Thailand data:  September 2010



Malaria Sitiuation

Distribution
Region
risk areas: low risk in the border areas of the northern half of the country, including tourist resorts of the Golden Triangle, as well as the southernmost provinces, including coastal regions, Khao Sok National Park and on some islands (e.g. Ko Chang, Ko Mak, Ko Phangan, Ko Phi Phi, Ko Tao)

no or negligible malaria risk: in the central regions of the northern half of the country, Bangkok, Chanthaburi, Chiang Mai, Chiang Rai, Pattaya, Phuket and Ko Samui

transmission months: throughout the year (especially during the rainy season from May - October)

form of malaria: 50 % falciparum malaria


Recommended Prophylaxis
mosquito protection: long-sleeved clothing, antimosquito sprays, cremes, lotions, mosquito nets, etc.
stand-by medication: throughout the year in the border areas of the northern half of the country, including tourist resorts of the Golden Triangle, as well as the southernmost provinces, including coastal regions, Khao Sok National Park and on some islands (e.g. Ko Chang, Ko Mak, Ko Phangan, Ko Phi Phi, Ko Tao)

no chemoprophylaxis necessary: in the central regions of the northern half of the country, Bangkok, Chanthaburi, Chiang Mai, Chiang Rai, Pattaya, Phuket and Ko Samui
The primary recommendations for malaria prevention are oriented on experience and data from travel medicine and apply "as a general rule" for any tourist on an organized trip. The consulting physician can decide on another procedure in conjunction with an individual consultation, should the malaria risk be significantly higher or lower than on the usual tourism vacation because of traveling style, length of stay, region, season or recent events. This is why an individual consultation with the physician is strongly recommended prior to departure for a malaria risk zone.

Recommended Vaccinations
Illness Vaccination Protection Risk Groups
Diphtheria yes Basically, all persons should have a valid vaccination protection (booster every 10 years).
Hepatitis A yes All travellers to areas with increased rates of hepatitis A..
Hepatitis B risk groups - yes All travellers to areas with increased rates of hepatitis B or high-risk groups (among others, medical personnel, persons with a frequent change of sexual partners, drug addicts, dialysis patients and hemophiliacs)..
Japanese Encephalitis (JE) risk groups - yes Long-term travellers (over 4 weeks) to rural areas with Japanese encephalitis transmission risk, especially during the rain season, when the multiplication of transmitting mosquitoes increases.
Meningococcal Meningitis no .
Polio no .
Rabies risk groups - yes Travellers to areas with increased rates of rabies (e.g. via stray dogs or cats) and/or increased risk of infection (e.g. through long-term stays, back-pack and/or adventure trips). Children are generally at high risk. The professional high-risk group includes veterinarians, hunters and forestry personnel..
Tetanus yes Basically, all persons should have a valid vaccination protection (booster every 10 years).
Tick-borne Encephalitis (TBE) no .
Typhoid fever risk groups - yes Travellers to areas with increased rates of typhoid fever and/or of insufficient drinkingwater and food hygiene (e.g. during back-pack and adventure trips). Hotel trips may also be connected with a low risk of contracting typhoid fever..
Yellow fever no .

Vaccination Requirements
Yellow fever A yellow fever vaccination certificate ist required from travellers over 1 year of age coming from infected areas.
Areas regarded as infected by the WHO see map "yellow fever".
.

Special Health Risks
Illness Note Protection
Bilharziosis Occurs in bodies of fresh water in the whole country
especially in Phitsanulok, Phichit and Surat Thani
Avoid skin contact with freshwater (lakes, ponds, rivers, streams)
Borreliosis risk of infection throughout the country
vector: ticks (especially in grass, woods, forests and bushes)
Tick protection through skin-covering clothes; use of insect repellents (creames, lotions, sprays).
Dengue fever infection risk in the whole country Good protective measures against mosquitos through skin-covering clothes, use of anti-insect-repellents (creams, lotions, sprays), anti-mosquito coils, mosquito nets, etc.
Filariosis border areas in the West and wet biotopes along the South-East coast line Good protective measures against insects (especially against mosquitos) through skin-covering clothes, use of anti-insect-repellents (creams, lotions, sprays), anti-mosquito coils, mosquito nets, etc.
Hepatitis B risk of infection throughout the country Vaccination. Use of condoms and sterile syringes and needles
Japanese Encephalitis (JE) infected areas: rural und suburban regions North > South
Transmission months: May - October
Vaccination. Good protective measures against mosquitos through skin-covering clothes, use of anti-insect-repellents (creams, lotions, sprays), anti-mosquito coils, mosquito nets, etc.
Rabies risk of infection throughout the country Vaccination. Keep away from stray animals (especially dogs and cats).
Typhus Fever mainly in bushland in the North and North-East Vaccination. Careful food and drinking-water hygiene.
Various intestinal infections parasites, bacteria, viruses (worm infestation, shigellosis, salmonella, amoebas, lamblia) Careful food and drinking-water hygiene

Climatic tables
Month 1 2 3 4 5 6 7 8 9 10 11 12
Min. Temp °C 20 22 24 25 25 24 24 24 24 24 22 20
Max. Temp °C 32 32 34 35 34 33 32 32 32 31 31 31
Humidity % 72 74 74 74 78 79 79 79 82 82 79 74
Days of Rain 1 1 3 3 9 10 13 13 15 14 5 1

These monthly figures are average figures taken from one observation period. As weather conditions are subjected by a number of influences to constant fluctuation, these figures cannot be regarded as absolute, but rather should provide information leading to a relative climate estimate within any month. The best way to find out climatic conditions in your travel destination is from the various weather service sites in the Internet.


Embassy
Botschaft des Königreichs Thailand
Lepsiusstraße 64-66
12163 Berlin
Tel.: (030) 79 48 10
Fax: (030) 79 48 15 11
Mo-Fr: 9-12.30 und 14-16.30 Uhr
Hausanschrift:
Embassy of the Federal Republic of Germany
9 South Sathorn Road
Bangkok 10120

Postanschrift:
Embassy of the Federal Republic of Germany
G.P.O. Box 2595
Bangkok 10500
Tel.: (0066-2) 287 9000
Fax: (0066-2) 287 1776
e-Mail: info@german-embassy.or.th
URL: www.bangkok.diplo.de

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Please consult your physician before departure for individual preventive health

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