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Travel info for Odesa (from R. Senkus; 3 of 3).-rd
==========================================================

>                   Health Information for Travelers to
>
>    Eastern Europe and the Newly Independent States of the Former Soviet
>                                           Union (NIS)
>
>Date last Rev'd: December 2, 1998
>
>                   Albania, Armenia, Azerbaijan,
>                   Byelarus, Bosnia/Herzegovina,
>                   Bulgaria, Croatia, Czech
>                   Republic, Estonia, Georgia,
>                   Hungary, Kazakhstan,
>                   Kyrgyzstan, Latvia, Lithuania,
>                   Moldova, Poland, Romania,
>                   Russia, Serbia/Montenegro,
>                   Slovak Republic, Slovenia,
>                   Tajikistan, Turkmenistan, Ukraine,
>                   Uzbekistan
>
>
>  Food and waterborne diseases are the number one cause of illness in
travelers. Travelers' diarrhea  can be caused by
>viruses, bacteria, or parasites, which are found throughout Eastern Europe
and can contaminate food or water. Infections may
>cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites),
fever (typhoid fever and toxoplasmosis), or liver
>damage (hepatitis). Make sure your food and drinking water are safe. (See
below.)
>
>Malaria is a preventable infection that can be fatal if left untreated.
Prevent infection by taking prescription antimalaria drugs
>and protecting yourself against mosquito bites (see below). Risk for
malaria exists only in small southern border areas of
>Azerbaijan and Tajikistan. Travelers to these areas should take
chloroquine to prevent malaria. For more detailed
>information about malaria in this region, see Malaria Risk and Prevention
in Eastern Europe and the Newly Independent
>States.
>
>A certificate of yellow fever vaccination may be required for entry into
certain of these countries if you are coming from a
>tropical South American or subSaharan African country. (There is no risk
for yellow fever in Eastern European and NIS
>countries.) For detailed information, see Yellow Fever Comprehensive
Vaccination Requirements.
>
>An outbreak of diphtheria is occurring in all the states of the former
Soviet Union. Travelers to these areas should be sure
>that their diphtheria immunization is up to date.
>
>Tickborne encephalitis, a viral infection of the central nervous system
occurs chiefly in Central and Western Europe.
>Travelers are at risk who visit or work in forested areas during the
summer months and who consume unpasteurized dairy
>products. Vaccine for this disease is not available in the United States
at this time. To prevent tickborne encephalitis, as well
>as Lyme disease, travelers should take precautions to prevent tick bites
(see below).
>
>Because motor vehicle crashes are a leading cause of injury among
travelers, walk and drive defensively. Avoid nighttime
>travel if possible and always use seat belts.
>                    CDC Recommends the Following Vaccines (as Appropriate
for Age):
>
>See your doctor at least 4–6 weeks before your trip to allow time for
shots to take effect.
>
>     Hepatitis A or immune globulin (IG).
>     Hepatitis B, if you might be exposed to blood (for example,
health-care workers), have sexual contact with the local
>     population, stay longer than 6 months, or be exposed through medical
treatment.
>     Rabies, if you might be exposed to wild or domestic animals through
your work or recreation.
>     Typhoid, particularly if you are visiting developing countries in this
region.
>     As needed, booster doses for tetanus-diphtheria, measles, and a
one-time dose of polio vaccine for adults. Hepatitis B
>     vaccine is now recommended for all infants and for 11– to 12-year-olds
who did not receive the series as infants.
>
>                                          To Stay Healthy, Do:
>
>     Wash hands often with soap and water.
>     Drink only bottled or boiled water, or carbonated (bubbly) drinks in
cans or bottles. Avoid tap water, fountain drinks,
>     and ice cubes. If this is not possible, make water safer by BOTH
filtering through an "absolute 1-micron or less" filter
>     AND adding iodine tablets to the filtered water. "Absolute 1-micron
filters" are found in camping/outdoor supply
>     stores.
>     Eat only thoroughly cooked food or fruits and vegetables you have
peeled yourself. Remember: boil it, cook it, peel it,
>     or forget it.
>     If you are going to visit risk areas for malaria, take your malaria
prevention medication before, during, and after travel,
>     as directed. (See your doctor for a prescription.)
>     Protect yourself from insects by remaining in well-screened areas,
using repellents (applied sparingly at 4-hour
>     intervals), and wearing long-sleeved shirts and long pants tucked into
boots or socks as a deterrent to ticks.
>     To prevent fungal and parasitic infections, keep feet clean and dry,
and do not go barefoot.
>     Always use latex condoms to reduce the risk of HIV and other sexually
transmitted diseases.
>
>                                         To Avoid Getting Sick:
>
>     Don’t eat food purchased from street vendors.
>     Don’t drink beverages with ice.
>     Don’t eat dairy products unless you know they have been pasteurized.
>     Don’t share needles with anyone.
>     Don’t handle animals (especially monkeys, dogs, and cats), to avoid
bites and serious diseases (including rabies and
>     plague).
>
>                                   What You Need To Bring with You:
>
>     Long-sleeved shirt and long pants to wear while outside whenever
possible, to prevent illnesses carried by insects.
>     Insect repellent containing DEET (diethylmethyltoluamide), in 30%–35%
strength for adults and 6%–l0% for children.
>     The insecticide permethrin applied to clothing is an effective
deterrent to ticks.
>     Over-the-counter antidiarrheal medicine to take if you have diarrhea.
>     Iodine tablets and water filters to purify water if bottled water is
not available. See above for more information about
>     water filters.
>     Sunblock, sunglasses, hat.
>     Prescription medications: make sure you have enough to last during
your trip, as well as a copy of the prescription(s).
>
>After You Return Home:
>
>If you have visited an area where there is risk for malaria, continue
taking your malaria medication weekly for 4 weeks after
>you leave the area.
>If you become ill after your trip—even as long as a year after you
return—tell your doctor where you have traveled.
>
>For More Information:
>
>Ask your doctor or check the CDC web sites for more information about how
to protect yourself against diseases that occur
>in Eastern Europe and the NIS.
>
>For information about diseases–
>
>Carried by Insects
>
>Lyme disease
>
>Malaria
>
>     General Information
>
>     Prescription Drugs
>
>Carried in Food or Water
>
>Cholera
>
>Escherichia coli diarrhea
>
>Hepatitis A
>
>Typhoid Fever
>
>Person-to-Person Contact
>
>Hepatitis B
>
>HIV/AIDS
>
>     Prevention
>
>     HIV-Infected Travelers
>
>
>
>This document is not a complete medical guide for travelers to this
region. Consult with your doctor for specific information
>related to your needs and your medical history; recommendations may differ
for pregnant women, young children, and
>persons who have chronic medical conditions. In addition, you may also
check the following CDC sites:
>
>     Malaria: Pregnancy and Children
>
>     Vaccine Recommendations—Infants and Children < 2 Years of Age
>
>     Travelers’ Diarrhea and Food and Water Precautions
>
>Be sure to read the information about all the regions you are planning to
visit.
>
>
>     CDC Travel Page
>
>Division of Quarantine
>National Center for Infectious Diseases
>Centers for Disease Control and Prevention
>Atlanta, GA
>http://www.cdc.gov/travel/easteurp.htm
>Updated: 12/02/98 11:55:23
>
>
=============================================
	Roman Senkus
Editor, Journal of Ukrainian Studies
Department of Slavic Languages and Literatures
University of Toronto
Toronto, Ontario M5S 1A1
	    Canada

voice: (416) 978-8669;  message: (416) 532-7367;
	fax: (416) 978-2672



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