Health Issues for
Visitors to China
Australia's Department of Foreign Affairs and Trade issued the following
statement in December 2006 to Australian travelers:
We strongly recommend that you take out comprehensive travel insurance
that will cover any overseas medical costs, before you depart. Confirm
that your insurance covers you for the whole time you'll be away
and check what circumstances and activities are not included in your
policy. Remember, if you can't afford travel insurance, you can't
afford to travel.
The standard of medical care and the range of familiar medications available
in China is often limited, particularly outside of major cities. Medical
personnel in rural areas of the country may lack adequate training. Some
hospitals in major cities have specialised departments for treating foreigners.
Hospitals and doctors often require cash payment, prior to providing
medical services, including for emergency care. Medical evacuation from
China is very expensive.
Avian Influenza: The World Organisation for Animal Health (OIE) has confirmed
cases of avian influenza in birds in a number of countries throughout
the world. For a list of these countries, visit the OIE website. For
information on our advice to Australians on how to reduce the risk of
infection and on Australian Government precautions see our travel bulletin
on avian influenza.
There have been human cases of avian influenza in China. The Department
of Health and Ageing advises Australians who reside in China for an extended
period to consider, as a precautionary measure, having access to influenza
antiviral medicine for treatment. Long term residents are at a greater
risk of exposure to avian influenza over time. Medical advice should
be sought before antiviral medicines are commenced. Australians intending
to travel to China for shorter periods are at much lower risk of infection
but should discuss the risk of avian influenza with their doctor as part
of their routine pre-travel health checks.
If the avian influenza virus mutates to a form where efficient human-to-human
transmission occurs, it may spread quickly and local authorities could
move quickly to impose restrictions on travel. Australian travellers
and long-term residents in China should be prepared to take personal
responsibility for their own safety and well-being, including deciding
when to leave an affected area and ensuring they have appropriate contingency
plans in place. Australians in China should monitor the travel advice
and bulletin for updated information and advice, and ensure that their
travel documents, including passports and visas for any non-Australian
family members, are up to date in case they need to depart at short notice.
In September 2005 the Australian Government decided as a precautionary
measure to hold a limited supply of the antiviral medicine oseltamivir
(Tamiflu) and protective face masks at its missions in China. The antivirals
would primarily be used to protect emergency staff providing consular
and other essential services in the event of a widespread outbreak of
avian influenza amongst humans. Australian missions will not be in a
position to provide influenza antiviral medicines to Australians in affected
areas and it is the responsibility of individual Australians to secure
their own supply of such medicines (such as Tamiflu or Relenza) if required.
Japanese Encephalitis: Japanese Encephalitis (also known as Encephalitis
B), a mosquito-borne disease, is endemic in rural areas of Southern China
from June to August. If you intend to visit rural areas, you should consult
your doctor or a travel clinic for information on vaccinations prior
to departure.
HIV/AIDS: HIV/AIDS is a significant concern in China. There is a risk
of exposure to unsafe blood and blood products in regional China. Travellers
may need to specifically request the use of sterilised equipment. Additional
charges may be incurred for the use of new syringes in hospitals or clinics.
Rabies: Over 1000 cases of rabies have been reported annually in China
during the past five years. There have been recent outbreaks of rabies
in Yunnan and Shandong provinces caused by infected dogs.
Malaria: The risk of malaria is heightened in rural areas of the country,
particularly in the provinces of Hainan, Yunnan, Fujian, Guangdong, Guangxi,
Guizhou, Sichuan, Tibet (Zanbo Valley areas only), Anhui, Hubai, Hunan,
Jiangsu, Jiangxi and Shandong. The risk of malaria increases during warm
weather.
Tap water in China is not safe to drink. Travellers are advised to drink
only bottled water.
A health declaration card must be completed upon arrival in China. HIV-positive
status is grounds for refusal of entry or deportation. Individuals applying
for permanent residence, or intending to stay or study for longer than
one year, must produce an HIV/AIDS test certificate on arrival (approved
by a Chinese Embassy or Consulate abroad) or undergo a test within 20
days of arrival.
Quarantine requirements vary throughout the provinces and municipalities
in China. The nearest Embassy or Consulate of the People's Republic of
China can provide detailed information.
Your doctor or travel clinic is the best source of information about
preventive measures, immunisations and disease outbreaks overseas. The
World Health Organization (WHO) provides information for travellers and
our 'Travelling Well' brochure also provides useful tips for staying
healthy while travelling overseas.
Where to Get Help
In China, you can obtain consular assistance from the:
Australian Embassy
21 Dongzhimenwai Dajie
Sanlitun, Beijing 100600
Telephone
(86 10) 5140 4111
Facsimile (86 10) 5140 4292
Website http://www.china.embassy.gov.au
Australian Consulate General
Level 22, CITIC Square
1168 Nanjing Xi
Lu
Shanghai 200041
Telephone (86 21) 5292 5500
Facsimile (86 21) 5292
5511
Website http://www.china.embassy.gov.au/shanghai
Australian Consulate General
12th Floor, Development Centre
No. 3 Linjiang
Road
Zhujiang New City
Guangzhou 510623
Telephone: (86 20) 3814 0250
(visa enquiries only)
(86 20) 3814 0111 (non-visa enquiries)
Facsimile:
(86 20) 3814 0112
Website: http://www.guangzhou.china.embassy.gov.au/
If you are travelling to China, whatever the reason and however long
you'll be there, we encourage you to register with the Department of
Foreign Affairs and Trade. You can register online or in person at
any Australian Embassy, High Commission or Consulate. The information
you provide will help us to contact you in an emergency – whether
it is a natural disaster, civil disturbance or a family issue. In Australia,
the Department of Foreign Affairs and Trade in Canberra may be contacted
on (02) 6261 3305.
From a commercial travel website in 2007:
CHINA
TRAVEL GUIDE - HEALTH
Vaccinations
|
Special
Precautions |
Diphtheria |
Yes |
Hepatitis
A |
Yes |
Malaria |
Sometimes |
Rabies |
Yes |
Tetanus |
Yes |
Typhoid |
Yes |
Yellow
Fever |
No* |
Inoculation
regulations can change at short notice. Please take medical
advice in the case of doubt. Where 'Sometimes' appears in the
table above, precautions may be required, depending on the season
and region visited. |
* A yellow fever vaccination certificate
is required from all travellers arriving from infected areas.
Food and Drink
Outside main centres, all water used for drinking, brushing teeth or
freezing should have first been boiled or otherwise sterilised. Only
eat well-cooked meat and fish. Pork, salad, scallops, snails and mayonnaise
may carry increased risk. Vegetables should be cooked and fruit peeled.
Other Risks
Vaccinations against tuberculosis and Japanese encephalitis are sometimes
advised. Bilharzia (schistosomiasis) is endemic in the central Yangtze
river basin. Avoid swimming and paddling in fresh water. Hepatitis E
is prevalent in northeastern and northwestern China and hepatitis B
is highly endemic. Sporadic outbreaks of avian influenza (bird flu)
have resulted in a small number of human deaths. Rabies is present.
If bitten, medical advice should be sought immediately. There are occasional
outbreaks of dengue fever.
Health Care
Medical costs are low. Many medicines common to Western countries are
unavailable in China. Medical facilities in international hospitals
are excellent. There are many traditional forms of medicine used in
China, the most notable being acupuncture. Medical insurance is strongly
advised.
From:http://www.worldtravelguide.net/country/58/health/Far-East-Asia/China.html
|