Pre-Trip Health and Safety

Nicaragua Health Considerations

Vaccination or Disease Recommendations or Requirements for Vaccine-Preventable Diseases

Routine Recommended if you are not up-to-date with routine shots such as, measles/mumps/rubella (MMR) vaccine, diphtheria/pertussis/tetanus (DPT) vaccine, poliovirus vaccine, etc.

Hepatitis A or immune globulin (IG) Recommended for all unvaccinated people traveling to or working in countries with an intermediate or high level of hepatitis A virus infection where exposure might occur through food or water. Cases of travel-related hepatitis A can also occur in travelers to developing countries with “standard” tourist itineraries, accommodations, and food consumption behaviors.

Hepatitis B Recommended for all unvaccinated persons traveling to or working in countries with intermediate to high levels of endemic HBV transmission, especially those who might be exposed to blood or body fluids, have sexual contact with the local population, or be exposed through medical treatment (e.g., for an accident).


Malaria

Ways to prevent malaria include the following:

Taking a prescription antimalarial drug
Using insect repellent and wearing long pants and sleeves to prevent mosquito bites
Primaquine is a good option for an antimalarial drug (only after G6PD testing) in Nicaragua. Atovaquone-proguanil, chloroquine, doxycycline, or mefloquine can also be used instead

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