Check your entire body for ticks after outdoor activity.Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.Always use insect repellent as directed.Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD).Picaridin (also known as KBR 3023, Bayrepel, and icaridin).Higher percentages of active ingredient provide longer protection. FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites.FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.What type of insect repellent should I use? Use a bed net if the area where you are sleeping is exposed to the outdoors.Stay and sleep in air-conditioned or screened rooms.Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents).Use an appropriate insect repellent (see below).
Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.You can reduce your risk by taking steps to prevent bug bites. Many of these diseases cannot be prevented with a vaccine or medicine. Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.īugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Puerto Rico.Avoid rodents and areas where they live.Less commonly, being around someone sick with hantavirus (only occurs with Andes virus).Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents.An infected pregnant woman spread it to her unborn baby.
CDC recommends rabies vaccination before travel only for people working directly with wildlife. However, rabies may still be present in wildlife species, particularly bats.
This dose does not count as part of the routine childhood vaccination series. Infants 6 to 11 months old traveling internationally should get 1 dose of measles-mumps-rubella (MMR) vaccine before travel. Recommended for unvaccinated travelers of all ages to Puerto Rico. Unvaccinated travelers who are over 40 years old, immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin. Travelers allergic to a vaccine component or who are younger than 6 months should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given. The dose does not count toward the routine 2-dose series. Infants 6 to 11 months old should also be vaccinated against Hepatitis A.
Recommended for unvaccinated travelers one year old or older going to Puerto Rico. Some of these vaccines includeĮveryone 5 years of age and older should get fully vaccinated for COVID-19 before travel. Make sure you are up-to-date on all routine vaccines before every trip. Clinical Guidance for Healthcare providers