Health Information for Travelers to Central Africa |
Angola, Cameroon, Central African Republic, Chad, Congo, Democratic Republic of the Congo (Zaire), Equatorial Guinea, Gabon, Sudan, Zambia |
Food and waterborne diseases are the number one cause of illness in travelers. Travelers diarrhea can be caused by viruses, bacteria, or parasites, which are found throughout Central Africa and can contaminate food or water. Infections may cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites), fever (typhoid fever and toxoplasmosis), or liver damage (hepatitis). Make sure your food and drinking water are safe. (See below.) Malaria is a serious, but preventable infection that can be fatal. Your risk of malaria may be high in these countries, including cities. Prevent this deadly disease by seeing your health care provider for a prescription antimalarial drug and by protecting yourself against mosquito bites (see below ). All travelers to Central Africa, including infants, children, and former residents of Central Africa, may be at risk for malaria. All travelers should take one of the following drugs (listed alphabetically): atovaquone/proguanil, doxycycline, mefloquine, or primaquine (in special circumstances). See Malaria information for Travelers to Central Africa for detailed information on malaria-risk areas and antimalarial drugs. See also Preventing Malaria in the Pregnant Woman (Information for the Public) and Preventing Malaria in Infants and Children (Information for the Public).A certificate of yellow fever vaccination may be required for entry into certain of these countries. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements. Also, find the nearest authorized U.S. yellow fever vaccine center. Dengue, filariasis, leishmaniasis, and onchocerciasis are other diseases carried by insects that also occur in this region. Protecting yourself against insect bites (see below) will help to prevent these diseases. An outbreak of sleeping sickness (trypanosomiasis) has been reported in southern Sudan. (See below for suggestions to protect yourself against insect bites.) Schistosomiasis, a parasitic infection, is found in fresh water in this region. Do not swim in fresh water (except in well-chlorinated swimming pools) in Central African countries. (For more information, please see Swimming and Recreational Water Precautions.) Because motor vehicle crashes are a leading cause of injury among travelers, walk and drive defensively. Avoid nighttime travel if possible and always use seat belts. |
CDC recommends the following vaccines (as appropriate for age) |
See your doctor at least 46 weeks before your trip to allow time for shots to take effect.
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To stay healthy, do... |
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Protect yourself from mosquito bites: |
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To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot. Always use latex condoms to reduce the risk of HIV and other sexually transmitted diseases. |
To avoid getting sick... |
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What you need to bring with you: |
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After you return home: |
If you have visited a malaria-risk area, continue taking your antimalarial drug for 4 weeks (mefloquine or doxycycline) or seven days (atovaquone/proguanil) after leaving the risk area. Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever or flu-like illness either while traveling in a malaria-risk area or after you return home (for up to1 year), you should seek immediate medical attention and should tell the physician your travel history. |
For more information: |
Ask your doctor or check CDC web sites for more information about how to protect yourself against diseases that occur in Central Africa, including the following: |
Diseases carried by insects |
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Diseases carried in food or water | ||||||||||||||||||||||||||||||||||||||||
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Diseases from person-to-person contact | ||||||||||||||||||||||||||||||||||||||||
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Please
consult with your doctor for specific information related to your needs and your
medical history; recommendations may differ for pregnant women, young children,
and persons who have chronic medical conditions. In addition, you may also check
the following CDC sites: |
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