determined more by behaviors than destination, High-risk travelers may consider preexposure prophylaxis, Health care workers should follow standard precautions and assess local availability of (or bring) reliable postexposure prophylaxis, Risk generally low for most tourist travelers. Approximate border lines for which there may not yet be full agreement are generally marked. Hohes Risiko: eine Prophylaxe mit einem Malariamedikament ist dringend zu empfehlen. Im April und Mai regnet es nur hin und wieder, Juni und Juli sind die kältesten Monate … Weitere Infos zum Gesundheits- und Impfschutz für Botswana folgen hier. If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating. Wie umfangreich die Use a bed net if the area where you are sleeping is exposed to the outdoors. The government organizations and travel clinics below are trusted resources for complete and up-to-date info regarding travelers' health in Botswana. Dabei geht die geographische Region noch bis in die Region Kavango hinein, der Verwaltungskreis ents… They expressed concern that malaria is now spreading to southern Botswana, part of the country that is traditionally free of malaria. The remaining percentage represents malaria infections that may be caused by one or more of the following parasites: Plasmodium vivax, Plasmodium ovale, Plasmodium malariae, and Plasmodium knowlesi. Those anticipating possible prolonged exposure to TB environments (such as working in hospitals, prisons, or homeless shelters) or those who stay for years in an endemic country should have a 2-step tuberculin skin test (TST) or a single interferon-γ release assay (IGRA) before leaving the US. HIV / AIDS: ein Risiko durch HIV / AIDS besteht weltweit. Malaria is a risk in some parts of Botswana. Es gibt besondere altersbedingte Risiken und es müssen altersbedingte Einschränkungen für Impfungen berücksichtigt werden. geringes Risiko: normalerweise ist die Mitnahme eines Notfallmedikaments (Standby) zu empfehlen. We examine the progress and challenges during implementation and identify future needs for a successful program in Botswana. If you wake in a room with a bat, seek medical care immediately. For more information on what to do if you are sick after your trip, see Getting Sick after Travel. Resistance is present in all malarious areas of Botswana. The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee. Darüber hinaus ist es wichtig, alle Medikamente, die Sie zu Hause regelmäßig einnehmen müssen, in doppelter Menge mitzunehmen. Do not drive after drinking alcohol or ride with someone who has been drinking. Wobei die Tierherden dann weit verstreut sind, da es einen Überfluss an Nahrung gibt. Unclean food and water can cause travelers' diarrhea and other diseases. Malaria. Botswana beste Reisezeit. If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections. Wollt auch ihr eine Safari in dem wunderschönen Land machen und die großen Fünf hautnah erleben, könnt ihr euch hier über die beste R… Don’t touch your eyes, nose, or mouth. Travelers more likely to encounter rabid animals include. Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth. Botsuana hat am 16. Stay alert to changing weather conditions and adjust your plans if conditions become unsafe. Denn dann finden sich die Tiere an wenigen Wasserlöchern ein und lassen sich leicht aufspüren. Geringeres bzw. Dennoch gibt es natürlich ein paar Monate, die sich besser eignen als andere aufgrund … Hohes Risiko nördlich von Maun und Pits, im Okavangodelta und in den Nationalparks, z.B. Hierfür haben wir auch das Klima von anderen Regionen untersucht, um Ihnen Tipps für die beste Reisezeit und das zu erwartende Reisewetter zu geben: Requirements: Required if traveling from a country with risk of YF virus transmission and ≥1 year of age, including transit in an airport located in a country with risk of YF virus transmission. Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket. Consider hiring a licensed, trained driver familiar with the area. Travel during daylight hours only, especially in rural areas. Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas. Abhängig von Reisestil, Reisezeit und persönlichen Gegebenheiten ist auch eine andere Empfehlung möglich. Ab September steigen die Temperaturen allmählich wieder an. Botswana significantly reduced its malaria burden between 2000 and 2012. Hohes Risiko von September bis Mai in der übrigen Nordhälfte des Landes südlich von Maun, von Juni bis August geringes Risiko Required if traveling from a country with risk of YF virus transmission and ≥1 year of age, including transit in an airport located in a country with risk of YF virus transmission. You can reduce your risk by taking steps to prevent bug bites. Für Ihre Reise nach Botswana ist grundsätzlich ein Impfschutz bzw. ... Malaria in Namibia ist sehr, sehr selten und beschränkt sich weitgehend auf die Regenzeit von November bis Mai. 1. Generell rate ich dir, vor der Reise einen Arzt zur Impfberatung aufzusuchen. In Ihrem eigenen Interesse und zu Ihrem Schutz sollten Sie sich vor Ihrer Reise Make sure you have liability insurance. Learn how to protect yourself. Bring a. Heat-related illness, such as heat stroke, can be deadly. Botswana Reisezeit Malaria. Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching. Incidence dropped from 0.99 to 0.01 % and deaths attributed to malaria declined from 12 to 3. Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do. Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing. Abhängig von Reisestil, Reisezeit und persönlichen Gegebenheiten ist auch eine andere Empfehlung möglich. Check the vaccines and medicines list and visit your doctor at least a month before your trip to get vaccines or medicines you may need. Nähere Informationen finden Sie im Beitrag Reiseapotheke. Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Die hierfür beste Reisezeit ist der Zeitraum von Juni bis Oktober. Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given. (Bring a helmet from home, if needed.). Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources. Do not share needles or any devices that can break the skin. Malaria is common in the Northern parts of Botswana such as the Okavango Delta and Chobe areas particularly during or after rainy season from November to April. How do I view different file formats (PDF, DOC, PPT, MPEG) on this site? 1. Check with your auto insurance policy's international coverage, and get more coverage if needed. If you'd like to visit Botswana the risk of malaria would be lowest at the coldest time of year (the end of June) so your trip in June 2009 would minimise your risk. Follow all local laws and social customs. Follow your doctor’s instructions for taking the pills; some need to be started before you leave. Hohes Risiko von September bis Mai in der übrigen Nordhälfte des Landes südlich von Maun, von Juni bis August geringes Risiko. Der kann dir genau sagen, welche Impfungen du benötigst und ob zu deiner Reisezeit ein hohes oder geringes Malariarisiko herrscht. Beratung zur Verfügung. Be aware of current health issues in Botswana. Botswana ist eine Destination, welche das ganze Jahr über bereist werden kann. Die Übertragung erfolgt durch den Kontakt mit Blut, zum Beispiel auch durch Piercing oder Tätowierung o. ä. und über den Geschlechtsverkehr. Remember, people on foot do not always have the right of way in other countries. Research your destination(s), including local laws, customs, and culture. All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. Although no cases have been reported in Botswana through surveillance data in the past 10 years, African trypanosomiasis is present in the surrounding region. Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.