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Last updated : Nov 2009
Philippines Health
Philippines Health - TravelPuppy.com
  Special Precautions Certificate Required
Yellow Fever No 1
Cholera 2 No
Polio and Typhoid 3 1
Malaria 4 N/A
 
1: Proof of a vaccination certificate for yellow fever or typhus is needed from visitors over 1 year of age arriving within 6 days from any infected areas. A vaccination certificate is also needed by those arriving from small pox or plague infected areas.

2: Following World Health Organization guidelines, a cholera vaccination certificate is not a condition of entry to the Philippines except for the visitors arriving from infected areas. Cholera is a risk in the Philippines and precautions are necessary. Advice should be sought before deciding whether these precautions should include vaccination, as medical opinion is divided over its effectiveness.

3: Vaccination against typhoid is recommended.

4: The risk of malaria exists in areas below 600 metre's throughout the year. Exceptions include the Provinces of Bohol, Catanduanes, Cebu and Manila. There are no risks in urban areas or in the plains. The malignant falciparum strain still occurs and apparently is resistant to chloroquine.

Food and drink

Water should always be boiled or sterilised before drinking, brushing teeth or making ice. Milk is not pasteurised and should also be boiled before consuming. Powdered milk or tinned is available and is advised but reconstitute with pure water. Avoid dairy products made from un boiled milk. Meat and fish should be served hot and well-cooked. Pork, salad and mayonnaise carry risk. Fruits should be peeled and vegetables should be cooked.

Other health risks

Bilharzia (schistosomiasis) is always present in the southern regions. Do not swim and paddle in stagnant fresh water. Maintained and chlorinated swimming pools are safe. Dengue and filariasis are present and carried by insects. Hepatitis B still exists and Hepatitis A is present. Japanese Encephalitis rarely occurs in western Luzon, Mindoro and Palawan between April and November and throughout the year in other areas, with the highest risk between April and January. Chikungunya fever is regular in urban areas of the central islands such as Manila. A type of Gonorrhea resistant to penicillin is common, especially in Manila and Cebu City.

Rabies is endemic and for those at high risk, a vaccination before arrival should be considered. Seek medical treatment if you are bitten.
Health care: There is no reciprocal agreement with the UK and health insurance is essential. About 3-quarters of the hospitals are private.
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