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Burma - Fit for the journey
There are many aspects to consider, such as travel abroad activity, length of the trip and general traveler wellbeing. We recommend that you contact your family doctor or nurse 6-8 months before your trip.
It is also a good occasion to address important travel related matters, which include safer foods and waters, disasters, solar radiation and mosquito sting. Much of the travelers' problem cannot be avoided by vaccination and other preventative actions. If you need travel security advice, you should check the Commonwealth Office website.
The ISTM website provides a global listing of hospitals managed by members of the International Society of Travel Medicine. Verify that your initial course and booster are up to date as advised for living in the UK - includes e.g. influenza avian influenza virus supplement (if specified), MMR, immunization necessary for work-related exposures, lifestyles and basic condition.
If you are coming from a dangerous source and have travelled more than 12 hrs through the airports of a dangerous source of the disease, a valid green flu immunization card is necessary. Myanmar citizens and resident must have a health check on leaving for an area at grave danger of transmitting the disease.
Spreading through the ingestion of polluted waters and foods. Increasingly in the event of flooding and following a disaster, in areas with very bad hygienic conditions and a shortage of safe drinkable waters. Travelers would find it uncommon to become infected with the disease if they take essential safety measures with nutrition and fresh air and adhere to good standards of health.
Diphtheria: transmitted from human to human by breath drops. There is a higher chance of getting mixed up with the natives in bad, crowded environments. A hepatitis: by eating polluted foods and drinking or human-to-human via the faecal-oral pathway. There is a higher level of risks if your own hygienic standards are not up to scratch. Hematitis B: Spreading through Infectious Bone and Infectious Bone Therapy, Polluted Pins and Medicinal Use.
There is a higher level of exposure to risks from work, long stay or travel, infants (through incisions and scratches) and those requiring or applying for surgery abroad. Japan Encephalitis: Widespread by the occlusion of an infection. These mosquitoes breed in paddy fields and especially take their nibbles between twilight and daybreak.
Long-term travelers in the countryside are at higher risks, especially if they cannot prevent gnat sting. Polio-myelitis: spreading from human to human via the faecal-oral path and through the consumption of polluted foods and inhalation. Rape: by the spittle of an injured pet, usually by a sting, scratches or licking stone on fractured hide.
The risks are higher for those who go to isolated areas (who may not be able to receive appropriate care immediately in the case of a bite), for long visits, for those who have a higher exposure hazard to pets and bat, and for these people. Slice, burn and wound infection with spore remains of rabies.
Booster are usually advised in a jurisdiction or in situations where the proper handling of an injured person is not readily possible. Typhoid fever: Prevalence mainly by eating polluted foods and beverages. There is a higher level of risks when restricted accessibility to appropriate sanitary facilities and clean waters. The malaria threat is present all year round in all areas except the large towns of Mandalay and Yangon.
The highest risks are in the states of Chin, Kachin, Kayah, Rakhine, Sagaing and Tanintharyi. It is imperative to take precautionary measures: Prevent gnat stings, especially after sundown, by wearing clothes such as long sleeved and long pants, using insecticide on loose skins and, if necessary, sleep under a net of mosquitoes. Areas of high risk: Atovaquone/Proguanil OR Doxycyclin is OR Mefloquin is usually used.
Anti-malaria drugs are not usually advisable but may be taken into consideration for certain travelers at higher risks, e.g. longer trips to the countryside, visits to family members or boyfriends, people with symptoms, immune suppression or people without a splenic infection. ATOVACLE / PROGUANAIL atovacle / proguanail OR doxycyclin OR defloquine is suggested for persons at greater danger.
Small to no risks: Anti-malaria drugs are generally not advised. Immediately consult a doctor if you have been in a malaria-infected area and have a temperature. When traveling to an area away from health care institutions, the possibility of taking along emergencies for treatment for malaria can be taken into consideration. It has been classified as a moderately risky place to transmit the Zika disease virus (ZIKV).
CIKV is mainly distributed by gnat stings. Mosquitoes, which bite most frequently in natural light, are plentiful in the city. There' a low chance of getting sexually transmitted. Usually the disease itself is benign, but there is a connection between an infectious disease during gestation and the delivery of a baby with obstetric errors.
Currently there is no inoculant available against ZIKV. Travelers should always practise severe insect repellency. Don't travel without sufficient travel cover. Consult your doctor 6-8 wks before departure. It is recommended that unneeded trips be postponed for expectant mothers.
If you are pregnant or at any time at increased risks of becoming pregnant, you should prevent the use of contraceptives and contraceptives in the course of your journey: