Honest about the risks, and specific about what prevents each one.
Malaria
CDC puts risk in all areas of Haiti, including Labadee. P. falciparum accounts for 99% of cases, with P. malariae rare, and CDC records no drug resistance. The Government of Canada recommends antimalarial medication and advises speaking to a healthcare provider six weeks before travel.
Prevention Tablets, taken exactly as prescribed and continued after you come home for as long as we tell you โ stopping early is the commonest way people get ill anyway. Plus repellent, long sleeves after dark and a bed net where rooms are open. Any fever after a trip to Haiti, even months later, means telling the doctor where you have been.
Rabies, with no easy treatment nearby
CDC says rabid dogs are commonly found in Haiti, that rabies is present in some terrestrial wildlife, and that rabies vaccines are typically not readily available in the country if an exposure occurs.
Prevention Do not touch dogs or cats, however friendly, and keep children within armโs reach. Wash any bite, scratch or lick on broken skin for a full fifteen minutes with soap and running water and seek medical advice the same day, vaccinated or not. Discuss pre-exposure vaccination before you go โ here more than almost anywhere.
Cholera and unsafe water
CDC states active cholera transmission is widespread in Haiti while noting cholera is rare in travellers; the Government of Canada calls the risk very low for most travellers and stresses safe food and water. It also reports frequent power outages and shortages of essential supplies including water.
Prevention Bottled, boiled, filtered or chemically treated water only โ including for brushing teeth and for making ice. Water purification tablets or a filter earn their place in the bag here. Rehydration salts for everyone in the party; with cholera and with ordinary diarrhoea, fluid is the thing that matters most.
Diphtheria
CDC carries a current travel notice reporting an outbreak of diphtheria in Haiti. It spreads person to person and it is prevented by a vaccine most Canadian adults have already had and are simply overdue for.
Prevention A tetanus-diphtheria booster if it has been more than ten years. One injection, available the same day you come in, and the single easiest item on this page.
Dengue, Zika and chikungunya
All three are named by the Government of Canada as risks in Haiti and CDC lists dengue and Zika among the infections to prevent by avoiding bites. There is no vaccine or medication available in Canada for dengue. Zika spreads by mosquito and also sexually, and can cause serious birth defects.
Prevention Repellent through the day and reapplied, long sleeves, screened or air-conditioned rooms where possible. If you are pregnant or planning a pregnancy, this belongs in the conversation before you book.
Getting medical care at all
The Government of Canada states health care is inadequate throughout the country, that there are few hospitals and many are closed, that ambulances are limited and may not carry basic required medical supplies, that physicians and hospitals generally expect immediate cash payment, and that medical evacuation can be very expensive.
Prevention Bring your own medicine and a real first-aid kit, in quantity, in hand luggage. Carry cash. Insurance that names medical evacuation, if you can get cover for a country under an avoid-all-travel advisory โ check that specifically, because many policies exclude it, and knowing before you fly is better than finding out after.
Wounds, and what can get into them
CDC lists New World screwworm myiasis among the risks in Haiti and advises avoiding bug bites, cleaning and covering wounds, sleeping in screened areas and avoiding spending time around livestock. It also lists leptospirosis, with the advice to avoid contaminated water and soil and to avoid floodwater.
Prevention Clean every cut properly and keep it covered rather than open to the air. Do not wade through floodwater. Antiseptic and dressings in the kit, and a low threshold for getting a wound looked at that is not healing.
Power, water and fuel
The Government of Canada reports frequent power outages and shortages of essential supplies such as water and fuel.
Prevention If anything you take must stay refrigerated โ insulin, some biologics โ tell us before you travel and we will work out a cooling plan you can actually carry, including how long your particular product tolerates being warm. Never put it in checked luggage.