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Worldworx Travel> Health> Europe> Eastern Europe

Worldworx Travel Travel Health: Europe: Eastern Europe

Health Information for Travelers to Eastern Europe and the Newly Independent States of the Former Soviet Union (NIS)
Albania, Armenia, Azerbaijan, Belarus, Bosnia/Herzegovina, Bulgaria, Croatia, Czech Republic, Estonia, Georgia, Hungary, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Macedonia, Moldova, Poland, Romania, Russia, Slovakia (Slovak Republic), Slovenia, Tajikistan, Turkmenistan, Ukraine, Uzbekistan, Yugoslavia (including Serbia/Montenegro)

NOTE: Please check the Outbreaks section for important updates on this region.

Map of Eastern Europe and the Newly Independent States of the Former Soviet Union (NIS)

Food and waterborne diseases are the number one cause of illness in travelers. Travelers� diarrhea can be caused by viruses, bacteria, or parasites, which are found throughout Eastern Europe and can contaminate food or water. Infections may cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites), fever (typhoid fever and toxoplasmosis), or liver damage (hepatitis). Make sure your food and drinking water are safe. (See below.)

Malaria is a preventable infection that can be fatal if left untreated. Prevent infection by taking prescription antimalarial drugs and protecting yourself against mosquito bites (see below). Risk for malaria exists in parts of Armenia, Azerbaijan, Georgia, Tajikistan, Turkmenistan, and Uzbekistan. Travelers to malaria-risk areas in Armenia, Azerbaijan, Georgia, Tajikistan, Turkmenistan, and Uzbekistan should take chloroquine to prevent malaria. In Uzbekistan, the risk of malaria is low and varies along its border with Tajikistan; travelers to Uzbekistan or their health care provider should contact CDC (Malaria Hotline, 770-488-7788) for risk and prevention advice. For additional information on malaria risk and prevention, see Malaria Information for Travelers to Eastern Europe and the Newly Independent States of the Former Soviet Union (NIS).

An outbreak of diphtheria is occurring in all the states of the former Soviet Union. Travelers to these areas should be sure that their diphtheria immunization is up to date.

Tickborne encephalitis, a viral infection of the central nervous system occurs chiefly in Central and Western Europe. Travelers are at risk who visit or work in forested areas during the summer months and who consume unpasteurized dairy products. Vaccine for this disease is not available in the United States at this time. To prevent tickborne encephalitis, as well as Lyme disease, travelers should take precautions to prevent tick bites (see below).

Because motor vehicle crashes are a leading cause of injury among travelers, walk and drive defensively. Avoid nighttime travel if possible and always use seat belts.

There is no risk for yellow fever in Eastern Europe and the Newly Independent States of the Former Soviet Union (NIS). A certificate of yellow fever vaccination may be required for entry into certain of these countries if you are coming from countries in South America or sub-Saharan Africa. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements.

CDC recommends the following vaccines (as appropriate for age):
See your doctor at least 4�6 weeks before your trip to allow time for shots to take effect.

  • Hepatitis A or immune globulin (IG).
  • Hepatitis B, if you might be exposed to blood (for example, health-care workers), have sexual contact with the local population, stay longer than 6 months, or be exposed through medical treatment.
  • Rabies, if you might be exposed to wild or domestic animals through your work or recreation.
  • Typhoid, particularly if you are visiting developing countries in this region.
  • As needed, booster doses for tetanus-diphtheria, measles, and a one-time dose of polio vaccine for adults. Hepatitis B vaccine is now recommended for all infants and for 11� to 12-year-olds who did not receive the series as infants.

To stay healthy, do...

  • Wash hands often with soap and water.
  • Drink only bottled or boiled water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes. If this is not possible, make water safer by BOTH filtering through an �absolute 1-micron or less� filter AND adding iodine tablets to the filtered water. �Absolute 1-micron filters� are found in camping/outdoor supply stores.
  • Eat only thoroughly cooked food or fruits and vegetables you have peeled yourself. Remember: boil it, cook it, peel it, or forget it.
  • If you are going to visit risk areas for malaria, take your malaria prevention medication before, during, and after travel, as directed. (See your doctor for a prescription.)
  • Protect yourself from mosquito bites:
    • Prevent mosquito bites by wearing long-sleeved shirts and long pants.
    • Use insect repellents that contain DEET (diethylmethyltoluamide).
    • Apply insect repellent to exposed skin. Mosquitoes that transmit malaria bite between dusk and dawn.
    • Unless you are staying in air-conditioned or well-screened housing, purchase a bed net impregnated with the insecticide permethrin.
    • For more information on protecting yourself from insect bites and DEET see Protection against Mosquitoes and Other Arthropods.
  • To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot.
  • Always use latex condoms to reduce the risk of HIV and other sexually transmitted diseases.

To avoid getting sick...

  • Don�t eat food purchased from street vendors.
  • Don�t drink beverages with ice.
  • Don�t eat dairy products unless you know they have been pasteurized.
  • Don�t share needles with anyone.
  • Don�t handle animals (especially monkeys, dogs, and cats), to avoid bites and serious diseases (including rabies and plague).

What you need to bring with you:

  • Long-sleeved shirt and long pants to wear while outside whenever possible, to prevent illnesses carried by insects.
  • Insect repellent containing DEET.
  • Bed nets impregnated with permethrin (can be purchased in camping or military supply stores).
  • Over-the-counter antidiarrheal medicine to take if you have diarrhea.
  • Iodine tablets and water filters to purify water if bottled water is not available. See above for more information about water filters.
  • Sunblock, sunglasses, hat.
  • Prescription medications: make sure you have enough to last during your trip, as well as a copy of the prescription(s).

After you return home:
If you have visited a malaria-risk area in Eastern Europe, continue taking your chloroquine for 4 weeks after leaving the risk area. Travelers who become ill with a fever or flu-like illness while traveling in a malaria-risk area and up to one year after returning home should seek prompt medical attention and should tell the physician their travel history.

For more information:
Ask your doctor or check the CDC web sites for more information about how to protect yourself against diseases that occur in Eastern Europe and the NIS, including the following:

Diseases carried by insects

Diseases carried in food or water

Diseases from person-to-person contact

For more information about these and other diseases, please check the Diseases page.
 

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Source: Centers for Disease Control and Prevention | Disclaimer: Worldworx is not responsible nor liable for any travel within the countries/regions mentioned within Worldworx Travel as a result of information supplied. Some countries/regions may not be considered safe to travel. Please contact your embassy/consulate and appropriate authorities for latest situations and information. For further safety information, click here.

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