We are booked onto the above trip, have done 3 exodus hols before, but not a cycling one.
Hopefully the rest of the group will not be cycling professionals !
Look forward to hearing from others on the trip.
Bernard and Heidi
Unable to determine malaria zones looking at the map of central America. What advice have you had?
Never had mosquito sting in my life but don't want to tempt fate! Sometimes ok to buy local stuff when we get there.
This is my first Exodus adventure but we grandads have to keep pedalling!
I used to live in Panama a million years ago and visited the other countries = and never had a malaria worry.
Hi all. I'm going on this trip with my husband Simon for my 50th birthday. Looks like we're going to be a big group - and weird that so many of us have also been to Vietnam - we went last Christmas. We're flying BA via Miami so hoping they don't strike on Feb 12th! See you there.
I am a Pharmacist and noticed your enquiries re Malaria, and as travel medicine is an interest of mine would make the following comments.
The current (Up to Dec 31 2010. I'm afraid, but dont anticipate any changes) is as follows
Costa Rica: Risk is Limon province only
Nicaragua has risk in all areas
Panama, Risk is in all areas except Panama City.
The recommended prophylaxis is a combination of chloroquine and Proguanil which you can buy in travel packs from your local Pharmacy at a cost of about £15. Would not recommend buying locally as source may not be genuine!
This a long established medicine regimen with a good safety record and as you need to start taking them 7 days before you travel, any side effects can quickly be identified.
In all areas the recommendation is use mosquito nets, insect repellants and where long sleeved clothing after dusk.
Hope this is helpful, otherwise speak to your local community Pharmacist who should have access to up to date information through the NPA.
Welcome Kathryn and Simon. We can all exchange Vietnam stories and sure won't be long before we have some Central America ones.
Hey Bob welcome and thanks for information - very useful. I have booked to see my practice nurse next week and she has also suggested Yellow fever might be required for Panama (not keen and want to avoid) and asked that I take a map BUT will listen to what she says and will probably just get a travel pack as you suggest. Don't want to tempt fate but the mossies don't like me. Great having a pharmacist on board. Think 10 now accounted for. Glad the snow has gone and can get out a do a bit of cycling again at the weekend. Are you on the Continental flights via Houston?
Sorry to disappoint you Hazel, but I am not actually on this trip! I was just surfing looking at other cycling trips, I am actually doing the MOC Indochina and Angkor Wat, sorry!
On the Yellow fever point, vaccine is recommended, not a requirement and is only available at designated centres. (www.nathnac.org)
I am in charge of the trip you are booked on and I have noticed you have a few questions about malaria.
There is only a slight risk of malaria in some of the areas you visit during the trip. However, although the risk is pretty low, we do recommend that you seek advice from your GP.
I have noticed that someone has recommended www.nathnac.org where you will be able to find further information. As stated on the website, the risk of malaria in the 3 countries is as per below:
COSTA RICA. There is a risk of malaria in the Limon Province except for the city of Limon and a low risk in the rest of the country in rural areas below 500m
NICARAGUA. There is a low risk of malaria in Nicaragua.
PANAMA. There is a risk of malaria est and west of the Canal Zone but there is no risk of malaria in Panama City or on the Canal Zone itself.
You might as well be interested in having a look at the below figures from the WHO reported by our local operator:
UN / WHO / World Bank statistics 2004-2009 (latest avilable)Nicaragua 762 cases / 2 deaths 5.5 M population CR 966 cases / 0 deaths 4.4M population Panama 744 cases / 0 deaths 3.5 M population
I hope this helps but please do let us know if you need further information.
Have a great trip!
Daniela Pontis (Product Executive)
Hi all!! Not too long to go now! Ive been checking the weather and it looks brilliant! Im not going to bother with the malaria tablets, Im going to tough it out! (going to take deet wipes) I have spoken to Exodus and they said that the trip is fully booked with a varied age group so Im looking forward to meeting you all.
See you all soon, Andy.
Which pills are you going for? I'm confused by the advice our practice nurse gave us - she says go for Malaron as the mossies are resistant to chloroquine? She also said we need Hep B and rabies jabs, so don't feel that confident about her judgement!
Been advised to have Malarone for Panama region only. Not Rabies, but advised stay well clear of the monkies.
I am also on the Houston flight on 12th Feb, we can all meet up for a coffee in the departure lounge prior to boarding. If I remember there are several cafes. Any suggestions?
Weather looks good in Nicaragua but will take rain gear as squally showers in Panama and Costa Rica but hopefully have changed by the time we get there and just Sunshine all the way.
Is everyone confident about the ATMs working for us?
Hmmmm...worringly all of our medical advice lines appear to be given us different information re the malaria! (even more worrying, is that they all read off the same website!)
ATM's are apparently ok out there but will take some cash too just in case. Flying out from Heathrow, Hazel, Im going down to London the night before and meeting up with a fellow traveller, but would be great if we met for a coffee if you fancy? Let me know.
I have been told to take chloroquine - and plan to follow my GP's advice.
I am joining the flight in Houston (from Chicago) and would love to know where we can meet for a coffee, since I will have lots of time there between flights.
Our tentative plans are to meet up in Costa Coffee just after security at Heathrow but great to catch up with you when we get to Houston. Always in need of a coffee! Do you know Houston airport at all? Can you suggest somewhere where we can meet up with you. Our group flight is Continental 035 scheduled to arrive at 1340hrs local time so dependant on transit time we could regroup at place of your choice. I used to know Chicago quite well and still have some contacts there.
All - have you seen the hotel (Patio Del Malinche) in Granada on the email from Exodus. Looks great and has some good reviews on Trip Advisor.
Hi Haze, I leave home tomorrow and do a bit of travelling before Houston, but will look out for you at the airport there. Bon voyage
Guess you're gonna recognise us lot by photos + I usually have my cycling helmet dangling from my rucksack as take too much stuff. Will look out for you in Houston. Safe travels. Am really looking forward to my hols now and even tentatively laying some things aside in said rucksack.
Don't worry about your cycling as doesn't look too tough a course.
Just checked the weather and looks fantastic.Will look out for you all in Terminal 4 - past security and find the Costa Coffee. My mobile is 07908050894 if not turned up anywhere.
Looking forward to a great holiday.
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