Vaccination and Travel Information for Andorra

ANDORRA

 Information current as at:  February 2009 by The D2 Medical centre No 1 Fitzwilliam street upper Dublin 2 ph 6314500, the experts in travel vaccines dublin 2


Climate: The climate is a temperate one, with snowy, cold winters (minus 5 – 5 °C) and warm, dry summers (20-25 °C). Rain falls throughout the year.
Capital City: Andorra la Vella
Altitude: 840 metres above sea level
Main Cities: Encamp, Soldeu
Population: 66,824
Land Area (sq km): 468
Currency: 1 euro = 100 cents
Languages: Catalan (official), French, Castilian
Religions: Roman Catholic
Economy: Free Port, Tourism



 The D2 Medical advises all travellers to be 'up-to-date' for:

CHOLERA Immunisation is neither required nor recommended
DIPHTHERIA We recommend the initial childhood series of vaccinations in the first five years of life, with booster doses at ages 11 years, 45 years, and 65 years. Travellers are recommended to have the vaccine 10 yearly esp. if travelling to developing countries, or where there may be a risk of contracting the disease.
HEPATITIS 'A' Immunisation is generally recommended for travellers to the region, but not compulsory.
HEPATITIS ‘B’ Immunisation is recommended for travellers who will be in the area for 1 month or more.
Transmission of Hepatitis B is through sex or contact with contaminated blood, needles and syringes.

POLIO Adults who are travelling to areas where poliomyelitis cases are occurring, or where the contracting the disease is possible, and who have received a primary series with either IPV or OPV should receive another dose of IPV before departure. For adults, available data do not indicate the need for more than a single lifetime booster dose with IPV.


RABIES Rabies is neither recommended nor routinely advised
TUBERCULOSIS (TB) Immunisation is not compulsory, and is not recommended for adults.
Children should be immunised at any age.
A skin test is available if immune status is in doubt.
TETANUS We recommend the initial childhood series of vaccinations in the first five years of life, with booster doses at ages 11 years, 45 years, and 65 years. Travellers are recommended to have the vaccine 10 yearly esp. if travelling to developing countries, or where there may be a risk of contracting the disease.
TYPHOID FEVER Immunisation is recommended for those travelling to remote regions for a month or more, but it is not compulsory.
YELLOW FEVER No vaccination requirements for any international traveller




Malaria is not present in any area of this country




GENERAL
Modern medical facilities and well skilled medical practitioners are widely available. Doctors and hospitals often expect immediate cash payment for health services. Comprehensive travel and medical insurance is recommended.

Uninsured travellers who require medical care overseas often face extreme difficulties, whereas travellers who have purchased overseas medical insurance have found it to be life-saving when a medical emergency has occurred

HEALTH, ACCIDENTS AND INSURANCE
Accidents and injuries are the leading cause of death among travellers under the age of 55. Most are caused by motor vehicle and motorcycle crashes; and to a lesser degree, drowning, aircraft crashes, murders, and burns.

Heart attacks cause most fatalities in older travellers, but infections cause only 1% of fatalities in overseas travellers. Generally, infections are the most common cause of travel-related illness.

Travellers are advised to obtain, before departure, travel health insurance with specific overseas coverage. The policy should include a medical evacuation benefit. Check for any exclusions that are part of the policy, and keep in mind that many insurance policies have terrorism exclusion clauses.

                                                                                                                                                                                           DR JOHN J RYAN MEDICAL DIRECTOR

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