Vaccination and Travel Information for Micronesia, Federated States of

MICRONESIA, FEDERATED STATES OF (FSM)

 Information current as at:  February 2009 by The D2 Medical centre No1 Fitzwilliam Street Upper Dublin 2 ph 6314500. The experts in travel vaccines Dublin 2


 

Climate: With 2000 islands spread over 7.8 million sq km (3 million sq miles) of the Pacific Ocean, the islands have a variety of weather. Autumn to the next winter (November to April) is the most pleasant time, while May to October is the wet season. The climate can generally be described as tropical in this part of the world, but the cooling sea breezes prevent really extreme temperatures and humidity.
Capital City: Palikir
Altitude: At sea level
Main Cities: Kolonia (in Pohnpei), Weno (in Truk), Lelu (in Kosrae)
Population: 112,600 ( 2003 est.)
Land Area (sq km): 702
Currency: 1 United States dollar = 100 cents
Languages: English (official and common language), Trukese, Pohnpeian, Yapese, Kosrean, Ulithian, Woleaian, Nukuoro, Kapingamarangi
Religions: Roman Catholic 50%, Protestant 47%
Economy: Fish, garments, bananas, black pepper
 



The D2 Medical Centre 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 strongly 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.


JAP.B.ENCEPHALITIS Immunisation is neither required nor recommended.
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 recommended.
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 travel periods of more than 1 month.


YELLOW FEVER A Yellow Fever vaccination certificate is suggested from travellers coming from infected areas, otherwise Immunisation is not required.
For details on vaccines and recommendations please refer to




Malaria is not present in any area of this country.




GENERAL
Health care facilities in the FSM consist of hospitals on each of the four major islands and a few scattered clinics. These facilities sometimes lack basic supplies and medicines, and the quality of health care is variable. Doctors and hospitals may expect immediate cash payment for health services. Medical evacuation can be very expensive and health insurance for all travellers to the nation is recommended. Scuba divers are strongly advised to purchase medical evacuation insurance before coming to the FSM. There is one functioning decompression chamber in the FSM in Yap State.

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.


 


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