Q: What immunizations are required?
A: The most comprehensive source of information on immunizations and travel health is the Center for Disease Control's website at http://www.cdc.gov/travel/ . This site provides recommendations for travel to South America as well as detailed information on specific diseases. Also refer to the Healthy Travel guide that WorldTeach will send you when you confirm your participation in the program. You must consult your doctor or a travel health specialist about immunizations and other health needs. Please understand that WorldTeach staff are not qualified to give medical advice. All we can do is tell you what immunizations are usually recommended for travel to Ecuador - only your doctor can give you specific medical advice.
There is risk of malaria in Ecuador's coastal and lowland regions. Malaria is a serious mosquito-borne disease that can be fatal. See the CDC website for the latest information. If you will be teaching in, or might want to travel to, the coastal regions of Ecuador you should discuss malaria medications with your doctor. Some volunteers get a prescription in the U.S. but actually buy the drugs in Ecuador. Others get a limited supply (eg. one month's worth) of the medication before departure and then buy further pills as needed in Ecuador.
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Q: What if a volunteers gets sick? Are there doctors and hospitals?
A: Adjusting to a new environment, diet, and climate places demands on your body and health. Living in a new culture and taking on new professional responsibilities will be tiring. You will get sick at certain times; it is unavoidable. But you will also learn how to look after yourself, maintain your health, and seek treatment for sickness.
Ecuador has adequate medical facilities. In Quito there is a good hospital with specialist doctors. In other cities there are doctors, clinics, and, in larger cities, provincial hospitals. During orientation you will be introduced to an English-speaking doctor and shown where the hospital is in Quito. Your Field Director will also give advice on health and safety while living in Ecuador.
Medication is very available in Ecuador. No prescriptions are required for most medications; anti-depressants and sleeping pills are the exceptions. Birth control pills are available, although they may not be the exact same brands as in the U.S. If a brand of a drug is not sold in Ecuador, most pharmacies can match the percentage of each ingredient in the drug to come up with something compatible. It is wise to consult your doctor about your prescriptions well in advance of departure. If you require a specific brand of a drug it may be best to take a summer's supply with you.
As a WorldTeach volunteer you will have health insurance coverage that includes emergency medical evacuation insurance. For medical expenses such as doctors' visits, prescribed medicines, etc. you pay up front, keep the receipt, and then file a claim to get reimbursed by the insurance company. All volunteers are covered under the WorldTeach group insurance policy; it is not optional. The policy has been designed specially with WorldTeach volunteers in mind. If you have a pre-existing health condition that may require further treatment you should consider maintaining your own health insurance coverage as well. You will be sent the health insurance policy description when you are accepted as a volunteer.
Q: Is it safe?
A: While there is always some level of risk involved in traveling and living in a developing country, WorldTeach pays close attention to US State Department and Embassy advice and does not place volunteers in any area considered dangerous. Many people visit Ecuador every year as tourists, students, or on business.
Ecuador is a developing country with severe economic difficulties that can give rise to social inequalities and tensions. Strikes and demonstrations are fairly common in Ecuador as groups of people express their political and economic demands. Volunteers are advised to avoid demonstrations. Risk of theft is present and rising in Ecuador (as it is everywhere, in your hometown too!) and you will need to take sensible precautions to look after your personal belongings. Do not take any belongings that you are not prepared to lose, and do not draw attention to expensive items. There are active volcanoes in Ecuador, but they are carefully monitored so that warnings can be given if activity might require evacuation from the vicinity. As in most countries, road accidents actually pose the greatest risk. You will need to use common sense, be responsible for yourself and aware of your surroundings, and travel with other people wherever possible. Your host family and community will know you and look out for your safety. Your Field Director will discuss safety and health during orientation. All volunteers will be registered with the appropriate Embassy in Quito in case of a national emergency. WorldTeach has a 24-hour communication system and an emergency evacuation plan for the country.