Viet Nam data:  July 2010



Malaria Sitiuation

Distribution
Region

risk areas: low risk in the whole country below 1,500m, especially in some central and southern provinces (Gia Lai, Kon Tum, Binh Phuoc, Dak Nong, Dak Lak), in western provinces (Khanh Hoah, Quang Tri, Ninh Thuan, Quang Nam), and in the northwest (Lai Chau). There is a very limited risk in the northeastern and southern parts of the country.

no or negligible malaria risk: in urban centeres, the Red River Delta and in the coastal plain areas north of Nha Trang

transmission months: throughout the year (especially during the rainy season from April - October in the northern parts of the country)

form of malaria: more than 70 % falciparum malaria



Recommended Prophylaxis
mosquito protection: long-sleeved clothing, antimosquito sprays, cremes, lotions, mosquito nets, etc.
stand-by medication: throughout the year in central and southern provinces (Gia Lai, Kon Tum, Binh Phuoc, Dak Nong, Dak Lak), in western provinces (Khanh Hoah, Quang Tri, Ninh Thuan, Quang Nam), and in the northwest (Lai Chau). There is a very limited risk in the northeastern and southern parts of the country.

no chemoprophylaxis necessary: throughout the year in the northeastern and southern parts of the country.
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, especially Mekong-Delta Avoid skin contact with freshwater (lakes, ponds, rivers, streams)
Cholera infected areas: especially in the provinces of Binh Tri Thien, Nghia Binh, Phú Khánh Careful food and drinking-water hygiene.
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 mainly in rural areas 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 and suburban regions
Transmission months: especially 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.
Plague infected areas: in the provinces of Gia-Lai, Cong Tum, Lam Dong, Phú Khánh Protection from rats (e.g. find a safe place when sleeping outdoors) and flees (frequent and hygenic change of clothes). Travellers should stay away from plague patients. Should exposure be professionally necessary, prophylactic antibiotics might be indicated.
Rabies risk of infection throughout the country Vaccination. Keep away from stray animals (especially dogs and cats).
Typhus Fever risk of infection throughout the country 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 13 14 18 21 23 26 26 26 24 22 18 15
Max. Temp °C 20 21 23 28 32 33 33 32 31 29 26 22
Humidity % 73 76 80 79 73 75 76 79 76 72 71 71
Days of Rain 7 13 15 14 15 14 15 16 14 9 7 7

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 der Sozialistischen Republik Vietnam
Elsenstraße 3
12435 Berlin-Treptow
Tel.: (030) 53 63 01 08
Fax: (030) 53 63 02 00
e-Mail: info@vietnambotschaft.org
URL: www.vietnambotschaft.org
Mo, Fr: 9-12.30 Uhr und 13.30-17 Uhr
Hausanschrift:
Ambassade de la République fédérale d´Allemagne
29, Tran Phu
Hanoi

Postanschrift:
Ambassade de la République fédérale d´Allemagne
B.P. 39
Hanoi
Vietnam
Tel.: (0084 4) 845 38-36 / -37, 843 02-45 / -46
Fax: (0084 4) 845 38 38
e-Mail: germanemb.hanoi@fpt.vn
URL: www.hanoi.diplo.de

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Please consult your physician before departure for individual preventive health

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