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Last updated : Nov 2009
 
Tunisia Health
Tunisia Health - TravelPuppy.com
  Special Precautions Certificate Required
Yellow Fever Yes 1
Cholera Yes 2
Typhoid and Polio 3 No
Malaria No No
1. A yellow fever certificate is necessary from travellers over 1 year of age arriving from infected areas.

2. Following WHO guidelines issued in 1973, a cholera vaccination certificate is no longer a condition of entry into Tunisia. However, erratic cases of cholera do occur in this region and up-to-date advice should be sought before choosing whether these precautions should include vaccination, as medical opinion is divided over its effectiveness.

3. A vaccination against typhoid is advised.

Food & drink

Mains water is normally chlorinated, and whilst safe it could cause mild abdominal upsets. Bottled water is available and is recommended for the first few weeks of any stay. The drinking water outside of the main cities and towns may be contaminated.

Milk should be boiled when unpasteurised (if not commercially packed and processed). Powdered or tinned milk is available and is recommended but make sure that it is made with pure water. Avoid any dairy products which are expected to have been made from unboiled milk. Only eat well-cooked fish and meat, preferably served very hot. Salad and mayonnaise may carry a risk. Vegetables should be cooked and the fruit should be peeled. These precautions should include any western-style buffets.

Other risks

Dysenteries and diarrhoeal diseases are common in Tunisia.

Hepatitis A is present and hepatitis E is endemic in some areas and precautions should be taken.

Lassa fever occurs in the rural areas. Mediterranean spotted fever has been reported and Tungiasis is present.

Rabies is present and for those at high risk, vaccination before arrival should be considered. If you are bitten, please seek medical advice immediately.

Healthcare

Health insurance is recommended in Tunisia. The country has a well-developed, if somewhat limited, public health service, there are a few private 'polyclinics' available in the bigger towns, which function as hospitals and provide a range of procedures. Some of the doctors and hospitals expect immediate cash payments before any treatment.
Useful travel links
CDC official site of the US Centers for Disease Control
MASTA the Medical Advisory Services for Travellers
No jet lag all about jet lag. What is it who gets it
SOS international SOS
WHO the official site of the World Health Organization