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Last updated : Nov 2009
Nepal Health
Nepal 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 for travellers arriving within 6 days from infected areas.

2) With reference to the World Health Organization guidelines issued in 1973, a cholera vaccination certificate is not a condition of entry to Nepal. Cholera is a high risk in Nepal and precautions are very necessary. Updated medical advice should be sought before deciding whether these precautions should include vaccination, since medical opinion is divided over its effectiveness. For additional information, see the Health appendix.

3) Typhoid is common.

4) Malaria risks are present principally in the benign vivax form. Present throughout the year in remote areas of the Terai districts of Bara, Dhanukha, Kapilvastu, Mahotari, Parsa, Rautahat, Rupendehi, Sarlahi and particularly along the Indian border. The malignant falciparum form resistant to chloroquine has been reported from time to time.

Food and drink

All water is to be regarded as being contaminated. Water used for brushing teeth, making ice or drinking should first be boiled or sterilized. Milk is not pasteurized and should be boiled. Powdered or tinned milk is available but make sure that it is reconstituted with pure water. Avoid dairy products that are likely to be made from un boiled milk. Only eat well-done meat and fish, especially served hot. Pork, salad and mayonnaise carry increased risk. Vegetables should always be cooked and fruit always peeled.

Other risks

High altitude sickness is a hazard for trekkers and hikers, so it is essential to be in good health before travelling. Information is available at the Himalayan Rescue Association close to the Kathmandu Guest House, Thamel. It is recommended, especially while in remote regions, to carry a medical kit containing items like rehydration mixture for the treatment of severe diarrhea and ‘dry spray’ for bruises and cuts. Contact the Nepal Tourism Board for additional details. (see Contact section).

Giardiasis, diarrheas and dysentery are all usual. Japanese encephalitis exists in the southern lowland and rural regions. Hepatitis A, B and E are also present. Meningitis can also be found in the regions.

Visceral leishmaniasis has increased and trachoma is existent. Rabies also exists and for those at high risk, vaccination before arrival should be considered. If you are bitten, seek immediate medical advice. For additional information, see the Health appendix.

Health care

The available hospital for health care is Patan Hospital in Lagankhel. Others include the Mission Hospital in Tansen, the Manipal Hospital and the Western Regional Hospital in Pokhara.

Most hospitals have staff that can speak English and the major hotels provide doctors. Pharmacies in Kathmandu, principally along New Road, sell a great selection of Western drugs at low prices. In Kathmandu, you can get some vaccinations for free at the Infectious Diseases Clinic. Full medical insurance is very necessary.
Useful travel links
MASTA the Medical Advisory Services for Travellers
No jet lag all about jet lag. What is it who gets it
WHO the official site of the World Health Organization