Medical notes

Medical notes Vaccination A valid vaccination against yellow fever is required for all travelers older than 9 months, when entering from a yellow fever area, see www.who.int For direct entry from Germany, there are no vaccination requirements. The Foreign Office recommends immunization against tetanus, diphtheria, poliomyelitis, (pertussis = pertussis) and hepatitis A. For long term stay or a particular exposure and hepatitis B, typhoid, rabies and Japanese encephalitis. The standard immunizations for children and adults as recommended by the Robert Koch Institute www.rki.de should be up to date. Dengue fever Dengue fever occurs throughout the year in Manila and other regions, especially during and shortly after the rainy season from April to October (last epidemic in 2010). Dengue fever is transmitted by (diurnal) mosquitoes. Malaria The transmission occurs through the bite of blood-sucking nocturnal Anopheles mosquitoes. If left untreated, especially the dangerous falciparum malaria runs (Plasmodium falciparum) in non-immune Europeans also deadly. The disease can also erupt for weeks or months after the stay. At the onset of fever at this time a quick idea is at the doctor with a reference to the residence in a malaria area needed. Malaria occurs in the Philippines depending on region, with a medium to high risk (Palawan tourist destination!). In many parts of the country the most prevalent falciparum malaria occurs all year round - with an increase during the rainy season - on. Manila, the islands of Bohol, Cebu (famous tourist center), Catanduanes, Leyte, and are considered malaria-free. In addition to the ever-necessary exposure prophylaxis is recommended by the German Society for Tropical Medicine and International Health to carry a drug treatment ("stand-by" - therapy), chemoprophylaxis should be considered only in exceptional cases. The choice of drugs and their personal adjustment as well as side effects or incompatibilities with other drugs should necessarily be discussed before taking a tropical medicine / medical trip. Because of the infection risks in all mosquito-bound travelers are recommended: to wear body-covering rather light-colored clothing (long pants, long shirts) daytime (Dengue!) and in the evenings and at night (Malaria!) insect repellent on all exposed parts of the body repeatedly apply necessary to sleep under a mosquito net Influenza - flu So far, neither in animals nor in humans, cases of influenza A/H5N1 (bird flu) detected in the Philippines. During the rainy season is expected with the seasonal influenza. The H1N1 pandemic influenza (swine flu) has spread throughout the country since May 2009. Other infections Distributed throughout the year are more frequent diarrhea, and occasionally will also diagnosed with cholera and over again. In rural areas there is increasing during the rainy season to chikungunya, a mosquito-borne infectious disease that usually heals by itself again, but with prolonged joint symptoms may be associated. Rabies - even with human deaths - is the Philippines, particularly in rural areas, are not uncommon. The HIV infection rate shows a clear upward trend. After floods in different parts of the country in the second half of 2009, it is among the affected population had increased to Leptospiroseinfektinen. Medical care In Manila, as in other major cities of the country-and outpatient medical care is partly explained by highly qualified private hospitals well regulated. In rural areas this is - including emergency services - usually not the case. Most doctors can communicate in English, medicines in a wide variety are available in pharmacies easily available. A sufficient, valid health insurance coverage and there a reliable Reiserückholversicherung be recommended anyway. Please note our general disclaimer next to the following important information: A guarantee for the correctness and completeness of medical information and a liability for any damage occurring can not be assumed. For your health, you are personally responsible. The details are: Information for medical Preformed thought. Do not substitute the consultation of a physician; tailored to the direct entry of Germany into a tourism destination, especially for longer stays on the ground. For shorter trips, arrivals from third countries and traveling to other areas of the country can apply variations; to see even more dependent on the individual circumstances of the traveler. A previous detailed medical advice from a doctor / specialist in tropical medicine is regularly recommended in the given case; despite the utmost efforts, only one offer advice. You can not cover all medical aspects, nor remove any doubt or always completely up to date.