Morocco
Reasonable dental care can be found in the larger towns and cities
Some international medication is available from the larger pharmacies and hospitals in the larger towns and cities.
Blood supplies are considered safe and screened to international standards
Adequate medical care in Morocco is available, particularly in Rabat and Casablanca, although not all facilities meet high quality standards, and specialized care or treatment may not be available. Medical facilities are adequate for non-emergency matters, particularly in the urban areas, but the medical staff will probably not be able to communicate in English. Travelers planning to drive in the mountains and other remote areas may wish to carry a medical kit and a Moroccan phone card for emergencies. In the event of car accidents involving injuries, immediate ambulance service usually is not available.
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 or ocean water known to be free from pollution; 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.
The climate is difficult for sinus, asthma, and arthritis sufferers. Cement walls, stone floors, inadequate heating facilities and sudden temperature changes increase risks of colds and respiratory infections.
Cholera: Although limited in effectiveness, vaccination may be appropriate for persons living and/or working in less than sanitary conditions for more than 3 months where medical facilities are unavailable. Vaccination may also be appropriate for travelers with impaired gastric defenses who are planning an extended visit or being exposed to unsanitary conditions. Vaccination is not advised for pregnant women, infants younger than 6 months old, or persons with a history of severe reaction to the vaccine.
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).
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.
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 illnesses: unlikely to be a major problem to the traveler, however, some do occur.
Dengue fever - occurs
Leishmaniasis - occurs
Malaria - occurs
Relapsing fever - occurs
Tungiasis - prevalent
Typhus - occurs
Food-borne and water-borne illness: these are endemic. Dysenteries and other diarrheal diseases are common.
Brucellosis - occurs
Echinococcosis (hydatid disease) - occurs
Giardiasis - common
Helminthic (parasitic worm) infections - common
Hepatitis - common
Lassa fever - occurs (exists in some rural areas, and people visiting these areas should take particular care to avoid rat-contaminated food or food containers; but the extent of the disease should not be exaggerated)
Schistosomiasis - occurs
Typhoid fever - common
Other hazards:
Diseases such as measles and diphtheria are commonly reported. Polio is still considered a possible risk, although no cases have been reported in recent years.
Influenza risk extends from November to April.
Rabies - occurs
Trachoma - occurs
None.
