1. Areas below 1000m incl Roatan & other Bay islands:
There is a risk of malaria.
Recommended adult regimen:
Chloroquine base 310mg (2 tablets) or 300mg (30ml of 50mg/5ml syrup) weekly. Begin one week before travel to affected area and continue for four weeks after leaving.
2. San Pedro Sula, Tegucigalpa and areas >1000m:
There is no risk of malaria. Advise mosquito bite avoidance.Alternative regimen:
Healthcare professionals only may check with the National Travel Health Network and Centre (NaTHNaC) on 0845 6026712 (9.00-11.45am & 1.00-3.45pm, Mon, Tue, Thu, Fri; 9.00-11.45am, Wed; closed on Bank Holidays).
Travellers should be up to date with routinely recommended vaccinations according to the routine UK immunisation programme.
Vaccination could be considered for travellers whose activities put them at increased risk, including those visiting friends and relatives, and frequent or long-stay travellers to areas where sanitation and food hygiene are likely to be poor.
Vaccination recommended for all previously unvaccinated travellers. Hepatitis A vaccine is well tolerated and affords long-lasting protection.
Vaccination recommended for travellers whose activities put them at increased risk, including those at risk due to their work (eg, health workers or those working with animals), those travelling to areas where access to post-exposure treatment and medical care is limited, those planning higher risk activities such as running or cycling, and long-stay travellers.
International Certificate of Vaccination or Prophylaxis (ICVP) required if arriving from a country with a risk of yellow fever transmission or having transited for more than 12 hours through an airport of a risk country.
- applies to children from 12 months.
If a receiving country requires an ICVP as a condition of entry, and the individual should not receive the vaccine on medical grounds, a letter of medical exemption can be considered.
Travellers should have completed a primary vaccination course according to the UK schedule. If travelling to a country where medical facilities may be limited, a booster dose of a tetanus-containing vaccine is recommended if the last dose was more than ten years ago even if five doses of vaccine have been given previously.
Vaccination recommended for travellers at increased risk of developing severe disease and/or of exposure to TB, including unvaccinated children under 16 years of age who are going to live for more than 3 months in this country and unvaccinated, tuberculin skin test negative individuals under 35 years of age at risk because of their work (eg, healthcare workers, prison staff and vets).