Vaccination and Travel Information for Singapore

SINGAPORE

 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: Warm and fairly humid summer temperatures throughout the year (approximately 30ºC during the day and 23ºC in the evening). There is no distinct wet/dry season. Most rain falls during the northeast monsoon (November to January) and showers are usually sudden and heavy.
Capital City: Singapore
Altitude: 50 metres
Population: 4,151,264
Land Area (sq km): 647.5
Currency: 1 Singapore dollar = 100 cents
Languages: Chinese (official), Malay (official and national), Tamil (official),
Religions: Buddhist (Chinese), Muslim (Malays), Christian, Hindu, Sikh,
Economy: Electronics, chemicals, pharmaceuticals, food processing,



The D2 Medical advises all travellers to be 'up-to-date' for:

CHOLERA Immunisation is neither required or 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 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 not routinely 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 not routinely 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 not routinely recommended.


YELLOW FEVER A yellow fever vaccination certificate is required from travellers over 1 year of age coming from infected areas. Certificates of vaccination are required from travellers over 1 year of age who, within the preceding 6 days, have been in or have passed through any country partly or wholly endemic for yellow fever. The countries and areas included in the endemic zones are considered as infected areas. Immunisation is not required for travel to this country alone.




No malaria is reported in Singapore, therefore routine anti-malarial prophylaxis is not recommended.




GENERAL
Good medical care is widely available. Doctors and hospitals expect immediate payment for health services. Recipients of health care should be aware that Ministry of Health auditors in certain circumstances may be granted access to patient medical records without the consent of the patient, and in certain circumstances, physicians may be required to provide information relating to the diagnosis or treatment without the patient's consent. Medical treatment can be very expensive.

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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