Vaccination and Travel Information for Tunisia

TUNISIA

 Information current as at:  February 2009 by The D2 Medical Centre No1 Fitzwilliam Street Upper Dublin 2 ph 6314500. The experts in travel vaccines Dublin2.  


Climate: Temperate in north with mild, rainy winters and hot, dry summers; desert in south
Capital City: Tunis
Altitude: 50 metres above sea level
Main Cities: Bizerta, Sfax, Sousse
Population: 9,513,603
Land Area (sq km): 163,610
Currency: 1 Tunisian dinar (TD) = 1,000 millimes
Languages: Arabic (official and one of the languages of commerce), French
Religions: Muslim 98%, Christian 1%, Jewish and other 1%
Economy: Olives, dates, fruit, almonds, grain, sugar beets, poultry, beef,



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' This is the most vaccine preventable disease for travellers. Strongly recommended but not compulsory for travel to this area. Gammaglobulin is not recommended for travellers.

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 no significant risk of the disease, currently. 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 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 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 travellers over 1 year of age coming from infected areas ( see * 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.




Malaria is a low risk. Indigenous malaria has not occurred since 1978 but foci of vivax malaria activity may still exist. Travellers are recommended to take measures to prevent mosquito bites and seek medical attention for any unexplained illness accompanied by chills, fever, and headache.

Yellow Fever Map

                                                                                                                           DR JOHN J RYAN MEDICAL DIRECTOR

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