Travel Advisory Myanmar BurmaMyanmar Burma Travel Advice
Americans travelling abroad should check the Bureau of Consular Affair website at http://travel.state.gov for the latest travel warnings and travel warnings, which includes the Worldwide Caution Travel Alert. For the latest information on your local network and your network infrastructure, call 1-888-407-4747 in the United States and Canada or 1-202-501-4444 for calls outside the United States and Canada.
This service is available from 8:00 to 20:00 Eastern Time, Monday to Friday (except on US public holidays). Foreign Affairs calls on US nationals to take full accountability for their own safety when travelling abroad. General information on appropriate steps travellers can take to help themselves in an expatriate setting can be found in the Ministry of Foreign Affairs brochure A SafeTrip Abroad.
For more information, visit the U.S. State Department's Myanmar website. The U.S. Commercial Service of the U.S. Department of Commerce, with a reach of 108 locations in the United States and more than 75 nations, leverages its extensive U.S. commercial service and extensive experience in U.S. commercial communications to help U.S. businesses market their goods and provide comprehensive service to customers around the world.
Myanmar (Burma) Travel Tips, International Travel Guide Update - Travel Medicine, Inc.
Also hepatitis E, which is caused by polluted waters, is a menace. There' s no immune-protection against it. The pregnancy of a woman is particularly vulnerable. If necessary, take steps to clean your waters outside of first-class establishments. Travellers over 1 year of age, arriving in the Philippines from an indigenous area, must present a vaccination card against the disease.
Myanmar is an under-developed agricultural nation governed by an authoritarian army government. Burma has begun to promote the tourist industry after a long phase of insulation. Be aware that travellers should have enough money to pay for the cost of their stay. Traveler's cheques and major debit card payments are not acceptable anywhere, and there are no ATMs in Burma.
Burma's regime rigorously monitors trips to, from and within Burma. As of October 1, 2006, the Myanmar police have often banned travellers from entering and leaving Burma at most checkpoints, unless the traveller is part of a group that has been previously approved by the IPA. Passports and visas are necessary for entering Burma.
Travellers must present their passport with a current passport at all airport, railway station and hotel locations. Permanent Burma ( "Mission of Myanmar") at U.N. 10 East 77th St., New York, NY 10021, (212-535-1311); Facsimile 212-744-1290. Suggested for all travellers over 1 year of age that haven't been vaccinated against Hepatitis A. Hepatitis B:
Suggested for all non-immune travellers who have a possible chance of getting this disease. The hepatitis B virus is transferred through contaminated human health products. Travellers can be subjected to exposure to an affected individual through the exchange of needles and unsafe sexual intercourse, via accupuncture, tattoos or piercings, non-sterile medicinal or dentist injection or unsafe transfusion of bleeding, through face-to-face exposure to open wounds.
Suitable for long-term travellers, expats and all travellers who wish to be protected against BHP. Vaccinations suggested for all travellers >6 month who have not been vaccinated against influenza in the last 12-month. Recombinant vaccines are suggested for people who live in indigenous and pandemic areas and for high-risk travellers who plan longer journeys to the countryside (arbitrarily definded as 30 days).
Individuals who visit areas with PJE should be eligible for immunization, even if their expected length of hospitalization is less than 30 day. We recommend a single dosage of the IPV supplement to any person over the ages of 18 who has finished their initial infancy but has never been given an extra dosage of the poliovaccine as an AD.
The available evidence does not indicate that more than a lifelong boost dosage of IPV (Inactivated Polio Vaccine) is required. Ragweed vaccines are suggested for: those expecting a longer sojourn; those whose work or activity can put them in touch with pets; those going to countryside or isolated areas where health services are not readily available; travellers seeking additional shelter.
Vaccinations against diptheria typhoid, measles, parasites, rubella virus (MMR vaccine) and chicken pox (chickenpox) should be upgraded before your trip if necessary. - Besides the use of the drug to treat this disease, all travellers, even grown-ups, should be fully vaccinated against it. Refresher doses of a diphtherie-containing serum (Td or Tdap vaccine) should be given to those who have not been given a dosage in the last 10 years.
ADACEL is a new tetanus-diphtheria-petroussis ( "tdap") supplement that not only increases resistance to diabetes and rabies, but also protects against wheezing fever, a serious condition in parents and infants. Tdap may be used instead of Td in place of the Td inoculant when a boost is indicated.
Suggested for all travellers with the exclusion of short-term guests who limit their meal to hotel or resort accommodation. Travellers over 1 year of age, arriving in the Philippines from an indigenous area, must present a vaccination card against the disease. Travellers should be aware of their vaccinations and should take a set of medicines and an antibiotic to prevent diarrhoea or other ailments. They should take prophylactic medication, if necessary according to their rout.
Travellers who regularly take medication should keep it duly labelled and in adequate quantities for the time of their journey; they should not be expecting to receive prescriptions or over-the-counter medicines in your shop or pharmacy in that particular jurisdiction - the medicines may not be available; they may be fake; they may be of untrustworthy qualitiy.
- Travelers are recommended to take out a full cover of cover with special cover abroad, which includes a rescue aircraft named mevac. If a serious disease or wound cannot be dealt with on the ground, every possible endeavour should be made to organise a health emergency in Bangkok, Thailand. In Rangoon and Mandalay you can get regular health care and counseling, but elsewhere you should not expect to get it.
Some of the best establishments in Yangon: Some of the best establishments in Mandalay: Travellers should be mindful that the U.S. Embassy often moves its staff to Bangkok, Thailand, instead of using Burma's own hospital infrastructure. HIV became more and more prevalent in Myanmar after its first appearance in the middle to the end of the eighties. In Asia, more individuals are involved in sexual work (either as clients or as workers) than any other behaviour that can involve a high level of HIV infectivity.
- The transmission of HIV can be avoided by: preventing sexually explicit exposure to a high-risk mate; injection of drugs with common pins; non-sterile medicinal injection; unprotected transfusion of hematology. - HIV/AIDS threats should not be a major issue for travellers. However there may be an interest for a sub-set of travellers who may be exposed to HIV, the viral that causes AIDS, through exposure to the bodily fluids of another human being or their own hemoglobin.
Even though travelling has generally helped to make AIDS widespread worldwide, the anxiety about travelling is not justified because of this sickness. Accident & Health Insurance: The most common causes of fatalities among travellers under 55 years of age and usually involve car and motorbike fatalities; drowning, airplane deaths, murder and burnings are less common.
- Myocardial infarctions cause the most deaths among older travellers. - Infection causes only 1% of deaths among travellers travelling abroad, but overall infection is the most frequent cause of sickness. - documental insurance: traveler is recommended to take out an additional foreign traveller's healthcare plan with special insurement. It should stipulate that you pay directly to the International Hospitals and/or the doctor at the moment of your stay and should contain a medevac.
It should also offer 24-hour hot-line accessibility to a multi-lingual help centre which can assist in the organisation and monitoring of health and identify the need for health evacuation or ambulatory service. The dangers to animals are serpents (vipers, cobras), centipede, corpses and African weasels. The other potential threats are the crocodile, python and large, corrosive lizard species, all found in and around Burma's marshes and streams, and the leopard, wildcat and bear species, all found in the undulating area.
The World Health Organization (WHO) in December 2007 approved the first (non-lethal) case of bird flu in a secluded area of the Shan State in the East. - It is considered that the risks to man from bird flu are very low and no travelling restrictions are recommended unless travellers should refrain from attending livestock fairs, bird ranches and other places where they may come into intimate exposure to living or dead fowl, house fowl, cage fowl or game and their faeces.
It is also recommended to travellers: - The World Health Organization (WHO) does not advise travelling limits for bird populations with H5N1 virus infections, even those having recorded anthrawell. No cases of bird flu A (H5N1) have been recorded so far in short-term travellers affected by an outbreak in fowl or game.
It is a scarce illness among travellers from developing world. The use of a vaccination against the use of the virus is only advised for auxiliaries or healthcare professionals who work in an exposed area under inadequate hygiene standards or who are living in isolated, indigenous or pandemic areas and have no direct contact with healthcare.
Canada, Australia and European Union member states are licensing an adult cholella inoculant. Chlolera is not available in the United States. The use of a vaccination against the disease is only advised for auxiliaries or healthcare professionals working in an exposed area under inadequate hygiene standards or living in isolated, indigenous or pandemic areas who do not have direct contact with people.
Canada, Australia and European Union member states are licensing an adult cholella inoculant. Chlolera is not available in the United States. - The major sign of a heavier type of diarrhoea is an abundance of water. - Antibiotics are a useful supplement to liquid replacements in the management of chronic diarrhoea by significantly decreasing the length and extent of diarrhoea, thus decreasing the need for liquids and decreasing the length of hospital stay.
Travellers are all at great peril and should take steps to avoid gnat stings during the day. Preventive action against stings from insects includes the application of a DEET-containing repellant to stressed skins and the application of permethrine aerosol or rinse to clothes and equipment. Travellers should take steps to avoid stings from insects (mosquito bites). Lepatitis: Any traveller who has not yet been immunised against the virus should be inoculated.
Travellers who are not immunized against hepatitis A (i.e. who have never had the illness and have not been vaccinated) should be particularly careful to prevent potentially polluted foods and ingestion. Travellers who have easy and secure contact with foods and drinkable waters are less at risk. 3. Vulnerable groups are travellers who visit loved ones, long-term travellers and those who visit areas with bad hygiene.
- but the readings are inconclusive. The HEV is transmitted primarily through potable and wastewaters, as well as unboiled or unboiled crustaceans. Preventing the spread of the disease in poor nations is primarily based on the supply of safe waters and overall improvement in health.
There' s no immunization. - Hepatic B is hyper-endemic. Total rates of carriers of hepatitis B (HBsAg) in the general public are expected to be >8%. The transmission of inflammatory diseases is via contaminated human body fluid or plasma. Travellers may be subjected to exposure through the exchange of needles and unsafe intercourse, unsterile medicinal or restorative injection and accupuncture, unsafe transfusion of human body fluid, exposure to open cutaneous lesion of an affected ailment.
There is a low chance of getting this disease for the averager. Immunization against the disease is suggested for: people with occasional/unprotected intercourse with new partner; sexports; injecting drugs consumers; long-term addicts; expats and those who want greater shelter from the disease B antivirus. - Lepatitis C is enendemic with a 5hood.
The majority of HCV is either transmitted by injecting drugs or, in less advanced nations, by sepsis in the course of healthcare interventions. More than 200 million individuals worldwide are affected by HCV - a total prevalence of about 3. Influenza vaccines are advised for all travellers over 6 month, insects:
Insecticide-borne disease is a threat in this land. They should take steps to avoid mosquitoes, especially in remote areas below 5,000 feet. To maximize your exposure, use a DEET antidepressant (30%-50% concentrations recommended), put permethrine aerosol or permethrine solutions on your clothes and equipment, and rest under a permethrin-treated bed net (if present).
Centers for Disease Control and Prevention (CDC) is recommending JE vaccinations for travellers who spend more than 30 or less than 30 nights in an end-emic area. The use of indiscriminate shutdown, however, cannot provide protection for all travellers. Does the trip take place in the high seasons?
Generally, travellers to the countryside (especially in porcine and paddy farming) should be inoculated if the journey takes more than 3 to 4week. Vaccinations are recommended for expats who live in this state. Travellers should take steps to avoid gnat stings, especially in the evenings and over-night.
Preventive actions to prevent mosquito bites are the application of a DEET-containing repellant to stressed skins, the application of permethrine sprays or solutions to clothes and equipment and sleep under a bed net that has been processed with permethrine. In Myanmar there is a high level of mortality and the number of cases of it on the Thai-Myanmar interface has recently increased dramatically.
Throughout the country, the highest incidence of the disease is in the humid May-December. There is a malarial exposure in all towns except Rangoon and the towns of Mandalay, Magwe, Pegu and Sagaing. 3. - Prophylaxis with Atovaquon/Proguanil (Malarone), Doxycyclin or Primaquin is recommend. You can find a card about traveler' s health with the help of the Travel Health Department at Health Protection Scotland (HPS) on the website of Fitness for Travel (www.fitfortravel.nhs. uk).
From the Burma (Myanmar) page, go to www.fitfortravel.nhs. en and choose Malaria Map from the Destinations Menue or A-Z Index. Travellers should take steps to avoid nightly and nightly gnat sting. Preventive actions are the application of a DEET-containing repellant to stressed skins, the application of permethrine sprays or solutions to clothes and equipment and sleep under a bed net that has been processed with permethrine.
PLEASE NOTE: Picardin Repellent (20% formula, such as Sawyer GoReady or Natrapel 8-hour) are now endorsed by the CDC and the World Health Organization as viable non-DEET alternative for protection against malaria-transmitting stains. - Long distance travellers who do not have healthcare should take medication for emergencies if they experience signs of the disease, such as temperature, shivering, headaches and muscular pains, and cannot receive healthcare within 24hrs.
The people at higher risks are those travelling to visit loved ones, those in close proximity to an affected individual, long-term visitors and those who visit areas with bad hygiene. Any traveller to this land should be fully vaccinated. - A single dosage of the IPV immunization is suggested for anyone over the ages of 18 who has finished the initial infancy cycle but has never been given an extra dosage of the poliovaccine as an AD.
The available evidence does not indicate that more than a lifelong boost dosage of IPV (Inactivated Polio Vaccine) is required. Any bite or scratch, especially from a pet, should be thoroughly cleaned with detergent and treated immediately. Even though there is little chance of being rabid among the tourist, there is a danger.
Ragweed vaccination before exposition is suggested for: those expecting a longer period of residence; those whose work or activity they can put in touch with pets; those travelling to the countryside or outlying areas where health services are not readily available; travellers seeking additional shelter. Childrens are classified as endangered because they have a tendency to toy with the animal and not register a bite.
- Preexposure immunization removes the need for immunoglobulin from hydrophobulin, but does not remove the need for two extra replenishing vaccines. A quick assessment and management of every pet occlusion is indispensable, regardless of the immunization state. Notice: If appropriate local care for the patient with regard to the disease is not possible, it is recommended to evacuate the patient to a hospital that can do so.
Traveler's diarrhea: Drinking mineral water is almost non-existent in Burma. - Good manual sanitation will reduce the frequency of travel diarrhoea by 30%. - A quinolinone or Azithromycine in combination with Loperamid (Imodium) is suggested for the therapy of diarrhoea. Diarrhoea that does not respond to any kind of antimicrobial therapy may be caused by a condition such as Giardia, ameiasis or cryptosporidosis.
- Consult professional health professionals if you have diarrhoea and fevers, strong stomach pains, uncontrollable nausea or deseprick. TB is extremely malignant in Burma with an incidence of more than or equivalent to 40 cases per 100,000 inhabitants per year. For most travellers, the risks are low. Travellers at higher risks are those who visit loved ones (especially small children), long-term travellers and those who have strong contacts with the people.
Travellers with high exposures should have PPP tests performed to assess their risks of infections. The typhoid shot is the CDC' s recommendation for all individuals (except short-term guests who limit their meal to a hotel or resort) who travel to or work in Asia, especially if they visit smaller towns, communities or countryside and live with their family or acquaintances, where they may be exposed to ingestion.
Travellers should maintain stringent provisions for foods, drink and sanitation, even when inoculated.