|1) A yellow fever vaccination
certificate is needed for travellers arriving within 6 days from
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.
meat and fish, especially served hot. Pork, salad and
mayonnaise carry increased risk. Vegetables should always be cooked
and fruit always peeled.
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.
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
||the Medical Advisory Services
||all about jet lag. What is it who gets it
||the official site of the World Health Organization