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Colombia – 10 – Tradizioni, cibi, bevande locali

Le tradizioni colombiane
La Colombia è un paese ricco di tradizioni e cultura, e alcuni degli elementi più affascinanti che rappresentano la sua identità non sono legati a cibi o bevande. Ecco una descrizione di alcuni di questi elementi:
– Danze TradizionalI
La danza è una parte fondamentale della cultura colombiana e riflette la diversità delle sue radici.
– La **Cumbia** è una danza che ha origine nella Costa Atlántica, e si caratterizza per i suoi movimenti lenti e sensuali. I danzatori, spesso vestiti con costumi colorati, si muovono seguendo il ritmo di tamburi e gaitas, creando un’atmosfera vibrante e coinvolgente. Altre danze tradizionali includono
– il **Mapalé**, una danza afrocolombiana vivace e ritmica,
– il **Joropo**, che proviene dalle pianure orientali e presenta un ritmo energico, eseguito con passi rapidi e acrobazie.

– Artigianato Indigeno
L’artigianato colombiano è rinomato per la sua bellezza e varietà, riflettendo le tradizioni delle diverse culture indigene del paese. I cesti Wayuu, realizzati a mano dalle donne della comunità Wayuu nel deserto di La Guajira, sono particolarmente noti. Questi cesti sono intrecciati con fibre di palma e presentano motivi geometrici vivaci e colorati, che raccontano storie e leggende della comunità. Un altro esempio sono le maschere del Carnaval de Negros y Blancos, che mostrano una gamma di espressioni artistiche e sono realizzate con grande attenzione ai dettagli.

– Musica Tradizionale
La **musica vallenato** è un elemento essenziale della cultura colombiana, particolarmente nella regione di Valledupar. Questo genere musicale è caratterizzato dall’uso dell’**accordion** (fisarmonica) e da melodie che raccontano storie di amore, natura e vita quotidiana. Il vallenato si esegue durante festival e celebrazioni, e rappresenta una connessione profonda con la storia e le tradizioni del paese. Inoltre, la **cumbia**, come accennato, ha un’importante tradizione musicale che include strumenti tradizionali come il tamburo e la gaita.

– Costumi Tradizionali

I **costumi tradizionali** colombiani variano notevolmente tra le diverse regioni del paese.
– I costumi del Carnaval de Barranquilla, per esempio, sono riccamente decorati e colorati, con maschere e abiti che riflettono la cultura afrocolombiana e indigena.
– I costumi del **Sanjuanero**, tipici della regione di Huila, sono eleganti e riflettono le tradizioni locali attraverso l’uso di tessuti elaborati e colori vivaci. Questi costumi non solo decorano ma anche raccontano storie attraverso il loro design e i loro dettagli.

– Festività e Celebrazioni
Le festività colombiane sono momenti di grande celebrazione e gioia, e spesso combinano elementi culturali e religiosi.
– Il **Carnaval de Barranquilla** è una delle celebrazioni più importanti e rappresenta una fusione di influenze africane, indigene e spagnole. Durante il carnaval, la città si trasforma in un mare di colori e musica, con sfilate spettacolari e danze vivaci.
– il **Festival de la Leyenda Vallenata**, che celebra la musica vallenato con competizioni e concerti,
– il **Festival de Flores** a Medellín, che mette in mostra la bellezza dei fiori e delle tradizioni locali.

Architettura Tradizionale

L’architettura tradizionale colombiana varia da regioni a regione, riflettendo le influenze storiche e culturali. Nella zona coloniale di Cartagena, per esempio, è possibile ammirare **palazzi e chiese** con facciate colorate e balconi in legno intagliato, che testimoniano l’eredità spagnola. In contrasto, le **case tradizionali** delle regioni andine spesso presentano tetti spioventi e muri in pietra, progettati per resistere alle condizioni climatiche delle montagne.
Questi elementi tradizionali, attraverso la loro varietà e ricchezza, offrono uno sguardo affascinante sulla cultura e sull’identità della Colombia, celebrando la sua storia e le sue tradizioni in modi unici e significativi.

 

Cibi tradizionali

1. Arepa
La arepa è una sorta di pane piatto a base di farina di mais, molto versatile. Può essere servita sia semplice che farcita con ingredienti come formaggio, carne, uova o verdure. Le arepas possono essere grigliate, fritte o cotte al forno.
2. Ajiaco
L’ ajiaco è una zuppa densa e saporita tipica della regione andina, particolarmente di Bogotá. È preparata con tre tipi di tuberi (papa criolla, papa sabanera e papa pastusa), pollo e **mazamorra** (un tipo di mais). Viene servita con una guarnizione di **capers** e **avocado**, ed è spesso accompagnata da **rice**.
3. Sancocho
Il sancocho è uno stufato ricco e nutriente, che può essere preparato con carne di pollo, manzo o maiale. Gli ingredienti principali includono tuberi come **yuca**, **patate** e **plátano** (banane verdi), ed è spesso arricchito con erbe fresche. È un piatto comune durante le riunioni familiari e le celebrazioni.
4. Bandeja Paisa
La bandeja paisa è un piatto abbondante e ricco, originario della regione di Antioquia. Include **riso**, **fagioli rossi**, **carne di manzo macinata**, **chicharrón** (cotenna di maiale fritta), **arepa**, **uova fritte**, **avocado**, **platano fritto** e **pasta di pomodoro**.
5. Empanadas
Le empanadas sono fagottini ripieni di carne macinata, pollo o formaggio, e possono essere fritte o cotte al forno. La pasta è generalmente a base di farina di mais o di grano e può essere servita con salse come l’**ají** (una salsa piccante).
6. Tamales
I tamales sono preparati con una pasta di mais, chiamata **masa**, che viene farcita con carne, pollo, verdure e spezie. La massa viene avvolta in foglie di banana e cotta al vapore. I tamales possono variare a seconda della regione e degli ingredienti utilizzati.
7. Posta Negra
La posta negra è un piatto di carne di manzo brasata in una salsa densa a base di **birra**, **zucchero di canna** e **spezie**. La carne viene cotta lentamente fino a diventare tenera e saporita. Questo piatto è tipico della regione della Costa Atlántica.
8. Ceviche
Il ceviche colombiano è preparato con pesce crudo marinato in **succo di lime** o **limone** e mescolato con **cipolle rosse**, **pomodori**, **coriandolo** e **peperoncini**. È un antipasto fresco e leggero, spesso servito con **patate dolci** o **tostones** (platani verdi fritti).
9. Pabellón Criollo
Sebbene questo piatto sia più tipico del Venezuela, è presente anche nella cucina colombiana, specialmente nelle regioni di confine. Il **pabellón criollo** include **riso**, **carne di manzo sfilacciata** (simile al **ropa vieja**), **fagioli neri** e **platano fritto**.
10. Arequipe
L’arequipe è una sorta di **dulce de leche** (caramello al latte) tipico della Colombia. È una crema dolce e densa, fatta con latte e zucchero, spesso utilizzata come ripieno per dolci o come spalmabile su pane e arepas.
Questi piatti offrono un assaggio della varietà e della ricchezza della cucina colombiana, riflettendo le influenze indigene, africane ed europee che hanno contribuito alla sua evoluzione.

 

Bevande
Sono tante, caratteristiche e dai gusti particolari.
1. Aguapanela
L’ aguapanela è una bevanda tradizionale a base di **panela**, un tipo di zucchero di canna non raffinato, sciolto in acqua. Questa bevanda dolce può essere servita calda o fredda e, a volte, è aromatizzata con **limone** o **chiodi di garofano**. È molto popolare nelle aree rurali e spesso consumata come bevanda rinfrescante o energizzante.
2. Chicha
La chicha è una bevanda fermentata tradizionale che può essere preparata con mais, riso o altri cereali. A seconda della regione, può essere leggermente alcolica o non alcolica. Originariamente, era una bevanda cerimoniale tra le popolazioni indigene, ma oggi viene spesso servita durante le feste e i festival.
3. Lulada
La lulada è una bevanda rinfrescante tipica della Valle del Cauca, preparata con **lulo**, un frutto tropicale dall’acidità vivace. Il lulo viene miscelato con **acqua**, **zucchero** e, a volte, **limone** per creare una bevanda leggermente acidula e dolce.
4. Jugo de Maracuyá
Il jugo de maracuyá è un succo di **frutto della passione** (maracujá). Questo succo è noto per il suo sapore dolce-acidulo e rinfrescante, ed è molto popolare in Colombia. Viene preparato semplicemente estraendo il succo dai frutti freschi e diluendolo con acqua o acqua gassata.
5. Tinto
Il tinto è il termine colombiano per il caffè nero servito senza latte. È un caffè forte e aromatico, spesso bevuto durante tutto il giorno. In Colombia, il caffè è una parte fondamentale della cultura quotidiana e viene servito in piccole tazze.
6. Canelazo
Il canelazo è una bevanda calda e speziata, preparata con **aguapanela**, **canelle** (cannella), **chiodi di garofano** e, a volte, **ron** (rum). È particolarmente popolare nelle regioni andine e viene spesso consumata durante i mesi più freddi o durante le celebrazioni di Natale e Capodanno.
7. Refajo
Il refajo è una bevanda alcolica tipica della regione della Costa Atlántica, preparata mescolando **cerveza** (birra) con **aguapanela**. Questa miscela dolce e rinfrescante è spesso servita fredda e può essere accompagnata da spuntini o piatti tipici.
8. Guarapo**
Il guarapo è una bevanda fermentata a base di **succo di canna da zucchero**. Può essere leggermente alcolica, a seconda del tempo di fermentazione, e ha un sapore dolce e robusto. In alcune varianti, il guarapo viene servito freddo e può essere aromatizzato con spezie.
9. Aguardiente
L’aguardiente è un distillato di canna da zucchero con un contenuto alcolico elevato, tipico della Colombia. È aromatizzato con **anice**, conferendogli un sapore distintivo e aromatico. L’aguardiente è spesso consumato durante le festività e le celebrazioni sociali.
10. Zumo de Naranja
Il zumo de naranja è semplicemente **succo d’arancia** fresco, preparato estraendo il succo da arance mature e succose. È una bevanda molto comune e rinfrescante in Colombia, apprezzata per il suo sapore dolce e il suo valore nutritivo.

 

 

 

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Colombia – 11 – Quali le info generali che mi sono utili durante il viaggio?

La Colombia, una terra ricca di cultura, affari e turismo, offre un’esperienza unica per i viaggiatori per lavoro o turismo. Prima di partire per questa affascinante destinazione, è importante essere informati su alcune informazioni generali che vi aiuteranno a organizzare al meglio il vostro viaggio.

1. Informazioni Generali
– **Capitale**: Bogotá
– **Lingua**: Spagnolo (la lingua ufficiale)
– **Valuta**: Peso colombiano (COP)
– **Fuso Orario**: UTC -5 (nessun orario estivo)
– **Prefisso Telefonico**: +57
– **Area**: Circa 1.141.748 km²
– **Popolazione**: Circa 52 milioni di abitanti

2. Documenti e Visti

– **Passaporto**: Necessario per entrare in Colombia. Deve essere valido per almeno sei mesi oltre la data di ingresso.
– **Visto**: I cittadini di molti paesi, tra cui quelli dell’Unione Europea e degli Stati Uniti, possono entrare in Colombia senza visto per soggiorni turistici fino a 90 giorni. È consigliabile verificare i requisiti specifici per il proprio paese presso il consolato colombiano.

3. Sicurezza:
La Colombia ha fatto notevoli progressi in termini di sicurezza, ma è sempre prudente rimanere informati sui consigli di viaggio del proprio governo e adottare misure di sicurezza come evitare aree isolate e non viaggiare di notte in zone sconosciute.

4. Trasporti
Per spostarsi in Colombia, i mezzi pubblici sono generalmente la scelta migliore rispetto al noleggio di un’auto:

Autobus
– La rete di autobus è ben sviluppata, conveniente ed organizzata in tutto il paese.
– Ci sono diverse compagnie che offrono servizi di trasporto a lunga distanza, come Bolivariano, Copetran, Brasilia, Expreso Brasilia, Flota Magdalena.
– Molti autobus hanno servizi di qualità come aria condizionata, poltrone reclinabili, snack, Wi-Fi e toilette a bordo.
– I prezzi dei biglietti sono molto convenienti, soprattutto se prenotati in anticipo.
– Nelle zone rurali ci sono i caratteristici “chivas”, autobus colorati in legno o metallo.

Metropolitane e taxi
– Le principali città come Bogotà e Medellin hanno moderni sistemi di trasporto pubblico come metropolitane e autobus articolati su corsie preferenziali.
– I taxi sono un’opzione pratica e poco costosa per spostarsi all’interno delle città.

Aereo
– Per coprire grandi distanze in poco tempo, l’aereo è il mezzo più veloce e sicuro.
– Compagnie come Avianca e LAN offrono tariffe competitive e pass interessanti per combinare diverse destinazioni domestiche.

Noleggiare un’auto è possibile ma presenta alcuni svantaggi:
– La guida piuttosto sportiva degli abitanti, i controlli di polizia e i frequenti ingorghi in città.
– Il costo elevato del noleggio.
– Bisogna prestare attenzione alla sicurezza, soprattutto nelle grandi città.

In sintesi, per la maggior parte dei viaggiatori i mezzi pubblici, in particolare gli autobus, sono la scelta più pratica, sicura ed economica per spostarsi in Colombia. L’auto a noleggio può essere utile per alcune tappe specifiche ma non è necessaria per la maggior parte degli itinerari turistici.

5. Moneta e Prezzi
– **Cambio**: I bancomat e i cambiavalute sono disponibili nelle città principali. È consigliabile avere un po’ di contante, ma le carte di credito sono ampiamente accettate nelle aree urbane.
– **Costo della Vita**: Il costo della vita varia a seconda della città. Bogotá e Medellín sono più costose rispetto ad altre città e zone rurali.

6. Lingua e Comunicazione
– **Lingua**: Lo spagnolo è la lingua ufficiale, ma in alcune regioni possono essere parlati anche dialetti locali e lingue indigene.
– **Wi-Fi e Telefonia**: La connessione Wi-Fi è comune nelle aree urbane e negli hotel. Le schede SIM per telefoni cellulari sono facilmente reperibili.

 7. Sicurezza: www.viaggiaresicuri.it www.dovesiamonelmondo.it

Queste informazioni ti aiuteranno a prepararti al meglio per un viaggio in Colombia e a goderti tutto ciò che questo affascinante paese ha da offrire.

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Colombia – 03 – Clima, meteo e salute

 

La Colombia presenta una grande varietà di climi dovuta alla sua posizione geografica vicino all’equatore e alla presenza della Cordigliera delle Ande che attraversa il paese:
Clima tropicale caldo fino a 1000 m di altitudine, con temperature medie di 24°C tutto l’anno e punte fino a 30°C. Le precipitazioni sono abbondanti, specialmente sulla costa pacifica da ottobre ad aprile.
Clima temperato tra 1000 e 2000 m di quota, con temperature tra 17 e 24°C. È possibile praticare sport all’aperto.
Clima di alta montagna oltre i 2000 m, con temperature medie di 6-15°C. Sulle vette più alte si scende sotto lo zero e nevica frequentemente.
Clima equatoriale umido nell’Amazzonia, con temperature oltre i 27°C. Le piogge sono molto forti e costanti.
Clima desertico nella penisola de La Guajira a nord, con temperature che superano i 30°C e punte di 40°C.

In generale, la stagione secca va da dicembre a marzo, mentre negli altri mesi si alternano periodi piovosi e asciutti, con variazioni a seconda della regione. Le città di alta quota come Bogotà hanno precipitazioni concentrate in aprile-maggio e ottobre-novembre. Si consiglia di consultare le previsioni meteo e le indicazioni delle autorità locali prima di un viaggio in Colombia, per essere preparati alle condizioni climatiche della zona che si intende visitare.
Influenza del clima e del meteo sulla presenza delle malattie in Colombia

Il clima e il meteo hanno un impatto significativo sulla diffusione di diverse malattie in Colombia:
Malattie trasmesse da insetti:
• Dengue, Zika, Chikungunya e Malaria: Queste malattie trasmesse da zanzare sono favorite da temperature calde e umide, nonché da precipitazioni abbondanti che creano habitat ideali per la proliferazione degli insetti vettori. Si stima che con i cambiamenti climatici, malaria e dengue raggiungeranno nuove aree geografiche e arriveranno anche in città come Medellin e Bucaramanga.
• Malaria: Nelle zone rurali e di giungla sotto i 1700 metri, il rischio di malaria è presente tutto l’anno, con picchi durante la stagione delle piogge. L’intensità di trasmissione varia a seconda della regione.
Malattie diarroiche e gastrointestinali
• Le malattie diarroiche, salmonellosi, febbre tifoide e parassitosi sono più comuni durante i periodi di piogge intense, spesso correlate a problemi di accesso ad acqua pulita e servizi igienici.
Malattie respiratorie e cardiovascolari
• Durante i periodi di caldo intenso c’è un aumento della circolazione di particelle tossiche nell’aria, con conseguente aumento di malattie respiratorie e cardiovascolari.
• L’inquinamento atmosferico, spesso aggravato dalle condizioni meteorologiche, è un fattore di rischio per diverse patologie.
In generale, l’aumento di temperature, precipitazioni irregolari e fenomeni meteorologici estremi dovuti ai cambiamenti climatici stanno influenzando la diffusione di molte malattie in Colombia. Proteggere la popolazione richiede politiche di sanità pubblica che mettano in relazione clima e salute, promuovendo investimenti nella ricerca e in soluzioni di adattamento.

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Brazil, country profile

Brief advice for those traveling in the country 

Brazil is a country rich in natural beauty and unique environments. You can choose to visit the Brazilian Amazon, an unmissable experience if you love nature. You can explore the rainforest, take boat trips along the rivers, and observe a diverse array of one-of-a- kind flora and fauna . Discover the Iguazu Park on the border between Brazil, Argentina and Paraguay , home to the majestic Iguazu Falls . Discover the Pantanal, one of the largest wetlands in the world full of the most diverse species of animals If you love the sea plan a trip to Fernando de Noronha , a volcanic archipelago located in the Atlantic Ocean, a true paradise for its crystalline waters. In northeastern Brazil go to Jericoacoara , a charming coastal village surrounded by sand dunes, lagoons and beautiful beaches.


The immense cities among which Rio de Janeiro and São Paulo stand out will fill you with a kaleidoscope of experiences and sensations.

Enjoy the journey to the end while protecting your health. Follow the preventive advice and prepare the trip correctly . Consult with those who can provide you with the right information and travel with peace of mind. Feel free to ask me for information and advice by writing here and entering the requested data. (click here https://www.clinicadelviaggiatore.com/modulo-consulenze-online/ ) The first thing to do is protect yourself from mosquito bites . These insects can transmit
viruses , bacteria and parasites, including malaria in some areas . Use effective repellents, even natural ones. This indicated product is very effective and has a series of very useful properties during travel.
Dengue virus fevers are the main health problem, along with other viruses of the thick family, in the country. In the post covid period, since 2022, dengue cases in the country have increased significantly, exponentially in certain areas. In large cities in particular, disease has become a problem. It is transmitted by mosquito bites and therefore it is important to protect yourself from bites to avoid a form that can become heavy and disabling.

Use repellents, protect yourself from bites and consult with a specialist if it is necessary to get vaccinated against the disease with the new QDENGA vaccine (click here https://www.clinicadelviaggiatore.com/qdenga-il-nuovo-vaccino-against-la-dengue/ .
Use mosquito nets and insect repellents. You can use small stoves or the classic coils.
During the journey, diarrhea from food and water contamination is frequent. Be careful and follow the advice I give you later.
Even if many say the opposite, denying the presence of the disease , malaria is present in various areas described below, in particular, in the Amazon area.
After the great epidemic of 2016-2020, which developed in different areas of the country, it is useful and wise to carry out vaccination 
against yellow fever . The virus is present in some types of monkeys, the disease is a zoonosis, and these can be healthy carriers of the same, and can transmit it to humans through mosquito bites.

Always trust in your immune strength , but help your body by strengthening it with effective preventive practices.

– Dr. Paolo Meo, tropical infectious disease doctor

Health alerts

MAY 2023 : DENGUE in Rio de Janeiro:
cases in the city have increased by 600% compared to previous years . In 2023, infections increased by 46% across the country. In large cities and especially in Rio, there was an exponential increase in dengue cases. The Dengue epidemic has rarely been so widespread. Aedes A egypti mosquitoes maintain transmission with a 600% increase in the number of confirmed diagnoses since the beginning of the year 2023 .
Given the seriousness of the situation, the municipal administration of Rio has reported that it is “monitoring” various areas of the metropolis, especially in the western area, where the greatest number of infected people has been recorded. The Pan American Health Organization reported that in all of Brazil, dengue cases increased by 46% in the first two months of 2023, when 158,310 infected were detected. Between January and February, there was an increase in the presence of the Aedes aegypti mosquito . The symptoms manifested were fever, skin rashes and muscle and joint pain.
The state of Espirito Santo is experiencing the most serious epidemic in 2023 with 29,000 infections and nine deaths.
In Minas Geraisthere were 7 thousand cases with six deaths.
In Rondonia, more than a thousand patients were confirmed in January alone, 40 percent more than in the whole of 2022.
There were 987 deaths caused by diseases attributable to the infection , an increase of 301 percent in one year.

MARCH 2022 : Approval in Brazil of the new vaccine against Dengue: the QUDENGA from the Takeda company . On March 2, Brazil’s National Health Surveillance Agency ( Anvisa ) approved the registration of the new dengue vaccine, Qdenga ,

MAY 2023: YELLOW FEVER
Cases of the disease have been reported in the state of Minas Gerais, Also in the first months of 2023 there are some suspected cases of the disease . Patients presented with fever, jaundice, body aches, and feverish pains . Several monkeys have been identified as healthy carriers of the virus. Monkeys are the reservoir and cause of new cases, even if they are sporadic. Vaccination coverage is important.

MARCH 2023: CHIKUNGUNYA Up to February 20, the increase in cases of the disease was 110%, from 16,971 to 35,569 probable cases. The highest percentage increases were observed in the southeast region, with emphasis on the states of Minas Gerais and Espírito Santo. Others on the rise are Tocantins, Mato Grosso do Sul, Bahia and Sergipe.
Essential attention to mosquito bites with the use of effective repellents.

FEBRUARY 2023: MALARIA

The increase in temperatures and humidity , the rains lead to the increase in the spread of different types of mosquitoes (Aedes and Anopheles), with the spread of diseases of viral and parasitic origin. This is what has occurred in an anomalous way, with the increase in cases of malaria, even fatal ones, in areas of the country even at altitudes above 1800 metres. This confirms the need for correct and updated information on the real epidemiological situations in the country, in order to implement the best preventive protocol and the most adequate prophylaxis.

MARCH 2023 Measles

A measles epidemic has been going on for several months. the number of cases remains high and is growing. Measles cases are present in most provinces of the country.

Climate, weather, health and environment

Current weather situation

Click here for the weather situation and forecasts coming soon: Weather Forecast in real time
https://www.3bmeteo.com/previsioni-meteo/brazil

What are the different seasons in the country and how are they characterized and how does the climate influence the spread of diseases?

In Brazil, the seasons are not very defined as we are in a predominantly tropical climate area . An example Rio de Janeiro where we have a warm climate almost all year round.
These are the characteristic seasons of the great country of Brazil 
(1) Outono / Autumn : From March 21 to June 20 we have Outono , which is very popular because of the leaves that fall on the ground. Outono is also known in Brazil as Estação das Frutas
(Fruit Season), because it is the harvest season and some of the most popular fruits in Brazil are easy to find during this season, such as: banana, apple and lemon. 

(2) Winter/Winter : June 21st to September 23rd is Winter, and in Brazil, especially Rio de Janeiro, it’s a bit different. Since we have a warm climate all year round, during this season the temperature drops but not much. People call it Friozinho Carioca and surely it’s the best time to have a cup of coffee and eat some sweets at Confeitaria Colombo!
(3) Primavera / Spring : From September 23rd to December 21st it is Primavera in Brazil, also known as Estação dasFlores (Season of Flowers), the best time to find flowers for your loved one. Most people prefer this season to walk around the city, get in touch with nature and visit many different places, Jardim Botânico is one such place.
(4) Verão /Summer from December to March. , the peak of the rainy season usually corresponds to the austral summer, which runs from December to March
However, it is important to note that climatic characteristics can vary greatly from one region to another within Brazil due to its size and geographical diversity. Some regions, such as the Amazon, are characterized byheavy rainfall throughout the year, while others, such as southern Brazil, may have more distinct seasons with colder winters and hotter summers.

In Brazil, there are generally two main seasons:
(A) the dry season
(B) the rainy season.

The country is very extensive and is divided into three climatic areas:

–the equatorial area characterized by constant rains, in the Amazon area and a small coastal area;

–the inter- tropical area characterized by a dry season in the vast intermediate zone and in a small northern stretch;

–the almost Mediterranean area in the extreme south of the country characterized by mild winters and hot summers , with the average temperature in June and July dropping to 12 °C and above .

Precipitation typically exceeds 1,000 millimeters (40 inches) per year in most parts of the country . However , there is an arid area in the north-east , where they also drop below 500mm a year. The rainiest area is the Amazon rainforest , where 2,000 to 2,500 mm of rain typically fall per year. The amount of sunshine is particularly strong on the north-eastern coast (Natal, Fortaleza), where there are almost 3,000 hours of sunshine per year. In the south (São Paulo), there are typically 1,800 to 2,100 hours of sunshine per year . No
n the rainiest areas (Santos) it goes down to 1,650 hours. The least sunny area of ​​Brazil is the western Amazon, where there are typically 1,600 to 1,800 hours of sunshine per year.

What consequences does climate change have on the seasons and the climate?

In Brazil, climate change, which affects the climate and seasons around the world , is having a significant impact on the seasons and climate . A major impact concerns agricultural production and the availability of drinking water. Here are some issues arising from this situation:

Increase in temperatures: Climate change has led to an increase in average temperatures. Heat waves have become more intense and frequent, influencing the summer seasons and leading to greater exposure to the risk of heatstroke and dehydration ;

Heavy and prolonged rains: Many territories are experiencing changes in precipitation patterns, with more intense and prolonged rains in some regions. This can cause flooding, crop damage, landslides, and water management problems ;

Drought: Some regions are facing longer and more intense droughts. This can affect the availability of fresh water, damage crops and cause water supply problems for the population ;

Sea level rise: Climate change contributes to sea level rise, which can have significant effects on Brazilian coasts . Coastal areas are vulnerable to erosion, coastal flooding, and saltwater intrusion into groundwater ;

Extreme Weather: Brazil continues to experience more frequent and intense extreme weather events due to climate change. These events include storms, hurricanes, floods and droughts, which can cause damage to infrastructure, loss of life and negative impacts on agriculture ;

(sandstorm in São Paulo)

Biodiversity loss: Climate change threatens land biodiversity . Natural habitats are under threat from changes in temperatures and precipitation patterns, putting many unique plant and animal species at risk ;

Impacts on agriculture: Climate change can negatively affect agriculture. Changes in rainfall and temperature patterns can affect the production of key crops such as soybeans and coffee, jeopardizing food security and the country’s agricultural economy

Areas affected by desertification : Some regions of Brazil are at risk of desertification due to climate change. Areas already facing drought and land degradation could become increasingly arid, threatening agricultural productivity and the livelihoods of local communities.

What are the characteristics of Brazil ‘s environment ?

Brazil is a country rich in natural beauty and unique environments. Here are some indications of natural environments to consider for your trip to Brazil:

Amazonia: A visit to the Brazilian Amazon is an unmissable experience for the natural beauties present. It is possible to explore the rainforest, hike along the rivers and observe a wide range of flora and fauna unique in the world .

Iguazú National Park : Located on the border between Brazil, Argentina and Paraguay, this national park is home to the majestic namesake waterfalls . You can in various ways admire the spectacular waterfalls and go hiking in the surrounding jungle.

Pantanal: The Pantanal is one of the largest wetlands in the world and an outstanding destination for viewing and researching unique bird , wildlife and tree species. The area is rich in thousands of plant and animal species. Among the animals it is possible to come across caimans, anacondas, jaguars and many other rare species .

Fernando de Noronha: A volcanic archipelago located in the Atlantic Ocean . A true paradise for those who love the sea. Its crystal clear waters are a feature and offer excellent opportunities for snorkelling, scuba diving and spotting marine life such as dolphins, sea turtles and sharks.

–Chapada dos Veadeiros : A national park in the Cerrado region famous for its amazing rock formations, spectacular waterfalls and natural pools. Particular are the paths that run through the unique ecosystem of the Cerrado . Located in the central plateau of Brazil, the Cerrado is the largest tropical savanna outside Africa, occupying 24% of the national territory, second only to the Amazon biome

–Jericoacoara : It is a particular coastal village in northeastern Brazil surrounded by sand dunes, lagoons and enchanting beaches. The ideal place to practice water sports such as windsurfing and kite surfing.

–Ecuadorian Amazonia: It is special to discover the territories of the Amazon from a different perspective, by visiting the Ecuadorian Amazon. Wonderful and unique hikes in the forest, navigations along the rivers and contacts with the local indigenous communities.

It is fundamental, when visiting the different territories of Brazil, to respect the natural environment . You need to be aware of the impact you can have on the ecosystem . It is advisable to follow the local rules and indications for the conservation of the natural environment . Enjoy the beauty of Brazilian nature and treasure these unique experiences!

What diseases can I find in Brazil and what are the risk assessments to face this trip? What are the preventive practices and vaccinations to do?

Both the WHO “World Health Organization” and the American CDC “Centers for Disease Control and Prevention” constantly monitor and report the various diseases present in Brazil. We confirm the presence of a number of diseases and endemics on most of the territory, including large cities.

Malaria – Malaria risk is present year-round in forested areas below 1500 meters in several Amazonian states. (see chapter dedicated to the malaria situation). Transmission is higher in some peripheral urban areas and this is due to the fact that the reservoir of the malarial parasite is man. Minimal risk in the Iguazu Falls location. The main species present are Plasmodium vivax (85% of cases) and P. falciparum (15% of cases). See below how to avoid the risk of malaria.

Dengue – Brazil has the highest number of cases ofdengueviral̴About70% of all cases are reportedin the countryand of this total, 17% are concentrated in the Amazon region of Brazil. Frequent outbreaks also in the state of Rio de Janeiroand in particular in the megalopolis.
the disease isspread almost throughout the country. Dengue is a viral disease transmitted by the bite of Aedes mosquitoes. AND’very common in urban areas. Frequent outbreaks occur in the cities of Rio de Janeiro. Prevention consists in paying attention to insect bites and protection with repellents. We recommend NOZETA – NEEM oil, very effective and with repellent and soothing characteristics.
click here 
https://www.clinicadelviaggiatore.com/nozeta-la-nuova-formlazione-dellolio-di-neem/
A safe and effective vaccine has also been present in Europe for a few months. Request vaccination from your trusted international vaccination centre.
(click here: 
https://www.clinicadelviaggiatore.com/qdenga-vaccinazione-against-la-dengue-presso-il-cesmet/ )
Vaccination should be considered in some areas and for some types of travel. Always inquire with your reference specialist for advice . Request information here: (click here https://www.clinicadelviaggiatore.com/modulo-consulenze-online/ )

Chikungunya – Frequent outbreaksin many states but particularlyin the state of Rio de Janeiroand in the northern states of the country. Epidemic outbreaks of thisarbovirusare occurring with exponential increase in the country.
The disease is characterized by high fever and severe joint pain. It is transmitted by the Aedes mosquito. Joint pain, much more intense inchikungunya, mainly affects the feet and hands, usually in the ankles and wrists.

The diagnosis is clinical but confirmed by specific laboratory tests. Since the disease is transmitted by mosquitoes, it is essential that people strengthen measures to eliminate breeding sites in homes and neighborhoods.

  • Make sure water tanks and other tanks are properly covered;
  • Remove leaves or other types of dirt that can cause water to accumulate in the gutters;
  • Store the tires in covered places;
  • Store the bottles with the mouth facing downwards;
  • Periodically clean drains, gutters and other types of drains;

Treatment of chikungunya is done according to the symptoms. There is currently no specific antiviral treatment for the disease. Hydration and rest are essential measures for recovery. Symptoms usually disappear after the acute phase of the disease. Pain and fatigue can last for months.

Zika-virus – Indigenous transmission of the virus has been confirmed in the following states: Alagoas, Bahia, Ceará, Maranhao, Mato Grosso, Pará, Paraíba, Paraná, Pernambuco, Piauí, Rio de Janeiro, Rio Grande do Norte, Roraima and São Paulo .

Yellow Fever –
Yellow fever is a mosquito-borne viral disease of the genus Aedes. Low incidence in humans, it can be found in monkeys as healthy carriers of the virus. If the virus infects the person via mosquito bite, it can cause severe liver, kidney damage with severe overall symptoms.
Although
 vaccination against yellow fever is not mandatory to enter Brazil and is not considered useful by many, we strongly recommend for travelers visiting the country, and particularly in the highland areas, in the parks but in general, also in the areas urban.
Vaccination is recommended for all travelers over 9 months of age, due to the real risk of infection.The state of Goias, in central Brazil, represents the area where there is the greatest risk of transmission of the yellow fever virus. This is also due to the high presence of monkeys, reservoir of the virus, healthy carriers of the disease.

Traveler’s diarrhea – Traveler’s diarrhea is one of the most common illnesses during stays in Brazil. About 60% of travelers to the country suffer from these annoying intestinal infectious forms. It can be caused by various pathogens, including bacteria, viruses and parasites. Contaminated food, drinks, ice, dirty unwashed hands, water with which you take a shower, all this can be the origin of annoying diarrhea in many travellers. It may be appropriate to use some drugs in prevention and consider useful some vaccines that protect against foodborne infections. Use saline replenishers and also ferments to help rehydrate and maintain the intestinal microbial environment.

In most cases, strains of a bacterium called Escherichia coli and known as ETEC (Enterotoxigenic E. coli) strains are responsible. Other enterobacteria also cause diarrhea. Useful use of the Dukoral vaccine, oral anti-choleric, which covers different forms caused by different enterobacteria.

Hepatitis B – In the country there is a high prevalence (>25%) of carriers of the HBV virus, responsible for hepatitis B. It is advisable, as a preventive measure, to carry out the recall of the disease.

Onchocerciasis – Sporadic outbreaks in the South-West region of the country.

HIV/AIDS : Also in Brazil HIV/AIDS is a serious public health problem in the country. According to the CDC, the HIV prevalence rate is quite high, meaning that approximately several million people are living with HIV/AIDS. It is important to be careful in sexual intercourse with several random partners and the protection and use of condoms is recommended.

Rabies : (click here) , There are cases of rabies in the country. Wild animals and some domestic animals with the virus have been isolated . It is advisable to evaluate the risks in order to carry out a possible vaccination practice.

Vaccinations

What vaccination is mandatory for Brazil and what should we do?

YELLOW FEVER if…..

A Yellow Fever vaccination certificate is required of all travelers over one year of age from areas where there is a risk of disease transmission. The international certificate valid throughout the world is issued only by vaccination centers authorized by WHO and by the member states.

What vaccinations are recommended for Brazil   and what should I do?

Recommended vaccinations:

YELLOW FEVER (click here)
Vaccination is strongly recommended for travelers over 1 year of age who go to the center of the country, to the Amazonian areas and to the territories south of the Queen of São Paulo. Vaccination is recommended regardless of the international or local regulations in force for entry into the country. Before leaving, obtain information from specialized centers about the areas of the country at greatest risk.

Other recommended vaccinations:

HEPATITIS A – read more….
TYPHOID FEVER – read more….
Vaccines essential for the protection against “food” infections, i.e. transmitted by “contaminated food and drink”; “dirty hands”; contaminated crockery, dishes, glasses: (valid everywhere, in Italy and in most countries of the world)

DIARRHOIC AND COLERIFORM SYNDROMES
essential vaccination for effective protection from “Colera Vibrio” and other intestinal pathogenic bacteria, even aggressive ones, cause of “diarrhea of the traveler”. It should always be regarded as protective of the intestine. It can be taken into consideration depending on the type of trip and stay. The “oral” formulation of the cholera vaccineit also protects against intestinal infections caused by many enterotoxic agents . The vaccine is therefore recommended for travel to many countries around the world.

HEPATITIS B read more…. Protection from contact with infected blood: in the event of medication due to an accident during the trip (in clinics or local EDs) for infections due to medication irons; syringes in health care facilities with poor hygiene; sexual transmission unprotected sex; other contacts with blood; (valid everywhere, in Italy and in most countries of the world)

MENINGOCOCCAL MENINGITIS for more information…
Protection from infections transmitted by saliva droplets, breathing and coughing, through the air, in airplanes, crowded places, buses and trains, offices and schools, poorly ventilated environments; (For your personal protection and for the protection of the people close to you (family – work) – possibility of becoming a healthy carrier of the meningitis bacterium.) (valid everywhere, in Italy and in most countries of the world)

TETANUS to find out more… POLIOMYELITIS Following the latest epidemiological data and related recommendations issued by the WHO, travelers are recommended a vaccine booster (IPV-injection) better to be carried out together with (tetanus-diphtheria-pertussis- quadrivalent vaccine) from call back every 10 years. The effectiveness of the vaccine, being a reminder of vaccinations made in the past, is immediate. Protection from infections transmitted by faecal micro-particles present in the soil, contact and ingestion; (valid everywhere, in Italy and in most countries of the world)  

ROUTINE VACCINATIONS
Make sure you have carried out all the vaccinations required by the 
National Health System . These include: tetanus, diphtheria, polio, pertussis, haemophilus B, hepatitis B, measles, mumps, rubella, chicken pox.

Malaria: situation and prevention

Is there malaria in the country and what needs to be done in order not to get sick?
What it is
Malaria is an acute infectious disease present in the country, closely linked to humid, rainy environments, seasons and meteorological conditions. Check before leaving the itinerary of your trip and the weather conditions of the areas of your stays. Remember that Malaria is a potentially serious and even fatal disease. Don’t underestimate her. It is possible to prevent it by paying attention to clothing that covers the exposed parts at sunset and at night, by using repellents and by using suitable prophylaxis drugs, in the seasons of greatest risk. For more information, read the fact sheet on malaria

In the country
The risk of malaria is present throughout the year in forested areas below 1500 meters in nine Amazon states: Acre, Amape , Amazonas, Maranhao (western part), Mato Grosso (northern part), Para (except the city of Belem), Rondonia, Roraima and Tocantis (western part). Transmission is highest in some peripheral urban areas of Cruzeiro do sol, Manaus and Porto Velho . The disease is also endemic in the suburbs of large cities such as Boa Vista, Macapa, Maraba , Rio Branco and Santarem.
The risk is minimal in the resort town of Iguazu Falls. There is a risk for those taking an Amazon River cruise, as there may be infected mosquitoes on board. Most cruises end or depart from the city of Manaus where the risk of malaria is high . The risk is minimal in all states outside the Amazon, including the east coast from Fortaleza to Rio de Janeiro. The main species present are Plasmodium vivax (85% of cases) and P. falciparum (15% of cases).
Small towns and large cities present a risk of infection sometimes equal if not greater than remote and wild areas. The transmission, through the bite of the Anopheles mosquito takes place from man toman.
Notified resistance to chloroquine but also to mefloquine and partly to atovaquone . Reduced resistance to Doxycycline which may be a first choice for prophylaxis .

(Updated May 2023 )

Prophylaxis
Doxycycline is an excellent drug of choice for stays both in tourist areas and on adventurous trips, during trekking and in case of use of poorly supervised tents or residences. Drug for stays in protected residences or low-risk areas, as well as for high-risk stays. You should know that “doxycycline 100 mg” is a drug of choice not only for the prevention of malarial infection but also for the prevention of intestinal and skin bacterial infections and against infections caused by tick bites. Due to its characteristics, the drug is very versatile, it can in fact be taken for very short or short stays, a few days or weeks, but also in the long term, that is, for many months. We remind you that tetracycline-based drugs, including doxycycline, are taken for over 1 year by children who experience acne, i.e. infections on the face or trunk. A safe, effective drug, with no or few side effects. We remind you that at prophylaxis doses, 100 mg per day, the effects of sensitization to sunlight are practically absent. In any case, remember the use of sunscreens. Low cost drug. It cannot be used under the age of 12 or during pregnancy, or in case of allergy or intolerance to tetracyclines. It is taken every day, during lunch, from entering the risk area, for one week from leaving the malaria risk area.
Atovaquone- Proguanil, a drug on the market for almost 20 years, still has a good antimalarial coverage for the forms resistant to chloroquine, even if forms of resistance and poor efficacy have been described for several years. Useful for pediatric use, used for periods not exceeding 30 days, but usable up to 60 days. One tablet is taken every day from 2/3 days before leaving to 1 week after returning.
Mefloquine , a drug used by over 40 years, Effective in prophylaxis and in therapy. Effective both in adults and also in children. Efficacy and safety also demonstrated in pregnant women. Usable in subjects in good health conditions. Not to be used in heart patients, arrhythmic subjects, neuro and psychopaths, in people suffering from insomnia. Peripheral and central nervous system irritability symptoms reported. To be avoided in those who carry out diving, stays at high altitudes, repeated and prolonged air flights. The method of recruitment which provides for a weekly dose from one week before leaving to 3/4 weeks upon return is favorable.

What should I do if I return with health problems from the trip?

In case of fever, diarrhea or in any case if you feel unwell, it is essential to consult a doctor without delay (in case of fever, possibly within 24 hours, due to the possibility of having contracted malaria, if you are returning from an area at risk) . Specialist or expert in Tropical Diseases. Read everything…

Local traditions, foods, drinks

What are the traditional foods of greatest interest in Brazil ?

1.Feijoada : the Brazilian national dish, prepared with black beans, rice, pork and beef

2.Coxinha : a sort of chicken nugget, stuffed with cheese and other ingredients, and fried

3.Pão de queijo : a cheese sandwich, made with cassava flour and cheese.

4.Moqueca : a fish stew, prepared with coconut milk, tomatoes, onions and other ingredients.

5.Churrasco: A grilled mixed meat, often served with rice and beans.

6.Bacalhau bolinhos : fried cod croquettes.

7.Brigadeiros : chocolate sweets, made with condensed milk, butter and cocoa.

8.Bombocado : a coconut dessert, made with condensed milk, egg, and grated coconut.

9.Salpiçao de frango: a chicken salad, with vegetables and other ingredients.

10.Pastel de queijo : a pastry filled with cheese, fried.

These dishes are just a few of the many traditional foods of Brazil, which vary according to regions and cultural influences.

What traditional drinks can we enjoy during our stay in Brazil ?

–Caipirinha: a cocktail made with cachaça , lime, water, refined brown sugar and ice. It tastes herbaceous and fresh.

–Cachaça : a Brazilian distillate made from sugar cane, used as the main ingredient of the caipirinha. It has a strong and intense flavour.

–Guarana: a soft drink made from guarana, a plant native to Brazil. It tastes sweet and fizzy.

–Mate: a drink made from yerba mate leaves, a plant native to South America. It has a bitter and slightly herbaceous taste.

–Batida: a soft drink made from condensed milk, fruit and ice. It tastes sweet and creamy.

–Quentão : a hot drink made with cachaça , brown sugar, cinnamon and cloves. It has a sweet and spicy taste.

–Cajuína : a soft drink made from the juice of caju , a typical fruit of Brazil. It has a sweet and fruity taste.

–Cerveja : Brazilian beer, produced in different variations. It tastes bitter and fizzy.

–Catuaba : an alcoholic drink made from cachaça and catuaba bark , a typical plant from Brazil. It has a sweet and slightly bitter taste.

–Chimarrão : a yerba mate -based drink , served in a gourd with a straw. It has a bitter and slightly herbaceous taste.

–Cachaça com mel: an alcoholic drink made from cachaça and honey. It has a sweet and intense flavour.

–Caldo de cana : a soft drink made from sugar cane juice. It tastes sweet and fresh.

–Licor de jenipapo : a liqueur made from jenipapo , a typical fruit from Brazil. It has a sweet and fruity taste.

–Licor de cacao: a cocoa-based liqueur, used as an ingredient in many Brazilian cocktails. It has a sweet and intense flavour.

–Cachaça com limão : An alcoholic beverage made from cachaça and lemon juice. It has a fresh and sour taste.

What are the cultural and tourist destinations of greatest interest in the destination country of my trip?

Brazil , in its vastness and diversity is famous for its national parks and nature reserves, where you can spot wild animals of all kinds. It is rich in natural beauty and unique environments. This is a small description and naturalistic advice and natural environments that you could consider for your trip to Brazil:

–Amazonia: A visit to the Brazilian Amazon is an unmissable experience for nature lovers. T he rainforest provides incredible thrills. Take boat trips along the rivers and observe unique and infinite flora and fauna .

–Iguazú National Park : Located on the border between Brazil, Argentina and Paraguay, this national park is home to the majestic Iguazú Falls . You can hike to admire the spectacular waterfalls and immerse yourself in the beauty of the surrounding jungle.

–Pantanal: The Pantanal is one of the largest wetlands in the world and an outstanding destination for bird and wildlife lovers. You can observe caimans, anacondas, jaguars and many other animal species.

–Fernando de Noronha: This volcanic archipelago located in the Atlantic Ocean is a paradise for sea lovers. Its crystal clear waters offer excellent opportunities for snorkelling, scuba diving and spotting of dolphins, sea turtles and sharks.

–Chapada dos Veadeiros : This national park in the Cerrado region is famous for its amazing rock formations, spectacular waterfalls and natural pools . The Cerrado ecosystem is one of a kind . It is one of the most fascinating naturalistic destinations .

–Jericoacoara : This coastal village in northeastern Brazil is surrounded by sand dunes, lagoons, and lovely beaches. It is an ideal place to practice water sports such as windsurfing and kite surfing.

–Ecuadorian Amazonia: it is a particular exploration of the Amazon . Excursions in the forest allow still untouched landscapes. It is possible to tackle navigation along the rivers by meeting and learning from the local indigenous communities.

When traveling through the immense Brazilian land, one must always respect the natural environment. Unknowingly you can have a negative impact on the ecosystem that is crossed. For this reason it is necessary to follow the local rules for the conservation of the environment. T he beauty of Brazilian nature is to be enjoyed, it is good to treasure these unique experiences, but it is essential to adopt those rules of prevention and attention in order not to fall ill during the trip and risk showing results that can last for months even after returning from the trip. Prevention, balanced behaviour, preventive vaccinations and caution allow us to fully enjoy the country’s nature.

What general info is useful to me during the trip?

Capital: Brasilia
Language: Portuguese
Currency: Real
Time Zone: GMT-3

History, Economy, Culture : http://www.britannica.com https://www.cia.gov

Some useful health information to keep you healthy on the go

What are the main rules and how should I prepare for the trip?

Give your body time to adjust to the new climate and new environment. Before the trip, if possible, dedicate a few hours to physical activity, and get your body used to the new rhythms during the trip …read more

Who should get vaccinated for yellow fever? And is the vaccine mandatory? And where?

Vaccination against Yellow Fever or Amaryllis Vaccine, an acute viral disease, which is transmitted by mosquito bite, is the only preventive practice that can be compulsorily requested by the health authorities of a country in order to enter through the border crossings …  . Read everything

How should I protect myself from the bites of mosquitoes and other insects?

Mosquitoes & co. – How to protect yourself: mosquitoes that transmit diseases other than malaria are active during the day and wherever there is a collection of fresh water: wear light-coloured, long clothes with wide sleeves, long and wide, light-coloured trousers, T-shirts or shirts with long and wide sleeves and light color to be tucked into the belt of the trousers ……read more

But is it really dangerous to swim in some lakes or rivers in tropical countries? And why?

To prevent the possible transmission of infectious diseases, it is advisable to swim only in pools with chlorinated water. The sea water is safe.
Bathing in contaminated water can be dangerous for the skin, eyes, ears, mucous membranes of the mouth, especially if  
… read more

How can I avoid altitude sickness?

It is a set of symptoms that can occur when the human organism, having exceeded 2500 meters of altitude, has not yet adapted to the new environmental situation. We can define high altitude as follows … read more

How to travel safely? Who should I notify before leaving on a trip, especially to distant, unsafe countries?

Safety: www.viaggiaresicuri.it www.dovesiamonelmondo.it

In the suitcase

Mountain or sea, safari and adventure or relaxing holiday, hot or cold: you must prepare your luggage with care, attention, without exaggeration and above all by foreseeing the unpredictable. Clothing appropriate to the climate and never forgetting a small travel pharmacy.

 

Brazil, country profile Leggi tutto »

Madagascar, country profile

 Brief advice for those traveling in the country
What should I do when I go to Cuba?

If you are looking for a destination with a unique culture, breathtaking natural beauty, interesting history and warm people, then Cuba is the right destination. A vibrant and unique culture, with Spanish, African and Caribbean influences reflected in the island’s music, dance, architecture and cuisine. Incredible natural beauty, with white sand beaches and crystal clear waters, lush tropical forests and majestic mountains. Valle de Viñales , for example, is an Area of ​​Outstanding Natural Beauty, a UNESCO World Heritage Site, with tobacco fields and limestone mountains soaring into the sky. And few know that Cuba, in the middle of the Caribbean area, is an island state of Central America which includesthe homonymous island (about 105,007 square km and the Isla de la Juventud (about 2500 square km) and about 1600 islands and islets immersed in a fantastic and uncontaminated nature. Among these thousands of islands the Camagüey archipelago and that of the Canarreos constitute a set of islands to discover and visit.

In Cuba, for travellers, the main problem is characterized by forms of traveler’s diarrhea , spread through the intake of contaminated food and drink.  It is important to protect yourself from mosquito and insect bites . These carry diseases, first of all Dengue Viral Fever and also other Arboviruses. Use effective repellents, even natural ones. (Nozeta – Neem is an effective and advisable product) . Cuba is considered “malaria free” , ie the presence of the malarial parasite is not reported on the main island nor on the other thousands of small islands of the archipelago.
There is no presence of the yellow fever virus “Yellow Fever free” etherefore there is no need to carry out vaccination against the disease. But if you come from endemic or infected countries (Africa and Latin America) it is mandatory to get vaccinated.  Cholera is not officially present in the islands, but in the Caribbean, even via maritime transport, the cholera vibrio circulates almost everywhere. For years it has been fed by a circulation that developed from Haiti and from there spreads to many Caribbean and Central American islands and countries. The oral vaccine is recommended, which also covers forms of enterobacteria, especially E. Coli. Beware of tick bites with the possibility of developing a disease called exanthematous typhus.
Correct information, good preventive preparation before the trip, and shrewd behavior allow us to fully enjoy this trip.

How do I get correct health information to go to Cuba

Feel free to ask for advice to get to know problems and solutions   – dr. Paolo Meo, tropical infectious disease doctor

Health alerts
What are the current epidemics in Cuba?

COVID-19  Follow the daily case situation in the country (click here)

MARCH 2023: DENGUE 

Cases of viral haemorrhagic fever, particularly acute, were reported to increase already in the last quarter of 2022 in Cuba. Cases increased in the first quarter of 2023. They are increasing especially during the rainy season. It is possible to request the new dengue vaccine from the beginning of 2023. Particularly for those wishing to stay for an extended period.
At cesmet it is possible to book and get the vaccine against dengue.

 

Climate, weather, health and environment

What is the weather and upcoming weather forecast in Cuba?:

Weather forecast in real time

What are the different seasons in the country and how are they characterized and how does the climate influence the spread of diseases?

Cuba is located in the northern part of the vast Caribbean archipelago  and is its largest island. To the north lies the United States, separated from Cuba by the  only 180 km wide Strait of Florida  and the North Atlantic Ocean . To the west is the  Yucatán channel  which divides it from the Central American continent, to the south the  Caribbean Sea  and to the east the  Windward channel which separates it from Haiti. The Republic of Cuba occupies the entire island, and the more than 1,600 surrounding islets, such as the Isle of Youth  (Isla de la Juventud), with the exception of  Guantánamo Bay , a naval base that has been “loaned” garlic United States  in  1903 .

The elongated shape of the island on the east-west axis and therefore its irrelevant difference in latitude between its north and south ends , make the island uniform from a climatic point of view, characterized by the constant blowing of the trade winds that come from the ocean Atlantic.
The  
tropical climate  is divided into two seasons,
the dry season in winter 
(November to April)    and the dry season in  Cubait coincides with the winter one and is characterized by a pleasant climate with temperatures ranging between 26° and 28° C. The rains are notably reduced, although still possible on the northern slopes, more exposed to the fresh irruptions of the States. On these occasions, in particular, from December to March, temperatures can drop as low as 10°C, especially in the northwestern part of the island, where both the capital Havana and Varadero are located. The southern coast, on the other hand, is more rarely affected by the cold. The winter season is the most suitable for visiting the city and enjoying various excursions, but in any case on fine days, you can also experience beach life, especially in the south-east, which is more sheltered from the north winds and with temperatures reaching 30°C all year round.

Wet and rainy season from May to October.  The rainy season in  Cuba  is very hot everywhere, with the heat only partially tempered by the trade winds. Especially between July and August temperatures reach 33-34°C and the high humidity makes the heat more oppressive. The rains are intense throughout the period, except for a relative lull in the month of July, but they manifest themselves in the form of intense and short thunderstorms that arrive during the afternoon hours, leaving space for the sun immediately afterwards.

During the wet season, especially between September and October, hurricanes can occur, very deep depression systems, with a variable extension between  150 and 600  km  in diameter, which manage to develop winds of extraordinary intensity (up to  300  km/h ) and flooding torrential rains, which cause serious problems for the population with a certain regularity. In terms of extreme weather phenomena, Cuba is prone to hurricanes which can be characterized by winds exceeding 250km/h and torrential rains. However, these events do not pose a threat to the lives of people who can shelter in modern buildings

Average temperatures on an annual scale are between 20 and 30  °C and rainfall is abundant and intense in the summer. The temperature of the sea water, also due to the presence of the nearby  Gulf stream , fluctuates between  26  °C  in winter and  28-30°C in summer.

Ambient climate and climate change. How does it influence life in Cuba?

Climate change has affected Cuba’s climate and seasons in several ways. First, Cuba’s tropical climate has become warmer and more humid, with the winter seasons getting hotter.
Extreme weather events, such as more intense storms and longer dry spells, are becoming more frequent, affecting the country’s agriculture and food production as well as tourism this season.
Sea level rise due to climate change also has a negative impact on Cuba’s coastal areas and fisheries. These climate changes are affecting the health of the Cuban population, increasing vulnerability to climate-sensitive diseases, such as an exponential increase in cases of dengue fever. THEClimate change has also caused significant economic damage to Cuba, with a loss of $65.85 billion in GDP between 1990 and 2019. These factors, combined with political and economic crises, are contributing to the emigration of a large number of Cubans.

Climate and environment What is the best time to travel to Cuba?

The temperatures are pleasant all year round, with oscillations between 20 and 30° C, on average throughout the country: in fact, there are no great variations between one area and another and also the sea is always warm , registering an average , even during the winter, about 25°C in Havana and 26-27°C on the southern coast. The island can therefore be perfectly visited in every season , although for those who want to avoid the risk of rain it is preferable to organize the trip in winter.
During the summer, on the other hand, it is easy to come across the typical 
tropical thunderstorms , even if they are short-lived rains that occur mainly in the late afternoon. Furthermore, from June to November, qTherefore, throughout the rainy season, Cuba can be hit by hurricanes: tropical storms and cyclones, coming from the east, affect the eastern part more, in any case.

When to find the best climate?

In Cuba, for those who want to live on the beach, the best period is undoubtedly the one that goes from May to October. However, this period has a couple of drawbacks: sultry heat (with peaks of 35° C even in Havana and Varadero) and high humidity which causes annoying thunderstorms in the afternoon. Moreover, remember, from June to November there is the danger of hurricanes, therefore it is advisable to consult the weather forecast in the days preceding departure to travel in safety.

For those who, on the other hand, want to dedicate themselves to an “itinerant” holiday , go on excursions and wander around the cities and the beauties of the island, the ideal period is undoubtedly the winter, from November to April. In fact, in this period of time, the rains are extremely rare and the temperatures are pleasant but not very hot. The more “adventurous” will be able to enjoy the beaches and the sea, perhaps moving to the eastern part of the island, where the climate is a little warmer and even the water allows for pleasant swimming

When is it not advisable to go to Cuba?

Even if there isn’t a really bad time to visit Cuba, you have to deal with the hurricane season which, although unlikely, can still reach the island in the months from June to November and especially from August to October. In July and August then, despite being in a low season, coinciding with the rains, heat and high humidity, crowds of visitors are not lacking and the Cubans themselves flock to the local beaches. So those traveling in these months will have to take into account, however, a strong tourist turnout.

What are the characteristics of the environment of the destination country of your trip?

What environments and what natural resources do we find in Cuba?

Cuba hosts an important biodiversity and a large number of endemic species, ranging from the smallest bird on the planet ( Elena’s hummingbird ) to the  Cuban crocodile  which can measure up to six meters in length. Other species include land iguanas, the  hutia , 370 species of birds, 26 bats and snails of the genus  Polymita . The country is one of the few where bee populations have not declined, thanks to the promotion of organic agriculture .

The island has so far managed to keep its natural beauty intact and is considered the green lung of the Caribbean . The Cuban authorities have made the protection of natural heritage a priority and have created more than 250 protected natural areas, covering 22% of the country. The “Queen’s Garden” nature reserve, which includes almost 150 kilometers of islands, reefs and mangroves, is home to one of the best preserved coral reefs in the world. However, the development of mass tourism and global warming are causing some concern.
Its territory is mostly flat , with a cordillera that stretches parallel to the coast. Here the landscape is characterized by the  
Mogotes de Jumagua , limestone formations covered with vegetation.
The remarkable coastal development offers a wide variety of seascapes, from the rocky coast to the high and craggy ones, but above all a huge expanse of beaches. The reef extends outside the 
Camagüey archipelago . In the development of the coast there are deep and wide inlets that constitute natural port basins of exceptional value and beauty, locations of the historic commercial ports of Cuba such as  Havana ,  Santiago de Cuba  and  Cienfuegos.
The rivers are characterized by having a short course , given the narrow shape of the island. However, they are rich in water, even if their regime is determined by the rains: some have underground stretches due to the karst formation of the land. The longest is the  
Rio Cauto  (343  km )  which, unlike the others, flows longitudinally.

Beaches in Cuba

Sol de Cuba

The beaches of Cuba  are an attraction for their particularity. Ideal places to relax, have fun or practice various water activities such as  scuba diving and snorkelling. However, deciding which beach to visit is not always easy. Around this large island there are many spectacular small beaches , with their  natural landscapes  .  The Cuban archipelago  is made up of two  islands , Cuba Island  and Juventud Island , which have a large number of beaches. Thousands of keys (small islands) form part of this archipelago, in which, even if not all habitable, there are the most beautiful and luxuriant beaches. Many little frequented and known. In Cuba  Varadero must be a mandatory destination. This wonderful Cuban city  is the most famous destination internationally for its  paradisiacal beaches . Of its 30 km of extension, 22

Playa Santa Maria del Mar, Cuba

km are  beaches.  The famous Blue Beach  is also the largest, and its fame is not only given by its idyllic landscape with colors such as blue and turquoise that contrast with the colors of nature, but it is also given by the many leisure  activities that it is possible to accomplish. There is no shortage of attractions of the   cayos , small  islands  located on the  Atlantic coast  and in the  Caribbean sea. A true spectacle of nature and beauty. Crystal clear and warm waters , an extraordinary fauna  with its  exotic animals that share their habitat with the vegetation; the great coral reef  with its huge variety of  colorful fish . Even in Havana , the beaches  are close and easily accessible. The best known set of  beaches  is called  Playas del Este ,  made up of seven beaches where you will meet the authentic Cuban spirit . Of these beaches, the most famous is  Santa María del Mar. Of this group of beaches, Playa Jibacoa  and  Playa Trópico also stand out , perfect for diving into  the seabed .

What are the most interesting Natural Parks in Cuba?
Cuba  differs from the rest of the island Caribbean countries by its wonderful natural landscapes, as it has numerous natural parks which constitute one of the most popular attractions of the country.

Vinales Valley, Pinar Del Rio

Some of its parks have international fame, while others are essential places for any tourist who wants to get to know Cuba in the slightest.
Among these are the   
Parque Nacional de Viñales , famous for its sugar, tobacco and coffee crops;
the 
Valle de Viñale , with its impressive  mogotes  (hills) full of vegetation;
the surprising   
Mural de la Prehistoria , a place which together with the   Cueva del Indio  constitute one of the most visited points of  Pinar del Río , the westernmost province of Cuba.
Furthermore, this province also offers two stupendous and paradisiacal natural islets where the impact of man has been reduced to a minimum: 
Cayo Levisa  and  Cayo Jutías .

In the provinces of Artemisa and Mayabeque, around Havana, are the  Parque Natural de Soroa  and the ecological complex of  Las Terrazas , both located within the  Reserva de la Biosfera Sierra del Rosario , a stupendous place endowed with an incredible beauty whose main attractions are the famous  Salto del Arcoíris , an impressive natural waterfall, the towns of Soroa and Las Terrazas and the Orquideario de Soroa, a botanical garden where you can admire more than 20,000 specimens of 700 species of orchids.

In the province of Matanzas is the  Parque Nacional Península de Zapata , famous for hosting the exuberant  Ciénaga de Zapata  and the  Gran  Parque Natural de Montemar , where you can find the beautiful  Laguna del Tesoro ,  Boca Guamá ,  the Taíno village and the historic  Bahía de Cochinos .

Topes de Collantes, Sancti Spiritus

In the most central part of Cuba is the  Sierra del Escambray , which forms the  Gran Parque Natural de  Topes de Collantes , where the famous waterfalls of  Topes de Collantes  and  El Nicho are located , located near  Cienfuegos and Trinidad .

Another important natural park in the central area of ​​Cuba is the  Parque Nacional de Caguanes , which with its 10 small islets is considered as part of the Biosfera de Buenavista reserve.

In eastern Cuba, the  Parque Nacional Alejandro de Humboldt stands out , shared by the provinces of   Holguín  and  Guantánamo . The park offers various tourist centers, trails, paths, rural accommodation and camping areas.

Even the small Isla de la Juventud hosts important natural parks such as that of Punta Francés or the Parque Nacional Ciénaga de Lanier, considered as the third most important swamp in all of Cuba.

What are the diseases present in Cuba? What are the real risks (March 2023)

Malaria, yellow fever, cholera, meningitis are diseases present in Cuba?

Both the WHO “World Health Organization” and the American CDC “Centers for Disease Control and Prevention” constantly monitor and report the various diseases present in Cuba. Our direct experience in different areas of the country confirms the presence of a series of diseases endemic to most of the territory, including large cities.

Is malaria present in Cuba?

The risk of malaria infection in Cuba is practically absent. Cases of malaria have not been described for a long time, and even the places where the Anopheles is present are free from the disease. Mosquitoes do not carry the parasite and cannot transmit the disease.

Are there any risks in Cuba for traveler’s diarrhea?
Traveler’s diarrhea : (click here)
Traveler’s diarrhea is one of the most common diseases during a stay in Cuba. More than 60% of travelers to the country suffer from these annoying intestinal infectious forms. It can be caused by various pathogens, including bacteria, viruses and parasites. It may be appropriate to use some drugs in prevention.

Is Yellow Fever in Cuba and do I need to get vaccinated?
Yellow fever : (click here)
Yellow fever, a viral disease transmitted by mosquitoes of the genus Aedes, is not present in all of Cuba.

Are there cholera outbreaks in Cuba? How do we protect ourselves?

As indicated by the Cuban health authorities, there are localized outbreaks of cholera (click here)   in different areas of the country and on different islands. The disease circulates throughout the Caribbean area and is endemic. Cholera is an acute intestinal infectious disease. Always present on the island, it grew further after the epidemic that developed in Haiti. It was developed by being transmitted through contaminated water and food.

Is there a risk of AIDS in case of unprotected intercourse?
HIV/AIDS :

HIV/AIDS is a major public health problem in the country. The virus continues to circulate in an important part of the population even if for several years the control of the disease has led to excellent results. It is important to be careful in sexual intercourse with several random partners and the protection and use of condoms is recommended.

Are arboviruses such as Dengue, Chikungunja or Zika present in Cuba?

Dengue and arbovirus : (click here)

Briefly, dengue is an acute viral disease transmitted by the Aedes aegypti mosquito. The reservoir is the infected man; for this reason it developed mainly in large cities. Symptoms can include high fever, headache, muscle and joint pain, nausea, and skin rashes. Dengue can progress to hemorrhagic dengue, a more severe form of the disease that can be fatal. Since the beginning of 2023 it has been possible to have a vaccine for this disease.
Outbreaks of 
dengue hemorrhagic feverthey are present in almost all the country, but especially in the big cities and in various humid parts of the island. Dengue is a viral disease transmitted by the bite of Aedes mosquitoes. The disease is widespread in urban areas. Frequent outbreaks occur in cities and in particular in the capital. Prevention consists in paying attention to insect bites and protection with repellents. We recommend NOZETA – NEEM oil, very effective and with repellent and soothing characteristics.

It is important to evaluate the inoculation of the new vaccine for Dengue, called QDENGA

For information and reservations of the DENGUE vaccine (CLICK HERE)

Chikungunya and Zika viruses :

There are some outbreaks of these arboviruses, similar to dengue, which occur sporadically in many of the islands of the Cuban archipelago.

The Cuban government has taken several measures to control and prevent the spread of dengue and other arboviruses in the country, including:

  1. Information and awareness campaigns to educate the population about the risks of dengue and other viruses and how to prevent them.
  2. Mosquito control through the elimination of breeding sites, the use of insecticides and the distribution of insecticide-treated bed nets.
  3. Surveillance and monitoring of cases of dengue and other viruses to quickly identify outbreaks and take timely action.
  4. Treatment and care of dengue patients in health centres.

Are there outbreaks of tuberculosis in Cuba and what is the risk of contagion? (TB) :
TB is another infectious disease present in high incidence in several populated areas of the island. It is particularly developed in the suburbs of the big city. It has a low mortality rate.

Are there any cases of canine or other animal rabies?
Rabies (click here)
There are widespread cases of rabies in the country due to the presence of animals carrying the virus, both dogs and wild animals. Monkeys and bats can also spread the virus. It is advisable to evaluate the risks for any vaccination practice.

Is heartworm present, or schistosomiasis (bylarthia) or onchocerca, the blindness of rivers?

Neglected Tropical Diseases (NTD) : (click here)
NTDs are a group of neglected diseases that affect people living in poverty and rural areas. In Cuba, NTDs include lymphatic filariasis, and schistosomiasis in well-localized areas.
These are some of the major diseases found in Cuba, but there are also other diseases that have been reported in the island by WHO and the CDC.

Schistosomiasis is a parasitic infection with Schistosoma (Bilarzia) fluke worms, it is present in some areas of the country. The parasitesinfect humans by entering the bloodstream transcutaneously from contact with contaminated freshwater (baths or diving). The larvae of these microorganisms infect the vascular system and are transferred via capillaries in the gastrointestinal and genitourinary systems. To avoid schistosomiasis, contact with contaminated fresh water must be avoided, as the disease is transmitted through direct contact with these waters and not by ingestion. Also, it is important to avoid swimming, bathing, or walking in fresh water known to contain schistosomes. Using toilets for urination and defecation Using snail-killing chemicals (molluscicides) in freshwater bodies known to contain schistosomes is a disease control system”

 

Vaccinations

Which vaccination is mandatory for Cuba and how should we behave?

YELLOW FEVER if…..  

Cuba is a country where yellow fever is not present, there is no risk of becoming infected and ill, but the Cuban government requires yellow fever vaccination for travelers from countries endemic or infected with the disease, such as parts of Africa and Latin America.  If you are from one of these countries or have spent time in an area with a high yellow fever risk in the six weeks prior to your trip to Cuba, you are required to present your yellow fever vaccination certificate upon arrival at the airport . You must get the yellow fever vaccination before traveling to Cuba.

(Updated March 2023)

What vaccinations are recommended for Cuba and what should be done?

Recommended vaccinations:
do I need to get the yellow fever vaccination for Cuba? The certificate of vaccination against Yellow Fever except for those arriving from countries endemic or infected with the disease. Vaccination is not recommended for travelers from virus-free countries. (Updated March 2023)
 

Other recommended vaccinations:

Is vaccination for DENGUE recommended?. 
Given the presence of widespread outbreaks in the country, especially in the rainy season, it is advisable to evaluate the possibility of carrying out the new vaccine for DENGUE. Prevention consists in paying attention to insect bites and protection with repellents. 
We recommend NOZETA – NEEM oil, very effective and with repellent and soothing characteristics.
The main prophylaxis consists in the inoculation of the new vaccine. 
Important is the assessment of environmental and biological risk, and deciding for the inoculation of the new vaccine for Dengue, called QDENGA

For information and reservations of the DENGUE vaccine (CLICK HERE)

Hepatitis A vaccination is recommended

to know more….

Vaccination for TYPHOID FEVER is recommended – to know more….

DIARRHOIC AND COLERIFORM SYNDROMES    
Is vaccination for cholera recommended? Vaccination is essential for effective protection against “Vibrio del Cholera” and other intestinal pathogenic bacteria, even aggressive ones, which cause “traveller’s diarrhea”. It should always be regarded as protective of the intestine. It can be taken into consideration depending on the type of trip and stay. The “oral” formulation of thecholera vaccinealso protects against intestinal infections caused by many enterotoxic agents. The vaccine is therefore recommended for travel to many countries around the world.

These are essential vaccines for protection against “food” infections, i.e. transmitted by “contaminated food and drink”; “dirty hands”; contaminated dishes, plates, glasses: (valid everywhere, in Italy and in most countries of the world)

Is vaccination for HEPATITIS B recommended ? to know more….
Protection from contact with infected blood: in the event of medication due to an accident during the trip (in clinics or local EDs) for infections due to medication irons; syringes in health care facilities with poor hygiene; sexual transmission unprotected sex; other contacts with blood; (valid everywhere, in Italy and in most countries of the world)

Is vaccination for MENINGOCOCCAL MENINGITIS recommended? to know more…
Protection from infections transmitted by saliva droplets, breathing and coughing, through the air, in airplanes, crowded places, buses and trains, offices and schools, poorly ventilated environments; (For your personal protection and for the protection of the people close to you (family – work) – possibility of becoming a healthy carrier of the meningitis bacterium.) (valid everywhere, in Italy and in most countries of the world) It
is Is tetanus vaccination recommended ?   to learn more…
Is vaccination for POLIOMELITE recommended?
Following the latest epidemiological data and related recommendations issued by the WHO, travelers are recommended a vaccine booster (IPV-injection) best done together with (tetanus-diphtheria-pertussis-quadrivalent vaccine) to be boosted every 10 years. The effectiveness of the vaccine, being a reminder of vaccinations made in the past, is immediate.
Protection from infections transmitted by faecal micro-particles present in the soil, contact and ingestion; (valid everywhere, in Italy and in most countries of the world)
ROUTINE VACCINATIONS
Make sure you have carried out all the vaccinations required by the 
National Health System . These include: tetanus, diphtheria, polio, pertussis, haemophilus B, hepatitis B, measles, mumps, rubella, chicken pox.

Malaria: situation and prevention

What is the malaria situation in Cuba?

The risk of malaria infection in Cuba is practically non-existent. Cases of malaria have not been described for a long time, and even the places where the Anopheles is present are free from the disease. Mosquitoes do not carry the parasite and cannot transmit the disease.

What should I do if I return from the trip with health problems?

In case of fever, diarrhea or in any case if you feel unwell, it is essential to consult a doctor without delay (in case of fever, possibly within 24 hours, due to the possibility of having contracted malaria, if you are returning from an area at risk) . Specialist or expert in Tropical Diseases. Read everything…

Local traditions, foods, drinks

What are some curiosities and what are the major traditions in Cuba?

Some of the topics to explore related to the most important traditions in Cuba:
In Cuba, there are several curiosities and traditions that characterize its unique culture. One of the most famous traditions is the story of the Giraldilla, a small bronze sculpture that represents a flag and which has become a symbol of the city of Havana[1].

 GIRALDILLA AND THE LOVE STORY The Giraldilla is the name given to a weather vane located on the bell tower of the castle of la Real Fuerza in Havana, a small bronze sculpture that has become the symbol of the city of Havana. The story of its origins is lost in the legend of a love story.   It is said that the beautiful  Doña Isabel of Bobadilla , married to  Hernando de Soto appointed Captain General of Cuba by the King of Spain Carlos I, she used to wait for her husband spending many hours in the watchtower of the Castello de la Real Fuerza waiting to spot the ships that would bring her husband home from a long exploratory voyage to the continent American (present-day Georgia, Alabama and Florida). Unfortunately Hernando de Soto died in those lands due to an uncontrollable fever (probable malaria), it is said that her wife died of love when she knew her husband’s fate.
A few years later, the artist Gerónimo Martin Chaffinch (1607-1649), was inspired by Doña Isabel of Bobadilla taking her as a reference and symbol of marriage by sculpting a figure of her in her memory.
The governor of the city at that time, Don Juan Bitrián Viamonte, had the brass sculpture cast into a bronze weather vane and then fixed atop the tallest tower of the newly built castle. Governor Bitrán christened this weather vane Giraldilla, after the Giralda in his hometown of Seville. The original statuette is kept in the city museum, a copy is placed on the highest point of the castle.

The Guayabera shirt , originally created for farmers in Sancti Spiritus, is now a popular, fresh and elegant garment with four large pockets on the front, two pleats on the chest and three on the back. GUAYABERA, TYPICAL CUBAN SHIRT
It is said that a farmer in the province of Sancti Spiritus asked his wife to make a comfortable shirt for working in the fields. His wife made a new shirt that was comfortable and practical but she could not imagine that its original design will subsequently make it so popular, first among the residents of the area and then all over the world.
The name of this shirt was  yayabera , because she was born in the region near the Yayabo River. It is also said that the farmers of that area, when harvesting the guavas (local fruit), left some fruits in the pockets of the yayabera and for this reason the name was soon transformed into  guayabera . Generally in white fabric, it is a fresh, comfortable and elegant dress and can have long or short sleeves. It usually has four large pockets at the front, two rows of pleats at the chest and three at the back ending in two buttons.
Another hypothesis on the origin of the guayabera is attributed to a Spanish immigrant who became a tailor in the village of Sancti Spiritus in the 18th century. He made and sold large shirts with comfortable pockets to hold cigars, in other words, a garment similar to the current guayabera.

Whether the origins can be attributed to the hands of the farmer’s wife or to the Spanish tailor, the guayabera has become very popular, so much so that in 1880 the town hall of Sancti Spiritus authorized its use in official events. In the second half of the 20th century, Cuban politicians began to wear it on their electoral tours across the island, in the hope of being more pleasing to the peasant population.

In the 1950s, a modification was introduced to the garment by adding a lace around the neck to give a more formal character to the guayabera so that it was introduced in large living rooms and even in official government meetings. When Ramón Grau San Martin assumed the first judiciary in 1944, he elevated it to the rank of law courts.

NEW YEAR’S EVE IN LAS CHARANGAS DE BEJUCAL Anyone who decides to go to Cuba to celebrate the end of the year in the name of sun and sea will find themselves in the midst of one of the oldest festivals in Havana, Las Charangas de Bejucal.  During the fiesta, the city is divided into two parts, one blue and one red, which revives a past rivalry between Creoles and Spaniards on one side and Africans on the other, to the sound of music.

The performances of  Los Tambores de Bejucal  (a typical Cuban percussion band of high international prestige) ignite the traditional rivalry between two conga groups. The  Ceibistas  (members of the Ceiba de Plata group, characterized by the color blue and a scorpion as their symbol) compete with the  Espinistas  (members of Espina de Oro, who wear red and have a rooster as their symbol), to see who can play the drums with the highest and most impressive sound. Typical food at  Charangas it includes pan con lechón (pork sandwich), popcorn, churros (fried sweet pastry strips) and cotton candy. The origin of the Charangas is very similar to that of the Parrandas de Remedios and dates back to 1830. At the beginning the The feast had a purely religious character and according to tradition it took place on December 24, the date on which the slaves were freed to then join the free blacks and the Creoles. During the festival, black Africans worshiped the Orishas (African deities), playing their drums, saying prayers and dancing along the main streets of Bejucal. Their rites had particular characteristics depending on the ethnic group they came from, the Congo, Carabalíes, Ararás, Mandigas and Lucimíes who, inevitably, had different spiritual traditions and formed their own cabildos.

The Spaniards and Creoles who lived in Bejucal, allowed the party, baptized a group of black and mixed people with the name of Musicanga (which meant disgusting and poor music) while another group of black people took the name of Malayos (which meant red-roosters). The Musicangai adopted the color blue and a scorpion as their representative animal while the Malayos chose the color red and the rooster as their favorite animal. Thanks to the fusion of cultures that characterize the Cuban identity, racial and class differences have been lost over time. At the beginning of the 20th century, the rival groups renamed themselves: the Musicanga was called Ceiba de Plata (the silver of silk-cotton) and the Malayos took the name of Espina de Oro (the golden thorn).

The Santiago de Cuba Carnival is the largest and most famous in Cuba, where different cultures mix evident in the richness of music and dance[1]. The extras, groups of costumed performers who perform music and dance, are one of the main attractions of the carnival[1]. Music in Cuba is an important artistic expression and part of daily life, often accompanied by rhythmic and vital dances such as mambo, salsa and cha-cha-cha[2]. Dance styles such as Rumba, Son and Salsa are the result of African and Spanish influence[2].

Finally, some food and drink traditions include the Mojito, the Cuba-libre and the Daiquiri, as well as the famous Cuban rum[3]. Cuban cigars are also an important part of the country’s culture and identity[3]. The Santiago de Cuba Carnival is an iconic and traditional celebration that dates back to at least the 17th century[2]. This annual event takes place from July 21 to 28, attracting thousands of people from all over the country and around the world[3]. Festivities include night processions, parties and street concerts, as well as daytime performances involving music, dance and song[3].

Sappadas are a staple of the carnival, with groups of musicians and dancers performing in the streets, wearing colorful traditional costumes[1]. These groups of artists help create an electrifying and engaging atmosphere during the celebrations.

During the Santiago de Cuba Carnival, music is omnipresent and plays a crucial role in creating the festive atmosphere[3]. Typical carnival musical styles include Cuban son, cha-cha-cha, mambo and rumba, all influenced by African, European and indigenous traditions.

The Carnival coincides with Cuba’s National Day and the anniversary of the attack on the Moncada Barracks, which falls on July 26 [3]. This historic date is an important moment for the nation and adds another layer of meaning to carnival celebrations.

If you wish to visit Santiago de Cuba during Carnival, it is advisable to plan ahead, as transport and accommodation can be difficult to find due to the high influx of people[3]. Being part of this cultural celebration is a unique and memorable experience that will allow you to immerse yourself in Cuban traditions and history.

 

Tribes and Cultures:

In Cuba, originally, there were several Amerindian populations, including the Taíno, the Siboney and the Guanajatabey [1]. However, after the arrival of the Spanish in 1492, these indigenous populations suffered a drastic decline due to disease, slavery and warfare [1]. Today, the Cuban population is mainly composed of descendants of Spaniards, Africans and mestizos, with predominant religions such as Roman Catholicism and Santeria [2]. There are also Christian-Protestant communities present on the island [2].

Population and culture

According to the 2019 census, Cuba has a population of approximately 11.2 million. Of these, over two million live in the capital Havana and surrounding areas. By Latin American standards, Cuba has a high life expectancy of 78.66 years, even slightly higher than the life expectancy in the United States (78.54 years). Due to the increase in life expectancy and the reduction of infant mortality at birth to 5.5 cases per 1,000 births (for comparison, 3 cases in Italy and 6.5 cases in the United States per 1,000 births), the population of Cuba has experienced a steady increase until 2016. From 2016 onwards the population remained unchanged or even decreased slightly.

Cuba’s population is multi-ethnic, due to its complex colonial origins and slave economy. Marriages between ethnic groups are widespread, thus favoring the great variety, despite a certain discrepancy in the census of the country’s population: if the Institute of Cuban and Cuban-American Studies at the University of Miami found that 62% of Cubans are black, the 2002 Cuban census showed that 65.05% of Cuba’s population is white. These results can be influenced by socially desirable factors and by formulations that hide political motivations.

Cuba is officially a secular state. Prior to the 1992 constitutional amendment, Cuba classified itself as an atheist state. With the new constitution, freedom of religion has increased. Cuba’s main religions are Catholicism and Santeria, a religion based on the traditional religion of the Yoruba people of West Africa, which is heavily mixed with Christian elements.

Spanish is spoken in Cuba. Minority languages, such as the Indian languages ​​spoken in other Latin American countries, are almost non-existent. Despite the many tourists, it is usually difficult to find signs in English in museums and other tourist places in Cuba. English is a language that was not usually learned or taught in Cuba, given the long and famous conflicts between Cuba and the United States . Even though more and more young people are learning it privately and English is also taught in schools, the diffusion of the language is still limited. Most of the teachers are low qualified and the supply is by no means sufficient. Travelers who book a package holiday with an all-inclusive hotel or a fully organized trip with an Italian or English-speaking guide do not need to speak Spanish, but other than the hotel staff they will have almost no contact with the locals which is a pity. A good idea for those planning to travel to Cuba is therefore to learn some Spanish beforehand.

 

Dances and music: the enthralling Cuban rhythms

Cuba is home to  Caribbean rhythms : the notes of mambo, rumba, salsa and cha-cha-cha (which originated here) will be the soundtrack of your trip to the island. Also not to be missed are the Afro-Latin jazz big bands, brought to the fore in recent years by the Buena Vista Social Club.

In Cuba music is not only an artistic expression, but  a companion of daily life , often accompanied by rhythmic and vital dances. Cuban dances represent   the love for life that characterizes the people of Cuba, here every dance has its music, and music does not exist without dance! Cuban music developed from the influences of African slaves deported to the island and from the influences of Spanish immigrants.

There were three original styles :   the son, of Spanish and African origin, the danzon, which draws on the French tradition and with more sedate rhythms, the third trend, totally deriving from African culture. The three styles then mixed together and gave birth to  different strands  such as Rumba, Son, Salsa, Reggaeton, Bachata and obviously Cha Cha Cha.

In Cuba, you’ll find a diverse range of musical genres that reflect the island’s rich cultural diversity. Some of the main Cuban musical genres include Rumba, Danzon, Son, Danzon-mambo and Cha cha cha [1]. Rumba, for example, is a genre of Afro-Cuban music and dance that combines drumming, singing, and energetic dance movements. Son, on the other hand, is a musical style characterized by the fusion of African and Spanish elements, often considered the heart of Cuban music.

Santiago de Cuba, in particular, has been the cradle of many Cuban musical genres and is the center of the country’s Afro-Cuban culture [2]. The influence of Cuban music has also spread beyond the borders of the island, as evidenced by the Salsa genre, which originated in New York City and was heavily influenced by Cuban music [1]. Tito Puente, known as the King of Salsa and the King of Latin Jazz, was an icon of Latin music who helped spread these genres around the world [1].

In addition to traditional musical genres, more modern and international styles can also be found in Cuba, such as Rap and Hip-Hop [3]

 

What traditional foods can I find in Cuba?

The 10 most sought-after traditional dishes in Cuba are:

Arroz con Pollo (Chicken and Rice) 

Moros y Cristianos (rice and black beans)

Ropa vieja (pulled beef stew)

Masitas de Puerco Fritas (fried pork) 

Ajiaco Criollo (meat and vegetable stew)

Cuban Sandwich (sandwich with roast pork, ham, cheese and mustard)

Fufu (plantain puree) 

Picadillo a la Habanera (minced meat with onions, peppers and spices)

Tamales (corn dough with meat and vegetables)

Casabe (Cassava Flour-Based Flatbread) 

These dishes reflect Cuban cuisine, with Spanish and African influences, and the use of spices, meats such as pork and chicken, and vegetables such as peppers, cucumbers, onions and potatoes.

What are the 10 traditional drinks that I can try while staying in Cuba?

What you definitely drink in Cuba is rum. Very high quality and cheap. Traditional Cuban drinks usually still contain Cuban rum and most often Havana Club. Cuba Libre, the signature alcoholic drink without Coca-Cola. There is no coca as an American product in Cuba. So the traditional drink Cuba Libre is served with a cola drink, but not with Coca-Cola and lime juice. Other drinks include Piña Coladas, Daiquiris, Mojitos, Havana Loco, Cuban beers like Crystal and Buchanero and, of course, fresh coconut juice.
Among the most popular drinks:

Mojito: a refreshing cocktail made with rum, mint, sugar, lime juice and sparkling water.

Cuba Libre: a classic cocktail made with rum, Coca-Cola and lime juice.

Daiquiri: a cocktail made with rum, lime juice and sugar syrup.

Piña Colada: a creamy cocktail made with rum, pineapple juice and coconut milk.

Canchánchara: a historic cocktail made with rum, honey, lime juice and hot water.

El Presidente: an elegant cocktail made with rum, vermouth, curaçao and grenadine.

Saoco: A refreshing cocktail made with rum, coconut water and lime juice.

Guarapo: A soft drink made from fresh sugar cane juice.

Malojillo: A soft drink made from lemonade and malojillo leaves, a plant similar to lemongrass.

Café Cubano: A strong, sweet espresso often served in small cups.

Cerveza: The local beer, with popular brands like Cristal and Bucanero.

Ron Collins: A cocktail similar to the Tom Collins, but with rum instead of gin.

Batido: a blended drink made from fresh fruit, milk and sugar.

Crema de Vie: a sweet liqueur similar to Irish liqueur, made from milk, sugar, eggs, rum and spices.

Jugo de Tamarindo: A soft drink made from tamarind juice and sugar

What general info is useful to me during the trip?

General informations

Language: Spanish

Capital: Havana

Currency: Cuban peso

Time zone: GMT -5

History, Economy, Culture: https://www.cia.gov http://www.britannica.com

Safety: – www.viaggiaresicuri.it – www.dovesiamonelmondo.it

Some useful health information to keep you healthy on the go

What are the main rules and how should I prepare for the trip?

Give your body time to adjust to the new climate and new environment. Before the trip, if possible, dedicate a few hours to physical activity, and get your body used to the new rhythms during the trip …read more

Who should get vaccinated for yellow fever? And is the vaccine mandatory? And where?

Vaccination against Yellow Fever or Amaryllis Vaccine, an acute viral disease, which is transmitted by mosquito bite, is the only preventive practice that can be compulsorily requested by the health authorities of a country in order to enter through the border crossings …  . Read everything

How should I protect myself from the bites of mosquitoes and other insects?

Mosquitoes & co. – How to protect yourself: mosquitoes that transmit diseases other than malaria are active during the day and wherever there is a collection of fresh water: wear light-coloured, long clothes with wide sleeves, long and wide, light-coloured trousers, T-shirts or shirts with long and wide sleeves and light color to be tucked into the belt of the trousers ……read more

But is it really dangerous to swim in some lakes or rivers in tropical countries? And why?

To prevent the possible transmission of infectious diseases, it is advisable to swim only in pools with chlorinated water. The sea water is safe.
Bathing in contaminated water can be dangerous for the skin, eyes, ears, mucous membranes of the mouth, especially if  
… read more

How can I avoid altitude sickness?

It is a set of symptoms that can occur when the human organism, having exceeded 2500 meters of altitude, has not yet adapted to the new environmental situation. We can define high altitude as follows … read more

How to travel safely? Who should I notify before leaving on a trip, especially to distant, unsafe countries?

Safety: www.viaggiaresicuri.it www.dovesiamonelmondo.it

 

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Cuba, country profile

Brief advice for those traveling in the country
What should I do when I go to Cuba?

If you are looking for a destination with a unique culture, breathtaking natural beauty, interesting history and warm people, then Cuba is the right destination. A vibrant and unique culture, with Spanish, African and Caribbean influences reflected in the island’s music, dance, architecture and cuisine. Incredible natural beauty, with white sand beaches and crystal clear waters, lush tropical forests and majestic mountains. Valle de Viñales , for example, is an Area of ​​Outstanding Natural Beauty, a UNESCO World Heritage Site, with tobacco fields and limestone mountains soaring into the sky. And few know that Cuba, in the middle of the Caribbean area, is an island state of Central America which includesthe homonymous island (about 105,007 square km and the Isla de la Juventud (about 2500 square km) and about 1600 islands and islets immersed in a fantastic and uncontaminated nature. Among these thousands of islands the Camagüey archipelago and that of the Canarreos constitute a set of islands to discover and visit.

In Cuba, for travellers, the main problem is characterized by forms of traveler’s diarrhea , spread through the intake of contaminated food and drink.  It is important to protect yourself from mosquito and insect bites . These carry diseases, first of all Dengue Viral Fever and also other Arboviruses. Use effective repellents, even natural ones. (Nozeta – Neem is an effective and advisable product) . Cuba is considered “malaria free” , ie the presence of the malarial parasite is not reported on the main island nor on the other thousands of small islands of the archipelago.
There is no presence of the yellow fever virus “Yellow Fever free” etherefore there is no need to carry out vaccination against the disease. But if you come from endemic or infected countries (Africa and Latin America) it is mandatory to get vaccinated.  Cholera is not officially present in the islands, but in the Caribbean, even via maritime transport, the cholera vibrio circulates almost everywhere. For years it has been fed by a circulation that developed from Haiti and from there spreads to many Caribbean and Central American islands and countries. The oral vaccine is recommended, which also covers forms of enterobacteria, especially E. Coli. Beware of tick bites with the possibility of developing a disease called exanthematous typhus.
Correct information, good preventive preparation before the trip, and shrewd behavior allow us to fully enjoy this trip.

How do I get correct health information to go to Cuba

Feel free to ask for advice to get to know problems and solutions   – dr. Paolo Meo, tropical infectious disease doctor

Health alerts
What are the current epidemics in Cuba?

COVID-19  Follow the daily case situation in the country (click here)

MARCH 2023: DENGUE 

Cases of viral haemorrhagic fever, particularly acute, were reported to increase already in the last quarter of 2022 in Cuba. Cases increased in the first quarter of 2023. They are increasing especially during the rainy season. It is possible to request the new dengue vaccine from the beginning of 2023. Particularly for those wishing to stay for an extended period.
At cesmet it is possible to book and get the vaccine against dengue.

 

Climate, weather, health and environment

What is the weather and upcoming weather forecast in Cuba?

Weather forecast in real time

What are the different seasons in the country and how are they characterized and how does the climate influence the spread of diseases?

Cuba is located in the northern part of the vast Caribbean archipelago  and is its largest island. To the north lies the United States, separated from Cuba by the  only 180 km wide Strait of Florida  and the North Atlantic Ocean . To the west is the  Yucatán channel  which divides it from the Central American continent, to the south the  Caribbean Sea  and to the east the  Windward channel which separates it from Haiti. The Republic of Cuba occupies the entire island, and the more than 1,600 surrounding islets, such as the Isle of Youth  (Isla de la Juventud), with the exception of  Guantánamo Bay , a naval base that has been “loaned” garlic United States  in  1903 .

The elongated shape of the island on the east-west axis and therefore its irrelevant difference in latitude between its north and south ends , make the island uniform from a climatic point of view, characterized by the constant blowing of the trade winds that come from the ocean Atlantic.
The  
tropical climate  is divided into two seasons,
the dry season in winter 
(November to April)    and the dry season in  Cubait coincides with the winter one and is characterized by a pleasant climate with temperatures ranging between 26° and 28° C. The rains are notably reduced, although still possible on the northern slopes, more exposed to the fresh irruptions of the States. On these occasions, in particular, from December to March, temperatures can drop as low as 10°C, especially in the northwestern part of the island, where both the capital Havana and Varadero are located. The southern coast, on the other hand, is more rarely affected by the cold. The winter season is the most suitable for visiting the city and enjoying various excursions, but in any case on fine days, you can also experience beach life, especially in the south-east, which is more sheltered from the north winds and with temperatures reaching 30°C all year round.

Wet and rainy season from May to October.  The rainy season in  Cuba  is very hot everywhere, with the heat only partially tempered by the trade winds. Especially between July and August temperatures reach 33-34°C and the high humidity makes the heat more oppressive. The rains are intense throughout the period, except for a relative lull in the month of July, but they manifest themselves in the form of intense and short thunderstorms that arrive during the afternoon hours, leaving space for the sun immediately afterwards.

During the wet season, especially between September and October, hurricanes can occur, very deep depression systems, with a variable extension between  150 and 600  km  in diameter, which manage to develop winds of extraordinary intensity (up to  300  km/h ) and flooding torrential rains, which cause serious problems for the population with a certain regularity. In terms of extreme weather phenomena, Cuba is prone to hurricanes which can be characterized by winds exceeding 250km/h and torrential rains. However, these events do not pose a threat to the lives of people who can shelter in modern buildings

Average temperatures on an annual scale are between 20 and 30  °C and rainfall is abundant and intense in the summer. The temperature of the sea water, also due to the presence of the nearby  Gulf stream , fluctuates between  26  °C  in winter and  28-30°C in summer.

Ambient climate and climate change. How does it influence life in Cuba?

Climate change has affected Cuba’s climate and seasons in several ways. First, Cuba’s tropical climate has become warmer and more humid, with the winter seasons getting hotter.
Extreme weather events, such as more intense storms and longer dry spells, are becoming more frequent, affecting the country’s agriculture and food production as well as tourism this season.
Sea level rise due to climate change also has a negative impact on Cuba’s coastal areas and fisheries. These climate changes are affecting the health of the Cuban population, increasing vulnerability to climate-sensitive diseases, such as an exponential increase in cases of dengue fever. THEClimate change has also caused significant economic damage to Cuba, with a loss of $65.85 billion in GDP between 1990 and 2019. These factors, combined with political and economic crises, are contributing to the emigration of a large number of Cubans.

Climate and environment What is the best time to travel to Cuba?

The temperatures are pleasant all year round, with oscillations between 20 and 30° C, on average throughout the country: in fact, there are no great variations between one area and another and also the sea is always warm , registering an average , even during the winter, about 25°C in Havana and 26-27°C on the southern coast. The island can therefore be perfectly visited in every season , although for those who want to avoid the risk of rain it is preferable to organize the trip in winter.
During the summer, on the other hand, it is easy to come across the typical 
tropical thunderstorms , even if they are short-lived rains that occur mainly in the late afternoon. Furthermore, from June to November, qTherefore, throughout the rainy season, Cuba can be hit by hurricanes: tropical storms and cyclones, coming from the east, affect the eastern part more, in any case.

When to find the best climate?

In Cuba, for those who want to live on the beach, the best period is undoubtedly the one that goes from May to October. However, this period has a couple of drawbacks: sultry heat (with peaks of 35° C even in Havana and Varadero) and high humidity which causes annoying thunderstorms in the afternoon. Moreover, remember, from June to November there is the danger of hurricanes, therefore it is advisable to consult the weather forecast in the days preceding departure to travel in safety.

For those who, on the other hand, want to dedicate themselves to an “itinerant” holiday , go on excursions and wander around the cities and the beauties of the island, the ideal period is undoubtedly the winter, from November to April. In fact, in this period of time, the rains are extremely rare and the temperatures are pleasant but not very hot. The more “adventurous” will be able to enjoy the beaches and the sea, perhaps moving to the eastern part of the island, where the climate is a little warmer and even the water allows for pleasant swimming

When is it not advisable to go to Cuba?

Even if there isn’t a really bad time to visit Cuba, you have to deal with the hurricane season which, although unlikely, can still reach the island in the months from June to November and especially from August to October. In July and August then, despite being in a low season, coinciding with the rains, heat and high humidity, crowds of visitors are not lacking and the Cubans themselves flock to the local beaches. So those traveling in these months will have to take into account, however, a strong tourist turnout.

What are the characteristics of the environment of the destination country of your trip?

What environments and what natural resources do we find in Cuba?

Cuba hosts an important biodiversity and a large number of endemic species, ranging from the smallest bird on the planet ( Elena’s hummingbird ) to the  Cuban crocodile  which can measure up to six meters in length. Other species include land iguanas, the  hutia , 370 species of birds, 26 bats and snails of the genus  Polymita . The country is one of the few where bee populations have not declined, thanks to the promotion of organic agriculture .

The island has so far managed to keep its natural beauty intact and is considered the green lung of the Caribbean . The Cuban authorities have made the protection of natural heritage a priority and have created more than 250 protected natural areas, covering 22% of the country. The “Queen’s Garden” nature reserve, which includes almost 150 kilometers of islands, reefs and mangroves, is home to one of the best preserved coral reefs in the world. However, the development of mass tourism and global warming are causing some concern.
Its territory is mostly flat , with a cordillera that stretches parallel to the coast. Here the landscape is characterized by the  
Mogotes de Jumagua , limestone formations covered with vegetation.
The remarkable coastal development offers a wide variety of seascapes, from the rocky coast to the high and craggy ones, but above all a huge expanse of beaches. The reef extends outside the 
Camagüey archipelago . In the development of the coast there are deep and wide inlets that constitute natural port basins of exceptional value and beauty, locations of the historic commercial ports of Cuba such as  Havana ,  Santiago de Cuba  and  Cienfuegos.
The rivers are characterized by having a short course , given the narrow shape of the island. However, they are rich in water, even if their regime is determined by the rains: some have underground stretches due to the karst formation of the land. The longest is the  
Rio Cauto  (343  km )  which, unlike the others, flows longitudinally.

Beaches in Cuba

Sol de Cuba

The beaches of Cuba  are an attraction for their particularity. Ideal places to relax, have fun or practice various water activities such as  scuba diving and snorkelling. However, deciding which beach to visit is not always easy. Around this large island there are many spectacular small beaches , with their  natural landscapes  .  The Cuban archipelago  is made up of two  islands , Cuba Island  and Juventud Island , which have a large number of beaches. Thousands of keys (small islands) form part of this archipelago, in which, even if not all habitable, there are the most beautiful and luxuriant beaches. Many little frequented and known. In Cuba  Varadero must be a mandatory destination. This wonderful Cuban city  is the most famous destination internationally for its  paradisiacal beaches . Of its 30 km of extension, 22

Playa Santa Maria del Mar, Cuba

km are  beaches.  The famous Blue Beach  is also the largest, and its fame is not only given by its idyllic landscape with colors such as blue and turquoise that contrast with the colors of nature, but it is also given by the many leisure  activities that it is possible to accomplish. There is no shortage of attractions of the   cayos , small  islands  located on the  Atlantic coast  and in the  Caribbean sea. A true spectacle of nature and beauty. Crystal clear and warm waters , an extraordinary fauna  with its  exotic animals that share their habitat with the vegetation; the great coral reef  with its huge variety of  colorful fish . Even in Havana , the beaches  are close and easily accessible. The best known set of  beaches  is called  Playas del Este ,  made up of seven beaches where you will meet the authentic Cuban spirit . Of these beaches, the most famous is  Santa María del Mar. Of this group of beaches, Playa Jibacoa  and  Playa Trópico also stand out , perfect for diving into  the seabed .

What are the most interesting Natural Parks in Cuba?
Cuba  differs from the rest of the island Caribbean countries by its wonderful natural landscapes, as it has numerous natural parks which constitute one of the most popular attractions of the country.

Vinales Valley, Pinar Del Rio

Some of its parks have international fame, while others are essential places for any tourist who wants to get to know Cuba in the slightest.
Among these are the   
Parque Nacional de Viñales , famous for its sugar, tobacco and coffee crops;
the 
Valle de Viñale , with its impressive  mogotes  (hills) full of vegetation;
the surprising   
Mural de la Prehistoria , a place which together with the   Cueva del Indio  constitute one of the most visited points of  Pinar del Río , the westernmost province of Cuba.
Furthermore, this province also offers two stupendous and paradisiacal natural islets where the impact of man has been reduced to a minimum: 
Cayo Levisa  and  Cayo Jutías .

In the provinces of Artemisa and Mayabeque, around Havana, are the  Parque Natural de Soroa  and the ecological complex of  Las Terrazas , both located within the  Reserva de la Biosfera Sierra del Rosario , a stupendous place endowed with an incredible beauty whose main attractions are the famous  Salto del Arcoíris , an impressive natural waterfall, the towns of Soroa and Las Terrazas and the Orquideario de Soroa, a botanical garden where you can admire more than 20,000 specimens of 700 species of orchids.

In the province of Matanzas is the  Parque Nacional Península de Zapata , famous for hosting the exuberant  Ciénaga de Zapata  and the  Gran  Parque Natural de Montemar , where you can find the beautiful  Laguna del Tesoro ,  Boca Guamá ,  the Taíno village and the historic  Bahía de Cochinos .

Topes de Collantes, Sancti Spiritus

In the most central part of Cuba is the  Sierra del Escambray , which forms the  Gran Parque Natural de  Topes de Collantes , where the famous waterfalls of  Topes de Collantes  and  El Nicho are located , located near  Cienfuegos and Trinidad .

Another important natural park in the central area of ​​Cuba is the  Parque Nacional de Caguanes , which with its 10 small islets is considered as part of the Biosfera de Buenavista reserve.

In eastern Cuba, the  Parque Nacional Alejandro de Humboldt stands out , shared by the provinces of   Holguín  and  Guantánamo . The park offers various tourist centers, trails, paths, rural accommodation and camping areas.

Even the small Isla de la Juventud hosts important natural parks such as that of Punta Francés or the Parque Nacional Ciénaga de Lanier, considered as the third most important swamp in all of Cuba.

What are the diseases present in Cuba? What are the real risks

Malaria, yellow fever, cholera, meningitis are diseases present in Cuba?

Both the WHO “World Health Organization” and the American CDC “Centers for Disease Control and Prevention” constantly monitor and report the various diseases present in Cuba. Our direct experience in different areas of the country confirms the presence of a series of diseases endemic to most of the territory, including large cities.

Is malaria present in Cuba?

The risk of malaria infection in Cuba is practically absent. Cases of malaria have not been described for a long time, and even the places where the Anopheles is present are free from the disease. Mosquitoes do not carry the parasite and cannot transmit the disease.

Are there any risks in Cuba for traveler’s diarrhea?
Traveler’s diarrhea : (click here)
Traveler’s diarrhea is one of the most common diseases during a stay in Cuba. More than 60% of travelers to the country suffer from these annoying intestinal infectious forms. It can be caused by various pathogens, including bacteria, viruses and parasites. It may be appropriate to use some drugs in prevention.

Is Yellow Fever in Cuba and do I need to get vaccinated?
Yellow fever : (click here)
Yellow fever, a viral disease transmitted by mosquitoes of the genus Aedes, is not present in all of Cuba.

Are there cholera outbreaks in Cuba? How do we protect ourselves?

As indicated by the Cuban health authorities, there are localized outbreaks of cholera (click here)   in different areas of the country and on different islands. The disease circulates throughout the Caribbean area and is endemic. Cholera is an acute intestinal infectious disease. Always present on the island, it grew further after the epidemic that developed in Haiti. It was developed by being transmitted through contaminated water and food.

Is there a risk of AIDS in case of unprotected intercourse?
HIV/AIDS :

HIV/AIDS is a major public health problem in the country. The virus continues to circulate in an important part of the population even if for several years the control of the disease has led to excellent results. It is important to be careful in sexual intercourse with several random partners and the protection and use of condoms is recommended.

Are arboviruses such as Dengue, Chikungunja or Zika present in Cuba?

Dengue and arbovirus : (click here)

Briefly, dengue is an acute viral disease transmitted by the Aedes aegypti mosquito. The reservoir is the infected man; for this reason it developed mainly in large cities. Symptoms can include high fever, headache, muscle and joint pain, nausea, and skin rashes. Dengue can progress to hemorrhagic dengue, a more severe form of the disease that can be fatal. Since the beginning of 2023 it has been possible to have a vaccine for this disease.
Outbreaks of 
dengue hemorrhagic feverthey are present in almost all the country, but especially in the big cities and in various humid parts of the island. Dengue is a viral disease transmitted by the bite of Aedes mosquitoes. The disease is widespread in urban areas. Frequent outbreaks occur in cities and in particular in the capital. Prevention consists in paying attention to insect bites and protection with repellents. We recommend NOZETA – NEEM oil, very effective and with repellent and soothing characteristics.

It is important to evaluate the inoculation of the new vaccine for Dengue, called QDENGA

For information and reservations of the DENGUE vaccine (CLICK HERE)

Chikungunya and Zika viruses :

There are some outbreaks of these arboviruses, similar to dengue, which occur sporadically in many of the islands of the Cuban archipelago.

The Cuban government has taken several measures to control and prevent the spread of dengue and other arboviruses in the country, including:

  1. Information and awareness campaigns to educate the population about the risks of dengue and other viruses and how to prevent them.
  2. Mosquito control through the elimination of breeding sites, the use of insecticides and the distribution of insecticide-treated bed nets.
  3. Surveillance and monitoring of cases of dengue and other viruses to quickly identify outbreaks and take timely action.
  4. Treatment and care of dengue patients in health centres.

Are there outbreaks of tuberculosis in Cuba and what is the risk of contagion? (TB) :
TB is another infectious disease present in high incidence in several populated areas of the island. It is particularly developed in the suburbs of the big city. It has a low mortality rate.

Are there any cases of canine or other animal rabies?
Rabies (click here)
There are widespread cases of rabies in the country due to the presence of animals carrying the virus, both dogs and wild animals. Monkeys and bats can also spread the virus. It is advisable to evaluate the risks for any vaccination practice.

Is heartworm present, or schistosomiasis (bylarthia) or onchocerca, the blindness of rivers?

Neglected Tropical Diseases (NTD) : (click here)
NTDs are a group of neglected diseases that affect people living in poverty and rural areas. In Cuba, NTDs include lymphatic filariasis, and schistosomiasis in well-localized areas.
These are some of the major diseases found in Cuba, but there are also other diseases that have been reported in the island by WHO and the CDC.

Schistosomiasis is a parasitic infection with Schistosoma (Bilarzia) fluke worms, it is present in some areas of the country. The parasitesinfect humans by entering the bloodstream transcutaneously from contact with contaminated freshwater (baths or diving). The larvae of these microorganisms infect the vascular system and are transferred via capillaries in the gastrointestinal and genitourinary systems. To avoid schistosomiasis, contact with contaminated fresh water must be avoided, as the disease is transmitted through direct contact with these waters and not by ingestion. Also, it is important to avoid swimming, bathing, or walking in fresh water known to contain schistosomes. Using toilets for urination and defecation Using snail-killing chemicals (molluscicides) in freshwater bodies known to contain schistosomes is a disease control system”

 

Vaccinations

Which vaccination is mandatory for Cuba and how should we behave?

YELLOW FEVER if…..  

Cuba is a country where yellow fever is not present, there is no risk of becoming infected and ill, but the Cuban government requires yellow fever vaccination for travelers from countries endemic or infected with the disease, such as parts of Africa and Latin America.  If you are from one of these countries or have spent time in an area with a high yellow fever risk in the six weeks prior to your trip to Cuba, you are required to present your yellow fever vaccination certificate upon arrival at the airport . You must get the yellow fever vaccination before traveling to Cuba.

 

What vaccinations are recommended for Cuba and what should be done?

Recommended vaccinations:
do I need to get the yellow fever vaccination for Cuba? The certificate of vaccination against Yellow Fever except for those arriving from countries endemic or infected with the disease. Vaccination is not recommended for travelers from virus-free countries. (Updated March 2023)
 

Other recommended vaccinations:

Is vaccination for DENGUE recommended?. 
Given the presence of widespread outbreaks in the country, especially in the rainy season, it is advisable to evaluate the possibility of carrying out the new vaccine for DENGUE. Prevention consists in paying attention to insect bites and protection with repellents. 
We recommend NOZETA – NEEM oil, very effective and with repellent and soothing characteristics.
The main prophylaxis consists in the inoculation of the new vaccine. 
Important is the assessment of environmental and biological risk, and deciding for the inoculation of the new vaccine for Dengue, called QDENGA

For information and reservations of the DENGUE vaccine (CLICK HERE)

Hepatitis A vaccination is recommended

to know more….

Vaccination for TYPHOID FEVER is recommended – to know more….

DIARRHOIC AND COLERIFORM SYNDROMES    
Is vaccination for cholera recommended? Vaccination is essential for effective protection against “Vibrio del Cholera” and other intestinal pathogenic bacteria, even aggressive ones, which cause “traveller’s diarrhea”. It should always be regarded as protective of the intestine. It can be taken into consideration depending on the type of trip and stay. The “oral” formulation of thecholera vaccinealso protects against intestinal infections caused by many enterotoxic agents. The vaccine is therefore recommended for travel to many countries around the world.

These are essential vaccines for protection against “food” infections, i.e. transmitted by “contaminated food and drink”; “dirty hands”; contaminated dishes, plates, glasses: (valid everywhere, in Italy and in most countries of the world)

Is vaccination for HEPATITIS B recommended ? to know more….
Protection from contact with infected blood: in the event of medication due to an accident during the trip (in clinics or local EDs) for infections due to medication irons; syringes in health care facilities with poor hygiene; sexual transmission unprotected sex; other contacts with blood; (valid everywhere, in Italy and in most countries of the world)

Is vaccination for MENINGOCOCCAL MENINGITIS recommended? to know more…
Protection from infections transmitted by saliva droplets, breathing and coughing, through the air, in airplanes, crowded places, buses and trains, offices and schools, poorly ventilated environments; (For your personal protection and for the protection of the people close to you (family – work) – possibility of becoming a healthy carrier of the meningitis bacterium.) (valid everywhere, in Italy and in most countries of the world) It
is Is tetanus vaccination recommended ?   to learn more…
Is vaccination for POLIOMELITE recommended?
Following the latest epidemiological data and related recommendations issued by the WHO, travelers are recommended a vaccine booster (IPV-injection) best done together with (tetanus-diphtheria-pertussis-quadrivalent vaccine) to be boosted every 10 years. The effectiveness of the vaccine, being a reminder of vaccinations made in the past, is immediate.
Protection from infections transmitted by faecal micro-particles present in the soil, contact and ingestion; (valid everywhere, in Italy and in most countries of the world)
ROUTINE VACCINATIONS
Make sure you have carried out all the vaccinations required by the 
National Health System . These include: tetanus, diphtheria, polio, pertussis, haemophilus B, hepatitis B, measles, mumps, rubella, chicken pox.

Malaria: situation and prevention

What is the malaria situation in Cuba?

The risk of malaria infection in Cuba is practically non-existent. Cases of malaria have not been described for a long time, and even the places where the Anopheles is present are free from the disease. Mosquitoes do not carry the parasite and cannot transmit the disease.

What should I do if I return from the trip with health problems?

In case of fever, diarrhea or in any case if you feel unwell, it is essential to consult a doctor without delay (in case of fever, possibly within 24 hours, due to the possibility of having contracted malaria, if you are returning from an area at risk) . Specialist or expert in Tropical Diseases. Read everything…

Local traditions, foods, drinks

What are some curiosities and what are the major traditions in Cuba?

Some of the topics to explore related to the most important traditions in Cuba:
In Cuba, there are several curiosities and traditions that characterize its unique culture. One of the most famous traditions is the story of the Giraldilla, a small bronze sculpture that represents a flag and which has become a symbol of the city of Havana[1].

 GIRALDILLA AND THE LOVE STORY The Giraldilla is the name given to a weather vane located on the bell tower of the castle of la Real Fuerza in Havana, a small bronze sculpture that has become the symbol of the city of Havana. The story of its origins is lost in the legend of a love story.   It is said that the beautiful  Doña Isabel of Bobadilla , married to  Hernando de Soto appointed Captain General of Cuba by the King of Spain Carlos I, she used to wait for her husband spending many hours in the watchtower of the Castello de la Real Fuerza waiting to spot the ships that would bring her husband home from a long exploratory voyage to the continent American (present-day Georgia, Alabama and Florida). Unfortunately Hernando de Soto died in those lands due to an uncontrollable fever (probable malaria), it is said that her wife died of love when she knew her husband’s fate.
A few years later, the artist Gerónimo Martin Chaffinch (1607-1649), was inspired by Doña Isabel of Bobadilla taking her as a reference and symbol of marriage by sculpting a figure of her in her memory.
The governor of the city at that time, Don Juan Bitrián Viamonte, had the brass sculpture cast into a bronze weather vane and then fixed atop the tallest tower of the newly built castle. Governor Bitrán christened this weather vane Giraldilla, after the Giralda in his hometown of Seville. The original statuette is kept in the city museum, a copy is placed on the highest point of the castle.

The Guayabera shirt , originally created for farmers in Sancti Spiritus, is now a popular, fresh and elegant garment with four large pockets on the front, two pleats on the chest and three on the back. GUAYABERA, TYPICAL CUBAN SHIRT
It is said that a farmer in the province of Sancti Spiritus asked his wife to make a comfortable shirt for working in the fields. His wife made a new shirt that was comfortable and practical but she could not imagine that its original design will subsequently make it so popular, first among the residents of the area and then all over the world.
The name of this shirt was  yayabera , because she was born in the region near the Yayabo River. It is also said that the farmers of that area, when harvesting the guavas (local fruit), left some fruits in the pockets of the yayabera and for this reason the name was soon transformed into  guayabera . Generally in white fabric, it is a fresh, comfortable and elegant dress and can have long or short sleeves. It usually has four large pockets at the front, two rows of pleats at the chest and three at the back ending in two buttons.
Another hypothesis on the origin of the guayabera is attributed to a Spanish immigrant who became a tailor in the village of Sancti Spiritus in the 18th century. He made and sold large shirts with comfortable pockets to hold cigars, in other words, a garment similar to the current guayabera.

Whether the origins can be attributed to the hands of the farmer’s wife or to the Spanish tailor, the guayabera has become very popular, so much so that in 1880 the town hall of Sancti Spiritus authorized its use in official events. In the second half of the 20th century, Cuban politicians began to wear it on their electoral tours across the island, in the hope of being more pleasing to the peasant population.

In the 1950s, a modification was introduced to the garment by adding a lace around the neck to give a more formal character to the guayabera so that it was introduced in large living rooms and even in official government meetings. When Ramón Grau San Martin assumed the first judiciary in 1944, he elevated it to the rank of law courts.

NEW YEAR’S EVE IN LAS CHARANGAS DE BEJUCAL Anyone who decides to go to Cuba to celebrate the end of the year in the name of sun and sea will find themselves in the midst of one of the oldest festivals in Havana, Las Charangas de Bejucal.  During the fiesta, the city is divided into two parts, one blue and one red, which revives a past rivalry between Creoles and Spaniards on one side and Africans on the other, to the sound of music.

The performances of  Los Tambores de Bejucal  (a typical Cuban percussion band of high international prestige) ignite the traditional rivalry between two conga groups. The  Ceibistas  (members of the Ceiba de Plata group, characterized by the color blue and a scorpion as their symbol) compete with the  Espinistas  (members of Espina de Oro, who wear red and have a rooster as their symbol), to see who can play the drums with the highest and most impressive sound. Typical food at  Charangas it includes pan con lechón (pork sandwich), popcorn, churros (fried sweet pastry strips) and cotton candy. The origin of the Charangas is very similar to that of the Parrandas de Remedios and dates back to 1830. At the beginning the The feast had a purely religious character and according to tradition it took place on December 24, the date on which the slaves were freed to then join the free blacks and the Creoles. During the festival, black Africans worshiped the Orishas (African deities), playing their drums, saying prayers and dancing along the main streets of Bejucal. Their rites had particular characteristics depending on the ethnic group they came from, the Congo, Carabalíes, Ararás, Mandigas and Lucimíes who, inevitably, had different spiritual traditions and formed their own cabildos.

The Spaniards and Creoles who lived in Bejucal, allowed the party, baptized a group of black and mixed people with the name of Musicanga (which meant disgusting and poor music) while another group of black people took the name of Malayos (which meant red-roosters). The Musicangai adopted the color blue and a scorpion as their representative animal while the Malayos chose the color red and the rooster as their favorite animal. Thanks to the fusion of cultures that characterize the Cuban identity, racial and class differences have been lost over time. At the beginning of the 20th century, the rival groups renamed themselves: the Musicanga was called Ceiba de Plata (the silver of silk-cotton) and the Malayos took the name of Espina de Oro (the golden thorn).

The Santiago de Cuba Carnival is the largest and most famous in Cuba, where different cultures mix evident in the richness of music and dance[1]. The extras, groups of costumed performers who perform music and dance, are one of the main attractions of the carnival[1]. Music in Cuba is an important artistic expression and part of daily life, often accompanied by rhythmic and vital dances such as mambo, salsa and cha-cha-cha[2]. Dance styles such as Rumba, Son and Salsa are the result of African and Spanish influence[2].

Finally, some food and drink traditions include the Mojito, the Cuba-libre and the Daiquiri, as well as the famous Cuban rum[3]. Cuban cigars are also an important part of the country’s culture and identity[3]. The Santiago de Cuba Carnival is an iconic and traditional celebration that dates back to at least the 17th century[2]. This annual event takes place from July 21 to 28, attracting thousands of people from all over the country and around the world[3]. Festivities include night processions, parties and street concerts, as well as daytime performances involving music, dance and song[3].

Sappadas are a staple of the carnival, with groups of musicians and dancers performing in the streets, wearing colorful traditional costumes[1]. These groups of artists help create an electrifying and engaging atmosphere during the celebrations.

During the Santiago de Cuba Carnival, music is omnipresent and plays a crucial role in creating the festive atmosphere[3]. Typical carnival musical styles include Cuban son, cha-cha-cha, mambo and rumba, all influenced by African, European and indigenous traditions.

The Carnival coincides with Cuba’s National Day and the anniversary of the attack on the Moncada Barracks, which falls on July 26 [3]. This historic date is an important moment for the nation and adds another layer of meaning to carnival celebrations.

If you wish to visit Santiago de Cuba during Carnival, it is advisable to plan ahead, as transport and accommodation can be difficult to find due to the high influx of people[3]. Being part of this cultural celebration is a unique and memorable experience that will allow you to immerse yourself in Cuban traditions and history.

 

Tribes and Cultures:

In Cuba, originally, there were several Amerindian populations, including the Taíno, the Siboney and the Guanajatabey [1]. However, after the arrival of the Spanish in 1492, these indigenous populations suffered a drastic decline due to disease, slavery and warfare [1]. Today, the Cuban population is mainly composed of descendants of Spaniards, Africans and mestizos, with predominant religions such as Roman Catholicism and Santeria [2]. There are also Christian-Protestant communities present on the island [2].

Population and culture

According to the 2019 census, Cuba has a population of approximately 11.2 million. Of these, over two million live in the capital Havana and surrounding areas. By Latin American standards, Cuba has a high life expectancy of 78.66 years, even slightly higher than the life expectancy in the United States (78.54 years). Due to the increase in life expectancy and the reduction of infant mortality at birth to 5.5 cases per 1,000 births (for comparison, 3 cases in Italy and 6.5 cases in the United States per 1,000 births), the population of Cuba has experienced a steady increase until 2016. From 2016 onwards the population remained unchanged or even decreased slightly.

Cuba’s population is multi-ethnic, due to its complex colonial origins and slave economy. Marriages between ethnic groups are widespread, thus favoring the great variety, despite a certain discrepancy in the census of the country’s population: if the Institute of Cuban and Cuban-American Studies at the University of Miami found that 62% of Cubans are black, the 2002 Cuban census showed that 65.05% of Cuba’s population is white. These results can be influenced by socially desirable factors and by formulations that hide political motivations.

Cuba is officially a secular state. Prior to the 1992 constitutional amendment, Cuba classified itself as an atheist state. With the new constitution, freedom of religion has increased. Cuba’s main religions are Catholicism and Santeria, a religion based on the traditional religion of the Yoruba people of West Africa, which is heavily mixed with Christian elements.

Spanish is spoken in Cuba. Minority languages, such as the Indian languages ​​spoken in other Latin American countries, are almost non-existent. Despite the many tourists, it is usually difficult to find signs in English in museums and other tourist places in Cuba. English is a language that was not usually learned or taught in Cuba, given the long and famous conflicts between Cuba and the United States . Even though more and more young people are learning it privately and English is also taught in schools, the diffusion of the language is still limited. Most of the teachers are low qualified and the supply is by no means sufficient. Travelers who book a package holiday with an all-inclusive hotel or a fully organized trip with an Italian or English-speaking guide do not need to speak Spanish, but other than the hotel staff they will have almost no contact with the locals which is a pity. A good idea for those planning to travel to Cuba is therefore to learn some Spanish beforehand.

 

Dances and music: the enthralling Cuban rhythms

Cuba is home to  Caribbean rhythms : the notes of mambo, rumba, salsa and cha-cha-cha (which originated here) will be the soundtrack of your trip to the island. Also not to be missed are the Afro-Latin jazz big bands, brought to the fore in recent years by the Buena Vista Social Club.

In Cuba music is not only an artistic expression, but  a companion of daily life , often accompanied by rhythmic and vital dances. Cuban dances represent   the love for life that characterizes the people of Cuba, here every dance has its music, and music does not exist without dance! Cuban music developed from the influences of African slaves deported to the island and from the influences of Spanish immigrants.

There were three original styles :   the son, of Spanish and African origin, the danzon, which draws on the French tradition and with more sedate rhythms, the third trend, totally deriving from African culture. The three styles then mixed together and gave birth to  different strands  such as Rumba, Son, Salsa, Reggaeton, Bachata and obviously Cha Cha Cha.

In Cuba, you’ll find a diverse range of musical genres that reflect the island’s rich cultural diversity. Some of the main Cuban musical genres include Rumba, Danzon, Son, Danzon-mambo and Cha cha cha [1]. Rumba, for example, is a genre of Afro-Cuban music and dance that combines drumming, singing, and energetic dance movements. Son, on the other hand, is a musical style characterized by the fusion of African and Spanish elements, often considered the heart of Cuban music.

Santiago de Cuba, in particular, has been the cradle of many Cuban musical genres and is the center of the country’s Afro-Cuban culture [2]. The influence of Cuban music has also spread beyond the borders of the island, as evidenced by the Salsa genre, which originated in New York City and was heavily influenced by Cuban music [1]. Tito Puente, known as the King of Salsa and the King of Latin Jazz, was an icon of Latin music who helped spread these genres around the world [1].

In addition to traditional musical genres, more modern and international styles can also be found in Cuba, such as Rap and Hip-Hop [3]

 

What traditional foods can I find in Cuba?

The 10 most sought-after traditional dishes in Cuba are:

Arroz con Pollo (Chicken and Rice) 

Moros y Cristianos (rice and black beans)

Ropa vieja (pulled beef stew)

Masitas de Puerco Fritas (fried pork) 

Ajiaco Criollo (meat and vegetable stew)

Cuban Sandwich (sandwich with roast pork, ham, cheese and mustard)

Fufu (plantain puree) 

Picadillo a la Habanera (minced meat with onions, peppers and spices)

Tamales (corn dough with meat and vegetables)

Casabe (Cassava Flour-Based Flatbread) 

These dishes reflect Cuban cuisine, with Spanish and African influences, and the use of spices, meats such as pork and chicken, and vegetables such as peppers, cucumbers, onions and potatoes.

What are the 10 traditional drinks that I can try while staying in Cuba?

What you definitely drink in Cuba is rum. Very high quality and cheap. Traditional Cuban drinks usually still contain Cuban rum and most often Havana Club. Cuba Libre, the signature alcoholic drink without Coca-Cola. There is no coca as an American product in Cuba. So the traditional drink Cuba Libre is served with a cola drink, but not with Coca-Cola and lime juice. Other drinks include Piña Coladas, Daiquiris, Mojitos, Havana Loco, Cuban beers like Crystal and Buchanero and, of course, fresh coconut juice.
Among the most popular drinks:

Mojito: a refreshing cocktail made with rum, mint, sugar, lime juice and sparkling water.

Cuba Libre: a classic cocktail made with rum, Coca-Cola and lime juice.

Daiquiri: a cocktail made with rum, lime juice and sugar syrup.

Piña Colada: a creamy cocktail made with rum, pineapple juice and coconut milk.

Canchánchara: a historic cocktail made with rum, honey, lime juice and hot water.

El Presidente: an elegant cocktail made with rum, vermouth, curaçao and grenadine.

Saoco: A refreshing cocktail made with rum, coconut water and lime juice.

Guarapo: A soft drink made from fresh sugar cane juice.

Malojillo: A soft drink made from lemonade and malojillo leaves, a plant similar to lemongrass.

Café Cubano: A strong, sweet espresso often served in small cups.

Cerveza: The local beer, with popular brands like Cristal and Bucanero.

Ron Collins: A cocktail similar to the Tom Collins, but with rum instead of gin.

Batido: a blended drink made from fresh fruit, milk and sugar.

Crema de Vie: a sweet liqueur similar to Irish liqueur, made from milk, sugar, eggs, rum and spices.

Jugo de Tamarindo: A soft drink made from tamarind juice and sugar

What general info is useful to me during the trip?

General informations

Language: Spanish

Capital: Havana

Currency: Cuban peso

Time zone: GMT -5

History, Economy, Culture: https://www.cia.gov http://www.britannica.com

Safety: – www.viaggiaresicuri.it – www.dovesiamonelmondo.it

Some useful health information to keep you healthy on the go

What are the main rules and how should I prepare for the trip?

Give your body time to adjust to the new climate and new environment. Before the trip, if possible, dedicate a few hours to physical activity, and get your body used to the new rhythms during the trip …read more

Who should get vaccinated for yellow fever? And is the vaccine mandatory? And where?

Vaccination against Yellow Fever or Amaryllis Vaccine, an acute viral disease, which is transmitted by mosquito bite, is the only preventive practice that can be compulsorily requested by the health authorities of a country in order to enter through the border crossings …  . Read everything

How should I protect myself from the bites of mosquitoes and other insects?

Mosquitoes & co. – How to protect yourself: mosquitoes that transmit diseases other than malaria are active during the day and wherever there is a collection of fresh water: wear light-coloured, long clothes with wide sleeves, long and wide, light-coloured trousers, T-shirts or shirts with long and wide sleeves and light color to be tucked into the belt of the trousers ……read more

But is it really dangerous to swim in some lakes or rivers in tropical countries? And why?

To prevent the possible transmission of infectious diseases, it is advisable to swim only in pools with chlorinated water. The sea water is safe.
Bathing in contaminated water can be dangerous for the skin, eyes, ears, mucous membranes of the mouth, especially if  
… read more

How can I avoid altitude sickness?

It is a set of symptoms that can occur when the human organism, having exceeded 2500 meters of altitude, has not yet adapted to the new environmental situation. We can define high altitude as follows … read more

How to travel safely? Who should I notify before leaving on a trip, especially to distant, unsafe countries?

Safety: www.viaggiaresicuri.it www.dovesiamonelmondo.it

 

Cuba, country profile Leggi tutto »

Il Bassado: un vecchio antibiotico per una ottima prevenzione della malaria

UTILIZZO DELLA DOXICICLINA PER LA PREVENZIONE DELLA MALARIA … e non solo


Il dr. Paolo Meo, medico infettivologo, tropicalista, esperto in malariologia, mette a tua disposizione la sua esperienza maturata in anni di lavoro in Africa ed in altri paesi dell’area tropicale, online per fornirti informazioni e consigli e suggerirti i migliori comportamenti da adottare per preparare il tuo viaggio. 
Servizi INFORMATIVI ONLINE sono attivi tutti i giorni richiedendo:
– Consulenze online prima dei viaggi;
– INFO sulla Chemioprofilassi per la malaria;
– Consulenze online per INFO su COVID19 e LONG COVID;
– Consulenze online Malattie Infettive e tropicali.

Richiedi la tua consulenza (ClICCANDO QUI) oppure scrivendo una richiesta  a seg.cesmet@gmail.com , o inviando un messaggio WhatsApp al 346 6000899.

PER INFO SUI SINTOMI E SEGNI DELLA MALARIA (CLICCA QUI) aggiornamenti Luglio 2024

 

DOXICICLICA
             DOXICICLINA

Il Bassado (doxiciclina 100 mg) è una vecchio antibiotico degli anni ’70 della famiglia delle tetracicline.
attualmente è indicato  come uno dei farmaci più efficaci per la chemioprofilassi della malaria. (farmaco efficace e con nulli o scarsi effetti collaterali).
Le tetracicline a basso dosaggio (100 mg) generalmente non sensibilizzano ai raggi solari. Utilizzabili dai 10 nni in avanti.

E’ un antibiotico normalmente utilizzato per la cura di importanti infezioni batteriche:  Infezioni cutanee (cura dell’ACNE), prevenzione e cura delle “infezioni intestinali” – essenziale nella protezione della diarrea del viaggiatore;
“Borrelliosi – Lyme disease; farmaco di prima scelta per la cura  del “Tifo Esantematico da Rickettsia”, trasmesso dalla puntura di zacca; broncopolmoniti; tonsilliti; otiti e sinusiti; nefriti; cistiti; uretriti; infezioni ginecologiche (Chlamydia ed altro); infezioni sessualmente trasmesse: gonorrea da gonococco. infezioni a trasmissione da insetti. 

E’ un farmaco sempre utile e indispensabile in corso di viaggio per la sua efficacia in quanto:
1) utilizzato per prevenire e curare infezioni cutanee (in corso di elevata sudorazione o contaminazione della pelle) Se ne fa grande applicazione anche in infezioni quali foruncolosi, ascessi, ferite infette. Ricordo l’uso nella cura dell’ACNE per i giovani. 

2) utilizzato per prevenire e soprattutto per curare le infezioni da puntura di zecca degli animali (tifo esantematico da Rickettsia) per questo è di grande utilità durante un viaggio. “Farmaco di prima scelta”
3) utilizzato per prevenire e curare diarree anche forti da enterobatteri (enteriti, entero-coliti ) Quindi farmaco di grande interesse in corso dei viaggi per combattere e controllare la “diarrea del viaggiatore”
.E’ il farmaco utilizzato nella cura di forti enteriti batteriche acute ed è il farmaco di eccellenza addirittura per la cura del colera.
La doxiciclina è quindi un grande farmaco, adatto per molteplici usi.

SE VIAGGI CONTROLLA QUI LA SCHEDA DEL PAESE META DEL TUO VIAGGIO. (CLICCA SU SCHEDE PAESI E CERCA LA TUA META DEL VIAGGIO)

Per la “prevenzione della malaria” la scelta del CESMET Clinica del Viaggiatore, dopo decenni di esperienza, verifiche, studi, e dopo aver utilizzato tutti i possibili antimalarici sulla piazza, specialmente in Africa, ma anche in Asia e nel Continente Americano, si è indirizzata proprio sulle compresse di Bassado 100 mg. Per la ottima risposta del Plasmodio, per l’attività antibatterica ad ampio spettro, per la maneggevolezza del farmaco, per la sua efficacia e sicurezza per i suoi scarsi effetti collaterali. Tutte caratteristiche che, visto anche il  basso costo lo fanno preferire ad altre molecole sempre meno attive nei confronti del Plasmodio.

Ma perché consigliare il Bassado?  (vedi CDC)
Durante il viaggio è possibile venire a contatto con i microrganismi più diversi. Il nostro organismo è forte e le difese sono potenti ma l’obiettivo primo è trovare una medicina, sicura con scarsi effetti collaterali che ci protegga nei confronti del maggior numero delle malattie.

BASSADO un ottimo farmaco nella chemioprofilassi per la malaria
BASSADO un ottimo farmaco nella                          chemioprofilassi per la malaria

Ricordo nuovamente a tutti i viaggiatori e malati   l’utilizzo di questo antibiotico per la prevenzione e la cura di tante malattie infettive della pelle, dell’intestino, di tanti apparati e sistemi, dell’endotelio vascolare e del sangue, causate da batteri. Trattiamo difatti tanti giovani che hanno l’acne e la foruncolosi, somministrando la doxiciclina anche per 8/10 mesi, tutti i giorni, senza creare problemi di sorta. Ne ricordo l’utilizzo per la prevenzione e la cura di tante malattie infettive e addirittura per la cura del colera e della leptospirosi.
Desidero sottolineare la grande efficacia della doxiciclina nella prevenzione della malaria. Ottimo farmaco antimalarico maneggevole, sicuro, efficace, di pronto uso, da iniziare il giorno prima di partire.
Il farmaco è utile ed efficace per periodi brevi ma anche per lunghe somministrazioni, nei casi limite di luoghi con malaria stabile e continua. 

Queste affermazioni oltre che dalle linee guida internazionali sono frutto di una pratica clinica e preventiva durata anni, nelle condizioni più diverse. Abbiamo superato tranquillamente il migliaio di prescrizioni per la chemioprofilassi antimalarica con una protezione elevatissima. Anche gli effetti collaterali (pesantezza di stomaco alla assunzione, comparsa di piccole e limitate macchie cutanee, lieve astenia nei primi giorni di assunzione) si sono manifestati in pochi individui, su un utilizzo elevatissimo. E soprattutto non ho mai avuto reazioni di tipo psichico, neurologico riferite per altri farmaci antimalarici.

Quindi cosa devi fare per prevenire la malaria?

Caro viaggiatore, la tua salute è preziosa e non deve essere messa a rischio durante le tue avventure. Ecco come puoi proteggerti efficacemente dalla malaria, una malattia seria ma prevenibile:

1. Preparazione Intelligente Prima di partire, valuta attentamente il rischio malarico della tua destinazione. Considera il paese, l’ambiente specifico, la stagione e le condizioni meteorologiche. Non lasciare nulla al caso: la tua salute merita un approccio proattivo e informato.

2. Protezione Personale: La Tua Prima Linea di Difesa La prevenzione inizia con te:

  • Usa repellenti efficaci sulla pelle esposta
  • Indossa vestiti adeguati, coprendo braccia e gambe
  • Presta particolare attenzione al tramonto e durante la notte
  • Dormi sotto zanzariere trattate con insetticida
  • Opta per ambienti con aria condizionata quando possibile

Questi accorgimenti sono fondamentali per ridurre drasticamente il rischio di punture di zanzara.

3. Chemioprofilassi: La Tua Armatura Farmacologica Per una protezione completa, il Bassado 100 mg (doxiciclina) è altamente raccomandato:

  • Assumi una compressa al giorno durante il pranzo
  • Inizia la profilassi all’arrivo nell’area a rischio
  • Continua per 7 giorni dopo aver lasciato la zona malarica

Questo farmaco è ancora molto efficace e ha mostrato scarsa resistenza, offrendoti una protezione affidabile.

4. Protezione Multipla La doxiciclina non solo ti protegge dalla malaria, ma anche da altre infezioni parassitarie e batteriche. Che tu stia esplorando foreste, savane, altopiani o spiagge tropicali, alloggiando in grandi alberghi o in tenda, questo farmaco offre una protezione a 360 gradi.

5. Attenzione alle Controindicazioni Come ogni farmaco, ci sono alcune precauzioni da considerare:

  • Non adatto a bambini sotto i 10 anni
  • Da evitare per donne in gravidanza dopo la 16ª settimana
  • In caso di allergia alle tetracicline, esistono alternative come malarone o lariam, anche se meno efficaci

Conclusione: Non Rinunciare ai Tuoi Sogni Non lasciare che la paura della malaria ti impedisca di esplorare il mondo. Con queste misure preventive, puoi affrontare il tuo viaggio con sicurezza e tranquillità. Ricorda: la prevenzione è la chiave per un’esperienza di viaggio indimenticabile e sicura.

E per la sensibilizzazione della pelle ai raggi del sole?
Desidero fornire una risposta scientifica ma anche derivante dalla mia esperienza diretta dopo anni di utilizzo: 100 mg di tetraciclina (bassa dose) non sensibilizzano la nostra pelle mediterranea già ricca di melanina. Non siamo Finlandesi o Scozzesi. Noi mediterranei abbiamo una protezione naturale al sole. Quindi sfatiamo la leggenda metropolitana del rischio solare (FINO A PROVA CONTRARIA – NATURALMENTE). In ogni caso è buona norma proteggersi sempre dai raggi dell’amico sole con protezioni idonee. Non ultimo motivo di scelta riguarda il costo. Meno di 4 € a confezione il che non guasta.
Leggi anche Bassado- Foglietto illustrativo

in caso di ustioni e di eritemi solari. Hai una pelle sensibilizzata ed infiammata dai reggi solari. Uno dei migliori prodotti da utilizzare “OLIO DI NEEM (NOZETA).   informati ed ordina cliccando qui

Ed ora buon viaggio al tropico!

Dr. Paolo Meo
Medico Tropicalista

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Il Bassado: un vecchio antibiotico per una ottima prevenzione della malaria Leggi tutto »

Lariam, una vecchia arma per la prevenzione e la cura della malaria

 

Lariam:  un farmaco “gold standard” negli anni ottanta per la terapia e la profilassi della malaria, meno negli anni novanta, per poi diventare sempre meno efficace per la resistenza del Plasmodio della malaria. Presso la “Clinica del Viaggiatore Cesmet”: consulenze di prevenzione e profilassi;  al rientro esami di laboratorio specialistici e visite tropicali. Chiama 0639030481 o scrivi ad  seg.cesmet@gmail.com

ll LARIAM 250 mg (MEFLOCHINA) è un medicinale antimalarico da oltre 40 anni sulla scena della prevenzione e della cura della malaria. E’ stato utile ed efficace fin dai primi tempi per la terapia verso le forme anche gravi di malaria da Pl. Falciparum, e per la profilassi della malaria, negli anni in cui la resistenza dei plasmodi alla clorochina aumentava in modo esponenziale. Un vero e proprio “gold standard”.  Prima controindicato nelle donne in gravidanza, dagli anni ’90 è diventato il farmaco da utilizzare in corso di gestazione. Poi dalla metà degli anni ’90, anno dopo anno è iniziata una inarrestabile crescita della resistenza dei plasmodi anche a questo farmaco. Allontanato prima dall’utilizzo in terapia, è stato via via sostituito per la prevenzione dal malarone (atovaquone) e dalla doxiciclina. Attualmente si preferisce evitarne la somministrazione, non solo per gli effetti collaterali alla somministrazione ma soprattutto per la sua provata inefficacia.
Più volte segnalato per i suoi effetti collaterali sul sistema nervoso, fortemente irritativo e talvolta neurotossico, è da sempre controindicato nei soggetti neurodistonici e con problematiche neuropsichiatriche.  Va evitata la somministrazione nei soggetti ansiosi e in chi deve effettuare immersioni o salire in altezza, per possibili crisi vertiginose. Non utilizzabile per gli equipaggi degli aerei. Gravi effetti collaterali anche per i cardiopatici e soprattutto nei soggetti aritmici.
Il suo punto di forza è sempre stato la somministrazione di una compressa una volta a settimana Un’altra caratteristica positiva il suo utilizzo in gravidanza.

Storia e Sintesi e Caratteristiche del Lariam
Meflochina è la denominazione del principio attivo che lo costituisce. Si tratta di 4-aminochinolina chimicamente analoga alla clorochina. La clorochina è il famosissimo prodotto di sintesi della Bayer, risalente a prima della guerra mondiale. La clorochina è stata utilizzata con successo sia nella nella cura che nella profilassi della malaria da Pl. Falciparum fino alla metà degli anni ’80. Chi scrive ricorda bene quanto fosse ancora efficace nella terapia anche di forme gravi di malaria all’inizio del proprio percorso professionale alla fine degli anni ’70, e come era diffusa nella maggior parte dei paesi africani l’utilizzo di un farmaco ancora efficace e a basso costo.
Dalla metà degli anni ’80 la clorochina perse d’efficacia e fu sostituita dal farmaco a base di Meflochina. Quest’ultima sostanza è stata sintetizzata presso il Walter Reed Army Institute of Research (WRAIR) nel 1970 poco dopo la fine della guerra del Vietnam. Data la preoccupante resistenza dimostrata alla fine degli anni ’60, in Estremo Oriente venne avvertita la necessità di trovare nuovi farmaci che fossero più efficaci e prontamente utilizzabili nella profilassi e nella terapia della malaria. In particolare la resistenza al farmaco si sviluppò in Vietnam, Cambogia e Laos, per l’utilizzo del farmaco su larga scala da parte delle truppe americane. Pertanto presso l’Istituto di Ricerca Militare Americano venne effettuata una vasta indagine indirizzata all’individuazione del nuovo farmaco.
Alla Meflochina fu assegnato il numero 142.490 su un totale di 250.000 antimalarici presi in considerazione nel corso dello studio e che al termine risultò il prescelto. Venne commercializzata sia per la profilassi, che per la terapia della malaria da Pl. Falciparum, comunemente la più grave. È da tener conto che negli studi iniziali, considerati scientificamente attendibili, ci furono delle lacune ed approssimazioni per quanto riguarda la raccolta di dati degli effetti collaterali e/o tossici del farmaco. Il primo studio randomizzato e controllato su una popolazione mista è stato infatti effettuato la prima volta nel 2001. In questo studio circa il 67% dei soggetti trattati riferì almeno un evento avverso, con il 6% degli utenti che dovettero segnalare eventi gravi con esplicita necessità di intervento medico. Alcuni trials nel 1990 e primi anni 2000 ebbero modo di verificare una certa prevalenza della neurotossicità della meflochina e significative potenzialità di effetti collaterali neuropsichiatrici.
Metabolismo e Nozioni farmacologiche
La meflochina da un punto di vista chimico è una “4-aminochinolina”. L’assunzione in coincidenza dei pasti ne aumenta la velocità e l’entità dell’assorbimento e di conseguenza la biodisponibilità, anche fino al 40%. Meflochina è metabolizzata principalmente attraverso il fegato. La sua eliminazione in un paziente epatopatico, cioè con una funzione epatica compromessa può essere prolungata, causando livelli plasmatici più elevati e un aumento del rischio di reazioni avverse. L’emivita media della meflochina nel plasma è piuttosto lunga ed è compresa tra due e quattro settimane. La clearance totale avviene attraverso il fegato, e il mezzo principale di escrezione è rappresentato dalla bile e dalle feci, mentre solamente una quantità compresa tra il 4% e il 9% viene escreto attraverso le urine. L’uso a lungo termine non ne varia l’emivita plasmatica. Comunque per verificare tempestivamente l’insorgere di un’eventuale tossicità epatica è necessario praticare test di funzione epatica con regolarità mensile durante la somministrazione a lungo termine di meflochina. L’uso di bevande alcoliche deve essere evitato durante il trattamento con meflochina.

Farmacocinetica
Meflochina è una molecola chirale, cioè speculare, con due centri di carbonio asimmetrici, il che significa che ha quattro stereoisomeri differenti. Il farmaco è attualmente prodotto e venduto come “racemato degli enantiomeri (R, S)- ed (S, R)-“ da Hoffman-LaRoche. In sostanza, si tratta di due farmaci in uno. Esiste come miscela racemica di quattro isomeri ottici con potenza antimalarica analoga. La meflochina differisce dagli alcaloidi della cincona per la diversa sostituzione sull’anello chinolinico, per la presenza di un anello piperidinico al posto di quello chinuclidinico e per l’assenza del gruppo vinile. Le concentrazioni plasmatiche dell’ (-)-enantiomero sono significativamente più elevate rispetto a quelle dell’ (+)-enantiomero, e anche la farmacocinetica dei due enantiomeri è significativamente differente. L'(+)-enantiomero ha un’emivita più breve dell’ (-)-enantiomero.
Secondo alcune ricerche, l’(+)-enantiomero è più efficace nel trattamento della malaria, mentre l'(-)-enantiomero si lega specificamente ai recettori dell’adenosina nel sistema nervoso centrale, il che può spiegare alcuni dei suoi effetti psicotropi. Non è noto se per la meflochina si può verificare uno switching stereoisomerico in vivo. Altri studiosi ricorrono, per spiegare il meccanismo neurotossico della meflochina, ad un blocco dei meccanismi di efflusso del calcio dalle cellule, che determinerebbe un esaurimento neuronale. Meccanismo d’azione della meflochina Il meccanismo d’azione, anche se non del tutto chiarito, sembra risiedere nell’induzione del rigonfiamento dei lisosomi del parassita, che non sembra in grado di intercalare il DNA . Anche se non inibisce l’eme-polimerasi, lega l’eme, formando dei composti tossici in grado di alterare le membrane dei parassiti e di interagire con altri componenti del plasmodio. È uno “schizonticida ematico” contro P.falciparum e P.vivax. Non è attivo sui gametocidi di P.falciparum e sulla fase epatica di P.vivax.

Uso in terapia e profilassi
Il Lariam-meflochina è venduto sotto forma di compresse da 250 mg. Si poteva assumere sia per la profilassi che per il trattamento della malaria (anni 80/90). In funzione profilattica la dose da assumere è di una compressa da 250 mg a settimana, in coincidenza di un pasto principale, a partire da una o due settimane prima della partenza verso una zona malarica, per tutta la durata del soggiorno naturalmente e fino a quattro settimane dall’uscita dall’area a rischio malarico, in modo da coprire tutto il periodo di incubazione della malaria. L’inizio della profilassi con largo anticipo serve a controllare l’insorgenza di eventuali effetti collaterali, causati dalla meflochina stessa. A tale proposito si deve rammentare la possibilità dell’interferenza della contemporanea assunzione di meflochina con la vaccinazione orale anti tifoidea che può essere inattivata e risultare non efficace. Per cui il consiglio è di vaccinarsi con debito anticipo prima dell’inizio della profilassi con meflochina.
Sempre nel passato, nel caso si dovesse utilizzare per il trattamento di una malaria appena diagnosticata, la dose è di tre compresse il primo giorno, due dopo sei-otto ore, e una infine dopo il medesimo intervallo, se il peso del paziente è superiore a 60 Kg. La dose terapeutica totale è di 20-25 mg/kg raccomandata in caso di viaggio in zona endemica. Una dose più bassa, equivalente a 15 mg/kg, può essere sufficiente in individui parzialmente immuni, cioè persone cresciute in zona malarica e che quindi hanno sviluppato a contatto con il parassita una sorta di protezione, però labile, nei suoi confronti. Quindi la dose totale di meflochina per gli adulti e per i bambini occidentalizzati, che si accingono a fare un viaggio in zona malarica, di peso superiore a 45 kg, è di 1250-1500 mg (es. 5-6 compresse in tutto di Lariam).
Peso corporeo Pazienti viaggiatori
Inferiore a 20 Kg                                    1/4 compressa /2,5-3 Kg
Tra 20 e 30 Kg                                        2-3 compresse
Tra 31 e 45 Kg                                         3-4 compresse
Tra 46 e 60 Kg                                        5 compresse
Oltre 60 Kg                                             6 compresse

Effetti collaterali
Un effetto collaterale molto frequente della somministrazione della meflochina e che può anche rappresentare un sintomo della malaria è il vomito. Se si manifesta a distanza di meno di mezz’ora dall’assunzione del farmaco per via orale è necessario ridare l’intera dose. Se questo avviene a distanza di 30-60 minuti allora se ne somministra metà dose. Non è sempre garantita l’efficacia, come è noto quando si parla di profilassi, per cui se la terapia con meflochina non risulta efficace in un dato paziente e la sintomatologia della malaria perdura, si deve ricorrere al trattamento con altri farmaci antimalarici. Il chinino o l’alofantrina, potrebbero risultare scarsamente attivi, non solo nel caso che la meflochina sia stata precedentemente adoperata come terapia, ma anche se lo è stata a scopo profilattico. E si potrebbero verificare effetti tossici. Una scelta ottimale può risultare la terapia di associazione con doxiciciclina e/o artemisina o derivati, con l’aggiunta o meno di piperachina.
Insieme al vomito sono molto frequenti, costituendo i sintomi di maggiore probabilità, i disturbi a carico della sfera digestiva, con nausea, vomito, intolleranza gastrica, che spesso si aggiungono alle vertigini. Tali disturbi, se presenti e lo sono generalmente in un numero rilevante di casi, risultano particolarmente fastidiosi in situazione di viaggio in località esotiche, in quanto aggiungono il disagio della infermità, sia pure momentanea, a quello legato agli spostamenti, magari per via aerea, con la tendenza a facilitare le sindromi a tipo cinetosi e vertiginose in genere, in una poco tollerabile sovrapposizione di sintomi.
Effetti tossici
L’uso in gravidanza dopo un periodo di esclusione fu autorizzato per studi attendibili che indicarono la mancanza di effetti teratogenici del prodotto.
L’uso della meflochina è stato associato a due grandi categorie di disturbi neurologici:
1. disturbi del sistema nervoso centrale e periferico fra cui mal di testa, capogiri, vertigini e convulsioni
2. eventi psichiatrici tra cui insonnia, ansia, disturbi della sfera affettiva e dissociazione mentale di grado molto rilevante.
È ben noto che le interruzioni prolungate nell’efflusso di calcio dai neuroni può determinare compromissione della funzione neuronale e morte cellulare. La riduzione nella funzione o la perdita di neuroni in regioni specifiche del cervello potrebbero manifestarsi con dei sintomi specifici in pazienti trattati con meflochina. Per esempio, la vertigine riportata da molti pazienti, e che forse è uno dei sintomi maggiormente riportati, potrebbe essere attribuibile alla sofferenza neuronale nel cervelletto inferiore, mentre i sintomi di paura/ansia potrebbero sorgere in conseguenza della sofferenza di neuroni nell’amigdala. La neurotossicità da meflochina indotta nel sistema limbico potrebbe essere responsabile per i disturbi segnalati nell’emozione. Comunque i disturbi riportati con maggiore frequenza sono quelli del sonno con insonnia ed alterazione dei sogni, ad esempio incubi. Meno frequentemente sono riportati stato di agitazione, di irrequietezza, di ansia, per converso stati di depressione ed alterazione in vario senso dell’umore, con attacchi di panico, con stato confusionale, con sindromi allucinatorie e stati di aggressività, fino ad arrivare in rari casi a vere e proprie psicosi a sfondo paranoide. Ci sono stati altrettanto rari casi di tentativi di suicidio, ma non è certa la correlazione con il farmaco in oggetto.
La meflochina come altre 4-aminochinoline è suscettibile di produrre un allungamento del Q-T, a causa dell’azione sui canali del potassio a livello del muscolo cardiaco. Per cui grande attenzione va rivolta all’uso in pazienti con precedenti di cardiopatie e/o di aritmie o sotto farmaci antiaritmici. Tali effetti cardiologici tendono poi ad accumularsi in stretta adiacenza dell’avvenuta assunzione di altri farmaci antimalarici, come l’alofantrina e/o il chinino. È consigliabile monitorare la funzione elettrica del cuore con ECG in corso di trattamento con tali farmaci.

Conclusioni
La meflochina, sia per gli effetti collaterali frequenti e talvolta importanti, ma soprattutto per l’elevata e diffusa resistenza del parassita al farmaco è da considerare farmaco non più efficace e poco sicuro, ormai desueto. Teoricamente il farmaco potrebbe in futuro rientrare in gioco se si realizzasse l’estrazione della forma (+)- enantiomerica che come abbiamo visto è più efficace e non tossica dell’attuale. Bisognerebbe trovare un sistema di superare il problema della resistenza, e allora potremo avere un’arma in più a disposizione contro una malattia potenzialmente letale. Sono stati pubblicati dei lavori che illustrano la possibilità di produrre un farmaco purificato in questo modo, da parte del WRAIR.
Inoltre nel giugno 2010 è stata segnalato un lusinghiero successo nel trattamento con meflochina della leuco encefalopatia multifocale progressiva, una malattia anche questa potenzialmente letale, causata da un virus, il JCV, che si associa a stati di immunodepressione grave, ad esempio l’AIDS, ma anche malattie ematiche e trattamenti con farmaci antiblastici.
Tutte note a favore ma per il momento per la profilassi per la malaria è meglio non utilizzare questo farmaco.

Lariam, una vecchia arma per la prevenzione e la cura della malaria Leggi tutto »

Malarone

Malarone: un farmaco preventivo sempre meno efficace.
Presso la “Clinica del Viaggiatore Cesmet” prenota consulenze per informazioni sulla prevenzione per la malaria; assistenza durante il viaggio con l’assicurazioneTHCARD; al rientro esami di laboratorio specialistici e visite tropicali. Chiama 0639030481 o scrivi ad ambulatorio@ cesmet.com

“Atovaquone-Proguanile” (Malarone): il farmaco è sul mercato da oltre 30 anni. Da oltre un decennio la sua efficacia continua a diminuire per effetto dell’aumento della resistenza dei plasmodi al farmaco.  I paesi del Sud Est Asiatico e del così detto “triangolo d’oro – Thailandya, Laos, Mianmar” sono stati i primi dove si è manifestata ed è cresciuta questo tipo di resistenza. In queste aree da anni è stata data l’indicazione di utilizzare la Doxiciclina 100 mg. L’aumento della resistenza del parassita malarico a queste molecole è stato evidenziato anche in molti paesi Africani e Latino Americani. Questo aumento della resistenza dei parassiti nei confronti di Atovaquone ha imposto di evitare l’utilizzo del farmaco in terapia. Difatti per curare la malaria da anni Malarone è stato sostituito dai farmaci in combinazione, a base di Artemisia, principio ancora particolarmente attivo sui Plasmodi. E se i parassiti sono fortemente resistenti da non poter essere utilizzata questa molecola, anche nella prevenzione spesso si è dimostrata fallace. E questa resistenza si continua a diffondere ed aumentare in molte aree della fascia equatoriale ed intertropicale. E questo è dimostrato dalla pratica clinica. Sempre più casi di malaria si manifestano in corso di assunzione del farmaco in chemio profilassi.
ll farmaco è generalmente ben tollerato anche se diverse persone si lamentano per effetti avversi.  Per questo motivo, al momento della prescrizione del Malarone da utilizzare in profilassi, alcuni viaggiatori si lamentano dei potenziali effetti deleteri di questo farmaco, sul proprio metabolismo ed in particolare sul “povero fegato”. Invece nella prevenzione della malaria è vero il contrario: se un viaggiatore ammala di malaria i problemi per il “povero fegato” saranno reali e seri. Le necrosi puntiformi delle cellule epatiche sono tipiche della malattia. La tossicità sul fegato da Malarone alle dosi preventive e terapeutiche è assente. Il farmaco è stato messo in commercio dopo anni di ricerche sulla sua sicurezza. I disturbi maggiormente accusati dai viaggiatori possono essere: fastidio e pesantezza allo stomaco, vomito, febbre, cefalea, lieve insonnia, tosse, rari i casi di caduta dei capelli.

Controindicazioni

Quando non dev’essere usato Malarone

Intanto possiamo affermare che il malarone è sempre meno attivo e quindi è bene non utilizzarlo per questo motivo.
In caso di allergia all’atovaquone, al proguanile cloridrato o ad uno qualsiasi degli altri componenti di questo medicinale.
In caso di malattia renale ed epatica grave.
Il malarone è controindicato nei pazienti con intolleranza al farmaco e con insufficienza renale.
Se ne sconsiglia ancora l’uso in gravidanza, anche se dati certi riguardo un’eventuale teratogenicità del feto non sono mai stati forniti. Per quanto riguarda invece l’intervallo di tempo da far intercorrere tra la sospensione del farmaco e il concepimento di un figlio si ritiene, in una stima molto prudenziale, che un mese sia più che sufficiente. Pertanto dopo un viaggio in territorio tropicale sono sufficienti anche alcune settimane dalla fine dell’assunzione di malarone per rimanere incinte senza preoccupazioni. E se si è preso il farmaco, rimanendo incinta durante l’assunzione, non bisogna pensare al peggio perché i dati ci dicono che non  ci sono effetti negativi sul feto in questi casi. E’ bene non assumere il farmaco in corso di allattamento per bambini di peso inferiore ai cinque chilogrammi.

Continua ad essere utilizzato e prescritto, soprattutto per profilassi e meno per cura, ma, essendo fortemente ridotta l’efficacia del farmaco, se dopo un viaggio compaiono sintomi sospetti, malessere, stanchezza, pesantezza di testa, e magari febbre e brividi, non esitate a chiedere immediatamente un test per la malaria ed una visita specialistica.

Come utilizzare Malarone nella profilassi della malaria

Se utilizzato il Malarone va assunto a stomaco pieno, o dopo aver bevuto latte, per facilitarne l’assorbimento, alla dose di una compressa al giorno, da un giorno prima della partenza, per tutta la durata del soggiorno, e fino a sette giorni dal ritorno dalla zona a rischio malarico. Sempre alla stessa ora del giorno.

La dose pediatrica da somministrare ai bambini è rappresentata nella seguente tabella:

Dosaggio Giornaliero
Peso Corporeo Atovaquone (mg) Proguanile (mg) N° di compresse
11-20 62.5 25 1 cpr di Malarone Bambini
21-30 125 50 2 cpr di Malarone Bambini
31-40 187.5 75 3 cpr di Malarone Bambini
> 40 250 100 I soggetti di peso superiore ai 40 kg devono assumere 1 cpr al giorno di Malarone 250/100 mg

Il “Malarone Pediatrico” è costituito da compresse nelle quali l’Atovaquone è contenuto alla dose di

Effetti Indesiderati

Quali sono gli effetti collaterali di Malarone

Come tutti i medicinali anche questo medicinale può causare in alcune persone effetti indesiderati.

Effetti indesiderati molto comuni

Cefalea, vertigini, nausea e vomito, disturbi allo stomaco, diarrea, insonnia, sogni strani, depressione;

Reazioni allergiche anche importanti ma molto rare: eruzione cutanea e prurito; difficoltà respiratoria; gonfiore improvviso palpebrale, viso e labbra; raramente eruzioni cutanee.

Meccanismo d’azione

I costituenti del Malarone, Atovaquone e Proguanil Cloridrato, interferiscono con due diverse vie coinvolte nella biosintesi delle pirimidine, necessarie per la replicazione degli acidi nucleici dei Plasmodi. Tale doppio meccanismo risulta sinergico e particolarmente efficace.
Il meccanismo d`azione dell`Atovaquone si esplica attraverso l`inibizione del trasporto degli elettroni mitocondriali a livello del omplesso del citocromo bc1 e la caduta del potenziale della membrana mitocondriale. Il Proguanil cloridrato inibisce la “diidrofolato reduttasi” una sostanza chiave nella riproduzione dei parassiti della malaria: Queste due molecole hanno costituito per anni l’impianto per una profilassi molto efficace.

Il Malarone ha un meccanismo d’azione diverso dagli altri farmaci, ossia una attività causale: blocca i parassiti della malaria all’interno delle cellule del fegato. Il “proguanil” ha un’attività antimalarica indipendente dalla sua metabolizzazione in “cicloguanil”, e il proguanil, ma non il cicloguanil, è in grado di potenziare la capacità dell`atovaquone di abbattere il potenziale della membrana mitocondriale nei parassiti della malaria. Quest’ultimo meccanismo, potrebbe spiegare la sinergia osservata qualora l`atovaquone e il proguanil vengano usati in associazione.

Un po’ di storia

Quando più di trenta anni fa la Wellcome lanciò l’Atovaquone per la cura della “Pneumocistosi” nei malati di AIDS forse non pensava che, da una parte, in pochi anni il decorso clinico dei pazienti HIV + sarebbe mutato in modo così radicale, ma anche che la molecola sarebbe diventata importante nella cura di un’altra malattia da parassiti, la malaria. Trattata con Malarone infatti, la pneumocistosi, manifestazione letale secondaria alla temibile infezione virale, diminuì la prevalenza. Le preziose proprietà antiprotozoarie (Antiparassitarie) potevano essere ancora recuperate alla clinica e venne concepita l’associazione tra Atovaquone e Proguanil, un chemioterapico, per trattare una malattia non meno importante: la malaria dal Plasmodio.

Il farmaco derivante venne chiamato Malarone e fu destinato all’uso in profilassi ma anche in terapia della malaria. Attualmente le compresse di Malarone contengono: Atovaquone 250 mg / Proguanile cloridrato 100 mg.

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Find out before you travel. Book a consultation.

Information, safety, prevention.

These are the key words for safe and healthy travel. Travelling is now the norm, all over the world. That is why it is normal to prepare for your trip. These are the golden rules, but there are more tips and advice from Dr Paolo Meo, a specialist in infectious and tropical diseases and a travel health expert.

Always ask for advice, talk to an expert and get informed;
Choose and buy your travel health insurance;
Prepare a ‘small travel pharmacy’;
Choose some ‘supplements’ or natural products to keep you healthy and energetic;
Check if you need any vaccinations or preventative measures;
Prepare the right documents;
Set off relaxed
Seek advice
Go to a ‘travel medicine centre’ near your home and ask for information from an experienced and knowledgeable doctor. Listen to him or her and dispel any doubts you may have. Assess together the risks, behaviour, medicines and possible vaccines for your health; are you in Rome? We are waiting for you at the Cesmet Traveller’s Clinic. Everything you need for your trip. To book your consultation in the clinic, click here; we will get back to you quickly. You can also request an online consultation:
– Consult the “health on the road” expert doctor to whom you can email, whatsapp video or skype all your questions to receive information, resolve doubts, prepare yourself adequately; buy the consultation directly.

Find out before you travel. Book a consultation. Leggi tutto »

QDenga:Dengue vaccination at Cesmet

The QDENGA vaccination for protection against DENGUE viral fever has been available in several European countries since early 2023. In Italy too, the effective and safe QDENGA vaccine, approved by both the American FDA and the EMA in Europe, is available in several centres.

Where is it possible to get the dengue vaccine in Italy?

From April 2023, at Cesmet’s international vaccination centre, it is possible to get the vaccine for Dengue Virus Fever, trade name QDENGA.

To book the vaccination you can

– write a request e-mail immediately to seg.cesmet@gmail.com
– fill in your request on the “CONTACT US” form
– write a whatsapp to 3466000899.
Provide your personal details, destination and date of travel, and the number of doses required.
In view of the small number of doses currently available and the high demand, please submit your request quickly. You will be provided with all information. An advance payment of 50€ is required upon confirmation of the booking, after receiving all the information . There are 2 doses in a vaccination cycle, 3/6 months apart. The first dose already induces good levels of protection.

What is DENGUE virus disease? (click)

QDenga:Dengue vaccination at Cesmet Leggi tutto »

Kenya, country profile

Short tips for travelers in the country: What should I do when I go to Kenya?

Kenya is a country full of natural wonders and adventures to experience. Enjoy your trip to the fullest while protecting your health. Follow these tips, prepare for your journey, and travel with peace of mind.

  1. Protect yourself from mosquito bites: Mosquitoes in Kenya can carry viruses and malaria. Use effective repellents, including natural ones like Neem. Malaria is present everywhere, even in coastal areas, lakes, and Nairobi. Don’t venture into savannas and highlands without vaccination against yellow fever.
  2. Stay informed about health: Get accurate health information before traveling to Kenya. Consult with a specialized doctor like Dr. Paolo Meo, a tropical and infectious disease specialist.

Health Alerts: What are the current epidemics in Kenya?

  • COVID-19: Stay updated on daily case numbers in the country.
  • March 2023: Yellow fever outbreaks reported in various regions.
  • March 2023: Chikungunya cases confirmed in different villages.
  • February 2023: Malaria cases increasing in areas above 1800 meters.
  • December 2022: Cholera outbreaks reported in several counties.

Climate, Weather, Health, and Environment:

  • Kenya has a tropical climate with two main seasons: dry season (December to March) and rainy season (April to November).
  • The changing climate affects the spread of diseases like malaria and impacts agriculture and water availability.
  • Different environments in Kenya include coastal regions, Great Lakes region, wetlands, protected areas, and high mountains.

Disease Risks in Kenya (as of March 2023):

  • Malaria, Yellow fever, Cholera, Meningitis, Dengue, HIV/AIDS are prevalent in Kenya.
  • Other risks include rabies, neglected tropical diseases, and river blindness.
  • Vaccinations for yellow fever, cholera, and dengue are highly recommended for travelers.

Recommended Vaccinations:

  • Yellow fever vaccination is essential for all travelers above one year old.
  • Other recommended vaccines include Hepatitis A, Hepatitis B, Typhoid, Cholera, Meningitis, Tetanus, Polio, and routine vaccinations.

Before your trip, consult with a specialized doctor, consider vaccination needs based on your itinerary and duration of stay, and take preventive measures to protect your health during your travel to Kenya.

Malaria: Situation and Prevention

Is there malaria in Kenya, and what should you do to avoid getting sick?

What is malaria?

Malaria is an acute infectious disease present in the country, closely linked to humid and rainy environments, seasons, and weather conditions. Before traveling, check the itinerary of your trip and the weather conditions of the areas you’ll be staying in. Remember that malaria is a potentially severe and even fatal disease. Do not underestimate it. You can prevent it by paying attention to clothing that covers exposed parts of your body during sunset and at night, using insect repellents, and taking appropriate prophylactic medications during high-risk seasons. To learn more, read the malaria fact sheet.

What is the situation of malaria in Kenya?

The risk of malarial infection, mainly from Plasmodium falciparum but also from vivax and other forms, including mixed infections (prevalence of falciparum and vivax), exists throughout the year across the country, including Nairobi city. The risk is particularly higher during the rainy and humid season and in areas with swamps, marshes, rivers, and lakes that favor the presence of Anopheles mosquitoes, active during sunset and at night. Areas with dry savannas, sparsely inhabited areas, and periods with reduced insect presence, especially mosquitoes, reduce the risk. Towns and big cities present a risk of infection sometimes equal to or even higher than peripheral and wild areas. Transmission through Anopheles mosquito bites occurs from person to person. There have been reported cases of resistance to chloroquine, mefloquine, and partially to atovaquone. Resistance to Doxycycline is low.

(Updated as of December 2022)

Which medication should be taken for malaria prophylaxis?

Doxycycline is an excellent drug of choice for both stays in tourist areas and adventurous trips, trekking, and when using tents or less controlled accommodations. It is suitable for stays in protected residences or low-risk areas, as well as high-risk areas. You should know that “doxycycline 100 mg” is not only a drug of choice for preventing malarial infection but also for preventing bacterial intestinal and skin infections and infections caused by tick bites. Due to its characteristics, the drug is very versatile and can be taken for short or brief stays, ranging from a few days to weeks, but also for long periods, i.e., for many months. Remember that tetracycline-based drugs, including doxycycline, are taken for over 1 year by individuals with acne, i.e., infections on the face or trunk. It is a safe, effective drug with few or minimal side effects. Note that at prophylaxis doses (100 mg per day), the effects of sun sensitization are practically absent. In any case, remember to use sunscreen. It is a low-cost drug. It cannot be used in children under 12 years of age or during pregnancy or in case of allergy or intolerance to tetracyclines. Take it every day during lunch, starting from the entry into a malarial risk area and continuing for one week after leaving the malarial risk area. Atovaquone-Proguanil, a drug on the market for almost 20 years, still provides good antimalarial coverage for chloroquine-resistant forms, although some forms of resistance and reduced efficacy have been described for several years. It is suitable for pediatric use. It should be used for periods not exceeding 30 days but can be used for up to 60 days. Take one tablet daily from 2/3 days before departing until 1 week after returning. Mefloquine, a drug used for over 30 years, is effective in prophylaxis and therapy. It is effective in both adults and pediatric populations. Its efficacy and safety have been demonstrated in pregnant women. It can be used in individuals in good health. It should not be used in individuals with heart conditions, arrhythmias, neurologic or psychiatric conditions, or insomnia. Symptoms of peripheral and central nervous system irritability have been reported. Avoid its use during diving, stays at high altitudes, repeated and prolonged air travel. The recommended administration is a weekly dose starting one week before departing and continuing for 3/4 weeks after returning.

What should I do if I return with health problems from the trip?

In case of fever, diarrhea, or any discomfort, it is essential to consult a Specialist or an expert in Tropical Diseases without delay (in case of fever, preferably within 24 hours, due to the possibility of having contracted malaria if you are returning from a risk area). Read more…

Traditions, Local Foods, and Beverages

What are some curiosities and major traditions of Kenya? Some topics to explore related to the major traditions of Kenya:

Tribes and Cultures: Kenya has a rich variety of tribal cultures, each with its own distinctive traditions and customs. Some of the main tribes include the Kikuyu, Luo, Maasai, and Kalenjin. Music and Dance: Music and dance are integral parts of Kenyan culture, with a wide range of styles and genres throughout the nation. Initiation Ceremonies: Many Kenyan tribes have initiation ceremonies for young people, marking their transition into adulthood. Cuisine: Kenyan cuisine is diverse and delicious, with a wide variety of dishes made from meat, vegetables, cereals, and spices. Religions: Many religions have a significant presence in Kenya, including Christianity, Islam, Buddhism, and Sikhism. Festivals and Celebrations: Kenya has a wide range of festivals and celebrations throughout the year, including New Year’s, Christmas, Eid al-Fitr, Diwali, and Independence Day. Clothing: Many Kenyan tribes have unique and distinctive traditional costumes, often made with colorful fabrics and intricate patterns. Craftsmanship: Kenyan craftsmanship includes a wide range of handmade items, including textiles, baskets, sculptures, and jewelry. Sports: Kenya has a strong sporting tradition, particularly in athletics, with many world-class athletes hailing from the country.

What are the traditional clothes of Kenya?

Traditional Kenyan clothing varies from tribe to tribe, with each ethnic group having its own distinctive style and techniques of weaving and dyeing fabrics.

One example of traditional clothing is the “Kanga,” a colorful fabric decorated with traditional patterns that women wear throughout the country. The kanga is usually wrapped around the waist and torso and can be worn as a dress or a skirt.

Other traditional fabrics include “Kitenge,” “Shuka,” and “Maasai” textiles, all characterized by vibrant colors and intricate patterns. Traditional male attire often includes long robes and decorated hats, while female attire includes buttoned dresses, skirts, and shawls.

Many traditional Kenyan fabrics are made from cotton, wool, or silk, natural fabrics that reflect the country’s natural environment. Kenyan women often wear traditional jewelry, such as beaded necklaces, metal bracelets, and handmade earrings. Traditional fabrics are often used to create clothing for special occasions such as weddings, funerals, religious ceremonies, and other important events. Kenyan traditional fashion has also influenced modern fashion, with designers incorporating traditional fabrics into modern and stylish clothing.

Traditional clothing is a way of preserving Kenya’s culture and traditions and is often worn during cultural celebrations and festivals. Some traditional Kenyan fabrics have become popular internationally and are exported worldwide as high-quality and artisanal textiles.

What are the most famous TRIBES in Kenya and what are their TRADITIONS?

The Kikuyu are the largest tribe in Kenya, with a population of around 6.6 million people. Their traditional economy is based on agriculture and herding, while their traditions include initiation ceremonies for the youth, traditional dance and music, and religious and spiritual practices. The Luo are the third-largest tribe in Kenya, with a population of around 4.4 million people. They mainly live in the western region of the country and are engaged in fishing, agriculture, and craftsmanship. Their culture is known for traditional music, dances, and initiation ceremonies. The Maasai are a semi-nomadic tribe known for their skills in herding and cattle farming. Their culture is characterized by traditional dance, distinctive clothing, and initiation ceremonies for the youth. The Maasai are also famous for their skills in singing and storytelling. The Kalenjin are a tribe known for their skills in athletics. Their culture is characterized by traditional dance, music, and initiation ceremonies for the youth. The Luhya are the second-largest tribe in Kenya, with a population of around 5.3 million people. They mainly live in the western region of the country and engage in agriculture and herding. Their culture is characterized by traditional dance, music, and initiation ceremonies for the youth. The Turkana are a nomadic tribe known for their skills in herding and cattle farming. Their culture is characterized by traditional dance, music, and initiation ceremonies for the youth. The Kamba are a tribe living in the eastern region of Kenya, known for their skills in basketry and other crafts. Their culture is characterized by traditional dance, music, and initiation ceremonies for the youth. The Meru are a tribe living in the central region of Kenya, known for their skills in agriculture and cattle farming. Their culture is characterized by traditional dance, music, and initiation ceremonies for the youth. The Embu are a tribe living in the eastern region of Kenya, known for their skills in woodworking and the production of traditional musical instruments. Their culture is characterized by traditional dance, music, and initiation ceremonies for the youth.

During your stay in Kenya, you can try the following ten traditional beverages:

  1. Kenyan tea – Kenya is one of the major tea producers globally, and tea is a popular drink throughout the country. Kenyan tea is often served with milk and sugar.
  2. Tusker Beer – Kenya’s national beer, produced since 1922. It is a light and refreshing lager often served cold.
  3. Krest Soda – A lemon-lime flavored non-alcoholic beverage, often served with ice.
  4. Stoney Tangawizi – A spicy and refreshing ginger-flavored soda.
  5. Dawa – A vodka-based drink with lemon and honey, often used as a remedy for cold or cough.
  6. Busaa – A traditional alcoholic beverage made from fermented maize, often homemade.
  7. Chang’aa – A strong and illegal alcoholic drink made from fermented maize, often produced and sold in unregulated ways.
  8. Mnazi – A palm wine made from the sap of coconut palms, often drunk fresh and young.
  9. Mursik – A spiced and fermented milk-based beverage, traditional to the Kalenjin community in Kenya.
  10. Uji – A porridge made from maize flour cooked in water and milk, often flavored with ginger, cinnamon, and cardamom, and served as a hot beverage.

Keep in mind that while exploring local beverages, it’s essential to stay hydrated and consume alcohol responsibly, especially if you plan to visit higher altitudes or engage in physical activities.

For your journey, here are some general travel tips and information to consider:

  1. Climate and Environment: Give your body time to adapt to the new climate and environment. If possible, engage in some physical activity before your trip to prepare your body for the new rhythms during your journey.
  2. Health Precautions: Depending on your home country and travel plans, you might need certain vaccinations before visiting Kenya. Check with your healthcare provider or visit a travel clinic to see if any specific vaccinations are recommended or required. Additionally, take measures to protect yourself from mosquito bites and other insects to reduce the risk of mosquito-borne illnesses.
  3. Hygiene and Water: When traveling in Kenya, it’s advisable to drink bottled or boiled water and avoid consuming ice in drinks. Wash your hands frequently with soap and water or use hand sanitizer.
  4. Sun Protection: The Kenyan sun can be intense, so bring sunscreen, sunglasses, and a wide-brimmed hat to protect yourself from the sun’s rays.
  5. Travel Insurance: Consider purchasing travel insurance to cover unexpected emergencies, medical expenses, and trip cancellations.
  6. Cultural Sensitivity: Respect local customs and traditions while visiting Kenya. Dress modestly, especially when visiting religious or cultural sites, and ask for permission before taking photographs of people.
  7. Currency and Payments: The currency in Kenya is the Kenyan Shilling (KES). Credit cards are widely accepted in urban areas, but it’s a good idea to carry some cash for smaller purchases and in case you visit rural or remote locations.
  8. Safety: Be vigilant about your belongings and avoid displaying expensive items like jewelry or electronic devices in crowded places. Use reputable transportation services and avoid walking alone in unfamiliar or poorly lit areas, especially at night.
  9. Emergency Contacts: Have the contact information for your country’s embassy or consulate in Kenya in case of emergencies.

Before your journey, make sure to check the latest travel advisories and updates related to Kenya and any specific regions you plan to visit. Happy travels!

 

 

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