1)
Proof of a yellow fever vaccination certificate
is required by travellers arriving from infected areas.
2) The World Health Organization (WHO) guidelines issued in 1973,
established that a cholera vaccination certificate
is no longer a condition of entry to Cambodia. However, cholera
still presents a serious risk in this country and precautions are
essential. Cholera outbreaks occur occasionally. Expert medical
advice should be sought before deciding whether these precautions
should include vaccination as medical opinion is divided over its
effectiveness. Refer to the Health appendix for
further information.
3) Immunisation against typhoid fever is recommended.
Polio vaccination should be current.
4) The risk of contracting malaria exists all year
outside the capital. The malignant falciparum strain
predominates and is highly resistant to chloroquine. Resistance
to mefloquine has been reported from the western provinces. Consult
your health expert.
Food and drink
All water should be regarded as contaminated. Water for drinking,
making ice or brushing teeth should first be boiled or sterilised.
Milk is usually unpasteurised and must be boiled. Powdered or
canned milk is available, but must be sure that it is reconstituted
with pure water. Avoid dairy products that have been made from un
boiled milk. Only eat well-cooked fish, pork and meat, preferably
served hot. Salads and mayonnaise may carry increased risks. Fruits
should be peeled and vegetables cooked.
Other health risks
Bilharzia (schistosomiasis)
is present. Avoid swimming and paddling in fresh water. Swimming
pools which are well chlorinated and maintained are considered safe.
Dysentery, typhoid fever, giardiasis
and dengue fever are common throughout Cambodia.
Hepatitis A is also common and hepatitis
B is hyper endemic.
Japanese encephalitis usually occurs in the rural areas
from the months of May to October and is also common in the highlands.
Rabies. For those at high risk a vaccination
before arrival to Cambodia should be considered. If you are bitten,
seek immediate medical advice. For more information consult the
Health appendix.
Health Insurance
Doctors and hospitals expect cash payments for any type of treatment.
Health insurance, including emergency evacuation
insurance, is absolutely essential.
