ADVICES
- Zika virus: Advice for travellers – December 24, 2019
- Global Measles Notice – July 23, 2019
ROUTINE VACCINES
Be sure that your routine vaccines, as per your province or territory, are up-to-date regardless of your travel destination.
Some of these vaccines include: measles-mumps-rubella (MMR), diphtheria, tetanus, pertussis, polio, varicella (chickenpox), influenza and others.
VACCINES TO CONSIDER
You may be at risk for these vaccine-preventable diseases while travelling in this country. Talk to your travel health professional about which ones are right for you.
Hepatitis A is a disease of the liver spread through contaminated food and water or contact with an infected person. All those travelling to regions with a risk of hepatitis A infection should get vaccinated.
Hepatitis B is a disease of the liver spread through blood or other bodily fluids. Travellers who may be exposed (e.g., through sexual contact, medical treatment, sharing needles, tattooing, acupuncture or occupational exposure) should get vaccinated.
Seasonal influenza occurs worldwide. The flu season usually runs from November to April in the northern hemisphere, between April and October in the southern hemisphere and year round in the tropics. Influenza (flu) is caused by a virus spread from person to person when they cough or sneeze or by touching objects and surfaces that have been contaminated with the virus. Get the flu shot.
Measles is a highly contagious viral disease. It can spread quickly from person to person by direct contact and through droplets in the air.
Anyone who is not protected against measles is at risk of being infected with it when travelling internationally.
Regardless of where you are going, talk to a health care professional before travelling to make sure you are fully protected against measles.
Yellow fever is a disease caused by a flavivirus from the bite of an infected mosquito.
Travellers get vaccinated either because it is required to enter a country or because it is recommended for their protection.
Risk
- There is no risk of yellow fever in this country.
Country Entry Requirement*
- Proof of vaccination is required if you are coming from or have transited through an airport of a country where yellow fever occurs.
Recommendation
- Vaccination is not recommended.
- Discuss travel plans, activities, and destinations with a health care professional.
- There is currently a shortage of the yellow fever vaccine in Canada. It is important for travellers to contact a designated Yellow Fever Vaccination Centre well in advance of their trip to ensure that the vaccine is available.
About Yellow Fever
Yellow Fever Vaccination Centres in Canada
* It is important to note that country entry requirements may not reflect your risk of yellow fever at your destination. It is recommended that you contact the nearest diplomatic or consular office of the destination(s) you will be visiting to verify any additional entry requirements.
FOOD AND WATER-BORNE DISEASES
Travellers to any destination in the world can develop travellers’ diarrhea from consuming contaminated water or food.
In some areas in the Caribbean, food and water can also carry diseases like cholera, hepatitis A, schistosomiasis and typhoid. Practise safe food and water precautions while travelling in the Caribbean. Remember: Boil it, cook it, peel it, or leave it!
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 some areas in the Caribbean, certain insects carry and spread diseases like chikungunya, dengue fever, malaria, West Nile virus and Zika virus.
Travellers are advised to take precautions against bites.
There is currently a risk of chikungunya in this country. 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.
Zika virus is a risk in this country.
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 this country. Pregnant women may choose to avoid or postpone travel to this country.
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 this country for the duration of your pregnancy.
- Women: Wait 2 months after travel to this country 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 this country or after onset of illness due to Zika virus (whichever is longer) before trying for a pregnancy.
For more travel recommendations, see the travel health notice: Zika virus: Advice for travellers
MALARIA
There is no risk of malaria in this country.
ANIMALS AND ILLNESS
Travellers are cautioned to avoid contact with animals, including dogs, monkeys, snakes, rodents, birds, and bats. Some infections found in some areas in the Caribbean, like rabies, can be shared between humans and animals.
PERSON-TO-PERSON INFECTIONS
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
Good-quality medical services are available. Two hospitals are found on the island, one in Saint Martin and one in Sint Maarten. Not all doctors speak or understand English. Payment in advance is often expected.
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.
Travel health and safety
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.
