Make sure to check Travel Notices in Effect for this area.
The following vaccinations and health recommendations are taken from the
Center for Disease Control and Prevention, www.CDC.gov .
Recommended Vaccinations and Preventative Medications:
Required Vaccinations:
Health Risks:
Malaria is always a serious disease and may be a deadly illness.
Humans get malaria from the bite of a mosquito infected with the parasite. Prevent this serious disease by seeing your health care provider for a prescription antimalarial drug and by protecting yourself against mosquito bites.
All travelers to malaria-risk areas in Eastern Europe, including infants, children, and former residents of Eastern Europe, are at risk for malaria. Parts of the countries of Armenia, Azerbaijan, Georgia, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan have malaria risk. Travelers to malaria-risk areas in Armenia, Azerbaijan, Georgia, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan should take the antimalarial drug chloroquine to prevent malaria. In Uzbekistan, the risk of malaria is low and varies along its border with Tajikistan; travelers to Uzbekistan or their health care provider should contact CDC (Malaria Hotline, 770-488-7788) for risk and prevention advice.
There is no risk for malaria in Albania, Belarus, Bosnia/Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia, Hungary, Kazakhstan, Latvia, Lithuania, Macedonia, Moldova, Poland, Romania, Russia, Serbia/Montenegro, Slovakia (Slovak Republic), Slovenia, and Ukraine.
For additional information on malaria risk and prevention, see the CDC's Malaria Information for Travelers to the Eastern Europe and Northern Asia.
Yellow Fever:
There is no risk for yellow fever in Eastern Europe and Northern Asia. A certificate of yellow fever vaccination may be required for entry into certain of these countries if you are coming from countries in South America or sub-Saharan Africa. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements. Food and Waterborne Diseases:
Make sure your food and drinking water are safe.
Food and Waterbornee diseases are the primary cause of illness in travelers. Travelers’ diarrhea can be caused by viruses, bacteria, or parasites, which are found throughout Eastern Europe and can contaminate food or water. Infections may cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites), fever (typhoid fever and toxoplasmosis), or liver damage (hepatitis). The risk of hepatitis A can be high in parts of the region.
Other Disease Risks:
Tickborne encephalitis, a viral infection of the central nervous system occurs in the southern part of the nontropical forest belt in Europe and Asia (to Pacific Ocean). Most intense transmission has been reported in Russia, Czech Republic, Latvia, Lithuania, Estonia, Hungary, Poland, and Slovenia. Travelers are at risk who visit or work in forested areas during the summer months and who consume unpasteurized dairy products. Vaccine for this disease is not available in the United States at this time. A number of rickettsial infections also occur in this region. To prevent tickborne infections travelers should take precautions to prevent tick bites.
Other infections that tend to occur more often in longer-term travelers (or in immigrants from the region) include tuberculosis, hepatitis B, hepatitis C (especially in Romania), and cutaneous and visceral leishmaniasis in parts of Azerbaijan and Tajikistan.
Outbreaks of diphtheria have been reported in states of the former Soviet Union. There is a vaccine available to prevent diphtheria.
What you need to bring with you:
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Long-sleeved shirt, long pants, and a hat to wear whenever possible while outside, to prevent illnesses carried by insects
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Insect repellent containing DEET.
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Flying-insect spray to help clear rooms of mosquitoes. The product should contain a pyrethroid insecticide; these insecticides quickly kill flying insects, including mosquitoes.
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Sun Block, sunglasses, and a hat for protection from harmful effects of UV sun rays.
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Prescription medications: make sure you have enough to last during your trip, as well as a copy of the prescription(s) or letter from your health-care provider on office stationery explaining that the medication has been prescribed for you.
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Always carry medications in their original containers, in your carry-on luggage.
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Be sure to bring along over-the-counter antidiarrheal medication (e.g., bismuth subsalicylate, loperamide) and an antibiotic prescribed by your doctor to self-treat moderate to severe diarrhea.
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To stay healthy on your trip, make sure to:
- Wash your hands often with soap and water or, if hands are not visibly soiled, use a waterless, alcohol-based hand rub to remove potentially infectious materials from your skin and help prevent disease transmission.
- In developing countries, drink only filtered water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes.
- Take your malaria prevention medication before, during, and after travel, as directed. (See your health care provider for a prescription.)
- To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot, even on beaches.
- Protect yourself from mosquito insect bites:
- Wear long-sleeved shirts, long pants, and hats when outdoors.
- Use insect repellents that contain DEET (N, N-diethylmethyltoluamide).
- If no screening or air conditioning is available: use a pyrethroid-containing spray in living and sleeping areas during evening and night-time hours; sleep under bed nets, preferably insecticide-treated ones.
- If you are visiting friends and relatives in your home country, see additional special information about malaria prevention in Recent Immigrants to the U.S. from Malarious Countries Returning 'Home' to Visit Friends and Relatives on the CDC Malaria site.
Do not:
- Do not eat food purchased from street vendors or food that is not well cooked to reduce risk of infection (i.e., hepatitis A and typhoid fever).
- Do not drink beverages with ice.
- Avoid dairy products, unless you know they have been pasteurized.
- Do not swim in fresh water to avoid exposure to certain water-borne diseases such as schistosomiasis. (For more information, please see Swimming and Recreational Water Precautions.)
- Do not handle animals, especially monkeys, dogs, and cats, to avoid bites and serious diseases (including rabies and plague). Consider pre-exposure rabies vaccination if you might have extensive unprotected outdoor exposure in rural areas. For more information, please see Animal-Associated Hazards.
- Do not share needles for tattoos, body piercing or injections to prevent infections such as HIV and hepatitis B.
- Avoid poultry farms, bird markets, and other places where live poultry is raised or kept.
More detailed information on this region is available at www cdc.gov
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