Advice can be obtained from the Himalayan Rescue Association near the Kathmandu Guest House, Thamel. It is advisable, particularly when in rural areas, to carry a medical kit containing items such as rehydration mixture for the treatment of severe diarrhoea and 'dry spray' for cuts and bruises. Hepatitis A, B and E occur. Meningitis has been reported in some areas. There has been a sharp rise in visceral leishmaniasis , and trachoma is fairly common.
Most hospitals have English-speaking staff and big hotels have doctors.
Pharmacies in Kathmandu, mainly along New Road, offer a wide range of Western drugs at low prices. In Kathmandu you can get certain vaccinations free of charge at the Infectious Diseases Clinic. Full medical insurance is essential.