You should avoid mosquito bites to prevent malaria.

You may need to take prescription medicine before, during, and after your trip to prevent malaria, depending on your travel plans, such as where you are going, when you are traveling, and if you are spending a lot of time outdoors or sleeping outside. Malaria in Kyrgyzstan is sensitive to chloroquine

Malaria is present from Jun-Oct in some southern and western parts of the country, mainly in the provinces of Batken, Osh, and Jalal-Abad in the areas bordering Tajikistan and Uzbekistan; also in the capital city Bishkek..

Rabies can be found in dogs, bats, and other mammals in this country, but it is not a major risk to most travellers. The vaccine is only recommended for these groups:

• Travellers involved in outdoor and other activities in remote areas that put them at risk for animal bites (such as adventure travel and caving).
• People who will be working with or around animals (such as veterinarians, wildlife professionals, and researchers).
• People who are taking long trips or moving to remote areas

Make sure you are up-to-date on routine vaccines before every trip, such as:

• measles-mumps-rubella (MMR) vaccine
• diphtheria-tetanus-pertussis vaccine
• varicella (chickenpox) vaccine
• influenza vaccine

Altitude sickness

Parts of this country are at high altitude. Altitude sickness is a risk at altitudes greater than 3000m and can be fatal. Symptoms include breathlessness, lethargy, confusion and coughing due to fluid in the lungs.

The best way to prevent altitude sickness is to ascend slowly, by less than 300m per day once over 3000m. Other tips to prevent altitude sickness include:

• Your doctor can prescribe medications such as acetazolamide to prevent altitude sickness.
• Increase your fluid intake. You may need up to seven litres every day.
• Avoid cigarettes and alcohol.
• Be aware that you are at increased risk of altitude sickness if you have experienced it before.

Plague

Plague is a serious infection caused by the bacteria Yersinia pestis. Humans can catch the infection via infected fleas or by inhalation. Untreated plague can be rapidly fatal, so diagnosis and early treatment are essential.

Soil-transmitted helminths

Wearing enclosed footwear in undeveloped areas is important to prevent hookworm. Hookworms penetrate through intact skin such as walking with bare feet, and can cause severe gastrointestinal and skin infections.

Tick-borne encephalitis (Rickettsia)

Tickborne encephalitis is a viral infection of the central nervous system transmitted by tick bites. It most commonly affects people who visit or work in forests or fields. Infection also can be acquired by consuming unpasteurised dairy products from infected cows, goats or sheep.

An effective vaccine is available but can only be obtained via a Special Access Scheme. It is only recommended for travellers who plan to spend extended periods in affected areas, especially if extensive rural exposure is planned during warmer months

Travellers diarrhoea

Traveller’s diarrhoea affects roughly 20-50% of overseas travellers. It is caused by ingesting contaminated food or water. The bacteria that trigger the illness may appear harmless to the local population, usually because they have developed immunity to them. Symptoms include abdominal bloating, cramps, nausea, fevers and diarrhoea.

Tips to prevent traveller’s diarrhoea:

• Avoid contaminated foods such as raw or peeled vegetables, undercooked meats, unpasteurised dairy products and food from street vendors.
• Avoid drinking or brushing your teeth with tap water
• Buy bottled water to drink
• Boil tap water for at least 5 minutes before drinking it
• Avoid drinks that contain ice
• Avoid using tap water to wash your fruit and vegetables
• Wash your hands and eat at reputable restaurants.

Tuberculosis

Tuberculosis is a disease caused by infection with the bacteria Mycobacterium tuberculosis. Tuberculosis can damage a person’s lungs or other parts of the body and cause serious illness.

• Avoid exposure to people who have active tuberculosis.
• Only consume pasteurized milk products.
• Travellers at higher risk should be tested for tuberculosis upon their return home.
• There is a vaccine available which confers partial protection. Speak to your doctor to determine if this is recommended.