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Health
| | Special Precautions | Certificate Required | | Yellow Fever | Yes | 1 | | Cholera | 2 | No | | Typhoid and Polio | 3 | N/A | | Malaria | 4 | N/A |
1: A yellow fever vaccination certificate is required from travellers over one year of age arriving from infected areas.
2: Following WHO guidelines issued in 1973, a cholera vaccination certificate is no longer a condition of entry to Ghana. However an outbreak of cholera occurred in Lusaka District in 1999.
3: Vaccination against typhoid is advised.
4: Malaria risks, predominantly in the malignant falciparum form, are highest between November and June (except in the Zambesi Valley where high risk exists all year). The malignant form is reported to be highly resistant to chloroquine.
Food & drink: Water used for drinking, brushing teeth or making ice should have first been boiled or otherwise sterilised. Milk is pasteurised and dairy products are generally safe for consumption. Only eat well-cooked meat and fish, preferably served hot. Pork, salad and mayonnaise may carry increased risk. Vegetables should be cooked and fruit peeled.
Other risks: Bilharzia (schistosomiasis) is present. Avoid swimming and paddling in fresh water. Swimming pools that are well chlorinated and maintained are safe. Human trypanosomiasis (sleeping sickness) is reported in the north. Trachoma is widespread, as are hepatitis A and E. Hepatitis B is hyperendemic. Epidemics of meningococcal meningitis may occur, particularly in the savannah areas during the dry season. Plague occurs very rarely.
Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. For more information, consult the Health appendix.
Health care: There is no reciprocal health agreement with the UK. Health service is not free and health insurance is advisable. Adequate health care cannot be assured outside main towns. It is advisable to carry basic medical supplies as they are limited in Zambia.
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