Central African Republic
Avoid dental treatment in Central African Republic as the standards of care and hygiene cannot be guaranteed.
Reliable supplies of medication are available in the larger pharmacies in Bangui. Elsewhere drugs can be out of date, heat damaged or counterfeit.
Blood supplies should be considered as unsafe in The Central African Republic
Medical facilities are limited, and the quality of acute care is unreliable. Sanitation levels are low. Many medicines are not available. Travelers are advised to bring their own properly-labeled supplies.
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, rare meat or dairy products. Eat well-cooked foods while they are still hot and fruits that can be peeled without contamination. Avoid roadside stands and street vendors.
Swim only in well-maintained, chlorinated pools; avoid freshwater lakes, streams and rivers. Wear clothing which reduces exposed skin and apply repellents containing DEET to remaining areas. Sleep in well-screened accommodations. Carry anti-diarrheal medication. Reduce problems related to sun exposure by using sunglasses, wide-brimmed hats, sunscreen lotions and lip protection.
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.
Snakes, scorpions, tarantulas and other spiders, ants and mosquitoes make it necessary to take precautions when walking outdoors, including wearing shoes and using insect repellent, particularly at night.
Hepatitis A: Consider active immunization with hepatitis A vaccine or passive immunization 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).
Meningitis: Meningococcal vaccine is recommended for travelers, particularly during the December-June dry season when epidemics are most likely to occur. Importance of vaccination increases with length of stay and/or exposure to crowded conditions. Pregnancy is a relative contraindication to vaccination. Protection may be less effective for infants and children aged 3-23 months than it is for persons aged 2 years and older.
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.
Rabies: Preexposure vaccination should be considered for persons staying longer than 30 days who are expected to be at risk to bites from domestic and/or wild animals (particularly dogs), or for persons engaged in high risk activities such as spelunking or animal handling. Need for vaccination is more important if potential exposure is in rural areas and if adequate postexposure care is not readily 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.
Yellow fever: Vaccination is recommended for travelers over 9 months of age going outside of urban areas.
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 diseases: are major causes of illness. Many diseases, including yellow fever, are endemic, with only scattered cases being reported and, from time to time, more extensive outbreaks.
Filariasis - prevalent
Leishmaniasis - occurs (both cutaneous and visceral types may be found, particularly in the drier areas)
Loiasis - prevalent
Malaria - prevalent
Onchocerciasis (river blindness) - prevalent
Relapsing fever - occurs
Trypanosomiasis (sleeping sickness) - occurs (human type - mainly in small, isolated areas - is reported)
Typhus - occurs (louse-, flea-, and tick-borne types occur)
Food-borne and water-borne illness: highly endemic. The dysenteries and diarrheal diseases, giardiasis, the typhoid fevers and viral hepatitis are widespread. Echinococcosis (hydatid disease) is widespread in animal-breeding areas.
Dracunculiasis - occurs
Helminthic (parasitic worm) infections - prevalent
Schistosomiasis - common
Yellow fever: A yellow fever vaccination certificate is required from travelers over 1 year of age coming from all countries.
