Estonia
Good quality dental care is available in the cities
Supplies of medications are generally available
Although the testing of blood products generally follow international standards, it is recommended blood transfusions are avoided in Estonia
The quality of medical care in Estonia is improving but still falls short of Western standards. Estonia has many highly trained medical professionals, but hospitals and clinics still suffer from a lack of equipment and resources. Elderly travelers and those with health problems may be at increased risk.
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.
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 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).
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.
Common colds, bronchial ailments, sinusitis, and intestinal flu are common, especially in winter.
The incidence of communicable diseases in most areas is such that they are unlikely to prove a hazard to the international traveler greater than that found in his own country. There are, of course, health risks, but in most areas the precautions required are minimal.
Diseases such as measles and diphtheria are commonly reported. Influenza risk extends from November to April.
Rabies occurs (especially among foxes in rural areas) and diphyllobothriasis (fish tapeworm) may be a problem in the Baltic Sea area. Lyme disease occurs.
AIDS: According to the Department of State, testing is required for foreigners seeking residency or work permits. Foreign test results are accepted under certain conditions. Contact Estonia's embassy for details.
