India data:  September 2010



Malaria Sitiuation

Distribution
Region

risk areas: Malaria risk in the whole country below 2,000m, including Andaman and Nicobar islands. Moderate risk in the months of Juli - Novmber in Chhattisgarh, Orissa, Jharkhand, Westbengal and in the states and regions east of the mentioned regions (Assam, Brahmaputra). 

no or negligible malaria risk: in altitudes above 2,000m of Himachal Pradesh, Jammu, Kashmir, Sikkim, Arunchal Pradesh and the Lakkadives

transmission months: throughout the year with seasonal modifications. The risk of transmission is highest during the rainy season (monsoon) starting in June in the southwest of the country and reaching the notheast in September. The monsoon requires approx. 3 - 4 months. The second rainy season in the southeast requires from October - December.

form of malaria: 40 - 50% falciparum malaria, Furthermore vivax malaria



Recommended Prophylaxis
mosquito protection: long-sleeved clothing, antimosquito sprays, cremes, lotions, mosquito nets, etc.
stand-by medication: throughout the year, in the whole country below 2,000m, including Andaman and Nicobar islands. Especially in the months of Juli - Novmber in Chhattisgarh, Orissa, Jharkhand, Westbengal and in the states and regions east of the mentioned regions (Assam, Brahmaputra). 

no chemoprophylaxis necessary: in altitudes above 2,000m of Himachal Pradesh, Jammu, Kashmir, Sikkim, Arunchal Pradesh and the Lakkadives
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 yes All travellers to areas with risk of polio infection.
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 Travellers (over 6 months of age) having stayed or passed (transit) infected areas within the last 6 days (by airplane) or 30 days (by ship) are required to present a yellow fever vaccination certificate upon entering the country.
Areas regarded as infected by the WHO see map "yellow fever". Additionally, the following countries are considered to be infected: Zambia and Trinidad and Tobago
If the required document cannot be presented, the traveller will be detained in isolation for up to 6 days or will only be remained within the airport premises during the period of their entire stay (in case of a transit flight).
.

Special Health Risks
Illness Note Protection
Bilharziosis occurs in bodies of fresh water only in the Ratnagiri district (Maharashtra) Avoid skin contact with freshwater (lakes, ponds, rivers, streams)
Cholera infected areas especially Andhra Pradesh State, Hyderabad District, Visakhapatnam District, Delhi Territory, Karnataka (Mysore) State, Bangalore District, Bidar District, Chitradurga District, Gulburga District, Hassan District, Kolar District, Mandya District, Raichar District, Tumkur District, Kerala State, Maharashtra State, Akola District, Amrawati District, Nagpur District, Nandad District, Osmanabad District, Parbhani District, Pune District, Sangli District, Thane District, Tamil Nadu State, Anna District, Chingleput District, Madras District, Madurai District, North Arcot District, Pudukkottai District, Thanjavur District, Tiruchirapalli District, Tirunelvelli District, Vellore District, Villipuram District, Uttar Pradesh State, West Bengal State, Calcutta 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 on the coast line, especially in the South-East 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: especially in rural and suburban regions in the south and in the East
seasonal transmission:
in the North: July - December
in the South: in Goa: May-October; in Tamil Nadu: October-January; in Karnataka: August-December and April-June; in Andhra Pradesh: September-December
no increased risk of infection for "hotel tourists"
Vaccination. Good protective measures against mosquitos through skin-covering clothes, use of anti-insect-repellents (creams, lotions, sprays), anti-mosquito coils, mosquito nets, etc.
Kala Azar especially in the East Good protective measures against mosquitos through skin-covering clothes, use of anti-insect-repellents (creams, lotions, sprays), anti-mosquito coils, mosquito nets, etc.
Leishmaniosis sporadic occurrence in the North-West (Rajasthan) Good protective measures against mosquitos through skin-covering clothes, use of anti-insect-repellents (creams, lotions, sprays), anti-mosquito coils, mosquito nets, etc.
Plague mainly in Maharashtra and Gujarat 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).
Tick-bite fever infection risk in the whole country
vector: ticks (with bacteria) especially in grass, woods, forests and bushes
Tick protection through skin-covering clothes; use of insect repellents (creames, lotions, sprays).
Typhus Fever mainly in the 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 7 9 14 20 26 28 27 26 24 18 11 8
Max. Temp °C 21 24 31 36 41 39 36 34 34 34 29 23
Humidity % 57 51 36 27 28 45 67 72 62 44 41 56
Days of Rain 2 2 1 1 2 4 8 8 4 1 0 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.


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Please consult your physician before departure for individual preventive health

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