Activity Level 4:MODERATE-STRENUOUS
Participants should be able to ascend or descend 80 stairs consecutively, plus walk for at least 4 hours over some steep slopes, uneven, and potentially slippery surfaces without difficulty. Physical activities typically last for 4 or more hours at a time.
Entry & Exit Requirements
U.S. citizens must have a valid passport to enter Panama. Passports must be valid for at least three months after the date of entry.
A visa is not required for visits up to 180 days.
If you are not traveling with a U.S. passport, please check with the Panamanian Embassy for the requirements based on your nationality.
U.S. citizens entering Panama by commercial flight may be charged a $5 tourist fee if Holbrook does not make your air reservations.
Health Information
IMMUNIZATIONS
The Centers for Disease Control recommends that all travelers be up to date on routine vaccinations such as measles-mumps-rubella (MMR) vaccine, diphtheria-pertussis-tetanus vaccine, varicella (chicken pox) vaccine, and your yearly flu shot before every trip.
There are no vaccinations required for entry into Panama unless you are arriving from a country where yellow fever transmission is a risk.
Yellow fever is a risk in certain parts of Panama, primarily east of the area surrounding the Panama Canal. The CDC recommends the yellow fever vaccine if you are traveling to these areas. Consult your physician for more information.
Though not required, the CDC recommends inoculation against hepatitis A, hepatitis B, and typhoid for most unvaccinated travelers to Panama.
Please consult your physician for additional information and recommendations based on your individual circumstances.
MALARIA
The CDC warns that travelers to certain areas of Panama may be at risk for exposure to malaria. Malaria is caused by a parasite found in Anopheles mosquitos, which are active from dusk until dawn. There is no vaccine to protect against malaria. If you are visiting areas where malaria is present and choose to use an anti-malarial drug, as recommended by the CDC, see your doctor for a prescription. To protect against mosquitos, cover exposed skin with lightweight, long-sleeved shirts and pants, consider treating clothes with permethrin, and use an insect repellent containing an active ingredient like DEET or picaridin.
DENGUE FEVER & OTHER INSECT-BORNE ILLNESSES
Locally transmitted cases of dengue fever have been reported in Panama. Local transmission means that mosquitoes in the area have been infected with dengue and are spreading it to people. In addition, locally transmitted cases of Zika virus, leishmaniasis, and other insect-borne illnesses have previously been reported in Panama.
The CDC recommends that travelers to Panama protect themselves against insect bites. As a precaution, the CDC advises women who are pregnant to consider postponing travel to any area where Zika virus transmission is ongoing.
SUN EXPOSURE
The effects of the sun can be damaging to the eyes and skin. Spending time outdoors exposes you to the sun’s harmful ultraviolet (UV) rays, even on cloudy days. To protect yourself from the sun, use a broad spectrum sunscreen of at least SPF 15, protect skin with clothing, wear a wide-brimmed hat and sunglasses, and drink plenty of fluids.