Health
Visitors should note that a yellow fever vaccination certificate is required for all travellers over one year of age. Following WHO guidelines issued in 1973, a cholera vaccination certificate is no longer a condition of entry to Côte d’Ivoire. However, cholera is a serious risk here and it is best that one takes adequate precautions. 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 for more information. Immunisation against typhoid is usually advised. The risk of Malaria and risk of other insect-borne diseases exists throughout the year in the whole country, including in the urban areas. The malignant falciparum form is prevalent. Resistance to chloroquine and sulfadoxine-pyrimethamine has been reported. A weekly dose of mefloquine is the recommended prophylaxis.
Food & drink: All water should be regarded as being potentially contaminated. It is best if boiled or sterilised water is used for drinking, brushing teeth or making ice. Milk is unpasteurised and should be boiled. Powdered or tinned milk is available but one must make sure that it is reconstituted with pure water. Avoid dairy products that are likely to have been made from milk that is not boiled. Visitors should eat only well-cooked meat and fish, preferably served hot. The non-vegetarians should note that pork, salad and mayonnaise may carry increased risk. Vegetables should be cooked and fruit peeled.
Other risks: Bilharzia (schistosomiasis) is present. Visitors are advised against swimming and paddling in fresh water. However, swimming pools that are well chlorinated and maintained are safe. Hepatitis B is hyperendemic and hepatitis A and E are widespread. Meningitis risk is present depending on area visited and time of year. Sleeping sickness (trypanosomiasis) and cases of ebola have been reported. There is a high incidence of HIV/AIDS. Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay.
Health care: Health care facilities in the main towns are up to international standards but expensive; medical insurance is essential.
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