South East Asia

Brunei

Brunei is a small Islamic Sultanate on the northwest coast of the island of Borneo. The capital, Bandar Seri Begawan, is the only major city. Tourist facilities are good, and generally available.

CRIME INFORMATION: The crime rate in Brunei is low, and violent crime is rare.

MEDICAL FACILITIES: There is adequate care for basic medical conditions in Brunei; however, due to unpredictable shortages of materials and uncertain support staff, any elective surgery or complicated care is best obtained in Singapore or elsewhere. Doctors and hospitals often expect immediate cash payment for health services.

Arthropodborne diseases:

• Dengue fever
• Japanese enchephalitis

We recommend:

• Usage of long-sleeved shirt and long pants to wear whenever possible while outside, to prevent illnesses carried by insects
• Usage of insect repellent containing DEET (diethylmethyltoluamide), in 30%–35% strength for adults and 6%–10% for children. Unless you are staying in air-conditioned or well-screened housing
• Usage of a bed net impregnated with the insecticide permethrin.
• Staying and sleeping in air-conditioned houses

Water- and foodborne diseases:

• Amoebiasis
• Cholera
• ETEC (E.coli)
• Giardiasis
• Hepatitis A
• Hepatitis E
• Typhoid fever

Other diseases:

• Hepatitis B

Vaccinations recommended:

• Hepatitis A or immune globulin (IG)
• Hepatitis B or immune globulin
• Rabies, if you might be exposed to wild or domestic animals through your work or recreation.
• Typhoid vaccination is particularly important because of the presence of S. typhi strains resistant to multiple antibiotics in this region.
• A booster for tetanus/diphtheria - if not covered which indicates not vaccinated within the last 10 years.
• Japanese encephalitis, only if you plan to visit rural areas for 4 weeks or more
• Yellow fever, when entering from a yellow fever endemic region.

Stay healthy:

• Wash hands often with soap and water.
• Drink only boiled water, or water and carbonated (bubbly) drinks in cans
• Avoid tap water, fountain drinks, and ice cubes.
• Eat only thoroughly cooked food or fruits and vegetables you have peeled yourself. Remember: boil it, cook it, peel it, or forget it
• Protect yourself from insects by remaining in well-screened areas, using repellents (applied sparingly at 4-hour intervals) and permethrin-impregnated mosquito nets, and wearing long-sleeved shirts and long pants from dusk through dawn.
• Prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot
• Do not travel at night
• Trafic accidents are frequent, be careful
• Always use latex condoms to reduce the risk of HIV and other sexually transmitted diseases
• Don’t eat food purchased from street vendors.

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