All visitors arriving from infected areas require a proof of a yellow fever vaccination certificate.
B
A cholera vaccination certificate is no longer a requirement
of entering Iran according to WHO guidelines issued
in 1973. However, cholera presents a severe risk in Iran and
precautions are very necessary. The most recent advice should be sought
before deciding whether these precautions should include vaccination
as medical opinion is divided over its effectiveness.
C
Immunisation against typhoid is recommended.
D
Limited malaria risk occurs between March and November
in rural areas of the provinces of Sistan - Baluchestan, Hormozgan
and Kerman (tropical part), in some northern parts of the Zagros
mountains and in western and south western regions throughout
the summer months.
Resistance to chloroquine and sulfadoxine - pyrimethamine has
been reported in the malignant falciparum strain. The advised
prophylaxis is chloroquine in the vivax risk areas, chloroquine
plus proguanil in the falciparum risk regions.
Health care
Health facilities are limited in remote areas in Iran, and medical
insurance is vital.
Food and Drink
Water mains are generally chlorinated, and whilst
comparatively safe, may cause mild abdominal upsets. Bottled water
is found everywhere and is advised for the 1st few weeks of the stay.
Pasteurised milk is available, and unpasteurised
milk must be boiled. Powdered or tinned milk is available and
is advised, however ensure that it is reconstituted with pure
water. Avoid dairy products which are possible to have been made
from unboiled milk. Only eat well cooked fish
and meat, especially served hot. Salad and mayonnaise
may carry an increased risk. Fruit should be peeled and vegetables
must be cooked.
Other risks
Bilharzia (otherwise known as schistosomiasis)
still exists in south western Iran. It is advised to avoid swimming
and paddling in stagnant water, but swimming pools which are well
chlorinated and maintained are OK. Diarrhoeal diseases such as giardiasis, dysentery and typhoid
fever are normal. Tick borne relapsing fever, cutaneaous leishmaniasis
and hepatitis A and B also occur and trachoma is reported to be
general.
Rabies still exists, therefore for those at high
risk, vaccination before arrival should be considered. Please immediately seek medical advice if you
are bitten.
