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Travel and Tourism

Travel and Tourism in Cote d'Ivoire

Travel alerts, currency, climate, transit, health, and safety information for visitors to Cote d'Ivoire.

Practical Information

Travel alert status, currency, climate, and transit details.

Travel Alert Status
Level 3: Reconsider Travel
Time Difference
UTC 0 (5 hours ahead of Washington, DC, during Standard Time)
Currency
604.4
Climate
In the south, the tropical climate keeps temperatures between 24°C (75°F) and 32°C (90°F). The southern region features two rainy seasons, May to July and September to December. Humidity averages 85%. Over half the average annual precipitation (208 cm or 82 inches in Abidjan) falls in May, June, and July. Even then, however, the sun often shines. Temperatures vary in the north from 24°C to over 37°C (100°F). The northern region's one rainy season, May-October, averages 130 cm (51 inches) annual rainfall with 71% average humidity.
Ethnic Groups
Akan 42.1%, Voltaiques or Gur 17.6%, Northern Mandes 16.5%, Krous 11%, Southern Mandes 10%, other 2.8% (includes 130,000 Lebanese and 14,000 French) (1998)
National Holiday
Independence Day, 7 August (1960)
Geographic Coordinates
8 00 N, 5 00 W
Location
Western Africa, bordering the North Atlantic Ocean, between Ghana and Liberia
Airports
37

Destinations

Regions and cities, top sights, national parks, UNESCO sites, and festivals for visitors.

Tai National Park

In the far southwestern corner of Cote d'Ivoire, pressed against the border with Liberia and accessible from the provincial town of Guiglo or from the port city of San-Pédro, lies one of the most scientifically significant and ecologically extraordinary places anywhere in Africa. Tai National Park, inscribed on UNESCO's World Heritage List in 1982, is the largest remaining area of primary tropical rainforest in West Africa, encompassing approximately 5,360 square kilometers of forest that has never been commercially logged or permanently cleared for agriculture — a remnant of the vast Upper Guinean forest block that once extended from Sierra Leone across Liberia, Cote d'Ivoire, and Ghana to the forests of Nigeria and Cameroon, and which has been reduced by over 90 percent in the century since systematic exploitation began. What remains in Tai is irreplaceable, and the biological richness concentrated within these boundaries places it among the most important conservation areas on the planet.

The chimpanzees of Tai National Park are the feature that has attracted the most international scientific attention and made the park's name familiar to researchers and nature enthusiasts far beyond the usual constituency for West African wildlife. The Tai chimpanzees — Pan troglodytes verus, the western subspecies of common chimpanzee — have been the subject of continuous, intensive scientific study since the 1970s, when the Swiss primatologist Christophe Boesch and his colleagues began the research program that would eventually grow into one of the longest-running and most productive field studies in the history of primatology. The research at Tai has produced discoveries that have fundamentally changed the scientific understanding of chimpanzee cognition, culture, and behavior, and by extension our understanding of the origins of human intelligence and culture.

The most celebrated discovery made through Tai research is the use of stone tools by the chimpanzees to crack open the hard-shelled nuts of Coula and Panda trees, which contain calorie-rich kernels that are inaccessible to animals without the mechanical means to break the shells. The Tai chimpanzees select appropriate stone anvils and hammers — sometimes carrying preferred tools to nut-cracking sites — and use them with considerable skill to crack nuts while leaving the kernel intact, a task that requires precisely calibrated force and that takes juvenile chimpanzees years of learning and practice to master. Tool use of this sophistication was previously believed to be uniquely human, and the documentation at Tai of a non-human primate population that not only uses stone tools but teaches their use to the next generation through a process of active demonstration and practice constitutes one of the most significant scientific findings in the study of animal behavior in the twentieth century. Tai chimpanzees use tools in other contexts as well, employing leaf sponges to collect water and leaf cushions for sitting, but it is the nut-cracking behavior that has attracted the most attention because of its direct implications for understanding the evolution of human tool use.

The Tai chimpanzee research has documented many other aspects of these animals' social and cognitive lives that challenge previously held distinctions between human and non-human capabilities. Tai chimps engage in coordinated cooperative hunting of red colobus monkeys, with different individuals taking different roles — driving, blocking, and ambushing — in a manner that suggests genuine strategic planning and communication. They show empathy toward injured or ill group members, providing care and companionship in ways that parallel human caregiving behaviors. Their social lives are complex, hierarchical, and politically sophisticated, involving alliance formation, strategic deception, and long-term reciprocity. And a single group of Tai chimpanzees achieved the grim historical distinction of being the first wild non-human animals in which Ebola virus disease was documented, in 1994, when an outbreak killed eighteen members of one study group. The detection of Ebola at Tai predated the recognition of the virus as a major public health threat by a few years and provided the first evidence of Ebola circulating in a wildlife reservoir in West Africa.

For the visitor who comes to Tai primarily in hopes of seeing chimpanzees, the experience — while never guaranteed — is genuinely transformative when it occurs. The park maintains several habituated chimpanzee groups whose members have been gradually accustomed to human presence over years of careful research interaction, and guided visits with these groups, accompanied by experienced tracker-guides, offer the possibility of close and prolonged observation of wild chimpanzees going about their daily lives. A successful visit might include watching chimpanzees moving through the high canopy, grooming one another in a shaft of filtered forest light, calling in the distance with the haunting pant-hoot vocalization that carries for kilometers through the forest, or — the most extraordinary possibility — engaging in nut-cracking at one of the traditional stone tool use sites. The density and height of the forest canopy means that observation is often challenging, and there are days when a group cannot be located despite hours of tracking, but the experience of being in this forest, surrounded by the sounds and atmosphere of one of the last large blocks of primary rainforest in West Africa, is rewarding in itself regardless of what specific animals are seen.

The pygmy hippopotamus, one of the world's rarest and least-known large mammals, is perhaps the most elusive of Tai's significant wildlife. Choeropsis liberiensis — or Hexaprotodon liberiensis as it is sometimes classified, the taxonomic name itself reflecting scientific uncertainty about its exact relationships — is a solitary, nocturnal, forest-dwelling relative of the common hippopotamus that has been reduced to an estimated wild population of only 2,000 to 2,500 individuals, making it one of the most endangered large mammals in the world. Unlike the common hippo, which is a gregarious, diurnal animal closely associated with rivers and lakes, the pygmy hippopotamus is a forest animal that is most closely associated with streams and swampy ground rather than large water bodies, is active primarily at night, and is exceptionally shy and difficult to observe. Where the common hippopotamus can weigh between 1,500 and 3,000 kilograms, the pygmy hippopotamus is closer to 250 kilograms — a more compact, more agile, and visually quite different animal despite its close taxonomic relationship. Tai National Park is recognized as one of the most important remaining strongholds of this species, and local researchers have documented the presence of significant numbers within the park through camera trap surveys and tracks in the muddy margins of forest streams. However, actually seeing a wild pygmy hippopotamus requires extraordinary patience and significant luck — visiting guides at Tai will honestly tell you that sightings are extremely rare.

The park's primate community extends well beyond chimpanzees to encompass an extraordinary assemblage of colobine and guenon monkeys. The olive colobus — perhaps the most cryptic of all the Tai primates, small, dull-colored, and highly arboreal — is present in the park and represents one of its most range-restricted species. The western red colobus, a striking russet-and-black monkey that forms large noisy groups and represents the primary prey species for the Tai chimpanzees during cooperative hunts, is found in substantial numbers. The Diana monkey, with its distinctive white bib and chestnut back, is one of the most commonly observed primates in the forest and often forms mixed-species associations with other monkey species in a behavior believed to provide collective defense against predators. The king colobus, the sooty mangabey, and several guenon species complete an assemblage of primates that represents the full complexity of the Upper Guinean forest primate community and makes Tai one of the richest sites for primate observation anywhere in Africa.

The forest itself, independent of any specific animal sighting, is a biological and aesthetic experience of the first order. The trees of Tai represent over 150 species of timber-quality forest trees, of which approximately 47 percent are endemic to the Upper Guinean forest zone — meaning they are found nowhere else on earth. The canopy in primary forest areas rises to 40 or 50 meters, creating a vast, cathedral-like interior space filtered with soft green light. The buttressed trunks of the larger trees are extraordinary objects in themselves: some of them spread for three or four meters from the trunk base in sweeping flanged structures that appear almost architectural in their regularity and scale. The forest floor is relatively open under the dense canopy, carpeted with leaf litter and inhabited by a complex community of invertebrates, fungi, salamanders, forest duikers — small, shy antelope-like animals that are almost never seen — and the zebra duiker, a strikingly patterned small antelope with vertical dark stripes on an orange background that is endemic to the Upper Guinean forest zone.

The birdlife at Tai is exceptional, with 233 species recorded including numerous range-restricted Upper Guinean endemics. The yellow-casqued hornbill is one of the park's most impressive and visible birds, a large, largely black hornbill with an elaborate yellow casque on its bill that flies between fruiting trees with loud wingbeats audible from considerable distances. The rufous fishing owl is one of the rarest and most sought-after bird species in the park, a nocturnal raptor that hunts along forest streams and is classified as vulnerable due to forest loss across its range. The white-breasted guineafowl, the brown-cheeked hornbill, various sunbirds, weavers, and numerous forest flycatchers complete an avifaunal list that makes the park a significant destination for serious birdwatchers.

Getting to Tai National Park requires commitment and planning but is thoroughly achievable. From Abidjan, the most common route runs westward by road toward Guiglo, the main town of the western forested region, from which the park is accessible. Alternatively, San-Pédro on the southwest coast, reached by domestic flight or by road, serves as a comfortable base with better accommodation options and road access to the park's southern entrance. The park infrastructure includes a research station at Tai village and several simple visitor camps within the park where basic accommodation is available. Advance booking through the Ivorian national park authority is essential, and it is strongly recommended to arrange guided visits with experienced trackers who know the current locations of habituated chimpanzee groups. The best visiting conditions are during the dry season from November through February, when forest trails are more passable and wildlife observation is somewhat easier.

Conservation challenges at Tai are real and serious, despite the UNESCO inscription and the international scientific attention the park has attracted. The forest surrounding the park has been dramatically reduced by agricultural expansion, with cocoa farms and oil palm plantations pressing to the park boundary in many areas. Poaching of bushmeat, including primates and pygmy hippos, occurs within the park boundaries and represents a persistent threat that the management authority has limited capacity to address. The civil war years between 2002 and 2011 severely disrupted park management and law enforcement, allowing agricultural encroachment into buffer zones and an intensification of hunting pressure. Recovery since 2011 has been real but incomplete, and the conservation community working at Tai would be the first to acknowledge that the park's long-term future depends on improving the economic conditions of the communities surrounding it so that forest exploitation represents a less attractive economic option than sustainable use.

Comoe National Park

In the far northeast of Cote d'Ivoire, in a landscape of open Guinea savanna and gallery forest quite different in character from the dense rainforest of the southwest, lies the country's largest protected area and one of the most ecologically significant national parks in all of West Africa. Comoe National Park, inscribed on UNESCO's World Heritage List in 1983, covers approximately 11,500 square kilometers, making it the largest national park in West Africa by a considerable margin and one of the largest in the entire African continent. The Comoe River, whose name the park takes, enters from the north and flows through the park's western sector, providing the water that sustains the extraordinary ecological diversity that has made Comoe one of the most important protected areas in African wildlife conservation.

The ecological character that makes Comoe scientifically exceptional among African national parks is its extraordinary span of vegetation types within a single protected area. The park encompasses a transition zone between the Sudan savanna of the north and the Guinea forest zone of the south, a gradient of rainfall, temperature, and soil conditions that supports an almost unparalleled diversity of habitats within a single protected landscape. In practical terms, this means that a journey through Comoe from north to south traverses not merely different scenery but fundamentally different ecological worlds: open grassland studded with sparsely distributed trees in the north; mixed bush savanna with more trees and a closed canopy in places in the middle sections; gallery forest along the river courses, with large trees, dense undergrowth, and forest species extending along the watercourses into the otherwise open savanna; and in the south, approaching more closely the character of Guinea forest with its greater tree density and moisture. This ecological diversity supports species from across an extraordinarily wide range of African ecological zones, from the Sahel-adapted species of the north to the forest-edge species of the south, concentrated in a single park that represents a kind of ecological crossroads unique on the continent.

The wildlife of Comoe reflects this ecological diversity. The park historically supported populations of lion, leopard, cheetah — unusually, all three of Africa's large felids — as well as African elephant, hippopotamus, African buffalo, waterbuck, kob antelope, hartebeest, roan antelope, and oribi. Primates include olive baboon, green vervet monkey, and several colobus and guenon species that extend into the gallery forest zones. The elephant population, which once numbered in the hundreds and was one of the most significant in West Africa, suffered severely during the civil war years when hunting pressure intensified dramatically and park management collapsed. The cheetah population has not been confirmed in recent years and may be locally extinct. Lion, leopard, and the larger antelope species persist but in reduced numbers, and the recovery of large mammal populations remains one of the most important ongoing conservation priorities in the park.

The birdlife of Comoe is exceptional even by West African standards, with 493 species recorded — one of the highest bird species counts for any single protected area in West Africa. The diversity of habitats naturally supports an extraordinary range of bird species, from the open savanna birds of the north, including various bustards, francolins, and raptors, through the gallery forest species along the river, including kingfishers, bee-eaters, and numerous passerines, to the forest edge species of the south. The white-throated francolin is one of the characteristic birds of the northern savanna sections. The black-bellied bustard, a large and impressive savanna bird, is found in the more open areas. The superb sunbird, one of the most brilliantly colored birds in West Africa, occurs in the more wooded sections along the river.

The conservation history of Comoe National Park since its UNESCO inscription in 1983 tells a sobering story about the vulnerability of even the most formally protected areas to the consequences of political collapse. When Cote d'Ivoire descended into civil war in September 2002 and the northern half of the country fell under rebel control, Comoe National Park — located in the northeast — found itself in a war zone. Government park rangers fled or were expelled. Law enforcement of park boundaries effectively ceased. Agricultural communities moved into buffer zones and, in some cases, into the park itself. Hunting — which had always been a background pressure even during peacetime — intensified dramatically in the absence of any enforcement presence. Comoe National Park was placed on UNESCO's List of World Heritage in Danger in 2003 during the period of armed conflict, when civil war and the breakdown of park management led to severe poaching, agricultural encroachment, and the collapse of wildlife monitoring. Following the resolution of the civil war and the restoration of security after 2011, intensive conservation efforts produced a remarkable recovery: elephant and chimpanzee populations rebounded, anti-poaching patrols resumed, and habitat quality improved significantly. Comoe National Park was removed from the List of World Heritage in Danger in July 2017 at the 41st session of the World Heritage Committee — the first time in history that an African national park had ever been delisted, recognized as a landmark conservation success story. While challenges of poaching and agricultural pressure at park boundaries continue to require vigilance, the recovery of Comoe stands as one of West Africa's greatest conservation achievements.

Visitors to Comoe today will find a park that offers genuine and rewarding wildlife experiences, particularly for those interested in savanna ecology and birds, while also presenting real challenges of access and infrastructure. The roads within the park are passable in the dry season but can be extremely difficult after rain. Accommodation ranges from basic camping to a small number of simple visitor facilities. The best wildlife viewing is along the Comoe River course, where diverse habitats attract large concentrations of animals to water, particularly in the dry season from November through March when surface water elsewhere in the park becomes scarce. Advance planning, a reliable four-wheel-drive vehicle, and either a knowledgeable local guide or contact with the park authority are all essential for a successful visit.

Mont Nimba Strict Nature Reserve

At the far western end of Cote d'Ivoire, where the country's border pinches to a point between Guinea to the north and Liberia to the south and west, the Nimba Mountains rise from the surrounding forest and savanna to form one of the most biologically remarkable highland zones in West Africa. The Mont Nimba Strict Nature Reserve, inscribed on UNESCO's World Heritage List in 1981 and shared as a transboundary protected area with Guinea across the border to the north, protects a series of grass-covered mountain ridges and peaks that reach a maximum elevation of approximately 1,752 meters at Mount Nimba itself — the highest point in Cote d'Ivoire and one of the highest points in West Africa. The reserve encompasses approximately 5,000 hectares on the Ivorian side, with a larger area under protection on the Guinean side, together constituting a highland island of unique biodiversity surrounded by increasingly degraded lowland landscapes.

The biological significance of the Nimba Mountains derives from their combination of altitude, isolation, and the remarkable antiquity of their forest and grassland communities. The highland zone creates a distinct climate — cooler, wetter, and with greater mist and cloud cover than the surrounding lowlands — that has allowed a number of plant and animal species to evolve in isolation over many thousands of years, producing a level of endemism that is extraordinary for such a compact geographic area. The most famous of the reserve's endemic species, and one of the most unusual animals in the world by virtue of a single remarkable reproductive characteristic, is the viviparous toad, Nimbaphrynoides occidentalis. This small, inconspicuous brownish toad, found only in the Nimba Mountains, holds the distinction of being the only toad species in the world in which the female gives birth to fully developed live young rather than laying eggs that develop externally. This reproductive strategy, called viviparity and common in mammals but almost unknown among amphibians, represents a profound evolutionary adaptation to the particular conditions of the highland environment, where exposed egg masses would face challenges of temperature, desiccation, and predation that internal development avoids. The viviparous toad is classified as critically endangered, with a population confined to the limited suitable habitat on the Nimba highlands on both the Ivorian and Guinean sides of the border.

The chimpanzees of the Nimba Mountains represent another important wildlife population: the highland chimpanzees of Nimba have been studied since the 1940s and 1950s, and early observations of their behavior — including tool use — contributed to the foundation of chimpanzee behavioral science that would later be built upon more extensively at Tai and Gombe. The Nimba otter shrew, a small, semi-aquatic mammal related to the tenrecs of Madagascar rather than to the true shrews of the Northern Hemisphere, is another highland endemic of conservation significance. Various duiker species occur in the forest zones of the reserve, and the diverse invertebrate fauna of the highland zone includes numerous endemic species of insects and other arthropods that have not been fully described by science.

The conservation history of the Mont Nimba Strict Nature Reserve has been even more troubled than that of Comoe National Park, and reflects a different kind of threat to the region's natural heritage: not the political violence that damaged Comoe, but the economic pressure of mineral extraction. The Nimba Mountains sit atop one of the world's highest-grade iron ore deposits, a geological concentration of iron-rich rock that represents enormous economic value. Various mining concessions have been granted and renegotiated over the decades, and the threat that large-scale open-cast iron ore mining would cause to the integrity of the nature reserve — through direct habitat destruction, pollution of highland streams, noise and disturbance, and the infrastructure demands of large-scale mining operations — has been a source of persistent conflict between conservation interests and economic development advocates since the 1960s. UNESCO placed Mont Nimba on its List of World Heritage in Danger in 1992, making it the oldest site in Cote d'Ivoire on this list, in recognition of the mining threat and the limitations of protection that had been achieved at that point. The site has remained on the Danger List continuously since 1992, reflecting ongoing concerns about mining pressure even as the specific concession arrangements have changed over time. At the time of this writing, the situation remains unresolved, and the future of the highland ecosystem depends on decisions about mining development that are driven primarily by economic and political calculations well beyond the conservation sphere.

For the traveler, the Mont Nimba area is extremely remote and difficult to visit. There is no established tourist infrastructure in the immediate vicinity of the reserve, and access requires a robust vehicle, advance planning, and a willingness to navigate the logistics of travel in one of Cote d'Ivoire's least-developed regions. The nearest significant town is Man, the regional capital of the western highlands, which is itself a full-day's drive from Abidjan on roads that vary considerably in quality. Visitors with a serious interest in the Nimba Mountains' biodiversity and history would need to arrange visits through the Ivorian national park authority and be prepared for basic conditions. But for those who do make the journey, the highland landscape is genuinely extraordinary: the grass-covered ridges with their views over the surrounding forest and savanna, the sense of biological remoteness and ecological particularity, and the knowledge that one is standing at one of the most biologically significant points in West Africa are ample rewards for the logistical effort.

Health and Safety

Medical facilities, vaccinations, disease risk, and sanitation conditions.

Medical Facilities and Care

Medical Facilities and Health Information
Abidjan has privately-run medical and dental facilities that are adequate, but do not fully meet U.S. standards. Good physician specialists can be found, although few speak English. While pharmacies are well-stocked with medications produced in Europe, newer drugs may not be available. If you plan a lengthy trip to Côte d’Ivoire, you should bring enough medication to last the entire stay, not just a prescription, in your carry-on luggage. Medical care outside of Abidjan is extremely limited. Malaria is a serious health problem in Côte d’Ivoire. All of the following antimalarial drugs are effective options for preventing malaria in Côte d'Ivoire: Atovaquone-proguanil, doxycycline, or mefloquine. Note: Chloroquine is NOT an effective antimalarial drug in Côte d'Ivoire and should not be taken to prevent malaria in this region. Remember to start malaria prophylaxis treatment prior to arriving in country. Bring enough medications with you for the duration of your stay since you might not readily find the medications locally. For more information on malaria, including protective measures, visit the U.S. Centers for Disease Control and Prevention (CDC) web site. Dengue, filariasis, leishmaniasis, onchocerciasis (river blindness), and African trypanosomiasis (African sleeping sickness) are other diseases carried by insects that also occur in Côte d’Ivoire. Protecting yourself against insect bites will help to prevent these diseases. There are yearly cholera outbreaks. The risk of contracting acute watery diarrhea or cholera can be significantly reduced by drinking purified water, bleaching produce, and eating meat and seafood that are thoroughly cooked and hot. Tuberculosis is an increasingly serious health concern in Côte d’Ivoire. For further information, please consult the CDC's information on TB.
Accessibility
Individuals with disabilities should be aware that there are almost no accommodations made for individuals with disabilities in Côte d’Ivoire.
Recommended Vaccinations
How important is it to do your research about vaccinations? It might just save your life! Make yourself aware of the different types of vaccinations and which ones you may need to travel to your destination. Schedule an appointment with your doctor at least four to six weeks before you travel to ensure you receive all important shots. Be sure that you and your family are up to date on your routine vaccinations. Which vaccinations you need will depend on a number of factors including your destination, whether you will be spending time in rural areas, the season of the year you are traveling, your age, health status, and previous immunizations.
Medical Insurance
Uninsured travelers who encounter medical emergencies overseas often face extreme difficulties. Most medical insurance plans do not include coverage outside one's country. Getting medical treatment and hospital care abroad can be very expensive, and, if you need it, a medical evacuation back to your country can cost more than $50,000! Your local embassy may assist in locating appropriate medical services, informing family or friends, and may even assist in the transfer of funds from back home. But ultimately, payment of hospital and other expenses is entirely your responsibility. Check the terms of your health insurance policy, whether it’s your own, under your parents' policy, or through your school. If you are not covered while out of the country, you may need to purchase additional coverage. Many travel agents and private companies offer plans that will cover health care expenses overseas including emergency services such as medical evacuations.
Mental Health
Traveling or studying overseas is not a cure for health conditions such as depression or attention deficit disorder. Sometimes going abroad may in fact amplify a condition. One may not have adequate access to prescription medication or mental health facilities. In addition, culture shock, language barriers, and homesickness can deepen isolation or depression. Before traveling, create a workable plan for managing your mental health while abroad. The availability and quality of mental health services differ widely from country to country. In many countries, one will find it difficult — and sometimes impossible — to find treatment for mental health conditions. With your health services provider or your school, put together a workable mental health plan before you go overseas. If you have a medical or psychological condition that may require treatment while you are abroad, discuss this ahead of time with your doctor. A vacation or study abroad is a great opportunity to try new things but this is not the time to experiment with not taking your medicine or mixing alcohol with medicine. Research the social culture of your destination to learn about how mental illnesses are viewed. Attitudes toward mental health can greatly vary between countries. If you are studying abroad through your university, talk to your university about access to mental health services at overseas programs. Your study abroad office can help you decide what program would be best for you. If currently receiving mental health services — including prescription medication — find out if those services and/or medication are available at your destination. Consider the support system you’ll have in place while abroad. If possible, know ahead of time who you can consult about your mental health.
Prescriptions
While you’re abroad is not the time to suddenly realize you ran out of your prescription! If you have a condition that requires regular medication, bring an extra quantity with you and pack it in your carry-on, just in case your checked luggage gets lost. Just remember to keep it in its original container and clearly labeled — you don’t want to create the impression you’re carrying drugs that haven’t been prescribed to you. In fact, you should check with the local embassy to make sure that your medication is acceptable to carry into the country. Some countries may consider your prescription medication to be illegal. Bring a letter from your doctor listing your medications and explaining why you need them. Doing your research and having a letter can help prevent any misunderstandings along the way. Bring extras of any medical necessities you need, like contact lenses or glasses. You might want to pack a pair in both your carry-on bag and your checked luggage, just to be safe. If you have allergies to certain medications, foods, insect bites, or other unique medical problems, consider wearing one of those “medical alert” bracelets and carry a letter from your doctor explaining the required treatment if you become ill. It might not be the coolest piece of jewelry you wear, but it could save your life.

Disease Risk

Degree of Risk
very high
Diseases Note
highly pathogenic H5N1 avian influenza has been identified in this country; it poses a negligible risk with extremely rare cases possible among US citizens who have close contact with birds
Animal-Contact Diseases
rabies
Food and Waterborne Diseases
bacterial diarrhea, hepatitis A, and typhoid fever
Respiratory Diseases
meningococcal meningitis
Vectorborne Diseases
malaria, dengue fever, and yellow fever
Water-Contact Diseases
schistosomiasis