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Trauma care centers are uncommon outside urban areas.Encourage patients to purchase medical evacuation insurance.

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Travelers should avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers.Hide Travelers should be reminded on how to protect their personal safety during travel, regardless of their destination.The US Department of State has an extensive website with safety information for international travelers, travel alerts and warnings, and country-specific information.You can also receive updates on new travel alerts and warnings from the US Department of State by subscribing to their RSS feeds.Hide Although some illnesses may begin during travel, others may occur weeks, months, or even years after return.Some basic reminders to review with your patients: Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, Auto Insurance, and other resources.

The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

CDC recommends this vaccine for adults who are traveling to areas of active cholera transmission. Avoiding unsafe food and water and washing your hands can also prevent cholera.

Certain factors may increase the risk of getting cholera or having severe disease (more information).

Risks may vary within different areas of a destination.

Consider prescribing an antibiotic for self-treatment of travelers’ diarrhea, factoring in resistance issues at the destination.

Consider for most travelers; recommended for those who might be exposed to blood or other body fluids, have sexual contact with the local population, or be exposed through medical treatment (e.g., for an accident).