Here is one that says it was updated on April 18/05
11. HEALTH CANADA'S TRAVEL MEDICINE PROGRAM
Health Canada and the World Health Organization report that the following diseases - among others - can occur in the Dominican Republic: dengue fever, hepatitis A, malaria (regional), tuberculosis, and typhoid fever.
Further information on these deseases is available and recommendations for travellers can be found on the Public Health Agency of Canada's Travel Medicine web site.
Canadians are advised to consult a physician or travel medicine specialist well in advance of travelling to determine health risks and necessary vaccinations. Important factors to be considered include the individual's state of health, current immunization status, and travel destination, as well as the local disease situation. Vaccinations and other special precautions may be required. For a list of travel medicine clinics, call Health Canada's Travel Medicine Program at 613-957-8739. Additional travel health information is available on Health Canada's Web site (
www.TravelHealth.gc.ca).
Travellers should ensure that their routine (childhood) immunizations (eg. tetanus, diphtheria, measles) are up-to-date. Yellow fever vaccination may be required to enter some countries. Based on the risk of exposure, vaccines for hepatitis A, typhoid fever, or other diseases may also be recommended. Several diseases occur globally. Sexually transmitted diseases(STDs), including HIV/AIDS and hepatitis B, occur throughout the world, and the traveller may be exposed to both viral and bacterial infection, particularly if engaging in unprotected sexual activity. Tuberculosis represents a significant risk at certain destinations. Influenza is also a concern, and immunization may be recommended depending on the destination and time of year. Rabies is found throughout the world and is uncontrolled in some areas; risk of exposure may be higher in remote areas. Traveller's diarrhea can be caused by viruses, bacteria, and parasites in contaminated food and water. Travellers are advised to ensure that food and drinking water are safe.
Infectious diseases not routinely seen in Canada occur and may even be widespread in other countries. Infections acquired abroad such as tuberculosis, diarrhea, STDs, among others, may be resistant to standard North American antibiotic regimens. Standards of medical care may differ from those in Canada. Treatment may be expensive and payment in advance required. Travellers are advised to arrange for medical insurance, including provision for emergency evacuation, prior to departure. Travellers should also carry their prescription medicine in the original container along with the prescription.
If you feel ill when you return to Canada, see a doctor as soon as possible. Inform the doctor - without being asked - where you have been. If you were ill while travelling, tell your doctor what your symptoms were and what treatment you received.
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12. LOCAL HEALTH INFORMATION
The Public Health Agency of Canada’s (PHAC) Travel Advisory on Reports of Malaria in the Dominican Republic states that no new cases of malaria have been reported in travellers from the Dominican Republic. PAHO continues to work in cooperation with the Ministry of Health in the Dominican Republic to continue to implement intensive measures to interrupt the transmission of malaria.
Foreign Affairs Canada is aware that there were a few isolated outbreaks of norovirus in some resort areas in Puerto Plata and Punta Cana. Following the initial reports of these outbreaks, the Pan American Health Organization (PAHO) confirmed that numerous public health measures were rigorously implemented. Cristal Americas, an internationally respected and independent quality assurance service, has also assured us that the necessary measures have been put in place to ensure that there is no repetition. The number of travellers reporting symptoms of gastrointestinal illness has returned to normal levels.
Do not drink tap water and avoid eating food from street vendors. Use anti-mosquito precautions.
Good to excellent medical facilities exist in all tourist areas. Medical care is limited in remote areas. Medical expenses can be very high. It is normal for clinics to require patients to sign an undertaking to pay agreement and to take a credit card impression as guarantee of payment prior to providing medical care. Any incidents of sickness or injury requiring hospitalization should be reported to the Canadian Embassy.
Bulldog :)
Here is the link...
http://www.voyage.gc.ca/dest/report-en.asp?country=77000
