Syphilis is alive and well in Russia. HIV is poorly documented, but we may assume from statements of Russian public health authorities and from the incidence of STD's in general that there is a serious risk. Our physicians have found it wise to consider STD in any patient who presents with urethral or vaginal complaints. Generally, all appropriate specimens to exclude STD should be sent with any genito-urinary complaint. Water - Do not drink tap water.
Tap water is usually safe, but intermittent contamination occurs.
This is especially common in the Spring. This water is also available in fluorinated form and is recommended. Water filters are of variable quality. Certified Product Listings to look up a specific product. Air - Typical patient complaints relate to dry air in Moscow apartments in the winter and seasonal allergies through the warmer seasons.