homeIndia travel guide > India health
India guide
Regions
Traveler café 
Travel directory
 
Last updated : Nov 2009
India Health
India Health - TravelPuppy.com
  Special Precautions Certificate Required
Yellow Fever Yes 1
Cholera Yes 2
Typhoid and Polio 3 N/A
Malaria 4 N/A
 
1. Any person (including infants older than six months) arriving by air or sea from an infected country must acquire a yellow fever certificate. Those countries that are considered infected are all African countries (except Botswana, Djibouti, Algeria, Egypt, Lesotho, Eritrea, Libya, Malawi, Mauritania, Morocco, Namibia, Mozambique, South Africa, Swaziland, Tunisia and Zimbabwe) and all South American countries (except Chile, Argentina, Uruguay and Paraguay). When a case of yellow fever is reported from any country, that country is regarded by the Indian Government as being infected.

2. Following WHO guidelines issued in 1973, a cholera vaccination certificate is not required to enter India. However, cholera is a very serious risk in this country and precautions are highly recommended. Current advice should be sought before deciding whether these precautions should include getting a vaccination, as medical opinion is divided over its effectiveness.

3. Poliomyelitis is widespread. Immunization is recommended.

4. Malaria risk exists, primarily in the benign vivax form, throughout the year all over the country below 2,000 metres excluding parts of the states of Jammu and Kashmir, Himachal Pradesh, and Sikkim. Resistance to chloroquine is reported in the malignant falciparum form.

Food & drink

All water should be considered as being potentially contaminated. Well water near the Ganges and in West Bengal may show traces of arsenic chemical. Water for drinking, brushing teeth or making ice should first be boiled or otherwise sterilized. Milk isn't pasteurized and boiling is advised. Powdered or tinned milk is available and is recommended, but should be reconstituted with pure water. Avoid dairy products that are likely to have been produced with un boiled milk. Only eat well-done meat and fish, preferably served hot. Pork, salad and mayonnaise may carry high risk. Fruit should be peeled and vegetables cooked.

Other risks

Visceral leishmaniasis is prevalent in rural areas of eastern India. Cutaneous leishmaniasis arises in Rajasthan. Filariasis is common in all of India and sandfly fever is increasing. An outbreak of plague occurred in 1994 and was controlled by adequate government intervention.

Tick-borne relapsing fever is reported, as is typhus, also, outbreaks of haemorrhagic dengue fever have arised in eastern India. Tick-borne haemorrhagic fever has occurred in the forest areas in Karnataka State. Hepatitis A and E are common and Hepatitis B is endemic.

Outbreaks of Japanese encephalitis occur, mainly in eastern coastal areas. Meningococcal meningitis is present in Delhi from November to May. Vaccination is recommended.

Rabies is present. For persons at high risk, vaccination prior to arrival should be considered. If you are bitten, seek medical advice quickly.

Note

All visitors aged between 18 and 70 years old who wish to extend their visa for 1 year or more are required to take an HIV test.

Health care

Health care facilities are limited and it's strongly recommended for travellers to obtain full medical insurance prior to arrival in India. It is recommended to bring specific medicines from the UK. State-operated facilities are available in all towns and cities and private consultants and specialists in urban areas.

On leaving India

Visitors leaving for countries, which have health restrictions on arrivals from India, are required to posses of a valid certificate of inoculation and vaccination.
Useful travel links
India-Healthcare information about health care regulations in India
MASTA Medical Advisory Services for Travellers
Ministry Of Health-India ministry of health and family welfare-India
No jet lag all about jet lag. What is it and who gets it
SOS international SOS
WHO the official web site of the World Health Organization