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Eleven United States presidents and three presidents-elect have made thirty-four presidential visits to Central America. The first visit by an incumbent president to a country in Central America was made in 1906 by Theodore Roosevelt. The trip, to Panama, was the first international presidential trip in U.S. history, and signaled the start of a new era in how presidents conducted diplomatic relations with other countries. In 1928, Herbert Hoover, during the time when he was president-elect, visited the region during his historic “good will” trip, to Central and South America.
The number of visits made to each country in the region are: nine to Panama, seven to Costa Rica, five to El Salvador, four to Honduras, three to Guatemala, and three to Nicaragua. Belize has not been visited by an American president.