Panama is well known for its excellent medical care, making it a recent hot spot for medical vacations.
Yellow fever vaccination is recommended for all visitors over 9 months of age travelling to the provinces of Darien, Kunayala (San Blas) and Panama, excluding the Canal Zone. Most countries require proof of yellow fever vaccination before permitting travelers to enter from Panama.
The U.S. Centers for Disease Control state that risk of malaria exists in rural areas of Bocas del Toro, Darién, and San Blas provinces; no risk in Panama City or in the former Canal Zone. NB: Chloroquine is no longer effective for San Blas Province.
Dengue fever is endemic, particularly in the province of Darien.
Tap water is safe in virtually all cities and towns, with the exception of Bocas del Toro, where bottled water is recommended.
Female travelers should be aware that the moisture and heat of the tropics can encourage yeast infections. 3-day and 5-day treatment courses are available in pharmacies, but must be purchased from the pharmacist.
There are many hospitals that can give tourists first class attention. Many can take international insurance policies, though your insurance company may require you to pre-pay and submit a claim form. Verify with your company prior to travel what the requirements are for filing a foreign claim, as you will not typically be provided with a detailed receipt (one that includes diagnosis and treatment codes) unless you ask for it. Here are some of the best ones in Panama City:
Farmacia Arrocha, a drugstore chain, has branches throughout the country. Gran Morrison department stores also often operate pharmacies.
The new 911 system is now operational for medical emergencies only. Most coverage is in and around Panama City. However, during major holidays or national festivals, 911 units are stationed around the country especially in Las Tablas, David, Chitre, and Santiago.
Medical evacuation flights are not as organized as in the EU, Canada, and the US. Until a dedicated helicopter emergency service is operational, the only choice for fast evacuation from the interior is to charter either a small plane or helicopter capable of holding a litter. Charges are billed to a credit card or paid in cash. Contact charter aircraft companies for a quotation. Typically, a medical flight on a small twin-engined plane from David to Panama City will cost $4,000. Helicopters are significantly more. A new private membership air medical transport service is now available. Tourist memberships are $10 for 90 days coverage.
Evacuation flights out of the country are normally provided by air ambulance services from Miami and range from $18,000 to over $30,000 depending on the patient's medical needs.
Travelers with a prior medical condition, or who are at risk, should check their insurance coverage for these flights. Do not assume that a credit card's travel insurance will cover the cost. Many only cover up to $1,000.
Personal cleanliness and sanitation: The bathrooms in even the most remote areas and smallest restaurants of the country are amazingly clean and well-kept. They far exceed most North American public facilities in this respect. In most areas, the standard practice is to throw toilet paper into the provided bin - not the toilet. Most remote areas do not have the proper septic systems to handle toilet paper waste. This is especially true along the Pacific and Caribbean coastal areas.
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