ADVICES
- Global Measles Notice – July 23, 2019
ROUTINE VACCINES
Be sure that your routine vaccines, as per your province or territory, are up-to-date regardless of your travel destination.
Some of these vaccines include: measles-mumps-rubella (MMR), diphtheria, tetanus, pertussis, polio, varicella (chickenpox), influenza and others.
VACCINES TO CONSIDER
You may be at risk for these vaccine-preventable diseases while travelling in this country. Talk to your travel health professional about which ones are right for you.
Hepatitis A is a disease of the liver spread through contaminated food and water or contact with an infected person. All those travelling to regions with a risk of hepatitis A infection should get vaccinated.
Hepatitis B is a disease of the liver spread through blood or other bodily fluids. Travellers who may be exposed (e.g., through sexual contact, medical treatment, sharing needles, tattooing, acupuncture or occupational exposure) should get vaccinated.
Seasonal influenza occurs worldwide. The flu season usually runs from November to April in the northern hemisphere, between April and October in the southern hemisphere and year round in the tropics. Influenza (flu) is caused by a virus spread from person to person when they cough or sneeze or by touching objects and surfaces that have been contaminated with the virus. Get the flu shot.
Measles is a highly contagious viral disease. It can spread quickly from person to person by direct contact and through droplets in the air.
Anyone who is not protected against measles is at risk of being infected with it when travelling internationally.
Regardless of where you are going, talk to a health care professional before travelling to make sure you are fully protected against measles.
Rabies is a deadly illness spread to humans through a bite, scratch or lick from an infected animal. Vaccination should be considered for travellers going to areas where rabies exists and who have a high risk of exposure (e.g., are children, have an occupational risk, or in close contact with animals, including free roaming dogs in communities).
Risk
- Tick-borne encephalitis is present in some areas of this country.
- It is a viral disease that affects the central nervous system (brain and spinal cord).
- It is spread to humans by the bite of infected ticks or when you consume unpasteurized milk products.
Recommendation
- Vaccination should be considered for those who may be exposed to ticks during outdoor activities.
- A vaccine against TBE does exist but is only available in countries where the disease is present.
- Learn more on what you can do to prevent tick-borne encephalitis (TBE)?
Yellow fever is a disease caused by a flavivirus from the bite of an infected mosquito.
Travellers get vaccinated either because it is required to enter a country or because it is recommended for their protection.
Risk
- There is no risk of yellow fever in this country.
Country Entry Requirement*
- Proof of vaccination is required if you are coming from a country where yellow fever occurs.
Recommendation
- Vaccination is not recommended.
- Discuss travel plans, activities, and destinations with a health care professional.
- There is currently a shortage of the yellow fever vaccine in Canada. It is important for travellers to contact a designated Yellow Fever Vaccination Centre well in advance of their trip to ensure that the vaccine is available.
About Yellow Fever
Yellow Fever Vaccination Centre
* It is important to note that country entry requirements may not reflect your risk of yellow fever at your destination. It is recommended that you contact the nearest diplomatic or consular office of the destination(s) you will be visiting to verify any additional entry requirements.
FOOD AND WATER-BORNE DISEASES
Travellers to any destination in the world can develop travellers’ diarrhea from consuming contaminated water or food.
In some areas in Southern Europe, food and water can also carry diseases like hepatitis A. Practise safe food and water precautions while travelling in Southern Europe. When in doubt, remember…boil it, cook it, peel it, or leave it!
- Travellers’ diarrhea is the most common illness affecting travellers. It is spread from eating or drinking contaminated food or water.
- Risk of developing travellers’ diarrhea increases when travelling in regions with poor standards of hygiene and sanitation. Practise safe food and water precautions.
- The most important treatment for travellers’ diarrhea is rehydration (drinking lots of fluids). Carry oral rehydration salts when travelling.
INSECTS AND ILLNESS
In some areas in Southern Europe, certain insects carry and spread diseases like Crimean-Congo hemorrhagic fever, leishmaniasis, Lyme disease, tick-borne encephalitis and West Nile virus.
Travellers are advised to take precautions against bites.
Crimean-Congo haemorrhagic fever is a viral disease that typically causes fever, bleeding under the skin, and pain. Risk is generally low for most travellers. It is spread to humans though contact with infected animal blood or bodily fluids, or from a tick bite. Protect yourself from tick bites and avoid animals. There is no vaccine available for Crimean-Congo haemorrhagic fever.
MALARIA
There is no risk of malaria in this country.
ANIMALS AND ILLNESS
Travellers are cautioned to avoid contact with animals, including dogs, monkeys, snakes, rodents, birds, and bats. Some infections found in Southern Europe, like rabies, can be shared between humans and animals.
PERSON-TO-PERSON INFECTIONS
Crowded conditions can increase your risk of certain illnesses. Remember to wash your hands often and practice proper cough and sneeze etiquette to avoid colds, the flu and other illnesses.
Sexually transmitted infections (STIs) and HIV are spread through blood and bodily fluids; practise safer sex.
MEDICAL SERVICES AND FACILITIES
Good health care is limited in availability. Quality of care varies greatly throughout the country.
Access to medical equipment, pharmaceuticals, and specialists is limited. It is best to avoid government hospitals, which often lack basic drugs and equipment and have poor hygiene standards.
Make sure you get travel insurance that includes coverage for medical evacuation and hospital stays.
Travel health and safety
KEEP IN MIND…
The decision to travel is the sole responsibility of the traveller. The traveller is also responsible for his or her own personal safety.
Be prepared. Do not expect medical services to be the same as in Canada. Pack a travel health kit, especially if you will be travelling away from major city centres.
