Vaccination and Travel Information for Norway

NORWAY

 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: Coastal areas have a moderate climate owing to the Gulf Stream and North Atlantic Drift. Inland temperatures are more extreme with hot summers and cold winters (November to March). In general, the lowlands of the south experience colder winters and warmer summers than the coastal areas. Rain is distributed throughout the year with frequent inland snowfalls during the winter. The northern part of the country inside the Arctic Circle has continuous daylight at midsummer, and twilight all day during winter.

Oslo temperature ranges from -8 to 0 ° Celsius in winter to 12- 22 ° Celsius in the summer months.
Capital City: Oslo
Altitude: 50 metres above sea level
Main Cities: Bergen, Bodo, Stavanger, Svalbard, Trondheim
Population: 4,481,162
Land Area (sq km): 324,220
Currency: 1 Norwegian krone = 100 øre
Languages: Norwegian note: small Lapp- and Finnish-speaking minorities
Religions: Evangelical Lutheran 86%, Protestant and Roman Catholic 3%,
Economy: Petroleum products, machinery, metals, chemicals, ships, 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 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. Immunisation may be advisable for travellers who will be living in remote rural areas for 1 month or more. No Human rabies cases reported since at least 1988.

TICK BORNE ENCEPHALITIS Immunisation is not compulsory, but is recommended for travellers to rural forested regions for 2-3 weeks 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 neither required nor routinely recommended.
YELLOW FEVER No vaccination requirements for any international traveller.




Malaria is not present in any area of this country.




GENERAL
Medical facilities are widely available and of high quality, however they may be limited outside the larger urban areas. The remote and sparse populations in northern Norway, and the dependency on ferries to cross fjords of western Norway, may affect transportation and ready access to medical facilities. The standard of medical care is generally excellent. We strongly recommend that all travellers take out adequate comprehensive insurance.

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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