Medical Recomendations

This section is provided by our Medical Director, Eric Miller.  Read the following and if you still have questions, feel free to contact him (details at the bottom of this page).


The Centers for Disease Control recommends the following immunizations for those traveling to Haiti. Contact your primary health care provider or local Health Department for immunizations prior to traveling.  It is important to note for immunizations to be effective you must be vaccinated 14-30 days prior to travel.

  • Hepatitis A: Recommended for all travelers >1 year of age not previously immunized against hepatitis A.
  • Hepatitis B: Recommended for all non-immune travelers at potential risk for acquiring this infection. Hepatitis B is transmitted via infected blood or bodily fluids. Travelers may be exposed by needle sharing and unprotected sex; when receiving medical or dental injections, or transfusions; by direct contact between open skin lesions. Recommended for any traveler requesting protection against hepatitis B infection. – MTB Ayiti will be providing American field medics for the duration of the event, and will take all possible precautions to offer medical support that meets and exceeds the level you would receive in US-based races.
  • Influenza: Vaccination recommended for all travelers >6 months of age who have not received a flu shot in the previous 12 months.
  • Rabies: Recommended for travelers spending time outdoors in rural areas where there is an increased the risk of animal bites. Children are considered at higher risk because they tend to play with animals and may not report bites. Pre-exposure vaccination eliminates the need for rabies immune globulin in the event of a high-risk animal bite, but does not eliminate the need for treatment with the vaccine.
  • Routine Immunizations: Immunizations against tetanus-diphtheria, measles, mumps, rubella (MMR vaccine) and varicella (chickenpox) should be updated, if necessary, before departure. MMR protection is especially important for any female of childbearing age who may become pregnant.
    • The new Tdap vaccine, ADACEL, which also boosts immunity against pertussis (whooping cough) should be considered when a tetanus-diphtheria booster is indicated.
  • Typhoid: Recommended for all travelers with the exception of short-term visitors who restrict their meals to major restaurants and hotels, such as business travelers and cruise passengers.
  • Yellow Fever: Yellow fever vaccination is required for all travelers arriving from any country in the yellow fever endemic zones, but is not recommended or required otherwise.
  • The CDC also recommends precautions against malaria, dengue, tuberculosis, anthrax and HIV, but there are no vaccines for these diseases.
    • Mosquitos are the primary vectors of transmission for malaria and dengue fever. Use repellent to reduce risk of exposure.


The Cholera outbreak in Haiti made national news a year ago. The risk of contracting Cholera is extremely low per the CDC. The latest information from CDC is from June 2011 since there have been no outbreaks since before this time. To minimize risk the same precautions one would take to limit the risk of travelers’ diarrhea is the same for those avoiding Cholera:

  • Drink and use safe water. – MTBAyiti will be supplying bottled and filtered water for the race and meals
  • Wash your hands often with soap and safe water. Bring antiseptic handwash and use it frequently
  • Use latrines or bury your feces; do not defecate in any body of water – MTB Ayiti will be staying in hotels and tent villages where port-o-lets will be provided!
  • Cook food well, keep it covered, eat it hot, and peel fruits and vegetables – MTB Ayiti will be organizing nearly all meals for participants.

MTBAyiti will have a comprehensive health briefing upon arrival in Haiti.  If there are any questions regarding personal medical conditions, medical treatment, or other health related matters please contact Eric Miller, RN – MTBAyiti Medical Director at 719-320-2521 or

Click here for more details from the CDC Haiti website


It is never a pleasant subject to discuss the possibility of a major medical event, whether it be in the US or abroad. MTBAyiti’s medical team is in place and partnering with Global DIRT to ensure everyone’s safety in case of a medical event during our stay in Haiti. While a major medical event is remote we have put in place every contingency for care for most medical/trauma issues. If a medical problem becomes to complicated and requires medical evacuation by private air ambulance back the the US the costs can exceed $40-50,000 USD. This costs can be avoided with a simple medical evacuation plan for a very reasonable rate. MTBAyiti has teamed with Medjet Assist to provide medical evacuation from Haiti back to the United States. Please see the information and pricing regarding the medical evacuation policy. We recommend the 8-day stay policy. If you travel over 150 miles from your home or have family traveling a lot you may consider a longer term plan to include family. Please see the information below.

Please contact Eric Miller, MTBAyiti Medical Coordinator regarding any questions on this program or the medical care in Haiti. Eric 719-320-2521

MTB Ayiti has negotiated a group discount for emergency medical flights in the event of a serious injury or illness. Each participant must sign up for an individual plan, if you wish to be covered.   While not required, we encourages the purchase of at least a short term 8 day plan to cover the race time period.  A medical evacuation from Haiti to the US can cost over $40,000.  Click here to learn more about MedJet Assist and to sign up.

Short-Term Membership Program

In addition to annual memberships, MedjetAssist offers short-term programs* for residents of the United States, Canada and Mexico up to age 75, with travel protection provided 24 hours a day during the selected travel period. If you’re ever hospitalized more than 150 miles from home, MedjetAssist will arrange medical transfer to the hospital of your choice. No travel insurance, assistance plan or platinum-card program offers travel protection as comprehensive and unrestrictive as MedjetAssist.

  • Individual Family
  • 8-Day Travel Protection $99.00 $185.00
  • 15-Day Travel Protection $125.00 $235.00
  • 21-Day Travel Protection $165.00 $295.00
  • 30-Day Travel Protection $195.00 $365.00
  • Regular Annual Membership $260.00 $395.00

No health questions, deductibles or claim forms are required.
Air-medical transport services only require that you be hospitalized as an inpatient and need hospitalization upon reaching your destination.
No dollar limit.

*Benefits for short-term membership begin at 12:01 AM morning of effective date and expire 11:59 PM evening of expiration date. Membership must be activated prior to departure from your primary residence.

  • Annual Membership $260.00
  • Family Membership $395.00
  • Short-Term Membership Starting At $99.00
  • Domestic Individual Membership $185.00
  • Domestic Family Membership $315.00

Benefits of Medjet Membership
Worldwide Air-Medical Transport
When a member becomes hospitalized as an inpatient due to an illness or injury while traveling 150 miles or more from home, either within or outside the contiguous United States, MedjetAssist will arrange air-medical transport services to the hospital of the member’s choice by a MedjetAssist authorized affiliate.

Medical Referrals
MedjetAssist representatives will provide contact information for doctors and hospitals in the area in which the member is traveling. Telephone interpretation can also be provided when necessary. The selection and payment of the medical provider remain the member’s responsibility.

Medical Monitoring/Consultation
As soon as MedjetAssist is notified of a member’s medical situation, the medical staff will establish communication with both the family and the local attending medical provider, obtain a full understanding of the situation and begin to monitor the member’s condition. Medical professionals will stay in communication with the local medical personnel and relay necessary information to the member and his or her family or employer until the situation is resolved, and the member is either able to resume travel or a medical transfer is initiated.

Telephone Interpretation
Members can receive travel assistance with foreign-language interpretation over the telephone when they are having difficulty communicating with local medical specialists by calling our toll-free number (800-963-3538 or call 205-595-6626 in the U.S., Canada or the Caribbean) or calling collect from anywhere in the world.

Emergency Message Relay
Members may send and receive emergency messages to and from relatives, friends and business associates toll free, 24 hours a day, through the MedjetAssist staff.

Legal Referrals
MedjetAssist provides contact information for certified attorneys in the areas in which these members are traveling. Telephone interpretation can be provided when necessary. The selection and payment of the attorneys are the responsibility of the members.

Visa, Passport and Immunization Requirements
MedjetAssist will provide information regarding visa, passport and immunization requirements for foreign countries to which members will be traveling. For an additional cost, members may also receive services such as expedition or replacement of lost or stolen visas and passports.

Travel, Health and Safety Precautions
In addition to providing travel, health and safety precautions for international destinations, members may also receive comprehensive pre-travel medical consultations.

Transfer of Mortal Remains
In the unfortunate event of a member’s death while traveling 150 miles or more from home, MedjetAssist will arrange and pay for all necessary government authorization, provide a container appropriate for transportation and return the remains to the member’s place of residence for burial.