Armenia
Avoid dental care in Armenia
Reliable supplies of medication are not easily available in Armenia
Blood supplies should be considered as unsafe in Armenia
Medical care in Armenia is limited. The U.S. Embassy maintains a list of English speaking physicians in the area. There is a severe shortage of basic medical supplies, including disposable needles, anesthetics, and antibiotics. Elderly travelers and those with existing health problems may be at risk due to inadequate medical facilities. Doctors and hospitals often expect immediate cash payment for health services.
Recent medical and dental exams should ensure that the traveler is in good health. Carry appropriate health and accident insurance documents and copies of any important medical records. Bring an adequate supply of all prescription and other medications as well as any necessary personal hygiene items, including a spare pair of eyeglasses or contact lenses if necessary.
Drink only bottled beverages (including water) or beverages made with boiled water. Do not use ice cubes or eat raw seafood or rare meat. Eat well-cooked foods while they are still hot and fruits that can be peeled without contamination. Avoid roadside stands and street vendors. Only pasteurized dairy products should be consumed.
CDC reports a severe shortage of vaccines to combat diseases such as measles, diphtheria, tetanus and pertussis - along with increased incidence of those diseases.
Diphtheria occurs. Cases predominantly occur in urban areas, but increasing numbers have been reported in rural areas. Shortages of vaccine, antibiotics and diphtheria antitoxin are contributing to the problem. While proof of diphtheria immunity is not required for travel, travelers to areas where diphtheria is occurring should be up-to-date for diphtheria immunization.
AIDS occurs. Blood supply may not be adequately screened and/or single-use, disposable needles and syringes may be unavailable. When possible, travelers should defer medical treatment until reaching a facility where safety can be assured.
Hikers should take protective measures against ticks.
Hepatitis A: Consider active immunization with hepatitis A vaccine or passiveimmunization with immune globulin (IG) for all susceptible travelers. Especially consider choosing active immunization for persons planning to reside for a long period or for persons who take frequent short-term trips to risk areas. The importance of protection against hepatitis A increases as length of stay increases. It is particularly important for persons who will be living in or visiting rural areas, eating or drinking in settings of poor or uncertain sanitation, or who will have close contact with local persons (especially young children) in settings with poor sanitary conditions.
Hepatitis B: Vaccination is advised for health care workers, persons anticipating direct contact with blood from or sexual contact with inhabitants, and persons planning extended stays of 6 months or greater (especially those who anticipate using local health care facilities, staying in rural areas, or having intimate contact with the local population).
Polio: A one-time booster dose is recommended for travelers who have previously completed a standard course of polio immunization. Refer to CDC guidelines for vaccinating unimmunized or incompletely immunized persons. Pregnancy is a relative contraindication to vaccination; however, if protection is needed, either IPV or OPV may be used, depending on preference and time available.
Typhoid: Vaccination should be considered for persons staying longer than 3 weeks, adventurous eaters, and those who will venture off the usual tourist routes into small cities, villages and rural areas. Importance of vaccination increases as access to reasonable medical care becomes limited. Contraindications depend on vaccine type.
Note: All routine vaccines (such as DTP or Td, Hib, MMR, polio, varicella, influenza and pneumococcal) should be kept up-to-date as a matter of good health practice unrelated to travel.
Insect-borne illness:
Encephalitis (tick-borne) - occurs in forested areas
Leishmaniasis (cutaneous) - occurs
Lyme disease - occurs
Food-borne and water-borne illness: pose a major hazard in most areas.
Brucellosis - prevalent
Cholera - occurs
Echinococcosis (hydatid disease) - occurs
Hepatitis - common
Taeniasis - occurs
Typhoid fever - occurs
Other hazards:
Diseases such as measles and diphtheria are commonly reported. Polio is still considered a possible risk, although cases have rarely been reported in recent years.
Influenza risk extends from November to April.
Rabies - occurs (especially among foxes in rural areas)
None
