Vaccination and Travel Information for Lithuania

LITHUANIA

 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: From May to September temperatures vary from about 14°C to 22°C, but between November and March it rarely gets above 4°C. July and August, are the warmest months, but are also wet with persisting showers.
Capital City: Vilnius
Altitude: 180 metres
Main Cities: Kaunas, Klaipéda, Siauliai
Population: 3,765,000
Land Area (sq km): 65,000
Currency: 1 litas = 100 centai
Languages: Lithuanian, Russian, Polish
Religions: Roman Catholic, Russian Orthodox, Lutheran
Economy: Agriculture, fishing, forestry



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 Immunisation is not required for travel to this country alone.




Malaria is not present in any area of this country.




GENERAL
Medical care in Lithuania is improving but medical facilities do not always meet Western standards. There are a few private clinics with medical supplies and services that are nearly equal to Western European or U.S. standards. Most medical supplies are now widely available, including disposable needles, anaesthetics, antibiotics and other pharmaceuticals.

Lithuania has many highly trained medical professionals, but hospitals and clinics still suffer from a lack of equipment and resources. Western-quality dental care can be obtained in major cities. Elderly travellers who require medical care may face extreme difficulties. Most pharmaceuticals sold here are from Europe. Serious medical problems requiring hospitalisation and/or medical evacuation can cost thousands of dollars or more. Doctors and hospitals often expect immediate cash payment for health services.

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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