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Cuba Trip again
Mar 15, 2013

Hello Dr Young,

Last year you gave me good advises before I went to Cuba to visit my family, let me start to let you know that my cd4 are 759 and viral load is non-detected, I was going trhough a very bad depression few months ago but it got better due to therapy! so I feel great again and keep fighting this virus but here goes my question: Is it ok to go to Cuba with my cd4 lower than last year? What are the chances of me getting an infection there? I know Cuba is pretty safe country and nothing bad happened last year but I would like to know what would you recommend in case of diarreah, vomits and other risks. I am going to the capital (Havana) if that helps any and also in July that means that will be VERY HOT there . please help and I'll be waiting !!!

God Bless you Dr Young!!!

Daylet

Response from Dr. Young

Hi and nice to hear back from you.

Your CD4 count is normal, so I wouldn't expect your travel-related health risks to be substantially different that HIV-negative persons.

I'd be mindful of your risks of food borne diarrhea- this means avoiding raw fruits and veggies (I usually stick to ones that are cooked or that are freshly peeled) and drinking bottled or purified water. I really like using the Steripen UV sterilizer products for this purpose. They're simple to use, work and keep me with safe water wherever I travel (and that's a lot). This is going to be especially important in Havana, since it will be hot, and it's a good idea to drink plenty of water to avoid dehydration, especially if you have any kidney problems or IMHO are taking a tenofovir-containing regimen (which might cause kidney problems if you get remarkably dehydrated).

I usually recommend travelers be vaccinated for hepatitis A (and if indicated, hepatitis B).

I hope that helps. Buen viaje! BY



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