Africa South of Sahara

Rwanda

Rwanda is a landlocked developing country in central/east Africa. It is recovering from a civil war and genocide in which as many as one million people were killed. Hotels and guesthouses are adequate in Kigali, the capital, and in major towns, but they are limited in remote areas.

CRIME: Pick-pocketing in crowded public places is common, as is petty theft from cars and hotel rooms. Although violent crimes such as carjackings, robberies, and home invasions are rarely committed against foreigners, one should remain alert and exercise caution.

MEDICAL FACILITIES: Medical facilities are limited, and some medicines are in short supply or unavailable. Travellers generally bring their own supplies of prescription drugs and preventive medicines. In Kigali, visitors can go to King Faycal Hospital, a private hospital that offers limited services. A missionary hospital run by Americans is located in Kibogora, in the southwest of Rwanda, and it has some surgical facilities.

More than 25 mill. people are infected by HIV in the subsaharian Africa.

Arthropodborne diseases are a great problem in this region af Africa.

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

Arthropod borne diseases:

• Malaria
• Filariasis
• Leishamaniasis
• Relapsing fever
• Epidemic typhus
• Onchocerciasis
• Trypanosomiasis
• Yellow fever

Water- and foodborne diseases:

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

Other diseases:

• Hepatitis B
• Trachoma
• HIV
• Poliomyelitis
• Schistosomiasis (Bilharziasis)

Vaccinations recommended:

• Yellow fever
• Hepatitis A or Immune Globulin (IG)
• Hepatitis B or Immune Globulin
• Typhoid fever - vaccination is particularly important because of the presence of S. typhi strains resistant to multiple antibiotics in this region
• Rabies - if risk for contact with wild or domestic animals
• A booster for tetanus/diphtheria - if not covered which indicates not vaccinated within th last 10 years.

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;
• Use mefloquine as malaria prophylaxis.(Chloroquine resistance)

To top Back to list of countries • Home

Updated 21-Jul-2003 • İtraveldoctorOnline 2001 • Disclaimer • webmaster

The contents within traveldoctoronline are presented only for informational purposes and cannot substitute for professional health care or any other medical treatment. All users of this website with health problems should be oblige always to consult their medical doctor before starting any treatment