Vaccination and Travel Information for Czech Republic

CZECH Republic

 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 mixed. Continental influences are marked by large fluctuations in both temperature and precipitation, but in general, temperatures decrease with increasing altitude but are relatively uniform across the country at lower elevations. The mean annual temperature at Cheb in the extreme west is 7º C. High temperatures can reach 33º C in Prague during July, and low temperatures may drop to -17º C in Cheb during February.
Capital City: Prague
Altitude: 250 m
Main Cities: Brno,Olomouc, Ostrava, Plzen
Population: 10,272,179
Land Area (sq km): 78,866
Currency: 1 koruna (Kc) = 100 haleru
Languages: Czech
Religions: Atheist 39.8%, Roman Catholic 39.2%, Protestant 4.6%, Orthodox 3%, other 13.4%
Economy: Machinery and transport equipment, chemicals, raw materials, fuel



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 recommended 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 Immunisation is neither required nor routinely recommended for travellers, unless there is to be significant remote travel to rural areas or the traveller works with animals at risk for the disease.


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 neither required nor routinely recommended.
YELLOW FEVER No vaccination requirements for any international traveller




Malaria is not present in any area of this country.




GENERAL
Prague has good Western-style medical clinics with English-speaking doctors and dentists. However, staff members at the majority of Czech medical facilities do not speak English. Hospitalisation in the country is more liberal than in many Western Countries; conditions that would be treated on an outpatient basis in them are often treated on an inpatient basis in the Czech Republic. Ambulance response can sometimes be slow, and different ambulances are dispatched depending on the perceived severity of the patient's condition.

Medical facilities are available but may be limited, particularly in remote areas. Doctors and hospitals often expect cash payment for health services. Travellers requiring prescription medications or specific brand-name medicines should bring sufficient supplies of medications and not rely on local availability. Medicines and basic medical supplies are largely obtainable in privately owned pharmacies.

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. The D2 medical recommends that the policy also provide 24-hour access to an assistance centre that can help arrange and monitor delivery of medical care, and determine if air ambulance services are required.

 
                                                                                                                                                        DR JOHN J RYAN MEDICAL DIRECTOR

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