Good posts here. I agree that anyone who travels should be updated on DT, Hep A and B, flu shot. As far as anything in the Caribbean, that is really all you need.

Some of the areas on a Panama Canal cruise are malarial areas, however, according to the CDC you don't need anti-malarial meds when you are just visiting an area for a day. At least that is what they said when I worked for the Red Cross blood donations until 2003. I have never brought by vaccination record along on any trip, except to Thailand. Have never had a need for it. I did need to get a typhoid shot for Thailand. In nursing school it was a series of 3 and I got progressively sick with each, so wasn't looking forward to getting it again. Was pleasantly surprised to find I only needed one shot and I never had any reaction. (that was for Thailand).

It is always good to check with your doctor (although they are not often aware of what is needed for travel but are famaliar with your medical history and can advise you). I checked with the CDC on line, our public health dept., and the travel specialty clinic in our area.

Register At CruiseLineFans.com For Free