<<

Malaria General malaria information: exclusively P. vivax. Transmission occurs throughout the year. Issues to Consider Location-specific recommendations: Factors favoring chemoprophylaxis Chemoprophylaxis is recommended for certain travelers (see Issues to Consider box): rural lowland areas of Matina Canton • Adventure travel in Limón Province. • Risk-averse and vulnerable travelers No preventive measures are necessary (no evidence of transmission exists): the city of San José; all other areas not mentioned • Areas subject to infrequent epidemics above. • Immigrants visiting friends and relatives • Flexible itineraries Preventive measures: Evening and nighttime insect precautions are essential in areas with any level of transmission. For • Travel longer than 1 month the exceptional case of a vulnerable traveler with underlying medical conditions and/or the potential for an especially adverse • Unreliable medical expertise and/or outcome from malaria, chloroquine and other antimalarials (atovaquone-proguanil, doxycycline, and mefloquine) are protective treatment drugs at destination in this country. Factors against chemoprophylaxis • Air-conditioned hotels only • Urban areas only • Non-transmission season • Minimal nighttime exposure • Travel shorter than 3 days For more information, see Technical Explanation of Malaria Mapping.

86°W 85°W 84°W 83°W

NICARAGUA

l a

11°N g

o

b a S

)"5 San Jua Santa n Rosa Barra del N.P. A" Colorado l N.P. na Lake re A Tortuguero Guanacaste Arenal # N.P.

A" Arenal ó

" í

)3 p

u

Cañas Venecia i

q

P r A" i Caribbean

s )"4 a r a " i Tamarindo añ n )" A p 2 h A" C -A a r Sea m Quesada C a Guápiles H S A" w A" y )"1 SiquirresA" A" Heredia Corina Limón 10°N A" Alajuela A" A" A" Garza A" ^_ A" San A" José Barbilla Limón P N.P. a R N.P. e n v San José - e Playa A n Cartago Puerto Viejo m t A" Tambor H az de wy ón Chirripó re N.P. eg v San a La Amistad Manuel S Isidro A" N.P. Pacific Antonio N.P. A" Ocean Buenos Dominical Ge Aires ne A" ra l PANAMA 9°N NUMBERED PARKS Puntarenas ")1 Braulio ")2 Santa Elena/Monteverde Cocos Isla del ")3 Volcán Arenal Island Caño ")4 Palo Verde ")5 Rincón de la Vieja A" Cocos Island N.P. # Mountain or volcano Corcovado N.P. Administrative boundary National park or reserve Pan-American Highway

0 20 40 80 120 160 KM

KEY for Location-Specific Recommendations — Evening and nighttime insect precautions are essential in areas with any level of transmission. Chemoprophylaxis is recommended for certain travelers; see Issues to Consider box. A City where no preventive measures are necessary (no evidence of malaria transmission exists). No preventive measures are necessary (no evidence of malaria transmission exists). _ National capital (no preventive measures are necessary).

* Exceptions may apply. For more information, see Technical Explanation of Malaria Mapping.

© Shoreland, Inc. Travax malaria maps are color images. Gray-scale printouts may lose clarity. Consult the color PDF version for clearest interpretation. Revision 061517