Bhutan data:  September 2010



Malaria Sitiuation

Distribution
Region
risk areas: in the southern parts of the country below 2.000m (in particular in the districts bordering India: Samchi, Chirang, Geylegphug, Shemgang und Samdrup Jongkhar)

transmission months: throughout the year

form of malaria: > 50 % falciparum malaria, furthermore vivax malaria


Recommended Prophylaxis
mosquito protection: long-sleeved clothing, antimosquito sprays, cremes, lotions, mosquito nets, etc.
stand-by medication: in the southern parts of the country below 2.000m (in particular in the districts bordering India: Samchi, Chirang, Geylegphug, Shemgang und Samdrup Jongkhar)
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 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 coming from infected areas.
Areas regarded as infected by the WHO see map "yellow fever".
.

Special Health Risks
Illness Note Protection
Cholera infection areas: districts of Mongar, Pemagatsel, Phuntsholing, Punakha, Samdrupjonkhar, Tashigan, Thimphu Careful food and drinking-water hygiene.
Hepatitis B risk of infection throughout the country Vaccination. Use of condoms and sterile syringes and needles
Japanese Encephalitis (JE) Distribution: rural areas in the south 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).
Various intestinal infections parasites, bacteria, viruses (worm infestation, shigellosis, salmonella, amoebas, lamblia) Careful food and drinking-water hygiene

Embassy
Ständige Vertretung des Königreichs Bhutan
bei den Vereinten Nationen in Genf
Tel:. (0041 22) 799 08 90
Fax: (0041 22) 799 08 99

Honorarkonsulat des Königreiches Bhutan
Bahnhofsplatz 4
74321 Bietigheim-Bissingen
Tel.: (07142) 532 32
Fax: (07142)546 55
Mo-Fr 8-12 Uhr; Di und Do auch: 14-18 Uhr
(Baden-Württemberg, Bayern, Rheinland-Pfalz, Saarland)

Honorarkonsulat des Königreiches Bhutan
Fürstenbergstraße 20
53117 Bonn
Tel. / Fax: (0228) 33 47 25
nach Vereinbarung
(alle übrigen Bundesländer)
Hausanschrift:
Embassy of the Federal Republic of Germany
No. 6/50G, Shanti Path
Chanakyapuri
New Delhi 110021
India

Postanschrift:
Embassy of the Federal Republic of Germany
P.O. Box 613
New Delhi 110001
India
Tel.: (0091 11) 26 87 18-31 bis -37
Fax: (0091 11) 26 87 31 17
e-Mail: info@new-delhi.diplo.de
URL: www.new-delhi.diplo.de

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Please consult your physician before departure for individual preventive health

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