Find Us

Haiti Trip Application

Haiti Trip Application

Church Involvement

CHURCH INVOLVEMENT

Are you a member of HPUMC?*

Personal Information

Please tell us a little about yourself.

Trip Information

TRIP INFORMATION

Due to the current conditions in Haiti, we would like for you to acknowledge that you are aware of the following before committing to travel to the country.

Travel Advisory*

The US State Department has issued a travel warning for Haiti, discouraging Americans from traveling to and from the country. The state department travel advisory can be found at: http://travel.state.gov/content/passports/english/alertswarnings/haiti-travel-warning.html. Please check "I understand" if you acknowledge that you were made aware of this warning.

Outbreak Warning

Haiti is experiencing an outbreak of Cholera. When traveling, eating, drinking, brushing your teeth and showering in Haiti, you run the risk of contracting Cholera through the water, and there is also risk of occupational exposure in medical and other mission settings. HPUMC requires that you bring with you a full dosage of antibiotic treatment to be used in case of infection. CDC recommendations can be found at: http://www.cdc.gov/cholera/treatment/antibiotic-treatment.html. Please check "I understand" if you acknowledge that you were made aware of this outbreak.

Outbreak Warning*

Haiti is experiencing an outbreak of the mosquito borne Zika virus. There is not a vaccine to treat or prevent Zika. While the virus is not deadly, it is known to cause serious birth defects for pregnant women. More information can be found at: http://www.cdc.gov/zika/. Please check "I understand" if you acknowledge that you were made aware of this outbreak.

Immunizations*

The US State Department recommends that all travelers to Haiti be up to date on routine vaccinations before traveling (measles-mumps-rabies, diphtheria-tetanus-pertussis, chickenpox, polio and annual flu shot). In addition, HPUMC requires all travelers to receive Hepatitis A and B and Typhoid vaccinations and to take Malaria medication as directed by your doctor. CDC recommendations for travel to Haiti can be found at: http://wwwnc.cdc.gov/travel/destinations/traveler/none/haiti. Please check "I understand" if you acknowledge that you were made aware of these requirements.

Bloodborne Diseases*

There is a risk of occupational exposure to disease when working in medical, construction and other mission field environments. This may include exposure to HIV, Hepatitis, STDs, TB, etc. The risk of exposure to bloodborne pathogens is greatest for those working in the OR. If you choose to serve in the surgical area (not required), HPUMC requires that you travel with HIV PEP (Post Exposure Prophylaxis) medication to last the duration of the trip. In case of needle stick or other exposure we require that you agree to comply with HPUMC’s “Bloodborne Pathogen Post Exposure Protocol.”