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A number of popular tourist destinations in Costa Rica are at high enough elevations that Acute Mountain Sickness and Altitude Sickness are a concern. Some are even high enough that potentially fatal High Altitude Pulmonary Edema and High Altitude Cerebral Edema are possible.
 This shaded relief map shows just how mountainous Costa Rica really is (NASA space shuttle imagery) There’s no reason to panic if you notice that Volcán Irazú is on your tour itinerary and listed as a “Very High Altitude”. People who are at elevation for short periods of time experience what are described as hangover-like symptoms and simply returning to lower elevation relieves them. If you’re planning an extended trek in Chirripó National Park or a stay at one of the Biological Stations around Cerro de la Muerte you should probably educate yourself about altitude related illnesses.
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