Thank you all. Been through hep B for work. Take probiotics pretty much daily. I will check with doctor on last tetanus. Checked locally and learned if in WI you end up at a travel nurse in Green Bay, Madison, or Milwaukee. Thank goodness I’m only 50 miles north of Green Bay. Consult is $200, you pay and submit to insurance, they won’t bill insurance. After talking with the travel nurse office they review destination, probably same web sites we used, check your charts, admins Ter what is needed, if they have it. If they do not have it, they send you another travel nurse in Madison or Milwaukee, only another 90 more miles and day off work. You pay another consult fee of $200 and they give you whatever you are missing. Travel office said very few have meds available for yellow fever, so it is recommended that you know before you go. Kathy V is correct. The upfront costs make you think about other places to go, but from what I can tell there are a lot of tropical places with similar recommendations.
Lorenzoid, I did not find Roatán listed separately from mainland Honduras on CDC or WHO sites. It might be there, just hiding in plain site and I did not find it.
Dmaziak, who hasn’t eaten a little dirt in their lifetime? Still, I’ll probably avoid licking bar floors and sidewalks. However, you never know who was in the “ool” last. If people actually did keep the p out of pools we would all be better off.
I also agree with Seaweed Doc and Stoo. Everyone should get Hep A regardless of where you live. I am a Safe Quality Food Practitioner in my career. I get emails daily about outbreaks of Hep A, E. coli, Salmonella, Listeria, and other nasty food born bacteria outbreaks. Some states and counties in US are mandating that all restaurant workers get Hep A vaccine since that is the most common way of spreading to people.
Thanks to all who responded. Safe travels, happy diving.
WI Divers