Africa South of Sahara

Zambia

Zambia is a developing southern African country. Tourist facilities outside of well-known game parks are not fully developed. The capital is Lusaka.

CRIME: Crime in Zambia is widespread. Armed carjackings, muggings and petty theft are commonplace in Lusaka and other major cities, especially in downtown commercial districts and housing compounds. Carjackers target four-wheel drive vehicles, but anyone who does not practice sound security procedures may be targeted. Thieves steal possessions from automobiles and public transport vehicles stopped in traffic. Lock car doors and roll up windows at all times. Travel at night is particularly risky, both in Lusaka and on roads outside of the city.

MEDICAL FACILITIES: Government hospitals and clinics are often understaffed and lack supplies. Private medical clinics in major cities can provide reasonable care in many cases, but major medical emergencies usually require medical evacuation to South Africa. Basic medical care outside of major cities is extremely limited. Doctors and hospitals often expect immediate cash payment for health services.

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

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:

• 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

TraveldoctorOnline 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