Vaccination and Travel Information for Mongolia

MONGOLIA

 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: Mongolia enjoys 250 sunny days a year. Mongolia has warm summers and extremely cold winters. The country has a continental climate with extreme diurnal and annual ranges of temperature. Average temperature in most of the country is below the freezing point from November to March and close to it in April and October. Winter nights of -40C occur most years (minimum recorded -55C at lake Uvs). Summer extremes reach as high as +40C in the Gobi Desert, and +33C in Ulaanbaatar.
Capital City: Ulan Bator (Ulaanbaatar )
Altitude: 1300 metres
Main Cities: Altanbulag, Altay, Darhan, Saynshand
Population: 2,650,952 ( July 2000 est )
Land Area (sq km): 1.565 million sq km 1,566,500
Currency: 1 tugrik (tug)= 100 mongos
Languages: Khalkha Mongol 90%, Turkic, Russian
Religions: Predominantly Tibetan Buddhist, Muslim 4% note: previously
Economy: Copper, animal products, cashmere, wool, other nonferrous metals



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. This risk of acquiring this disease is very high.


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 recommended for travellers who will be in the area, near the region of Manchuria in China, for 1 month or more.

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 at a time.


TUBERCULOSIS (TB) TB can occur in this country. 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.


YELLOW FEVER Immunisation is not required for any international traveller.




Malaria is not present in any area of this country.




GENERAL
Communications and health facilities in Mongolia, particularly outside Ulaanbaatar, can be poor. Medical facilities in Mongolia are very limited, and some medicines are unavailable. Infectious diseases, such as plague and meningococcal meningitis, are present at various times of the year. Serious medical problems requiring hospitalisation and/or medical evacuation can be very expensive. Doctors and hospitals often expect immediate payment for health services. Worldwise OnLINE strongly recommends that all travellers abroad take out adequate comprehensive insurance. Travellers should also carry their prescription medicine in the original container along with a copy of the prescription, or a note from their doctor.

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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