Health

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VACCINATIONS

Click for more information	Typhoid	Hepatitis A	Diphtheria	Tubercul- osis	Hepatitis B	Rabies	Meningo- coccal meningitis	Yellow fever	Japanese B enceph- alitis	Tick-borne enceph- alitis
China	Yes	Yes	Yes	Maybe	Maybe	Maybe	No	No?	Maybe	No
Estonia	Maybe	Yes	Yes	Maybe	Maybe	Maybe	No	No	No	Maybe
Germany	No	No	No	No	No	No	No	No	No	Maybe
Kazakhstan	Yes	Yes	Yes	Maybe	Maybe	Maybe	No	No?	No	Maybe
Latvia	Maybe	Yes	Yes	Maybe	Maybe	Maybe	No	No	No	Maybe
Lithuania	Maybe	Yes	Yes	Maybe	Maybe	Maybe	No	No	No	Maybe
Mongolia	Yes	Yes	Yes	Maybe	Maybe	Maybe	Maybe	No	No	No
Russia	Maybe	Yes	Yes	Maybe	Maybe	Maybe	No	No	Maybe	Maybe

	Yes = Recommended but not required		Maybe = vaccination strongly recommended if a person is travelling frequently or spending extended time in that country.					No? = not required unless coming from infected country

All travelers are advised to ensure that tetanus and polio vaccinations are kept up to date.

MALARIA IN CHINA: (From World Health Organisation website) Malaria risk—including P. falciparum malaria—occurs in Hainan and Yunnan. Chloroquine and sulfadoxine-pyrimethamine resistant P. falciparum reported. Limited risk of P. vivax malaria exists in southern and some central provinces, including Anhui, Henan, Hubei, and Jiangsu. The risk may be higher in areas of focal outbreaks. There is no malaria risk in urban areas nor in the densely populated plain areas.
Recommended prevention in risk areas: Mosquito bite prevention plus chloroquine chemoprophylaxis - in Hainan and Yunnan: Mosquito bite prevention plus either mefloquine, doxycycline or atovaquone/proguanil (take one that no resistance is reported for in the specific areas to be visited)

No specific prevention listed for other countries

RECIPROCAL HEALTH AGREEMENTS

Click for European Health Insurance Card EHIC online application

EEA The EHIC is normally valid for three to five years and covers any medical treatment that becomes necessary during your trip, because of either illness or an accident. The card gives access to state-provided medical treatment only, and you'll be treated on the same basis as an 'insured' person living in the country you're visiting. Remember, this might not cover all the things you'd expect to get free of charge from the NHS in the UK. You may have to make a contribution to the cost of your care.

RUSSIA
Essential documents: UK passport.
What’s free: Treatment in state hospitals.
What you’ll need to pay for: Prescribed medicines

KAZAKHSTAN
Essential documents: UK passport.
What’s free: Hospital treatment: some dental treatment; other medical treatment.
What you’ll need to pay for: Prescribed medicines.

MONGOLIA None

CHINA None