South Asia

Turkmenistan

Turkmenistan is a Central Asian nation . It shares borders with Kazakhstan, Uzbekistan, Afghanistan and Iran. Turkmenistan gained its independence in 1991 during the dissolution of the Soviet Union. Primarily a desert country, it has a small population of around 5 million people. Tourist facilities, especially outside the capital city of Ashgabat, are not highly developed. Many of the goods and services taken for granted in North American and Western European countries are not yet available. Travel within the country can be difficult due to limited infrastructure and government imposed internal travel restrictions.

CRIME: Turkmenistan has a low rate of violent crime, but ordinary street crime is common. Foreign visitors present an attractive target for criminals.

MEDICAL FACILITIES: Medical care in Turkmenistan is limited and well below Western European standards. Basic medical supplies, including disposable needles, anesthetics and antibiotics are often in short supply. Two clinics can conduct consultations and/or operations performed by foreign (German and Turkish) specialists. Elderly travellers and those with pre-existing health problems may be at risk due to inadequate medical facilities.

Arthropodborne diseases:

• Japanese encephalitis
• Malaria from June to October, particulary in Mary District

We recommend:

• Usage of long-sleeved shirt and long pants to wear whenever possible while outside, to prevent illnesses carried by insects
• Usage og 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
• Typhoid fever
• Brucellosis
• Cholora
• ETEC (E.coli)
• Hepatitis A
• Hepatitis E
• Giardiasis
• Echinococcosis

Other diseases:

• Hepatitis B
• Rabies

Vaccination recommended:

• Hepatitis A or Immune Globulin
• Hepatitis B or Immune Globulin
• Japanese encephalitis - only if you plan to visit rural areas for more than four weeks
• 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 chloroquine as malaria prophylaxis in risk areas

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

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