Brazil Travel Vaccines & Advice

FOOD AND WATER-BORNE DISEASES in Brazil

Travellers to any destination in the world can develop travellers’ diarrhea from consuming contaminated water or food.

In some areas in Brazil, food and water can also carry diseases like cholera, hepatitis A, schistosomiasis and typhoid. Practise safe food and water precautions while travelling in South America. Remember: Boil it, cook it, peel it, or leave it!

Schistosomiasis can be spread to humans through freshwater sources contaminated by blood flukes (tiny worms). The eggs of the worms can cause stomach illnesses like diarrhea and cramps or urinary problems. Risk is generally low for most travellers. Avoid swimming in freshwater sources (lakes, rivers, ponds). There is no vaccine available for schistosomiasis.

• Travellers’ diarrhea is the most common illness affecting travellers. It is spread from eating or drinking contaminated food or water.
• Risk of developing travellers’ diarrhea increases when travelling in regions with poor standards of hygiene and sanitation. Practise safe food and water precautions.
• The most important treatment for travellers’ diarrhea is rehydration (drinking lots of fluids). Carry oral rehydration salts when travelling.

Typhoid is a bacterial infection spread by contaminated food or water. Risk is higher among children, travellers going to rural areas, travellers visiting friends and relatives or those travelling for a long period of time.

Travellers visiting regions with a risk typhoid, especially those exposed to places with poor sanitation should speak to a health care professional about vaccination.

INSECTS AND ILLNESS IN BRAZIL

In some areas in South America, certain insects carry and spread diseases like American trypanosomiasis (Chagas disease), chikungunya, dengue fever, leishmaniasis, malaria, onchocerciasis (river blindness), West Nile virus , yellow fever and Zika virus.

Travellers are advised to take precautions against bites.

There is currently a risk of chikungunya in Brazil. Chikungunya is a virus spread through the bite of an infected mosquito. Chikungunya can cause a viral disease that typically causes fever and pain in the joints. In some cases, the joint pain can be severe and last for months or years.

Protect yourself from mosquito bites at all times. There is no vaccine available for chikungunya.

• In Brazil, dengue fever is a risk to travellers year-round.  It is a viral disease spread to humans by mosquito bites.
• Dengue fever can cause severe flu-like symptoms. In some cases, it can lead to dengue haemorrhagic fever, which can be fatal.
• The level of risk of dengue fever changes seasonally, and varies from year to year. After a decline in reported dengue cases worldwide in 2017 and 2018, global numbers have been steeply rising again.
• Mosquitoes carrying dengue typically bite during the daytime, particularly around sunrise and sunset.
• Protect yourself from mosquito bites. There is no vaccine or medication that protects against dengue fever.

Cutaneous and mucosal leishmaniasis causes skin sores and ulcers. It is caused by a parasite spread through the bite of a female sandfly.

Risk is generally low for most travellers. Protect yourself from sandfly bites, which typically occur after sunset in rural and forested areas and in some urban centres. There is no vaccine or medication to protect against leishmaniasis.

Visceral leishmaniasis (or kala azar) affects the bone marrow and internal organs. It is caused by a parasite spread through the bite of a female sandfly. It can also be transmitted by blood transfusion or sharing contaminated needles. If left untreated it can cause death. Risk is generally low for most travellers. Protect yourself from sandfly bites, which typically occur after sunset in rural and forested areas and in some urban centres. There is no vaccine or medication to protect against leishmaniasis.

Zika virus is a risk in Brazil.

Zika virus is primarily spread through the bite of an infected mosquito. It can also be sexually transmitted. Zika virus can cause serious birth defects.

Pregnant women and women planning a pregnancy should visit a health care professional before travelling to discuss the potential risks of travelling to Brazil. Pregnant women may choose to avoid or postpone travel to Brazil.

Travel recommendations:

• Prevent mosquito bites at all times.
• If you are pregnant, always use condoms correctly or avoid sexual contact with anyone who has travelled to Brazil for the duration of your pregnancy.
• Women: Wait 2 months after travel to Brazil or after onset of illness due to Zika virus (whichever is longer) before trying for a pregnancy. If your male partner travelled with you, wait 3 months after travel or after onset of illness due to Zika virus (whichever is longer).
• Men: Wait 3 months after travel to Brazil or after onset of illness due to Zika virus (whichever is longer) before trying for a pregnancy.

For more information, see the travel health notice: Zika virus: Advice for travellers

MALARIA IN BRAZIL

• There is a risk of malaria in certain areas and/or during a certain time of year in Brazil.
• Malaria is a serious and occasionally fatal disease that is spread by the bite of an infected mosquito. There is no vaccine against malaria.
• Protect yourself from mosquito bites. This includes covering up, using insect repellent and staying in enclosed air-conditioned accommodations. You may also consider pre-treating clothing and travel gear with insecticides and sleeping under an insecticide-treated bednet.
• Antimalarial medication may be recommended depending on your itinerary and the time of year you are travelling. See a health care provider or visit a travel health clinic, preferably six weeks before you travel to discuss your options.

ANIMALS AND ILLNESS IN BRAZIL

Travellers are cautioned to avoid contact with animals, including dogs, monkeys, snakes, rodents, and bats. Certain infections found in some areas in South America, like rabies, can be shared between humans and animals.

PERSON-TO-PERSON INFECTIONS IN BRAZIL

Crowded conditions can increase your risk of certain illnesses. Remember to wash your hands often and practice proper cough and sneeze etiquette to avoid colds, the flu and other illnesses.

Sexually transmitted infections (STIs) and HIV are spread through blood and bodily fluids; practise safer sex.

MEDICAL SERVICES AND FACILITIES IN BRAZIL

The healthcare system in Brazil remains precarious. Quality medical care can be found in major cities, such as Sao Paulo, Rio and Brasilia.

Brazil’s medical infrastructure is comprised of numerous hospital centres. More than half are private and most of them are located in developed urban centres. Some medical facilities in the state of Rio de Janeiro have closed or are providing limited services, due to lack of funding for their operations. Private hospitals remain operational.

Certain medications may not be available.

The Albert Einstein Hospital, in Sao Paulo, is greatly praised by tourists and expatriates. It offers a wide array of specialized services. The Samaritan Hospital and the FreireZaini MT are other good medical establishments, also in Sao Paulo. In Rio, many hospitals offer health care of good quality, like the Samaritano Hospital. This establishment has a good cardiac service, as well as other specialized departments. 

In case of emergency, call 192. If you wish a private ambulance, you can contact the Sao Paulo Albert Einstein Hospital at 3747-1000 or 3747-1100, or the private ambulances of Copacabana in Rio at 2257-3848.

Physicians and hospitals often expect immediate cash payment. Medical evacuation can be very expensive and you may need it in case of serious illness or injury.

Make sure you get travel insurance that includes coverage for medical evacuation and hospital stays.

Don’t forget to bring your own medical kit.

DRINKING WATER IN BRAZIL

Unfiltered water and ice throughout the country are not safe to consume.

KEEP IN MIND…

The decision to travel is the sole responsibility of the traveller. The traveller is also responsible for his or her own personal safety.

Be prepared. Do not expect medical services to be the same as in Canada. Pack a travel health kit, especially if you will be travelling away from major city centres.