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Homechevron_right Emailchevron_right Re: Ivory Coast CDC Health Information
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Re: Ivory Coast CDC Health Information

2 messages picture_as_pdf Source PDF
J
Jeffrey Epstein Nov 9, 2011 2:53 PM

find out about disease shots for ivory coast. Asseck tells me malaria is there

?
Unknown Nov 9, 2011 10:43 PM

Preparing for Your Trip to Cate &Ivoire

Before visiting Cate d'Ivoire, you may need to =et the following vaccinations and medications for vaccine-preventable =iseases and other diseases you might be at risk for at your =estination: (Note: Your doctor or health-care provider will =etermine what you will need, depending on factors such as your health =nd immunization history, areas of the country you will be visiting, and =fanned activities.)

To have the most benefit, see a =ealth-care provider at least 4-6 weeks before your trip to =flow time for your vaccines to take effect and to start taking medicine =o prevent malaria, if you need it.

Even if you =ave less than 4 weeks before you leave, you should still see a =ealth-care provider for needed vaccines, anti-malaria drugs and other =edications and information about how to protect yourself from illness =nd injury while traveling.

CDC recommends =hat you see a health-care provider who specializes in Travel =edicine. Find a travel medicine clinic near you. If =ou have a medical condition, you should also share your travel plans =ith any doctors you are currently seeing for other medical =easons.

If your travel plans will take =ou to more than one country during a single trip, be sure to let your =ealth-care provider know so that you can receive the appropriate =accinations and information for all of your destinations. Long-term =ravelers, such as those who plan to work or study abroad, may also need =dditional vaccinations as required by their employer or school.

Be sure your routine =accinations are Check the links below to see which vaccinations adults and =hildren should get.

Routine vaccines, as =hey are often called, such as for influenza, chickenpox (or varicella), =olio, measles/mumps/rubella (MMR), and diphtheria/pertussis/tetanus =DPT) are given at all stages of life; see the childhood and adolescent immunization =chedule and routine adult immunization schedule.

Routine vaccines are recommended even if you do not travel. =lthough childhood diseases, such as measles, rarely occur in the United =tates, they are still common in many parts of the world. A traveler who =s not vaccinated would be at risk for infection.

Vaccine-Preventable Diseases

Vaccine recommendations =re based on the best available risk information. Please note that the revel of risk for vaccine-preventable diseases can change at any =ime.

Vaccination or Disease Recommendations =r Requirements for Vaccine-Preventable Diseases

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

see map) where exposure might occur through food or water. Cases =f travel-related hepatitis A can also occur in travelers to developing =ountries with "standard" tourist itineraries, accommodations, and food =onsumption behaviors.

see map), especially those who might be exposed to blood or body =luids, have sexual contact with the local population, or be exposed =hrough medical treatment (e.g., for an accident).

Typhoid Recommended for all unvaccinated people traveling =o or working in West Africa, especially if staying with friends or =elatives or visiting smaller cities, villages, or rural areas where =xposure might occur through food or water.

Recommended for adult travelers who have received a primary series =ith either inactivated poliovirus vaccine (IPV) or oral polio vaccine =OPV). They should receive another dose of IPV before departure. For =dults, available data do not indicate the need for more than a single =ifetime booster dose with IPV.

Yellow =ever Requirements: Required upon arrival from all countries for =ravelers ≥1 year of age.

Recommendations: Recommended for all =ravelers ≥9 months of age.

Meningococcal (meningitis) Recommended if you plan to =isit countries that experience epidemics of meningococcal disease =uring December through June (see map).

Rabies Recommended for =ravelers spending a lot of time outdoors, especially in rural areas, =nvolved in activities such as bicycling, camping, or hiking. Also =ecommended for travelers with significant occupational risks (such as =eterinarians►,for long-term travelers and expatriates living in areas =ith a significant risk of exposure, and for travelers involved in any =ctivities that might bring them into direct contact with bats, =arnivores, and other mammals. Children are considered at higher risk =ecause they tend to play with animals, may receive more severe bites, =r may not report bites.

All (more information)

If you will be visiting an area of C6te d'Ivoire with =alaria, you will need to discuss with your doctor the best ways for you =o avoid getting sick with malaria. Ways to prevent malaria include the =ollowing:

• Taking a prescription =ntimalarial drug

• Using =nsect repellent and wearing long pants and sleeves to prevent mosquito =ites

Sleeping =n air-conditioned or well-screened rooms or using bednets

All of the following antimalarial drugs are equal options for =reventing malaria in Cote d'Ivoire:Atovaquone-proguanil, doxycycline, or mefloquine. For =etailed information about each of these drugs, see Table =-11: Drugs used in the prophylaxis of malaria. For information that =an help you and your doctor decide which of these drugs would be best =or you, please see Choosing a Drug to Prevent Malaria.

Note: Chloroquine is NOT =n effective antimalarial drug in Cote d'Ivoire and should not be =aken to prevent malaria in this region.

To find out more information on malaria throughout the world, =ou can use the interactive CDC malaria map http://www.cdc.gov/malaria/map/index.html . You can search or =rowse countries, cities, and place names for more specific malaria risk =nformation and the recommended prevention medicines for that =rea.

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Malaria Contact for =ealth-Care Providers For =ssistance with the diagnosis or management of suspected cases of =alaria, call the CDC Malaria Hotline: 770-488-7788 (M-F, 9 am-5 pm, =astern time). For emergency consultation after hours, call 770.488.7100 =nd ask to speak with a CDC Malaria Branch clinician.

A Special Note about =ntimalarial Drugs

You should =urchase your antimalarial drugs before travel. Drugs purchased overseas =ay not be manufactured according to United States standards and may not =e effective. They also may be dangerous, contain counterfeit =edications or contaminants, or be combinations of drugs that are not =afe to use.

Halofantrine (marketed as =alfan) is widely used overseas to treat malaria. CDC recommends that =ou do NOT use =alofantrine because of serious heart-related side effects, including =eaths. You should avoid using antimalarial drugs that are not =ecommended unless you =ave been diagnosed with life-threatening malaria and no other options =re immediately available.

For detailed information =bout these antimalarial drugs, see Choosing a Drug to Prevent Malaria.

More Information About Malaria

Malaria is =lways a serious disease and may be a deadly illness. Humans get malaria =rom the bite of a mosquito infected with the parasite. Prevent this =erious disease by seeing your health-care provider for a prescription =ntimalarial drug and by protecting yourself against mosquito bites (see below).

Travelers to =alaria risk-areas in Cote d'Ivoire, including infants, children, =nd former residents of Cote d'Ivoire, should take one of the =ntimalarial drugs listed in the box above.

Symptoms

Malaria symptoms may include

  • chills

  • headache

  • body =ches

  • nausea and =omiting

• Plasmodium falciparum, if not promptly treated, may cause kidney =ailure, coma, and death. Despite using the protective measures outlined =bove, travelers may still develop malaria up to a year after returning =rom a malarious area. You should see a doctor immediately if you =evelop a fever anytime during the year following your return and tell =he physician of your travel.

Items to Bring With You

Medicines you may need:

1419 files from the DOJ Epstein case media release. All files are public records from justice.gov.

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