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  1. #1
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    Immunizations and Nicaragua

    I've got a trip planned for the winter, and I was talking with my Doc, and she suggested a Hep A vac, along with malaria pills, and typhoid vac. You guys bother with this stuff?

  2. #2
    There is some nasty **** out there. Take the suggestions seriously. On top of the vaccines, stay away from the following:

    -Rivermouths after a rain. There is no EPA down there so the waste basically goes from the toilet to the lineup

    -any food that has to be cooked. I ate some chicken on a stick from a street cart in managua once and I think I still feel sick from it. Stick to fruits and veggies, or a REALLY trusted restaurant.

    -Snakes, man, take 'em seriously. Some of the most deadly snakes in the world (see fur de lance) call the arid regions of southwest nica and northwest costa rica home. Always carry a flash light at night.

    -Scorpions.. take em seriously too, man. They like to hang out under beds, in shoes, in showers, etc. I once took a shower with a couple big red ones, didn't realize it until I was drying off. Nearly had a heart attack. Get stung by one of those and no surfey surfey for days.

    -water, even ice in the bar drinks. Some areas in or near the mountains have great water, some areas pull straight from the rivers

    -watch your back. In general, the public is very friendly. Don't forget about that civil war, it is over but corruption and drugs and violence are out there floating around. IF you go out looking for trouble, you WILL find it. Bring cash to pay off the corrupt cops. Many are nice and helpful, many just want your gringo bucks.

    Pura vida, enjoy the trip
    Last edited by leethestud; Nov 14, 2012 at 02:51 PM.

  3. #3
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    Thanks Lee.

  4. #4
    malaria isnt a problem. maybe get the others if you do or plan on doing alot of travel off the beaten track. the Hep A vaccination, i believe, is a series of 2 shots. the first one covers you for a year then get the 2nd one and ur good for life. not sure about typhoid.
    You wont have to worry about rain with the rivermouths since your going during the dry season. that did happen to me once in El Salvador tho. i was in La Libertad, its a pretty big town/city and the first big rain came, it was a miserable 3 days of puke out my ass.

  5. #5
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    The scorpions are not the most dangerous bugs in Nicaragua its the centipedes you have to look out for. When I was there a friend of mine was stung by a small black scorpion that was in his shorts. The remedy, drink three cups of strong coffee and swim for a while to get his heart pumping.

    That being said shake everything out before you put it on.

  6. #6
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    went to Nica this past Sept. and it was AWESOME!! They had a particularly dry rainy season, i believe that had drought conditions throughout most of the country.

    Got the first of the Hep A boosters before I left, second one coming up in a month or so and yes it is lifetime inoculation. Also, got the typhoid fever vaccine, found in tropical regions. And re-upped on my tetanus, i would double check when you got that last...if you got it within 10 yrs you should be fine.

    Would recommend the malaria pills too, there are a very companies and kinds. I did the pill that you take once a week for like 6 wks (depending on length of stay), make sure to look at the other ones tho. one side effect of the RX i had was vivid/realistic dreams....kinda creepy and might have had one or two dreams that were a little out there. the mosquitoes that carry malaria are nocturnal, so if you are all sealed up at night or have mosquito netting you should be fine. They have also had reports of dengue fever which is also transmitted by mosquitoes but they are active during the day. When I went they did not have anything for this so make sure you bring plenty of bug spray....just be smart and take the right precautions.

    The total cost for my three vaccinations and malaria pills was just under 400 bones.....alot up front but hep A is lifetime, tetanus is for another 10 yrs, typhoid only 2 years but rather be safe than sorry. Some of the costs were covered by my insurance, still waiting for reimbursement but I would talk to them before you go. Some companies that offer vaccinations could be out of your "network" of insurance, so they would not be covered. Most times your primary care physician doesnt have these vaccines on hand so they might refer you out and then it is covered under insurance, most times.

    hope this helps!! Have fun, got great waves everyday I was there!

  7. #7
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    OH SH!T....literally, ask for a diarrhea kit...Cipro - to kill everything and a pro-biotic to regrow good bacteria quickly!! If you feel the least bit queasy you can start taking it, rather than waiting to spend a day on the toilet.....other than that, the rum tends to sneak up on you.....nicaragua is the worst place in the world to wake up hungover, esp when its firing!

  8. #8
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    Just got off the phone with the doc. The hep A is 1 shot, and you're good for life. (The hep B is a 2 series shot, thinking I'll pass on that though) All in all it's costing me a little over a bill so it's a no brainer.
    The typhoid is available in pill form. Definitely taking a sh#t kit! I had Montazuma's revenge from Cabo in 2004, and it made me want to taste a gun barrel. That fur de lance just looks nasty.
    Thanks y'all.

  9. #9
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    Master, I would advise against skipping the Hep-B. Hep-B transmission is not entirely understood, and though Nica is an amazing place, the infrastructure reminds me of my worst childhood forts.

    When I went I got both Hep vaccines and typhoid. The malaria pills are unnecessary unless you are planning on spending a ton of time in the jungle. They are not good for you, and when you get down there you'll find that most foreigners and Nica's with 'good' medical access do not bother. Get the Tetanus booster if you have the cash, I saw a snooty Israeli girl get attacked by a dog (hilarious) and she had to get one afterwards.

    Buy the Ciproflaxin (anitibiotic to help stem the flow from your ass), and Diazepam (Valium) if you want, when in Nica. No prescription necessary and it's cheaper.

    Though Lee's advise is spot-on, I ate and drank nearly everything when down there (and yes I payed the price). Still can't help but recommend the Carne Asada from the street vendors behind the cathedral in Leon, if you make it up North.....

  10. #10
    Dengue is the skeeter disease one should worry about. I've never inoculated myself for my annual pilgrimage. But It was always before the rains. My wife got stung in the arm between 2 veins by un alacran. Guarao is the remedy I used. I hear from a guy who laid in a bed of scorpions that YooHoo chocolate drink is the anti venom.