Vaccination and Travel Information for Kyrgyzstan

KYRGYZ 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: Dry continental to polar in high Tien Shan; subtropical in southwest (Fergana Valley); temperate in northern foothill zone.

January - 4 to + 14 °C; July + 12 to + 30 °C.
Capital City: Bishkek
Altitude: 730 metres above sea level
Main Cities: Karakol, Osh, Tokmok
Population: 4,685,230
Land Area (sq km): 198,500
Currency: 1 Kyrgyzstani som (KGS) = 100 tyiyn
Languages: Kirghiz (Kyrgyz) and Russian: official languages
Religions: Muslim 75%, Russian Orthodox 20%, other 5%
Economy: Oil and gas, machinery and equipment, foodstuffs



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 strongly recommended but not compulsory.


HEPATITIS ‘B’ Immunisation is strongly recommended for travellers.
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 recommended for travellers who will be staying in rural areas for 1 month or more.

TUBERCULOSIS (TB) Immunisation is not compulsory, and is not routinely recommended for adults.
Children should be immunised at any age.
A skin test is available if immune status is in doubt, and this is recommended pre- and post- travel for those going to ‘at risk’ regions.


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 travellers who will be living in rural areas for 1 month or more.


YELLOW FEVER Vaccination is not required for travel to this country alone.




Malaria risk – exclusively due to P. vivax – exists from June through September in some southern and western parts of the country, mainly in Batken, Osh and Zhele-Abadskaya provinces in areas bordering Tajikistan and Uzbekistan. Malaria is generally more likely to be considered as autochthonous in the country.
Prophylaxis is not routinely recommended.

The ministry blamed intensive migration and economic relations with several countries
with endemic malaria, the situation with malaria in neighbouring Tajikistan, the unsatisfactory state of irrigation and drainage systems, and an increase in rice plantations in the vicinity of settlements.

There are five common medications for malaria prevention available in Ireland. They are: chloroquine, doxycycline, malarone, mefloquine, paludrine. To determine the appropriate antimalarial, it is advised that the traveller discuss this with a Globewise Travellers Health Specialist or other Travel Health Professional. None of the medicines are 100% effective against the disease at all times, and each has its own side effects. These need to be discussed with the intending traveller.

Malaria map of Kyrgyzstan




GENERAL
Basic medical supplies, including disposable needles, anaesthetics, and antibiotics, are in short supply in the Kyrgyz Republic. Medical care in the Kyrgyz Republic is limited and well below established  European standards. Basic medical supplies, including disposable needles, anaesthetics, and antibiotics can be in short supply. Elderly travellers and those with pre-existing health problems may be at risk due to inadequate medical facilities. Most resident ex-pats travel to Western Europe for serious medical treatment. Such travel can be extremely expensive if undertaken under emergency conditions. Travellers requiring prescription medications or specific brand-name medicines should bring sufficient supplies of medications and not rely on local availability. Hospitals usually require payment in cash for all services. Some medicines are in short supply in public hospitals and clinics.

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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