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As posted to NEVOSH mailing list by
Stu Zipper, M.D. Medical Director
THIS IS THE SAME TRAVEL ADVISORY PREVIOUSLY EMAILED ON NOVEMBER 1. THIS NOTE HAS BEEN PUBLISHED HERE FOR THE BENEFIT OF THOSE WHO HAVE RECENTLY SIGNED UP FOR THE 2001 MISSION!
I have not yet submitted an updated travel advisory to the nevosh.com web site. However, I will be making only one change of recommendation since last year. I encourage everyone to review last year's travel advisory:
2000 Travel Advisory
Last year I visited a half dozen regional health departments in various parts of the country. Each department has a worker in charge of epidemiogoly who keeps meticulous records of various illnesses including mosquito-borne diseases, malaria and dengue fever. I noticed a significant peak of malaria and dengue in October and November each year and relatively few cases in January. Although there certainly is an ABSOLUTE risk of getting malaria during a one week stay in Nicaragua in January, the RELATIVE risk is very small and I am no longer emphatically recommending the use of malaria pills. It certainly would not be WRONG to take malaria pills if you so wish. If you have ANY concerns at all about contracting malaria, please take malaria pills. Remember to start them one week BEFORE departure and continue them for four weeks following return. The final decision rests with you and your personal physician.
There is no prophylactic treatment to prevent dengue fever, which is transmitted by a species of mosquito that primarily bites during the daytime.
Regardless of whether the mosquitos carry dengue or malaria, please note that the mosquitos can be vicious in Granada. They begin biting at dusk. Please bring plenty of mosquito repellant!!!
This year we will be staying in Granada and working in the vicinity. Granada sits at a lower altitude than Jinotepe, where we stayed and worked last year. It is considerably muggier due to lower altitude and its proximity to Lake Nicaragua. It is a beautiful colonial city and claims to be the oldest, continually inhabited city in the post Colombian Americas. Here is a link to the city: The Historic City of Granada
This year we will stay again at the lovely Hotel Alhambra: SMARTpages - Hotel Alhambra
This web site about Nicaragua is also worth a visit: Experience Nicaragua
I look forward to seeing everyone in January. We should have another outstanding mission!!!
Stu Zipper, M.D. Medical Director
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