Vaccination and Travel Information for Kiribati

KIRIBATI

 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 equatorial in the central islands of the group. The islands to the north and south are more tropical. The trade winds blow between March and October, the most pleasant time of the year, while the highest rainfall (December to May) is concentrated on the northern islands. November to February is more wet and humid than the rest of the year.
Capital City: Tarawa
Altitude: At sea Level
Population: 88,100 ( 2003 est.)
Land Area (sq km): 811
Currency: 1 Australian dollar = 100 cents
Languages: Kiribati, English
Religions: Roman Catholic 52%, Protestant (Congregational) 40%, some Seventh-Day Adventist, Muslim, Baha'i, Latter-day Saints, and Church of God (1999)
Economy: Fishing, agriculture, copra 62%, coconuts, seaweed, fish



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 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 travellers to remote or rural areas for a month or more at a time.

YELLOW FEVER A Yellow Fever vaccination certificate is required from travellers over 1 year of age coming from infected areas, otherwise Immunisation is not required.





Malaria is not present in any area of this country.




GENERAL
Health facilities in the Republic of Kiribati are not comparable to health standards in Ireland. Doctors and hospitals may expect immediate cash payment for health services. Health insurance is strongly recommended.


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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