Central America


Countries

• Belize

• Costa Rica

• El Salvador

• Guatemala

• Honduras

• Mexico

• Nicaragua

• Panama

 

Health Risks

• Chagas’ disease

• Coccidioidomycosis

• Cutaneous larval migrans

• Dengue fever

• Diarrhea

• Filariasis

• Gnathostomiasis (in Mexico)

• Hantavirus (in Panama)

• Histoplasmosis

• Leishmaniasis

• Leptospirosis

• Malaria

• Onchocerciasis

• West Nile Virus (in Mexico)

 

Preventing Health Problems

 

Recommended Vaccines

• Routine Vaccinations – including polio, measles-mumps-and-rubella (MMR), tetanus-diphtheria-and-pertussis (Tdap), and yearly influenza vaccines.

• Hepatitis A

• Hepatitis B

• Typhoid

• Rabies (optional in Costa Rica, Panama)

• Yellow Fever (only recommended in Panama)

 

Avoiding Bug Bites

• Malaria is a dangerous disease and is present throughout Central America. While malaria is spread by mosquitoes, all insects are very effective at spreading disease. That is why it is important to take certain precautions to prevent bug bites.

o Anti-malaria prescription medications are available and are highly recommended. See a doctor prior to leaving about obtaining a prescription.

o To prevent bug bites use insect repellent with 30%-50% DEET. In addition to insect repellent, wear long-sleeved shirts and pants. Since mosquitoes are more active at night avoid being outdoors at dusk and dawn as much as possible.

o Permethrin, while very effective against all insects, is especially effective against mosquitoes. By sleeping under permethrin-treated nets and bedding and using permethrin-based insect spray indoors, the amount of mosquitoes indoors can be greatly reduced.

 

Food and Water

• Being in new culture and country also means increased risk of getting sick from food and water. In order to reduce food and water borne illnesses there are more precautions that can be taken.

o Drink bottled water, bottled or canned carbonated drinks, or water you have filtered or treated. DO NOT drink tap water, foundtain drinks or use ice cubes.

o Washing your hands with soap and water or using an alcohol-based hand sanitizer often and especially before eating is a simple yet very effective way to reduce ingesting harmful bacteria and viruses.

o As for food, DO NOT eat food that may have contacted contaminated water or soil such as fresh vegetable or fruit that you don’t peel before eating.

o Meat should always be fully cooked before eating to avoid food borne illness as well as ingesting stomach worms.

o DO NOT eat unpasteurized dairy products

o Avoid eating food from street vendors as food borne illness is prevalent at them due to undercooked food and ingredients that are not washed or prepared properly.

 

Avoiding Injuries

• Some of the more common injuries that occur to missionaries in these areas are bike injuries as well as foot injuries due to walking. Always wear a helmet while riding your bike to prevent head injuries and have good footwear (socks and shoes) to prevent foot injuries.

• Since missionaries do not drive as much in this area, injuries from car accidents are not as common in this area. That being said they still do occur, so the best defense against injury while driving is to wear a seat belt at all times while in car.

 

Avoiding Animals

• Animals such as dogs and cats can spread diseases and insects such as rabies and fleas. Avoid touching animals, especially strays, as much as possible.

 

Sun Exposure

• Too much sun exposure can increase your risk for getting skin cancer. Always wear sunscreen when outdoors.

 

Avoiding Fungal and Parasitic Infections

• To avoid contracting fungal and parasitic infections keep your feet dry, clean and covered. That means DO NOT go barefoot. Wear sandals in the shower, slippers at home and shoes at all times when outside.

 

Recommended Items to Bring

 

General Health and Medications

The following is a list of medications that you might consider taking to this area of the world.

• Any medications you take regularly at home

• Prescription anti-malarial medication

• Pain reliever such as ibuprofen, acetaminophen (Tylenol), or aspirin

• 1% hydrocortisone cream

• Anti-itch cream

• Antifungal cream

• Saline eye drops

• Anti motion sickness medication (if necessary)

• Thermometer

 

Avoiding Bug Bites

The following is a list of general items that you should take with you to prevent bug bites.

• Insect repellent with 30-50% DEET

• Long-sleeved shirts and pants

• Permethrin-treated bed netting

• Permethrin

o Currently, permethrin cannot be taken from the MTC in personal luggage on commercial airlines. You should plan on buying permethrin when you arrive in your mission or have it shipped out to you.

 

Food and Water

The following list includes items that help to simply reduce the spread of disease, but also includes items that help to reduce water and food borne illness. There are also a couple of medications listed that help in the event that you have diarrhea.

• Hand soap

• Alcohol-based hand sanitizer

• Water bottle

• Water purification

o Water filter

o Iodine tablets

o Ultraviolet water purifier

• Anti-diarrhea medication (loperamide)

• Bismuth subsalicylate (Pepto-Bismol)

• Prescription antibiotic to treat travelers’ diarrhea

 

Avoiding Injuries

This list includes items you should bring if you ride a bike as well as some of the items you should find in a first aid kit.

• Bicycle helmet

• Bicycle multi-tool

• Basic first aid kit

o Multiple sizes of adhesive bandages

o Antibiotic ointment

o Butterfly bandages

o Gauze pads

o Alcohol wipes

o Adhesive tape

o Blistoban

o Moleskin or Molefoam

o Burn treatment gel

o Tweezers

• Compression bandage

 

Sun Exposure

• Sunscreen and sunburn lotion such as aloe vera are both vital to prevent sun exposure and to treat sunburns.