org). Select safe transportation Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries. Walking Be smart when you are traveling on foot. Use sidewalks and marked crosswalks. Pay attention to the traffic around you, especially in crowded areas. Remember, people on foot do not always have the right of way in other countries. Riding/Driving Choose a safe vehicle. Choose official taxis or public transportation, such as trains and buses. Make sure there are seatbelts. Avoid overcrowded, overloaded, top-heavy buses and minivans. Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers. ) Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable. Choose larger vehicles, which may provide more protection in crashes.

Consider purchasing travel health and medical evacuation insurance for things your regular insurance will not cover. Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medicines you take. Bring copies of your prescriptions for medicine and for eye glasses and contact lenses. Some prescription drugs may be illegal in other countries.

Bat bites may be hard to see. All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately: Wash the wound with soap and clean water. Go to a doctor right away. Tell your doctor about your injury when you get back to the United States. Reduce your exposure to germs Follow these tips to avoid getting sick or spreading illness to others while traveling: Wash your hands often, especially before eating. If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol). Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean. Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.

Call Iceland’s embassy to verify that all of your prescription(s) are legal to bring with you. Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to. Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (www. jointcommissioninternational.

Do not use permethrin directly on skin. What type of insect repellent should I use? FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours. FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection. DEET Picaridin (also known as KBR 3023, Bayrepel, and icaridin) Oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD) IR3535 2-undecanone Always use insect repellent as directed.

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies. Follow these tips to protect yourself: Do not touch or feed any animals you do not know. Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth. Avoid rodents and their urine and feces. Traveling pets should be supervised closely and not allowed to come in contact with local animals. If you wake in a room with a bat, seek medical care immediately.

Hide Although Iceland is an industrialized country, bug bites here can still spread diseases. Just as you would in the United States, try to avoid bug bites while spending time outside or in wooded areas. What can I do to prevent bug bites? Cover exposed skin by wearing long-sleeved shirts, long pants, and hats. Use an appropriate insect repellent (see below). Consider using permethrin-treated clothing and gear if spending a lot of time outside.

What should I do if I am bitten by bugs? Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching. Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly. What can I do to avoid bed bugs? Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them.

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