Recommended: Yellow fever vaccination is recommendedfor all travellers ≥9 months old in areas where thereis evidence of persistent or periodic yellow fevervirus transmission.
Generally not recommended: Yellow fever vaccination is generally not recommended in areas where there is low potential
for yellow fever virus exposure (no human yellow fever cases ever reported and evidence to suggest only low levels of yellow fever virus transmission in the past). However, vaccination might be considered for a small subset of travellers to these areas who are at increased risk of exposure to mosquitoes or unable to avoid mosquito bites. When considering vaccination, any
traveller must take into account the risk of being infected with yellow fever virus, country entry requirements, as well as individual risk factors (e.g. age, immune status) for serious vaccine-associated adverse events.
In Panama yellow fever vaccination is not a country requirement.
Recommended: for all travellers aged 9 months or over travelling to all mainland areas east of the area surrounding the
Canal (the entire Comarcas of Emberá and Kuna Yala, the province of Darién and areas of the provinces of Colón and
Panama that are east of the Canal).
Not recommended for travellers whose itineraries are limited to areas west of the Canal, the city of Panama, the Canal
area itself, and the Balboa Islands (Pearl Islands) and San Blas Islands.
Malaria in Panama
Malaria risk due predominantly to P. vivax (> 99%) exists throughout the year in provinces and Comarcas along the Atlantic coast and the borders with Costa Rica and Colombia: Bocas del Toro, Chiriquí, Colón,Darién, Kuna Yala, Ngäbe Buglé, Panama and Veraguas. In Panama City, in the Canal Zone and in the other provinces there is no or negligible transmission risk.
Recommended prevention in risk areas: B; in eastern endemic areas bordering Colombia :C
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