Brazil Travel Health Insurance – Country Review

Learn more about Brazil Travel Health Insurance with an overview from the CDC and the US State Department. Here we cover Vaccines, Medicines and Insurance.

At AardvarkCompare we can’t recommend travel insurance enough. Whether you are just traveling a few hundred miles from home to see family, or traveling to the other side of the world, travel insurance should be considered an essential part of your holiday packing. The hope is that you won’t have to use your travel insurance, and that you’ll have a fun and enjoyable trip. The following advice should help you make the most of your trip to Brazil.
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Brazil Travel Health – CDC

All travelers

You should be up to date on routine vaccinations while traveling to any destination. Some vaccines may also be required for travel.

Vaccines and Medicines

Check the vaccines and medicines list and visit your doctor (ideally, 4-6 weeks) before your trip to get vaccines or medicines you may need.

Routine vaccines

Make sure you are up-to-date on routine vaccines before every trip. These vaccines include measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and your yearly flu shot.

Most travelers

Get travel vaccines and medicines because there is a risk of these diseases in the country you are visiting.

Hepatitis A

CDC recommends this vaccine because you can get hepatitis A through contaminated food or water in Brazil, regardless of where you are eating or staying.

Typhoid

You can get typhoid through contaminated food or water in Brazil. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you are an adventurous eater.

Some travelers

Ask your doctor what vaccines and medicines you need based on where you are going, how long you are staying, what you will be doing, and if you are traveling from a country other than the US.

Hepatitis B

You can get hepatitis B through sexual contact, contaminated needles, and blood products, so CDC recommends this vaccine if you might have sex with a new partner, get a tattoo or piercing, or have any medical procedures.

Malaria

When traveling in Brazil, you should avoid mosquito bites to prevent malaria. You may need to take prescription medicine before, during, and after your trip to prevent malaria, depending on your travel plans, such as where you are going, when you are traveling, and if you are spending a lot of time outdoors or sleeping outside. Talk to your doctor about how you can prevent malaria while traveling. For more information on malaria in Brazil, see malaria in Brazil.

Rabies

Rabies can be found in dogs, bats, and other mammals in Brazil, so CDC recommends this vaccine for the following groups:

  • Travelers involved in outdoor and other activities in remote areas that put them at risk for bat bites (such as adventure travel and caving).
  • People who will be working with or around bats (such as wildlife professionals and researchers).
  • People who are taking long trips or moving to Brazil
  • Children, because they tend to play with animals, might not report bites, and are more likely to have animal bites on their head and neck.

Yellow Fever

There is no risk of yellow fever in Brazil. The government of Brazil requires proof of yellow fever vaccination only if you are arriving from a country with risk of yellow fever. This does not include the US. If you are traveling from a country other than the US, check this list to see if you may be required to get the yellow fever vaccine: Countries with risk of yellow fever virus (YFV) transmission.

For more information on recommendations and requirements, see yellow fever recommendations and requirements for Brazil. Your doctor can help you decide if this vaccine is right for you based on your travel plans.

Zika

Zika is a risk in Brazil. Zika infection during pregnancy can cause serious birth defects. Therefore, pregnant women should not travel to Brazil. Partners of pregnant women and couples planning pregnancy should know the possible risks to pregnancy and take preventive steps.

Stay Health and Safe

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Brazil, so your behaviors are important.

Eat and Drink Safely

Unclean food and water can cause travelers’ diarrhea and other diseases. Reduce your risk by sticking to safe food and water habits.

Eat

  • Food that is cooked and served hot
  • Hard-cooked eggs
  • Fruits and vegetables you have washed in clean water or peeled yourself
  • Pasteurized dairy products

Don’t Eat

  • Food served at room temperature
  • Food from street vendors
  • Raw or soft-cooked (runny) eggs
  • Raw or undercooked (rare) meat or fish
  • Unwashed or unpeeled raw fruits and vegetables
  • Unpasteurized dairy products
  • ”Bushmeat” (monkeys, bats, or other wild game)

Drink

  • Bottled water that is sealed
  • Water that has been disinfected
  • Ice made with bottled or disinfected water
  • Carbonated drinks
  • Hot coffee or tea
  • Pasteurized milk

Don’t Drink

  • Tap or well water
  • Ice made with tap or well water
  • Drinks made with tap or well water (such as reconstituted juice)
  • Unpasteurized milk

Take Medicine

Talk with your doctor about taking prescription or over-the-counter drugs with you on your trip in case you get sick.

Prevent bug bites

Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Brazil. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.
What type of insect repellent should I use?

  • FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
  • FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection.
    • DEET
    • Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
    • Oil of lemon eucalyptus (OLE) or PMD
    • IR3535
  • Always use insect repellent as directed.

What should I do if I am bitten by bugs?

  • Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
  • Check your entire body for ticks after outdoor activity. Be sure to remove ticks

What can I do to avoid bed bugs?

Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs.
Some diseases in Brazil—such as dengue, leishmaniasis, and Chagas disease—are spread by bugs and cannot be prevented with a vaccine. Follow the insect avoidance measures described above to prevent these and other illnesses.
For more detailed information on avoiding bug bites, see Avoid Bug Bites.

Stay safe outdoors

If your travel plans in Brazil include outdoor activities, take these steps to stay safe and healthy during your trip.

  • Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
  • Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
  • Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
  • Heat-related illness, such as heat stroke, can be deadly. Eat and drink regularly, wear loose and lightweight clothing, and limit physical activity during high temperatures.
    • If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
  • Protect yourself from UV radiation: use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
  • Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
  • Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.

Stay safe around water

  • Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
  • Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
  • Do not dive into shallow water.
  • Do not swim in freshwater in developing areas or where sanitation is poor.
  • Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
  • To prevent infections, wear shoes on beaches where there may be animal waste.

Schistosomiasis, a parasitic infection that can be spread in fresh water, is found in Brazil. Avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers.

Keep away from animals

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.
Follow these tips to protect yourself:

  • Do not touch or feed any animals you do not know.
  • Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
  • Avoid rodents and their urine and feces.
  • Traveling pets should be supervised closely and not allowed to come in contact with local animals.
  • If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:

  • Wash the wound with soap and clean water.
  • Go to a doctor right away.
  • Tell your doctor about your injury when you get back to the United States.

Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.

Reduce your exposure to germs

Follow these tips to avoid getting sick or spreading illness to others while traveling:

  • Wash your hands often, especially before eating.
  • If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
  • Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
  • Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
  • Try to avoid contact with people who are sick.
  • If you are sick, stay home or in your hotel room, unless you need medical care.

Avoid sharing body fluids

Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.
Protect yourself:

  • Use latex condoms correctly.
  • Do not inject drugs.
  • Limit alcohol consumption. People take more risks when intoxicated.
  • Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
  • If you receive medical or dental care, make sure the equipment is disinfected or sanitized.

Know how to get medical care while traveling

Plan for how you will get health care during your trip, should the need arise:

  • Carry a list of local doctors and hospitals at your destination.
  • Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.
  • Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.
  • Some prescription drugs may be illegal in other countries. Call the Brazil embassy to verify that all of your prescription(s) are legal to bring with you.
  • Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.

Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (www.jointcommissioninternational.org).
In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.
Malaria is a risk in some parts of Brazil. If you are going to a risk area, fill your malaria prescription before you leave, and take enough with you for the entire length of your trip. Follow your doctor’s instructions for taking the pills; some need to be started before you leave.

Select safe transportation

Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.
In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.

Walking

Be smart when you are traveling on foot.

  • Use sidewalks and marked crosswalks.
  • Pay attention to the traffic around you, especially in crowded areas.
  • Remember, people on foot do not always have the right of way in other countries.

Riding/Driving

Choose a safe vehicle.

  • Choose official taxis or public transportation, such as trains and buses.
  • Ride only in cars that have seatbelts.
  • Avoid overcrowded, overloaded, top-heavy buses and minivans.
  • Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
  • Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
  • Choose larger vehicles, which may provide more protection in crashes.

Think about the driver.

  • Do not drive after drinking alcohol or ride with someone who has been drinking.
  • Consider hiring a licensed, trained driver familiar with the area.
  • Arrange payment before departing.

Follow basic safety tips.

  • Wear a seatbelt at all times.
  • Sit in the back seat of cars and taxis.
  • When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
  • Avoid driving at night; street lighting in certain parts of Brazil may be poor.
  • Do not use a cell phone or text while driving (illegal in many countries).
  • Travel during daylight hours only, especially in rural areas.
  • If you choose to drive a vehicle in Brazil, learn the local traffic laws and have the proper paperwork.
  • Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver’s license at all times.
  • Check with your auto insurance policy’s international coverage, and get more coverage if needed. Make sure you have liability insurance.

Flying

  • Avoid using local, unscheduled aircraft.
  • If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
  • Try to schedule flights during daylight hours and in good weather.

Medical Evacuation Insurance

If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having medical evacuation insurance can be helpful for these reasons.

Helpful Resources

Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.
The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

Maintain personal security

Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.

Before you leave

  • Research your destination(s), including local laws, customs, and culture.
  • Monitor travel warnings and alerts and read travel tips from the US Department of State.
  • Enroll in the Smart Traveler Enrollment Program (STEP).
  • Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
  • Pack as light as possible, and leave at home any item you could not replace.

While at your destination(s)

  • Carry contact information for the nearest US embassy or consulate.
  • Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
  • Follow all local laws and social customs.
  • Do not wear expensive clothing or jewelry.
  • Always keep hotel doors locked, and store valuables in secure areas.
  • If possible, choose hotel rooms between the 2nd and 6th floors.

Healthy Travel Packing List

Use the Healthy Travel Packing List for Brazil for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.

Why does CDC recommend packing these health-related items?

It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.

After Your Trip

If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic. Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.
If your doctor prescribed antimalarial medicine for your trip, keep taking the rest of your pills after you return home. If you stop taking your medicine too soon, you could still get sick.

For more information on what to do if you are sick after your trip, see Getting Sick after Travel.

Brazil Travel Health – The US State Department

U.S.-BRAZIL RELATIONS

The United States and Brazil traditionally have enjoyed robust political and economic relations. The United States was the first country to recognize Brazil’s independence in 1822. As the two largest democracies and economies in the Western Hemisphere, the United States and Brazil have a partnership that is rooted in a shared commitment to expand inclusive economic growth and prosperity, promote international peace and security and respect for human rights, and strengthen defense and security cooperation.

The United States and Brazil have a long history of deepening people-to-people ties through exchanges in education, energy, health, agriculture, science and technology, and innovation. Education cooperation continues to thrive with numerous initiatives for youth, educators, and professionals. For example, the bi-national Fulbright Commission, established in 1957, has supported study and research exchanges for thousands of scholars between the two countries. Education USA helps Brazilian university students access information and opportunities for study in the United States at its 34 centers throughout the country.

The government of Brazil continues to invest in Post-initiated exchange programs such as the Professional Development of Public School English Language Teachers (PDPI) in the United States, and a considerable expansion in Brazil of the English Teaching Assistant Program.

The two countries have extensive scientific exchanges at the individual researcher level, as well as bilateral collaborations with the U.S. Geological Survey, NASA, the Environmental Protection Agency, and the National Institute of Standards and Technology. The two nations collaborate in weather monitoring, metrology and standards, environmental impact monitoring, an extensive range of public health efforts, and Brazil is home to the U.S. National Institute of Health’s (NIH) largest research portfolio in Latin America.

The United States and Brazil are working together on key global, multilateral, and regional issues. Brazilian space agency AEB is a member of NASA’s GLOBE science program, with 119 Brazilian schools participating in projects such as the GLOBE Mosquito Habitat Mapper (MHM) app that connects to the GLOBE database to help track mosquitoes that spread Zika and other diseases. The United States and Brazil are also advancing human rights issues in bilateral and multilateral fora. In addition to efforts to fight racial and ethnic discrimination, advance gender equality, and combat exploitative child and forced labor, the United States works with Brazil at the United Nations Human Rights Council to support the rights of lesbian, gay, bisexual, transgender, and intersex (LGBTI) persons, and to defend freedom of expression and advocate for people with disabilities.

The United States and Brazil are both committed to strengthening the multi-stakeholder approach to internet governance to preserve the benefits of an open, interoperable, secure, and reliable internet. The Department of Commerce co-hosted the first ever U.S.-Brazil Digital Economy Summit with the Federation of Industries of the State of São Paulo (FIESP) in October 2017. To promote the implementation of the Post-2015 Development Agenda Sustainable Development Goals, the United States and Brazil are collaborating on sustainable agriculture, food security, and nutrition.

The United States and Brazil are strengthening cooperation on defense issues, including research and development, technology security, and the acquisition and development of products and services. These agreements promote joint exercises and facilitate the sharing of sophisticated capabilities and technologies. In September 2016, U.S. and Brazilian officials inaugurated a bilateral Defense Industry Dialogue, designed to improve coordination with the private sector and facilitate trade in the defense industry. The Dialogue met again in Washington in October 2017. In addition, Brazil and the United States restarted their longstanding Disarmament and Nonproliferation Dialogue and Political Military Dialogue in September and October 2017, and signed a Master Information Exchange Agreement in March 2017 to facilitate research and development.

U.S. Assistance to Brazil

The U.S. Agency for International Development (USAID) and Brazil are working together to promote development in other countries, particularly in Africa and Latin America. USAID and Brazil have trilateral food security programs to increase agricultural productivity and address school nutrition in Honduras and Mozambique, and are teaming up to address the Fall Armyworm outbreak across Sub-Saharan Africa. USAID partners with four Brazilian ministries and the private sector to improve biodiversity conservation in the Amazon, primarily through close bilateral cooperation on strengthening Brazil’s vast Protected Areas system, including indigenous territorial management.

Through public-private partnerships, USAID supports projects focused on biodiversity conservation, science, and technology, as well as entrepreneurship and access to English language training for Brazilian youth, while increasing the impact of social investments made by U.S. companies in Brazil through their corporate social investment programs.

Bilateral Economic Relations

Brazil is the world’s ninth-largest economy and the United States is Brazil’s second-largest trading partner. Two-way trade was $88.2 billion in 2016. The United States had a $22.3 billion trade surplus with Brazil in 2016. Brazil’s main imports from the United States are aircraft, machinery, petroleum products, electronics, and optical and medical instruments. The United States is Brazil’s second-largest export market. The primary products are crude oil, aircraft, iron and steel, and machinery. According to the U.S. Bureau of Economic Analysis, the United States had invested $64.4 billion in Brazil as of 2016, while Brazil had invested $36.9 billion in the United States. Brazilian investment in the United States supports more than 74,200 jobs.

The United States welcomed more than 1.7 million visitors from Brazil in 2016, comprising the eighth-largest group of visitors. There were approximately 570,000 U.S. visitors to Brazil in 2016, comprising the second-largest source of visitors to Brazil. Travel industry experts expect the introduction of a less expensive electronic visa option for American citizen travelers to Brazil to boost tourism in 2018 and beyond.

Bilateral exchanges to promote economic relations between the United States and Brazil are strong. The United States and Brazil conduct regular exchanges on trade facilitation, regulatory good practices, and standards. The 16th plenary of the Commercial Dialogue occurred in May 2017, but regular exchanges at the work level continued throughout the year.

In January 2016, the United States Patent and Trademark Office and Brazil’s patent and trademark agency, INPI, launched the “Patent Prosecution Highway” (PPH) program, a fast-track examination agreement that allows the patent offices to leverage each other’s work product, and is a tool that will help improve patent quality and reduce Brazil’s backlog.

The two countries have also increased exchanges in global best practices in infrastructure development. The second meeting of the U.S.-Brazil Infrastructure Memorandum of Cooperation (MOC) Working Group on Infrastructure Development took place in December 2017 in Brasilia, and coincided with the signing of a Global Procurement Initiative (GPI) to exchange best practices in government procurement.

Brazil’s Membership in International Organizations

Brazil and the United States belong to a number of the same international organizations, including the United Nations, Organization of American States, Inter-American Development Bank, G-20, International Monetary Fund, World Bank, and World Trade Organization. Brazil traditionally has been a leader in the inter-American community, and is a member of the sub-regional MERCOSUR and UNASUR groups.

Bilateral Representation

Brazil maintain an embassy in the United States at 3006 Massachusetts Avenue NW, Washington, DC 20008 (tel. 202-238-2700).

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