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Medical Summary
The health risk information presented here is summarized from Shoreland Travax®, a decision-support tool used by health care providers to perform a detailed health risk analysis based on specific locations, individual travel styles, and traveler risk behaviors. Travax provides practitioners current, independently researched malaria risk and prevention recommendations in a map-based format that goes beyond the annual WHO and US CDC statements included here. Not included here are current reports from Travax of disease outbreaks or environmental events that may pose elevated risks to travelers’ health and safety. The Providers section of this site offers a directory of health care providers who utilize Shoreland Travax for travel health counseling. Learn more about the detailed reports and maps available from these practitioners (includes links to samples).
General Information
The US is an advanced economy classified as high income. Located in North America, the climate is extremely diverse with classifications that range from humid cold (no dry season), with cooler temperatures in some high-altitude areas, to humid equatorial (long dry season).
Vaccinations
Routine vaccinations are essential due to a persistent rise of vaccine-preventable diseases (especially markedly high rates of diphtheria, pertussis, and measles) globally. Prior to travel, travelers should be up-to-date with the age-appropriate routine vaccinations recommended by their home country, which may include: COVID-19; H. influenzae type B (Hib); hepatitis A; hepatitis B; influenza; measles, mumps, rubella; meningococcal; pneumococcal; polio; rotavirus; tetanus, diphtheria, pertussis (Tdap preferred; consider an early pertussis booster for high-risk travelers); varicella.
Depending on your itinerary, your personal risk factors, and the length of your visit, your health care provider may offer you vaccination against mpox or rabies.
Malaria
See also: Library article for Malaria
The following is current information as reported by the World Health Organization (WHO) and the US Centers for Disease Control (CDC):
WHO—International Travel and Health (current online update, Country List)
No statement given.CDC—Health Information for International Travel (current online edition)
Areas with malaria: None.
Drug resistance: Not applicable.
Other Concerns
Travelers' Diarrhea
See also: Library article for Travelers' Diarrhea
Minimal risk (comparable to that in other industrialized countries) exists throughout the country. Community sanitation and food safety measures are generally good, and health concerns related to food and beverage consumption are minimal. Risk for viral gastroenteritis (e.g., norovirus) may be elevated based on season, traveler itinerary, and/or level of community transmission.
Travelers should carry loperamide for self-treatment of diarrhea and, if risk is moderate to high, an antibiotic to add if diarrhea is severe. Consult a knowledgeable health care provider regarding which antibiotic is appropriate for you and most effective for your destination.
Other Food-Borne Illnesses
Precautions to prevent Angiostrongyliasis, brucellosis, seafood poisoning may be needed.
Insect- and Arthropod-Borne Diseases
Dengue, leishmaniasis, Lyme disease, murine typhus, Rocky Mountain spotted fever, West Nile virus may pose a risk. Personal protective measures are important.
Other Disease and Health Risks
Additional concerns include altitude illness, anthrax disease, avian influenza, hantavirus, hepatitis C, leptospirosis, marine hazards, melioidosis, plague, sexually transmitted infections.
Safety and Security
See also: Library article for Safety and Security
Key Safety Risks
- Petty crime
- Heightened crime risk for LGBTQ+ travelers
- Natural disasters
Key Security Threats
- Terrorist attacks by domestic and/or transnational groups
- Risk of violent protests
- Occasional violent crime
- Random acts of armed violence
Emergency Phone Number
The national emergency number is 911.
