Health Information for Travelers to West Africa |
Benin, Burkina Faso, Cape Verde islands, Côte d'Ivoire, Gambia, Ghana, Guinea, Guinea-Bissau, Liberia, Mali, Mauritania, Niger, Nigeria, São Tomé and Príncipe, Senegal, Sierra Leone, Togo |
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 the region 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 West Africa, including infants, children, and former residents of West Africa, are 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 West 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). Yellow fever vaccination is recommended and may be required for entry into certain of these countries. If you travel to West Africa, the easiest and safest thing to do is get a yellow fever vaccination and a signed certificate. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements. Also, find the nearest authorized U.S. yellow fever vaccine center. Dengue, filariasis, leishmaniasis, onchocerciasis, and trypanosomiasis (sleeping sickness) are diseases carried by insects that also occur in this region. Protecting yourself against insect bites (see below) will help to prevent these diseases. Schistosomiasis, a parasitic infection, is found in fresh water in the region. Do not swim in fresh water (except in well-chlorinated swimming pools) in these 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 to 1 year), you should seek immediate medical attention and should tell your health care provider your travel history. |
For more information: |
Ask your doctor or check the CDC web sites for more information about how to protect yourself against diseases that occur in West 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 | ||||||||||||||||||||||||||||||||||||||||
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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