If you are bitten, seek medical advice without delay. For more information, consult the Health appendix. Diphtheria outbreaks have been reported in the area. Hepatitis A and Hepatitis E are common. Hepatitis B is endemic.
Cholera is common throughout the region.
Medical services offered to foreigners, except emergency care, require immediate cash payment and are somewhat limited. There is a severe shortage of basic medical supplies, including disposable needles, anaesthetics and antibiotics, and travellers are advised to bring any necessary medication or equipment. Elderly travellers and those with existing health problems may be at risk owing to inadequate medical facilities. The US Embassy maintains a list of English-speaking physicians in the area. Medical insurance is strongly recommended.