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Tips on Staying Healthy in Bali


Before You Go
Routine Medical Care
  • Obtain any necessary routine medical/dental care before you leave.
  • Carry a copy of your personal health record with you when you travel.
  • Include an ample supply of prescription and routine medications in your carry-on luggage, and carry copies of the actual prescriptions.
Routine Vaccinations
  • All routine vaccinations should be current; these include tetanus, diphtheria, polio, measles-mumps-rubella and varicella.
  • Consider an influenza vaccine.
 
Vaccinations for Indonesia

Recommendations may vary for short-term visitors. Always consult your travel health advisor or contact International SOS to discuss your specific needs.
Hepatitis A Recommended for all travelers
Hepatitis B Recommended for all travelers
Japanese Encephalitis May be recommended if spending more than 30 days in rural areas.
Polio A one-time booster is recommended for adults (in addition to an adequate primary series). This will ensure life-long immunity.
Rabies Recommended for expatriates and long-term visitors. Recommended if quality medical care may not be available within 24 hours of being bitten or scratched by an animal.
Typhoid Recommended for all expatriates and travelers
Yellow Fever May be required if coming from an infected endemic country
   

 
Malaria

Areas of Indonesia have chloroquine-resistant P. falciparum malaria
Present in most of IndonesiaThere is no malaria in:

  • Jakarta and other main cities of Java and Sumatra.
  • Main resort areas of Bali and Java

There is malaria in:

  • All rural areas.
  • All areas of Irian Jaya (Papua) (western half of the island of New Guinea) including Jayapura.
  • The temple complex of Borobudur
 
PREVENTING MALARIA
If visiting a malarial area:
  • Focus on preventing mosquito bites.
  • Use a medication to prevent chloroquine-resistant P.falciparum malaria (as these are not 100 percent effective, preventing mosquito bites is still very important)
Appropriate antimalarial medications include:
  • Atovaquone plus proguanil (Malarone®)
  • Doxycycline (many brands and generics)
  • Mefloquine (Lariam® and generics)
 
While in Indonesia
 
Food and Water Precautions :
Travelers have a small risk of developing diarrhea in any country; it may be advisable to drink bottled water only, especially on short trips. Always wash your hands before eating. See the following country-specific recommendations:
 
Water and Beverages :
Tap water is unsafe to drink. Drink boiled or bottled water, or carbonated beverages, provided that the seal is intact. Look for bubbles when you open a carbonated beverage - bubbles are evidence that the product has been processed. Bottles are sometimes refilled with tap water and resold, and these products are not safe to drink. Avoid ice because it can be made from unsafe water. Do not rinse your mouth or toothbrush with tap water, and do not open your mouth in the shower. Do not purchase unsealed drinks or ice cream made by street vendors. These may contain untreated tap water and the equipment used may not have been properly cleaned. Coffee and tea made from boiling water are safe to drink, as are beer and wine. It is best to use ultra heat treated (UHT) or canned milk that has been pasteurized.
 
 
Food
Wash or sanitize your hands before eating. Always choose fresh food that has been thoroughly cooked and is served hot, since heat destroys most contaminating bacteria. Meat and fish should be "well done". Avoid raw foods, shellfish, pre-peeled fruit and salad. Fruit that you wash and peel yourself is safe to eat. Avoid street vendors and market food because the standard of hygiene may be low and food may not be fresh. Although food in larger international hotels is usually safe, follow the basic rules discussed above. In any location, busier restaurants may be safer as they are more likely to serve freshly cooked food.
 
Standard of Health Care
The standard of care at private and public medical facilities varies and is generally not up to international standards. Travelers are strongly discouraged from seeking care directly from a clinic or hospital except in cases of major medical emergency. The blood supply in Indonesia is considered not safe. Screening is inconsistent. The high prevalence of dengue fever, malaria, HIV and hepatitis B and C is a major concern. Blood transfusions should be limited to life-saving treatment. There is often a shortage of Rh-negative blood. If possible, avoid blood transfusions; they can transmit diseases, and immune reactions can vary from minor to life-threatening. If a blood transfusion is recommended and circumstances permit, seek a second opinion from SOS or your health advisor.International SOS has international standard outpatient clinics in Jakarta and Bali. These facilities have well trained doctors and are well equipped. Patients can be stabilized prior to repatriation or evacuation to Singapore or Australia.
 
 
Personal Safety
Pack a first aid kit.Always carry a copy of your passport.Check that you have valid travel & medical insurance – don’t leave home without it!Be careful when driving motor vehicles & motor bikes unless you are confident with the local traffic conditions.Careful with alcoholic drinks as they dehydrate the body, this can become a problem in the tropics – drink plenty of clean water.Take all usual precautions against theft & attack.Protect yourself against sexually transmitted diseases.Remember – illicit drug taking attracts the death penalty in Indonesia.

Know where you can get medical attention:
International SOS Clinic - Bali
24 hours Tel (0361) 710 505

 


 
 

 


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