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. Effective options would include doxycycline or atovaquone/proguanil in the provinces of Shan, Kayah, Kachin, Kayin, and Tanintharyi. doxycycline, atovaquone/proguanil or mefloquine in all other areas.

Malaria is present throughout the year in rural areas throughout the country below 1,000 metres elevation; no risk in cities of Rangoon (Yangon) and Mandalay.

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

Japanese encephalitis vaccine

Japanese encephalitis is found in many part of Asia, the Indian subcontinent, Southeast Asia and China, especially in the wet season

You may need this vaccine if:

• Your trip will last more than a month, depending on where in the country you are going and what time of year you are traveling.
• You plan to spend extended periods in rural areas or will be spending a lot of time outdoors

Lymphatic filariasis

Lymphatic filariasis or elephantiasis is a tropical disease caused by parasitic worms spread by infected mosquitoes. Although most cases are symptomless, the disease can occasionally cause severe swelling in the legs, arms and genitals.

Melioidosis

Melioidosis is an infectious disease caused by a bacterium (Burkholderia pseudomallei) which lives in soil and water. It is an important public health issue in parts of Vietnam and northern Australia.

In endemic areas, people (rice-paddy farmers in particular) are warned to avoid contact with soil, mud, and surface water where possible

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.

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.