Vaccination and Travel Information for Rwanda

RWANDA

 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: Despite its proximity to the Equator the climate in Rwanda is cooled by the high altitude. It is warm throughout most of the country but cooler in the mountains. There are two rainy seasons: mid-January to April and mid-October to mid-December.

Kigali temperature ranges from 20-28 ° Celsius throughout the year.
Capital City: Kigali
Altitude: 1550 metres above sea level
Main Cities: Gisenyi, Gitarama, Kibuye, Kybungo
Population: 7,398,074
Land Area (sq km): 26,338
Currency: Rwandan franc (RWF)
Languages: Kinyarwanda (official) universal Bantu vernacular, French (official), English (official), Kiswahili (Swahili) used in commercial centers
Religions: Roman Catholic 56.5%, Protestant 26%, Adventist 11.1%, Muslim 4.6%
Economy: Coffee, tea, hides, tin ore
 



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.


MENINGO-COCCAL MENINGITIS There is current risk of the disease, particularly in the Northern border regions of the country. Immunisation is recommended for travel to these areas.


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 in rural or remote areas for 1 month or more at a time.


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.


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 A yellow fever vaccination certificate is required from all travellers over 1 year of age. Infected areas listed below.

* World Health Organization:
The following countries and areas are regarded as Yellow Fever infected areas:

Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte d'Ivoire, Democratic Republic of the Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Niger, Nigeria, Rwanda, Sao Tome and Principe, Senegal, Sierra Leone, Somalia, Sudan (south of 15°N), Togo, Uganda, United Republic of Tanzania, Zambia.
America: Belize, Bolivia, Brazil, Colombia, Costa Rica, Ecuador, French Guiana, Guyana, Panama, Peru, Suriname, Trinidad and Tobago, Venezuela.




Risk is present throughout this country, including urban areas. There have been some increases in the incidence of Malaria in the country. Areas where there is cause for extra caution: Kirinyaga, Meru North District, and Trans Mara Districts. An alarming extension of this is that some of the previously malaria-free high altitude areas are reporting the disease. Risk may be less in the northwest prefecture of Ruhengeri. P. falciparum accounts for approximately 90% of cases. Remainder of cases are due to the P. ovale and P. malariae species, rarely P. vivax. Chloroquine-resistant falciparum malaria is reported.

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  D2 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.

 

General Advice on Mosquito Prevention.
Malaria is transmitted by mosquito bite, so recommend all travellers to the country to:

  • cover exposed skin after dusk when they are at most risk for getting bitten
  • use insect repellent with DEET in it.
  • return before dusk from country areas where malarial mosquitoes are the most active
  • sleep in screened room or use a bed net, remembering to tuck in the edges & spray inside.
  • sleep in air conditioned rooms or rooms with fans. Vapour pads and smoke coils also help. Insect buzzers are useless.




GENERAL
Medical facilities are limited, and some medicines are in short supply or unavailable. Travellers generally should bring their own supplies of prescription drugs and preventive medicines. In Kigali, travellers can go to King Faycal Hospital, a private hospital that offers limited services. A missionary hospital run by Americans is located in Kibagora, in the southwest of Rwanda, and it has some surgical facilities. Medical care is generally good, but it varies in quality, particularly in remote areas. Doctors and hospitals often expect immediate cash payment for health services.

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.

Yellow Fever Map

                                                                                                                                                                                     DR JOHN J RYAN MEDICAL DIRECTOR

You can view a list of all countries by clicking here

Vaccine info for over 180 countries

Going abroad image

Going Abroad?

Make sure to book an appointment with us at least 4 weeks before you travel.

Contact clinic: 01-6314500

Request an appointment Check out our sister site Dublin Health Screening

Created by Flo Web Design. Maintained using Flo CMS