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Last updated : Nov 2009
 
Indonesia Health
Indonesia Health - TravelPuppy.com
  Special Precautions Certificate Required
Yellow Fever No 1
Cholera Yes 2
Typhoid and Polio 3 N/A
Malaria 4 N/A
 
1) A yellow fever vaccination certificate is needed from travellers coming from infected areas. The countries and regions included in the yellow fever endemic zones are regarded by Indonesia as infected areas.

2) Following World Health Organisation guidelines issued in 1973, a cholera vaccination certificate is no longer needed as condition of entry to Indonesia. However, cholera is a severe risk and precautions are vital. Up-to-date advice should be sought before deciding if these precautions should include vaccination as medical opinion is divided over its effectiveness.

3) Typhoid is present. Poliomyelitis transmission has been stopped in Indonesia but in early 2005 several cases were detected.

4) Malaria exists throughout the year everywhere except in the main tourist resorts of Bali and Java, Jakarta municipality and other big cities where risk is minimal. The malignant form falciparum is highly resistant to chloroquine and resistant to sulfadoxine/ pyrimethane. The benign form vivax is said to be resistant to chloroquine in Irian Jaya, where mefloquine is recommended.

Food and drink

All water should be seen as a potential health risk. Water used for drinking, making ice or brushing teeth should have 1st been boiled or otherwise sterilised. Milk in Indonesia is unpasteurised and should always be boiled. Powdered or tinned milk is available and should be used, but make sure that it is reconstituted with pure water. Avoid dairy products that are made from un-boiled milk. Eat only well-cooked meat and fish, preferably served hot. Mayonnaise and salads may carry increased risk. Vegetables should always be cooked and fruit peeled.

Other risks

Amoebic and bacillary dysentery occurs.

Hepatitis A and E arise and hepatitis B is highly endemic.

Dengue fever, giardiasis, Japanese Encephalitis and Parityphoid can also occur. Tuberculosis and diphtheria vaccinations are sometimes advised. Bilharzia (schistosomiasis) is present in parts of central Sulawesi.

Avoid swimming in fresh water, the swimming pools which are well chlorinated and maintained are considered safe.

Rabies is present and for those at high risk, a vaccination before arrival should be considered. If you are bitten, seek immediate medical advice. For more information, consult the Health appendix.

Health care

Health insurance that includes emergency repatriation cover is strongly recommended. Adequate medical care is available in all major cities, but emergency services are usually inadequate outside major cities. Fees must be paid before leaving the hospital and although medical costs are comparatively cheap, drugs can be expensive.
Useful travel links
Indonesia-Health Indonesia health information
No jet lag all about jet lag. What is it who gets it
WHO Indonesia information on health in Indonesia