| Health | ||||||||||||||||||||||||||||||||||||||||||||
Healthcare : Government expenditure on health is low and the quality of hospitals is poor. It is advisable to take specific personal medicines as well as supplies such as syringes and drip needles, as medical facilities are available only in larger centres. Doctors and hospitals expect cash payment in full for health services. Health insurance is essential and it is advisable to include cover for emergency air evacuation. Note : 1 A yellow fever vaccination certificate is required by travellers over one year of age. 2 Following WHO guidelines issued in 1973, a cholera vaccination certificate is not an official condition of entry to Congo (Dem Rep). However, cholera is a serious risk in this country and precautions are essential. Up-to-date advice should be sought before deciding whether these precautions should include vaccination as medical opinion is divided over its effectiveness. See the Health appendix. 3 Immunisation or boosters for typhoid are recommended and vaccination against poliomyelitis is sometimes advised. 4 Malaria risk, predominantly in the malignant falciparum form, exists throughout the year in the whole country. The malignant form is reported to be highly resistant to chloroquine and sulfadoxine-pyrimethamine. Mefloquine is the recommended prophylaxis. |
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