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Ministério da Saude SUS Governo Federal

O Ministério da Saúde é o órgão do Poder Executivo Federal responsável pela organização e elaboração de planos e políticas públicas voltados para a promoção, prevenção e assistência à saúde dos brasileiros.

Bloco G - Esplanada dos Ministérios, Brasília - DF 70058-900 Telefone:(61) 3315-2425 | Disque 136 Ouvidoria Geral do SUS Horas: quinta-feira 08:00 – 18:00

Portal da Saúde

Saúde do Viajante

PREPARATIONS FOR THE TRIP

 

Before the trip

  • Avoid traveling when ill;
  • See your physician, preferably 4 to 8 weeks before the trip, and inform your itinerary. Ask for advice on protection against diseases and injuries;
  • During the trip, you may have difficulty finding, or may not find, the medicines you usually take. Ask for your physician’s advice on which medicines, and in what quantity, you should take on the trip, including in your hand luggage;
  • Pack your medicines according to the manufacturer's instructions, in the original package and with the insert;
  • Eat before traveling. Eat what you are used to, avoiding fats, since they can cause discomfort during the trip;

 

On the plane

  • Follow the airline's rules for transporting objects and liquids;
  • If you feel any change in your health status on the trip, inform the crew;
  • All pregnant women should consult their physician before traveling, because they are subject to various risks, and travel can affect their safety and comfort;
  • Before traveling, ask the company about specific rules for pregnant women.

 

Your destination

  • To ensure a safe and healthy stay in Brazil, inquire in advance about destinations within the country, as you may find differences in climate, food and cultural habits;
  • When deciding your itinerary, plan activities of interest and take preventive health measures accordingly;
  • Inquire about the place you are traveling to. Find out if there is risk of disease and need for vaccinations or other preventive measures;
  • See your physician, preferably 4 to 8 weeks before the trip to inform your itinerary. Ask for advice on protection against diseases and injuries;

 

 

ZIKA VIRUS

 

Regardless of the destination or purpose of the trip to Brazil, it is important that travelers take measures to protect against Aedes aegypti mosquitoes.

Stay in areas that have protective screens on doors and windows, especially if you are away from capital cities. Air conditioning and fans are also protective barriers against mosquitoes.

Whenever possible, protect your body with light-colored and long-sleeved clothes, pants, socks and closed shoes. Use repellent on exposed skin, following the manufacturer's instructions.

The Zika virus can also be transmitted through sex, so it is recommended to use condoms in all sexual relations.

Red rashes, itching, fever (high or low), pain in the body or eyes are symptoms that may be associated with dengue, Chikungunya or Zika virus. If you have any of these symptoms, do not take any medication on your own, seek immediate health care in Brazil and make an appointment with a physician. It is recommended to drink plenty of fluids.



PREGNANT WOMEN

It is important to note that, in any situation, pregnant women need to consult their physician before traveling and that special care is required when traveling.

They should only use repellents allowed during pregnancy (based on DEET, icaridin or picaridin and IR 3535 ou EBAAP), wear long-sleeved clothing and stay in places with protective screens and avoid areas of higher incidence of Zika virus and malaria.

They should avoid places with mosquitoes without the recommended protective measures, and locations where there are more insects.

Cases of Zika virus transmission between partners during sex have been reported, so always use a condom.

If there is any change in your health status, report it to the health professionals for monitoring of the pregnancy. It is recommended to drink plenty of fluids.




VACCINES

While in Brazil there is no requirement to present a vaccination certificate to enter the country, the Ministry of Health recommends that tourists update their vaccination card according to the guidelines of the vaccination schedule of their country of origin or residence, at least 10 days before the trip.


Yellow fever

If you plan to do any kind of eco-tourism in rural areas or forests (Areas with Vaccination Recommendation - ACRV), the yellow fever vaccine is highly recommended. A single-dose vaccine should be applied at least 10 days prior to the travel date.

The Ministry of Health recommends that when traveling to Brazil tourists update their vaccination card for the following diseases:

• INFLUENZA (Flu): Brazil adopts the vaccination of risk groups in the period from April 18 to May 20, 2016, before the period of highest incidence of the disease.

• MEASLES: In Brazil the measles virus is no longer endemic. However, the population is vaccinated to prevent the virus returning to the country, considering that it still affects other parts of the world.

• RUBELLA: Brazil is officially free of Rubella and Congenital Rubella Syndrome (CRS) and has not reported cases of endemic transmission. The vaccine is still essential to avoid recurrence of the disease.


• HEPATITIS A:
Brazil recommends prior vaccination because you can get hepatitis A through contaminated food or water, irrespective of the country you are traveling in.

• HEPATITIS B:
You can get hepatitis B through sexual contact, contaminated needles and blood products. Brazil recommends vaccination if you are getting a tattoo or piercing, or if you are pregnant.

 

 

MALÁRIA

In Brazil, malaria transmission is concentrated in the Amazon region, comprising the states of Acre, Amapá, Amazonas, Maranhão, Mato Grosso, Pará, Rondônia, Roraima and Tocantins. (INCLUDE MAP) In these areas, malaria mosquitoes are most active from late afternoon to dawn.

 

How to prevent it?

1 – Wear light-colored clothes and long sleeves during high exposure activities.
2 - Apply insect repellent on exposed skin, following the manufacturer's instructions.
3 - Pay attention to the appearance of malaria symptoms, such as fever, body ache and headache.
4 - If you have any of these symptoms, immediately seek the nearest health service.

Beware! Malaria can kill.

 

 

What health measures should I take before the trip?

It is important to know in advance the health measures that must be taken. Make an appointment with your physician for a check-up, especially if you have a disease. Avoid traveling with any acute infectious disease. If you need to use medicines during the trip, get a prescription and keep it with you. Remember to pack enough medicines for the entire trip.

Should I have an appointment even if traveling inside Brazil?

Yes. Many people feel safer when traveling to destinations close to where they live and end up increasing exposure to certain risks, such as, for example, being less careful when consuming foods and beverages or using insect repellent. Moreover, we live in continent-sized country with large climate variations and different public health conditions from one state to another. Travel medicine considers these and other important factors in establishing risks and prevention. For this reason, it will always focus on protection, even if someone is returning to their hometown after years living in another county or state.

I am pregnant, can I travel by plane?

Physicians advise traveling by plane only from the third to the seventh month (preferably up to 32 weeks). Before that the fetus is still developing, and after this period there is a risk of premature birth. Women with multiple pregnancies (two or more babies) should be extra careful. For them, it is recommended not to travel as of the 28th week.

IATA (International Air Transport Association) recommends to airlines that they request a medical authorization for pregnant women traveling as of the 36th week (32nd in the case of multiple pregnancies). Many companies require this, but the week for which it is required may vary.

What should I do if I become ill during the flight?

If you become ill inside the aircraft, report it to the on-board staff, who will take appropriate action and alert the health services of the location you are traveling to. In trips taking more than four hours, prolonged immobility increases the risk of venous thrombosis. Therefore, try to exercise every two or three hours.

Do I need any vaccines to enter Brazil?

Currently, the World Health Organization establishes yellow fever vaccination as the only requirement for entry in the International Health Regulations signatory countries that adopt this measure. Brazil does not establish vaccination requirement for travelers. For added protection of your health, it is recommended that you keep your vaccination card up to date, especially against yellow fever, influenza and measles. It is important to note that, to achieve the necessary protection, each vaccine takes a period ranging from ten days to six weeks. Therefore, take the vaccine in advance.

Brazil requires the International Certificate of Vaccination and Prophylaxis (ICVP) temporarily and restricted to travelers coming from or going to Angola and the Democratic Republic of Congo.
The decision follows a recommendation issued by the Emergency Committee of the World Health Organization (WHO), due to the ongoing Urban Yellow Fever outbreak in these two African countries.
Therefore, travelers, delegations and athletes coming or in transit to Angola and the Democratic Republic of Congo must have CIVP with vaccination date at least 10 days prior to travel.

Where can I find the traveler health service?

See list of traveler health advice centers. (in Portuguese)

Should I consult a physician before traveling?

Medical advice is an important step in planning a trip. The risk of falling ill depends on factors such as an individual's susceptibility (influenced by vaccination and disease history, concomitant diseases and medication use) and characteristics of the scheduled trip (itinerary, time of year, duration, type of activity, accommodation conditions, availability of health care).

Before traveling, individuals with chronic diseases should consult their physician, obtain information on the quality of medical care at the destination and check the coverage of their health plan or travel insurance. Changes in diet, physical activity, altitude, temperature and time zone can worsen preexisting diseases. In mountainous areas, even for healthy people, there may be risks related to altitude and excessive exposure to sunlight.

Advice to travelers:

The risk of violence and accidents should always be considered during trips. Anywhere in the world, a traveler may be a victim of assault, theft and sexual violence. Travelers should be cautious when moving around at the destination. Factors such as driving in an unknown location, left-hand driving, excessive tiredness and alcohol intake contribute to the occurrence of traffic accidents, a major cause of hospitalization and death among travelers. Engaging in unfamiliar water activities (swimming, diving, boating) is very common during travel, especially among younger people, and drowning is the second most common cause of death among travelers.

Important websites:

http://wwwnc.cdc.gov/travel
http://www.who.int/malaria/travellers/en/
http://ecdc.europa.eu/en/Pages/home.aspx

Saúde baseada em evidências
Disque Saúde - Ouvidoria Geral do SUS
Ministério da Saúde - Governo Federal - Brasil