- Global Measles Notice – July 23, 2019
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.
Japanese encephalitis is a viral infection that can cause swelling of the brain. It is spread by the bite of an infected mosquito. Risk is low for most travellers. Vaccination should be considered for those who may be exposed to mosquito bites (e.g., spending a large amount of time outdoors) while travelling in regions with risk of Japanese encephalitis.
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).
- 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.
- 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.
- There is no risk of yellow fever in this country.
Country Entry Requirement*
- Proof of vaccination is not required to enter this country.
- Vaccination is not recommended.
About Yellow Fever
Yellow Fever Vaccination Centres in Canada
* 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 Eastern Europe, food and water can also carry diseases like hepatitis A. Practise safe food and water precautions while travelling in Eastern 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 Eastern Europe, certain insects carry and spread diseases like Crimean-Congo hemorrhagic fever, 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.
Zika virus infection is a risk in this country. The mosquito that spreads the virus is found here.
All travellers should protect themselves from mosquito bites and other diseases spread by insects.
There is no risk of malaria in this country.
ANIMALS AND ILLNESS
Travellers are cautioned to avoid contact with animals, including dogs, snakes, rodents, and bats. Certain infections found in Eastern Europe, like rabies, can be shared between humans and animals.
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.
Tuberculosis is an infection caused by bacteria and usually affects the lungs.
For most travellers the risk of tuberculosis is low.
Travellers who may be at high risk while travelling in regions with risk of tuberculosis should discuss pre- and post-travel options with a health care professional.
High-risk travellers include those visiting or working in prisons, refugee camps, homeless shelters, or hospitals, or travellers visiting friends and relatives.
MEDICAL SERVICES AND FACILITIES
Good health care is only available in major cities. Quality of care varies greatly throughout the country. A few quality facilities exist in larger cities and usually require cash payment upon admission. Medical evacuation, which can be very expensive, may be necessary in the event of serious illness or injury.
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.