The Federated States of Micronesia (Including Yap Islands, Pohnpei, Chuuk, and Kosrae) - Traveler view | Travelers' Health

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If you or your doctor need help finding a location that provides certain vaccines or medicines, visit the <a href="/travel/page/find-clinic">Find a Clinic</a> page.</p> <div class="inner-table"> <table class="disease hidden-one" id="dest-vm-a"> <thead> <tr> <th scope="col" class="clinician-text-color">Vaccines for disease</th> <th scope="col" class="clinician-text-color">Recommendations</th> <th scope="col" class="clinician-text-color">Clinical Guidance for Healthcare providers</th> </tr> </thead> <tbody> <tr> <td class="clinician-disease"> <a href="/travel/page/routine-vaccines" target="_blank">Routine vaccines</a> </td> <td class="clinician-recomendations"> <p>Make sure you are up-to-date on all routine vaccines before every trip. Some of these vaccines include</p> <ul class="list-bullet"> <li><a href="https://www.cdc.gov/vaccines/vpd/varicella/public/index.html">Chickenpox (Varicella)</a></li> <li><a href="https://www.cdc.gov/vaccines/vpd/dtap-tdap-td/public/index.html">Diphtheria-Tetanus-Pertussis</a></li> <li><a href="https://www.cdc.gov/flu/prevent/vaccinations.htm">Flu (influenza)</a></li> <li><a href="https://www.cdc.gov/vaccines/vpd/mmr/public/index.html">Measles-Mumps-Rubella (MMR)</a></li> <li><a href="https://www.cdc.gov/vaccines/vpd/polio/index.html">Polio</a></li> <li><a href="https://www.cdc.gov/vaccines/vpd/shingles/public/shingrix/index.html">Shingles</a></li> </ul> </td> <td class="clinician-guidance"><p><a href="https://www.cdc.gov/vaccines/hcp/imz-schedules/">Immunization schedules</a></p> </td> </tr> <tr> <td class="clinician-disease"> <a href="https://www.cdc.gov/coronavirus/2019-ncov/index.html" target="_blank">COVID-19</a> </td> <td class="clinician-recomendations"><p>All eligible travelers should be up to date with their COVID-19 vaccines. Please see <a href="https://www.cdc.gov/coronavirus/2019-ncov/vaccines/your-vaccination.html">Your COVID-19 Vaccination</a> for more information. </p> </td> <td class="clinician-guidance"><p><a href="https://www.cdc.gov/covid/vaccines/">COVID-19 vaccine</a></p> </td> </tr> <tr> <td class="clinician-disease"> <a href="https://www.cdc.gov/hepatitis-a/index.html" target="_blank">Hepatitis A</a> </td> <td class="clinician-recomendations"><p>Recommended for unvaccinated travelers one year old or older going to the Federated States of Micronesia.</p> <p>Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series.</p> <p>Travelers allergic to a vaccine component should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.</p> <p>Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin.</p> </td> <td class="clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/hepatitis-a">Hepatitis A - CDC Yellow Book</a></p> <p><a href="/travel/yellowbook/2024/infections-diseases/hepatitis-a#6326">Dosing info - Hep A</a></p> </td> </tr> <tr> <td class="clinician-disease"> <a href="https://www.cdc.gov/hepatitis-b/index.html" target="_blank">Hepatitis B</a> </td> <td class="clinician-recomendations"><p>Recommended for unvaccinated travelers of all ages traveling to the Federated States of Micronesia.</p> </td> <td class="clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/hepatitis-b">Hepatitis B - CDC Yellow Book</a></p> <p><a href="/travel/yellowbook/2024/infections-diseases/hepatitis-b#6332">Dosing info - Hep B</a></p> </td> </tr> <tr> <td class="clinician-disease"> <a href="https://www.cdc.gov/measles/index.html" target="_blank">Measles</a> </td> <td class="clinician-recomendations"><p>Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading.</p> <p>All international travelers should be fully vaccinated against measles with the measles-mumps-rubella (MMR) vaccine, including an early dose for infants 6–11 months, according to <a href="https://www.cdc.gov/measles/plan-for-travel.html">CDC’s measles vaccination recommendations for international travel</a>.</p> </td> <td class="clinician-guidance"><p><a href="/travel/yellowbook/2018/infectious-diseases-related-to-travel/measles-rubeola">Measles (Rubeola) - CDC Yellow Book</a></p> </td> </tr> <tr> <td class="clinician-disease"> <a href="https://www.cdc.gov/rabies/about/index.html" target="_blank">Rabies</a> </td> <td class="clinician-recomendations"><p>Dogs infected with rabies are not commonly found in the Federated States of Micronesia.</p> <p>If rabies exposures occur while in the Federated States of Micronesia, rabies vaccines may only be available in larger suburban/urban medical facilities.</p> <p>Rabies pre-exposure vaccination considerations include whether travelers 1) will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2) might have difficulty getting prompt access to safe post-exposure prophylaxis.</p> <p>Please consult with a healthcare provider to determine whether you should receive pre-exposure vaccination before travel.</p> <p>For more information, see <a href="https://www.cdc.gov/rabies/country-risk/index.html">country rabies status assessments</a>.</p> </td> <td class="clinician-guidance"><p><a href="/travel/yellowbook/2024/infections-diseases/rabies">Rabies - CDC Yellow Book</a></p> </td> </tr> <tr> <td class="clinician-disease"> <a href="https://www.cdc.gov/typhoid-fever/about/index.html" target="_blank">Typhoid</a> </td> <td class="clinician-recomendations"><p>Recommended for most travelers, especially those staying with friends or relatives or visiting smaller cities or rural areas.</p> </td> <td class="clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/typhoid-and-paratyphoid-fever">Typhoid - CDC Yellow Book</a></p> <p><a href="/travel/yellowbook/2024/infections-diseases/typhoid-and-paratyphoid-fever#6310">Dosing info - Typhoid</a></p> </td> </tr> </tbody> </table> </div> </div> </div> <p><span class="toTop"><span class="icon-angle-up"></span> <a href="#">Top</a></span></p> </div> </div> <div class="span19"> <div id="non-vaccine-preventable-diseases" class="section_wrapper module-typeB"> <div class="section_head"> <span class="travelertype-icon"></span> <a class="button-toggle button-toggle-collapse" href="javascript:void(0);">Hide</a> <h3>Non-Vaccine-Preventable Diseases</h3> <div class="clear"></div> </div> <div class="section_body"> <table class="disease" id="dest-od-a"> <thead> <tr> <th scope="col" class="clinician-text-color">Disease Name</th> <th scope="col" class="clinician-text-color">Common ways the disease spreads</th> <th scope="col" class="clinician-text-color">Advice</th> <th scope="col" class="clinician-text-color">Clinical Guidance for Healthcare Providers</th> </tr> </thead> <tbody> <tr> <th scope="row" colspan="4"> <h4>Avoid contaminated water</h4> </th> </tr> <tr> <td class="other-clinician-disease"> <a href="https://www.cdc.gov/leptospirosis/about/index.html" target="_blank">Leptospirosis</a> </td> <td class="other-clinician-notes"><ul class="list-bullet"> <li>Touching urine or other body fluids from an animal infected with leptospirosis</li> <li>Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud</li> <li>Drinking water or eating food contaminated with animal urine</li> </ul> </td> <td class="other-clinician-patienteduction"><ul class="list-bullet"> <li>Avoid contaminated water and soil</li> <li><a href="https://www.cdc.gov/leptospirosis/prevention/">Avoid floodwater</a></li> </ul> </td> <td class="other-clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/leptospirosis">Leptospirosis</a></p> </td> </tr> <tr> <th scope="row" colspan="4"> <h4>Avoid bug bites</h4> </th> </tr> <tr> <td class="other-clinician-disease"> <a href="https://www.cdc.gov/chikungunya/about/index.html" target="_blank">Chikungunya</a> </td> <td class="other-clinician-notes"><ul class="list-bullet"> <li>Mosquito bite</li> </ul> </td> <td class="other-clinician-patienteduction"><ul class="list-bullet"> <li><a href="/travel/page/avoid-bug-bites">Avoid Bug Bites</a></li> </ul> </td> <td class="other-clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/chikungunya">Chikungunya</a></p> </td> </tr> <tr> <td class="other-clinician-disease"> <a href="https://www.cdc.gov/dengue/index.html" target="_blank">Dengue</a> </td> <td class="other-clinician-notes"><ul class="list-bullet"> <li>Mosquito bite</li> </ul> </td> <td class="other-clinician-patienteduction"><ul class="list-bullet"> <li><a href="/travel/page/avoid-bug-bites">Avoid Bug Bites</a></li> </ul> </td> <td class="other-clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/dengue">Dengue</a></p> </td> </tr> <tr> <td class="other-clinician-disease"> <a href="/travel/diseases/zika" target="_blank">Zika</a> </td> <td class="other-clinician-notes"><ul class="list-bullet"> <li>Mosquito bite</li> <li>An infected pregnant woman can spread it to her unborn baby</li> </ul> </td> <td class="other-clinician-patienteduction"><ul class="list-bullet"> <li><a href="/travel/page/avoid-bug-bites">Avoid Bug Bites</a></li> </ul> </td> <td class="other-clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/zika">Zika</a></p> </td> </tr> <tr> <th scope="row" colspan="4"> <h4>Airborne & droplet</h4> </th> </tr> <tr> <td class="other-clinician-disease"> <a href="https://www.cdc.gov/hantavirus/about/index.html" target="_blank">Hantavirus </a> </td> <td class="other-clinician-notes"><ul class="list-bullet"> <li>Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents</li> <li>Bite from an infected rodent</li> <li>Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)</li> </ul> </td> <td class="other-clinician-patienteduction"><ul class="list-bullet"> <li>Avoid rodents and areas where they live</li> <li>Avoid sick people</li> </ul> </td> <td class="other-clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/viral-hemorrhagic-fevers">Hantavirus</a></p> </td> </tr> <tr> <td class="other-clinician-disease"> <a href="https://www.cdc.gov/tb/prevention/index.html" target="_blank">Tuberculosis (TB)</a> </td> <td class="other-clinician-notes"><ul class="list-bullet"> <li>Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.</li> </ul> </td> <td class="other-clinician-patienteduction"><ul class="list-bullet"> <li>Avoid sick people</li> </ul> </td> <td class="other-clinician-guidance"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/tuberculosis">Tuberculosis (TB)</a></p> </td> </tr> </tbody> </table> <div class="disease-narrow hidden-three hidden-four" id="dest-od-b"> <div class="group-head"> <h4>Avoid contaminated water</h4> </div> <div class="item"> <h4>Leptospirosis</h4> <h5 class="clinician-text-color">How most people get sick (most common modes of transmission)</h5> <div class="clinician-guidance"><ul class="list-bullet"> <li>Touching urine or other body fluids from an animal infected with leptospirosis</li> <li>Swimming or wading in urine-contaminated fresh water, or contact with urine-contaminated mud</li> <li>Drinking water or eating food contaminated with animal urine</li> </ul> </div> <h5 class="clinician-text-color">Advice</h5> <div><ul class="list-bullet"> <li>Avoid contaminated water and soil</li> <li><a href="https://www.cdc.gov/leptospirosis/prevention/">Avoid floodwater</a></li> </ul> </div> <h5 class="clinician-text-color">Clinical Guidance</h5> <div class="clinician-recomendations"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/leptospirosis">Leptospirosis</a></p> </div> </div> <div class="group-head"> <h4>Avoid bug bites</h4> </div> <div class="item"> <h4>Chikungunya</h4> <h5 class="clinician-text-color">How most people get sick (most common modes of transmission)</h5> <div class="clinician-guidance"><ul class="list-bullet"> <li>Mosquito bite</li> </ul> </div> <h5 class="clinician-text-color">Advice</h5> <div><ul class="list-bullet"> <li><a href="/travel/page/avoid-bug-bites">Avoid Bug Bites</a></li> </ul> </div> <h5 class="clinician-text-color">Clinical Guidance</h5> <div class="clinician-recomendations"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/chikungunya">Chikungunya</a></p> </div> </div> <div class="item"> <h4>Dengue</h4> <h5 class="clinician-text-color">How most people get sick (most common modes of transmission)</h5> <div class="clinician-guidance"><ul class="list-bullet"> <li>Mosquito bite</li> </ul> </div> <h5 class="clinician-text-color">Advice</h5> <div><ul class="list-bullet"> <li><a href="/travel/page/avoid-bug-bites">Avoid Bug Bites</a></li> </ul> </div> <h5 class="clinician-text-color">Clinical Guidance</h5> <div class="clinician-recomendations"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/dengue">Dengue</a></p> </div> </div> <div class="item"> <h4>Zika</h4> <h5 class="clinician-text-color">How most people get sick (most common modes of transmission)</h5> <div class="clinician-guidance"><ul class="list-bullet"> <li>Mosquito bite</li> <li>An infected pregnant woman can spread it to her unborn baby</li> </ul> </div> <h5 class="clinician-text-color">Advice</h5> <div><ul class="list-bullet"> <li><a href="/travel/page/avoid-bug-bites">Avoid Bug Bites</a></li> </ul> </div> <h5 class="clinician-text-color">Clinical Guidance</h5> <div class="clinician-recomendations"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/zika">Zika</a></p> </div> </div> <div class="group-head"> <h4>Airborne & droplet</h4> </div> <div class="item"> <h4>Hantavirus </h4> <h5 class="clinician-text-color">How most people get sick (most common modes of transmission)</h5> <div class="clinician-guidance"><ul class="list-bullet"> <li>Breathing in air or accidentally eating food contaminated with the urine, droppings, or saliva of infected rodents</li> <li>Bite from an infected rodent</li> <li>Less commonly, being around someone sick with hantavirus (only occurs with Andes virus)</li> </ul> </div> <h5 class="clinician-text-color">Advice</h5> <div><ul class="list-bullet"> <li>Avoid rodents and areas where they live</li> <li>Avoid sick people</li> </ul> </div> <h5 class="clinician-text-color">Clinical Guidance</h5> <div class="clinician-recomendations"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/viral-hemorrhagic-fevers">Hantavirus</a></p> </div> </div> <div class="item"> <h4>Tuberculosis (TB)</h4> <h5 class="clinician-text-color">How most people get sick (most common modes of transmission)</h5> <div class="clinician-guidance"><ul class="list-bullet"> <li>Breathe in TB bacteria that is in the air from an infected and contagious person coughing, speaking, or singing.</li> </ul> </div> <h5 class="clinician-text-color">Advice</h5> <div><ul class="list-bullet"> <li>Avoid sick people</li> </ul> </div> <h5 class="clinician-text-color">Clinical Guidance</h5> <div class="clinician-recomendations"><p><a href="/travel/yellowbook/2020/travel-related-infectious-diseases/tuberculosis">Tuberculosis (TB)</a></p> </div> </div> </div> </div> </div> <p><span class="toTop"><span class="icon-angle-up"></span> <a href="#">Top</a></span></p> </div> <div> <div id="stay-healthy-and-safe" class="section_wrapper module-typeB span19"> <div class="section_head"> <span class="travelertype-icon"></span> <a class="button-toggle button-toggle-collapse" href="javascript:void(0);">Hide</a> <h3> Stay Healthy and Safe </h3> </div> <div id="healty_and_safe_body" class="section_body"> <p>Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in the Federated States of Micronesia, so your behaviors are important.</p> <p> </p> <div id="protect-3" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Eat and drink safely</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p>Food and water standards around the world vary based on the destination. Standards may also differ within a country and risk may change depending on activity type (e.g., hiking versus business trip). You can learn more about safe food and drink choices when traveling by accessing the resources below.</p> <ul class="list-bullet"> <li><a href="/travel/page/food-water-safety">Choose Safe Food and Drinks When Traveling</a></li> <li><a href="https://www.cdc.gov/healthywater/drinking/travel/index.html">Water Treatment Options When Hiking, Camping or Traveling</a></li> <li><a href="https://www.cdc.gov/global-water-sanitation-hygiene/about/index.html">Global Water, Sanitation and Hygiene (WASH)</a></li> <li><a href="/travel/page/water-disinfection">Avoid Contaminated Water During Travel</a></li> </ul> <p>You can also visit the <a href="https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages.html">Department of State Country Information Pages</a> for additional information about food and water safety.</p> <a id="toggle_protect-3-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-4" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Prevent bug bites</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p>Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in the Federated States of Micronesia. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.</p> <h5>What can I do to prevent bug bites?</h5> <ul class="list-bullet"> <li>Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.</li> <li>Use an appropriate insect repellent (see below).</li> <li>Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do <strong>not</strong> use permethrin directly on skin.</li> <li>Stay and sleep in air-conditioned or screened rooms.</li> <li>Use a bed net if the area where you are sleeping is exposed to the outdoors.</li> </ul> <h5>What type of insect repellent should I use?</h5> <ul class="list-bullet"> <li><strong>FOR PROTECTION AGAINST TICKS AND MOSQUITOES:</strong> Use a repellent that contains 20% or more <strong>DEET</strong> for protection that lasts up to several hours.</li> <li><strong>FOR PROTECTION AGAINST MOSQUITOES ONLY:</strong> Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection. <ul class="list-bullet"> <li><strong><a href="http://www.epa.gov/pesticides/factsheets/chemicals/deet.htm">DEET</a></strong></li> <li><strong>Picaridin</strong> (also known as KBR 3023, Bayrepel, and icaridin)</li> <li><strong>Oil of lemon eucalyptus (OLE)</strong> or para-menthane-diol <strong>(PMD)</strong></li> <li><strong>IR3535</strong></li> <li><strong>2-undecanone</strong></li> </ul> </li> <li>Always use insect repellent as directed.</li> </ul> <h5>What should I do if I am bitten by bugs?</h5> <ul class="list-bullet"> <li>Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.</li> <li>Check your entire body for ticks after outdoor activity. Be sure to <a href="http://www.cdc.gov/ticks/removing_a_tick.html">remove ticks</a> properly.</li> </ul> <h5>What can I do to avoid bed bugs?</h5> <p>Although bed bugs do not carry disease, they are an annoyance. See our <a href="/travel/page/avoid-bug-bites">information page about avoiding bug bites</a> for some easy tips to avoid them. For more information on bed bugs, see <a href="http://www.cdc.gov/parasites/bedbugs/">Bed Bugs</a>.</p> <p>For more detailed information on avoiding bug bites, see <a href="/travel/page/avoid-bug-bites">Avoid Bug Bites</a>.</p> <a id="toggle_protect-4-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-7" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Stay safe outdoors</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p><strong>If your travel plans in the Federated States of Micronesia include outdoor activities, take these steps to stay safe and healthy during your trip. </strong></p> <ul class="list-bullet"> <li>Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.</li> <li>Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.</li> <li>Consider learning basic first aid and CPR before travel. Bring a <a href="http://wwwnc.cdc.gov/travel/page/pack-smart.htm">travel health kit</a> with items appropriate for your activities.</li> <li>Heat-related illness, such as heat stroke, can be deadly. Eat and drink regularly, wear loose and lightweight clothing, and limit physical activity during high temperatures. <ul class="list-bullet"> <li>If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.</li> </ul> </li> <li><a href="http://www.cdc.gov/cancer/skin/basic_info/prevention.htm">Protect yourself from UV radiation</a>: use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).</li> <li>Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.</li> <li>Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.</li> </ul> <h5>Stay safe around water</h5> <ul class="list-bullet"> <li>Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.</li> <li>Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.</li> <li>Do not dive into shallow water.</li> <li>Do not swim in freshwater in developing areas or where sanitation is poor.</li> <li>Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.</li> <li>To prevent infections, wear shoes on beaches where there may be animal waste.</li> </ul> <a id="toggle_protect-7-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-1" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Keep away from animals</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p>Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.</p> <p>Follow these tips to protect yourself:</p> <ul class="list-bullet"> <li>Do not touch or feed <em>any</em> animals you do not know.</li> <li>Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.</li> <li>Avoid rodents and their urine and feces.</li> <li>Traveling pets should be supervised closely and not allowed to come in contact with local animals.</li> <li>If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.</li> </ul> <p>All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:</p> <ul class="list-bullet"> <li><strong>Wash</strong> the wound with soap and clean water.</li> <li><strong>Go</strong> to a doctor right away.</li> <li><strong>Tell</strong> your doctor about your injury when you get back to the United States.</li> </ul> <p>Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.</p> <a id="toggle_protect-1-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-8" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Reduce your exposure to germs</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p>Follow these tips to avoid getting sick or spreading illness to others while traveling:</p> <ul class="list-bullet"> <li>Wash your hands often, especially before eating.</li> <li>If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).</li> <li>Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.</li> <li>Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.</li> <li>Try to avoid contact with people who are sick.</li> <li>If you are sick, stay home or in your hotel room, unless you need medical care.</li> </ul> <a id="toggle_protect-8-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-9" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Avoid sharing body fluids</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p>Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.</p> <p>Protect yourself:</p> <ul class="list-bullet"> <li>Use latex condoms correctly.</li> <li>Do not inject drugs.</li> <li>Limit alcohol consumption. People take more risks when intoxicated.</li> <li>Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.</li> <li>If you receive medical or dental care, make sure the equipment is disinfected or sanitized.</li> </ul> <a id="toggle_protect-9-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-2" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Know how to get medical care while traveling</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p>Plan for how you will get health care during your trip, should the need arise:</p> <ul class="list-bullet"> <li>Carry a list of <a href="https://travel.state.gov/content/passports/en/go/health.html">local doctors and hospitals</a> at your destination.</li> <li>Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.</li> <li>Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.</li> <li>Some prescription drugs may be illegal in other countries. Call <a href="https://www.usembassy.gov/">the Federated States of Micronesia’s embassy</a> to verify that all of your prescription(s) are legal to bring with you.</li> <li>Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.</li> </ul> <p>Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (<a href="http://www.jointcommissioninternational.org">www.jointcommissioninternational.org</a>).</p> <p>In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.</p> <a id="toggle_protect-2-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-6" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Select safe transportation</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p><strong>Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries. </strong></p> <p>In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.</p> <h5>Walking</h5> <p>Be smart when you are traveling on foot.</p> <ul class="list-bullet"> <li>Use sidewalks and marked crosswalks.</li> <li>Pay attention to the traffic around you, especially in crowded areas.</li> <li>Remember, people on foot do not always have the right of way in other countries.</li> </ul> <h5>Riding/Driving</h5> <p>Choose a safe vehicle.</p> <ul class="list-bullet"> <li>Choose official taxis or public transportation, such as trains and buses.</li> <li>Ride only in cars that have seatbelts.</li> <li>Avoid overcrowded, overloaded, top-heavy buses and minivans.</li> <li>Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)</li> <li>Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.</li> <li>Choose larger vehicles, which may provide more protection in crashes.</li> </ul> <p>Think about the driver.</p> <ul class="list-bullet"> <li>Do not drive after drinking alcohol or ride with someone who has been drinking.</li> <li>Consider hiring a licensed, trained driver familiar with the area.</li> <li>Arrange payment before departing.</li> </ul> <p>Follow basic safety tips.</p> <ul class="list-bullet"> <li>Wear a seatbelt at all times.</li> <li>Sit in the back seat of cars and taxis.</li> <li>When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)</li> <li>Avoid driving at night; street lighting in certain parts of the Federated States of Micronesia may be poor.</li> <li>Do not use a cell phone or text while driving (illegal in many countries).</li> <li>Travel during daylight hours only, especially in rural areas.</li> <li>If you choose to drive a vehicle in the Federated States of Micronesia, learn the local traffic laws and have the proper paperwork.</li> <li>Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver's license at all times.</li> <li>Check with your auto insurance policy's international coverage, and get more coverage if needed. Make sure you have liability insurance.</li> </ul> <h5>Flying</h5> <ul class="list-bullet"> <li>Avoid using local, unscheduled aircraft.</li> <li>If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.</li> <li>Try to schedule flights during daylight hours and in good weather.</li> </ul> <h5>Medical Evacuation Insurance</h5> <p>If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having <a href="http://travel.state.gov/content/passports/en/go/health/insurance-providers.html#insurance">medical evacuation insurance</a> can be helpful for these reasons.</p> <h5>Helpful Resources</h5> <p><a href="http://travel.state.gov/content/passports/en/go/safety/road.html">Road Safety Overseas</a> (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.</p> <p>The <a href="http://www.asirt.org">Association for International Road Travel</a> has country-specific <a href="http://www.asirt.org/KnowBeforeYouGo/CountryRoadTravelReports/tabid/171/Default.aspx">Road Travel Reports</a> available for most countries for a minimal fee.</p> <a id="toggle_protect-6-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> <div id="protect-10" class="sub_section_wrapper"> <div class="sub_section_head"> <a class="button-toggle" href="javascript:void(0);"></a> <h3 class="no-image">Maintain personal security</h3> <div class="clear"></div> </div> <div class="sub_section_body inner-content inner-content-collapsable"> <p>Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.</p> <h5>Before you leave</h5> <ul class="list-bullet"> <li>Research your destination(s), including local laws, customs, and culture.</li> <li>Monitor <a href="http://travel.state.gov/content/passports/en/alertswarnings.html">travel advisories and alerts</a> and read travel <a href="http://travel.state.gov/content/passports/en/go/checklist.html">tips</a> from the US Department of State.</li> <li>Enroll in the <a href="http://travel.state.gov/content/passports/en/go/step.html">Smart Traveler Enrollment Program (STEP)</a>.</li> <li>Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.</li> <li>Pack as light as possible, and leave at home any item you could not replace.</li> </ul> <h5>While at your destination(s)</h5> <ul class="list-bullet"> <li>Carry contact information for the nearest <a href="http://www.usembassy.gov/">US embassy or consulate</a>.</li> <li>Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.</li> <li>Follow all local laws and social customs.</li> <li>Do not wear expensive clothing or jewelry.</li> <li>Always keep hotel doors locked, and store valuables in secure areas.</li> <li>If possible, choose hotel rooms between the 2nd and 6th floors.</li> </ul> <a id="toggle_protect-10-lower" class="button-toggle lower-sub_section" href="javascript:void(0);">Hide</a> <div class="clear"></div> </div> </div> </div> </div> <p><span class="toTop"><span class="icon-angle-up"></span> <a href="#">⇧ Top</a></span></p> </div><div> <div id="packing-list-description" class="section_wrapper module-typeB span19"> <div class="section_head"> <span class="travelertype-icon"></span> <a class="button-toggle button-toggle-collapse" href="javascript:void(0);">Hide</a> <h3>Healthy Travel Packing List</h3> </div> <div class="section_body"> <p>Use the <a href="/travel/destinations/micronesia/traveler/packing-list">Healthy Travel Packing List for Micronesia, Federated States of</a> for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.</p> <h4>Why does CDC recommend packing these health-related items?</h4> <p>It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.</p> </div> </div> <p><span class="toTop"><span class="icon-angle-up"></span> <a href="#">⇧ Top</a></span></p> </div> <div> <div id="after-your-trip" class="section_wrapper module-typeB span19"> <div class="section_head"> <span class="travelertype-icon"></span> <a class="button-toggle button-toggle-collapse" href="javascript:void(0);">Hide</a> <h3>After Your Trip</h3> </div> <div class="section_body inner-content"> <p>If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see <a href="/travel/page/find-clinic">Find a Clinic</a>. Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.</p> <p>For more information on what to do if you are sick after your trip, see <a href="/travel/page/getting-sick-after-travel">Getting Sick after Travel</a>.</p> </div> </div> <p><span class="toTop"><span class="icon-angle-up"></span> <a href="#">⇧ Top</a></span></p> </div> <p class="small"><strong>Map Disclaimer</strong> - The boundaries and names shown and the designations used on maps do not imply the expression of any opinion whatsoever on the part of the Centers for Disease Control and Prevention concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Approximate border lines for which there may not yet be full agreement are generally marked.</p> </div> </div> </div> </div> </div> </div> <hr> <div class="row share-row last-reviewed-row"> <div class="col-md last-reviewed">  <div>Page last reviewed: <span>August 05, 2024</span></div> <div class="ContentSource"> Content source: <a href="https://www.cdc.gov/ncezid/index.html">National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)</a><br /> <a href="https://www.cdc.gov/ncezid/dgmq/index.html">Division of Global Migration Health (DGMH)</a> </div> </div> </div> </div> <div class="col-lg-3 order-lg-1 leftnav-wrapper" id="leftNav"> <nav role="navigation" aria-label="Left Navigation Menu"><div class="nav-section-home d-sm-block"><svg xmlns ="http://www.w3.org/2000/svg" version="1.1" viewBox="0 0 24 24"><title>Home</title><path d ="M9.984 20.016h-4.969v-8.016h-3l9.984-9 9.984 9h-3v8.016h-4.969v-6h-4.031v6z"></path></svg><a href ="/travel/">Travelers Health</a></div><ul 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class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-33"><svg viewBox = "0 0 24 24" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><title>expand</title><path d = "M19,13H13V19H11V13H5V11H11V5H13V11H19V13Z"></path></svg></a><ul id="nav-group-33" class="collapse"><li class="list-group-item nav-lvl2"><a href="/travel/page/yellow-fever-clinics">Yellow Fever Vaccination Clinics</a><a href = "#nav-group-404" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-404"><svg viewBox = "0 0 24 24" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><title>expand</title><path d = "M19,13H13V19H11V13H5V11H11V5H13V11H19V13Z"></path></svg></a><ul id="nav-group-404" class="collapse"><li class="list-group-item nav-lvl3"><a href="/travel/page/yellow-fever-registry-faq">FAQ</a></li></ul></li></ul></li><li class="list-group-item nav-lvl1"><a href="/travel/page/clinician-information-center" id="nav-informationcenters">Clinician Resources</a><a href = "#nav-group-163" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-163"><svg viewBox = "0 0 24 24" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><title>expand</title><path d = "M19,13H13V19H11V13H5V11H11V5H13V11H19V13Z"></path></svg></a><ul id="nav-group-163" class="collapse"><li class="list-group-item nav-lvl2"><a href="/travel/news-announcements">Clinical Updates</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/icvp">ICVP</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/yellow-fever-vaccine-course">Yellow Fever Vaccine Course</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/cholera-travel-information">Cholera Information for Health Care Professionals</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/pre-travel-guide">Pre-Travel Quick Guide</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/vaccine-guide">Think Travel Vaccine Guide</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/patient-counseling">Patient Counseling</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/continuing-education">Training Courses</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/travel/page/yellowbook-home">CDC Yellow Book</a><a href = "#nav-group-309" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-309"><svg viewBox = "0 0 24 24" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><title>expand</title><path d = "M19,13H13V19H11V13H5V11H11V5H13V11H19V13Z"></path></svg></a><ul id="nav-group-309" class="collapse"><li class="list-group-item nav-lvl2"><a href="/travel/yellowbook/2024/table-of-contents" title="Table of Contents">Table of Contents</a><ul><li><a href="/travel/yellowbook/2024/table-of-contents#72" title="Section 1">Section 1</a><ul><li><a href="/travel/yellowbook/2024/introduction/disease-patterns-in-travelers/micronesia" title="Disease Patterns in Travelers">Disease Patterns in Travelers</a></li><li><a href="/travel/yellowbook/2024/introduction/why-guidelines-differ/micronesia" title="Perspectives: Why Guidelines Differ"><em>Perspectives</em>: Why Guidelines Differ</a></li><li><a href="/travel/yellowbook/2024/introduction/maps-and-travel-medicine/micronesia" title="Maps & Travel Medicine ">Maps & Travel Medicine </a></li><li><a href="/travel/yellowbook/2024/introduction/education-training/micronesia" title="Improving the Quality of Travel Medicine Through Education & Training">Improving the Quality of Travel Medicine Through Education & Training</a></li></ul></li></ul></li><li class="list-group-item nav-lvl2"><a href="/travel/page/yellow-book-about-2024">About CDC Yellow Book 2024</a></li><li class="list-group-item nav-lvl2"><a href="/travel/page/yellow-book-resources" id="nav-informationcenters">Resources - CDC Yellow Book 2024</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/travel/page/partners">Research and Surveillance</a><a href = "#nav-group-327" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-327"><svg viewBox = "0 0 24 24" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><title>expand</title><path d = "M19,13H13V19H11V13H5V11H11V5H13V11H19V13Z"></path></svg></a><ul id="nav-group-327" class="collapse"><li class="list-group-item nav-lvl2"><a href="/travel/page/travel-genomic-surveillance">Genomic Surveillance for SARS-CoV-2 Variants</a></li></ul></li><li class="list-group-item nav-lvl1"><a href="/travel/page/faq">Frequently Asked Questions</a><a href = "#nav-group-437" class="nav-plus nav-expandcollapse" data-toggle="collapse" aria-controls="nav-group-437"><svg viewBox = "0 0 24 24" xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink"><title>expand</title><path d = 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