Overall risk to visitors is low, though personal protective measures are warranted if mosquito bites are occurring. Similar to Japanese B Encephalitis. Prostitution exists in major cities. The worldwide HIV epidemic has changed the emphasis on STD prevention. Rates are elevated in prostitutes.
Risk is significant for sexual contacts.
DAR required for all Hep B cases. Ulcerative STD's may increase HIV transmission. Any prostitute contact should be considered extremely high risk. Positive command involvement is invaluable. Punitive or restrictive measures have usually resulted in a worsened STD problem, and should be actively discouraged.