Clients who have recently cleared customs here have reported processing delays of over an hour and all baggage has been searched. Consequently, one of our clients, when Sao Paulo-bound, stops at Manaus where customs processing is quick, then operates directly to Sao Paulo's other airport, Congonhas. While a non-customs airport, Congonhas is closer to the city and services are excellent. Since the approval process takes some time, we suggest applying through your agent well in advance should low visibility conditions be expected. Rebecca also advises the following secondary immunizations for those traveling more than three times per year to multiple international destinations.
Compliance can be an issue.
Please contact MedAire for specifics. An injectable form is recommended for those who cannot comply with the oral regimen. Influenza - yearly vaccine. Yellow Fever and Malaria - Travelers to infected areas should consider yellow fever immunization and malaria chemoprophylaxis. Or, health officials at your next stop my say that you were close enough to an infected area and inoculate you on the spot, possibly with unsterile, multiuse syringes.