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Marina made an appointment with an epidemiologist in St. Paul and got a ten-year vaccine for yellow fever and a tetanus shot.
Only two shots and the MC is complaining about a sore arm ... that is so sweet. If her colleague has taken the same precautions before venturing to the Amazon, it is no wonder he has died of a fever.
I guess Ann Patchett couldn´t be bothered to mention all the horrible diseases that you can get in an inhospitable enviroment like the rain forest, but she still could have hinted at them.