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Microsoft word - uganda_vaccinations_and_visa_requirements.doc

Vaccinations, medications, etc.
(from www.mdtravelhealth.com/destinations/africa/uganda.php)
Summary of recommendations:
All travelers should visit either their personal physician or a travel health clinic 4-8 weeks before departure. Vaccinations: Hepatitis A
Yellow fever
Required for all travelers. Proof of vaccine is required
for submission with visa paperwork.
Required for
travelers arriving from a yellow-fever-infected area in
Africa or the Americas.
One-time booster recommended for any adult traveler who completed the childhood series but never had polio vaccine as an adult Meningococcus
Recommended for all travelers to northern Uganda Hepatitis B
For travelers spending a lot of time outdoors, or at high risk for animal bites Measles, mumps, rubella
Two doses recommended for all travelers born after Tetanus-diphtheria
Revaccination recommended every 10 years Medications
Travelers' diarrhea is the most common travel-related ailment. The cornerstone of prevention is food and water precautions, as outlined below. All travelers should bring along an antibiotic and an antidiarrheal drug to be started promptly if significant diarrhea occurs, defined as three or more loose stools in an 8-hour period or five or more loose stools in a 24-hour period, especially if associated with nausea, vomiting, cramps, fever or blood in the stool. A quinolone antibiotic is usually prescribed: either ciprofloxacin (Cipro)(PDF) 500 mg twice daily or levofloxacin (Levaquin) (PDF) 500 mg once daily for a total of three days. Quinolones are generally well-tolerated, but occasionally cause sun sensitivity and should not be given to children, pregnant women, or anyone with a history of quinolone allergy. Alternative regimens include a three day course of rifaximin (Xifaxan) 200 mg three times daily or azithromycin (Zithromax) 500 mg once daily. Rifaximin should not be used by those with fever or bloody stools and is not approved for pregnant women or those under age 12. Azithromycin should be avoided in those allergic to erythromycin or related antibiotics. An antidiarrheal drug such as loperamide (Imodium) or diphenoxylate (Lomotil) should be taken as needed to slow the frequency of stools, but not enough to stop the bowel movements completely. Diphenoxylate (Lomotil) and loperamide (Imodium) should not be given to children under age two. Most cases of travelers' diarrhea are mild and do not require either antibiotics or antidiarrheal drugs. Adequate fluid intake is essential. If diarrhea is severe or bloody, or if fever occurs with shaking chills, or if abdominal pain becomes marked, or if diarrhea persists for more than 72 hours, medical attention should be sought. Though effective, antibiotics are not recommended prophylactically (i.e. to prevent diarrhea before it occurs) because of the risk of adverse effects, though this approach may be warranted in special situations, such as immunocompromised travelers. Malaria in Uganda: prophylaxis is recommended for all travelers. Either mefloquine (Lariam), atovaquone/proguanil (Malarone)(PDF), or doxycycline may be given. Mefloquine is taken once weekly in a dosage of 250 mg, starting one-to-two weeks before arrival and continuing through the trip and for four weeks after departure. Mefloquine may cause mild neuropsychiatric symptoms, including nausea, vomiting, dizziness, insomnia, and nightmares. Rarely, severe reactions occur, including depression, anxiety, psychosis, hallucinations, and seizures. Mefloquine should not be given to anyone with a history of seizures, psychiatric illness, cardiac conduction disorders, or allergy to quinine or quinidine. Those taking mefloquine (Lariam) should read the Lariam Medication Guide (PDF). Atovaquone/proguanil (Malarone) is a recently approved combination pill taken once daily with food starting two days before arrival and continuing through the trip and for seven days after departure. Side-effects, which are typically mild, may include abdominal pain, nausea, vomiting, headache, diarrhea, or dizziness. Serious adverse reactions are rare. Doxycycline is effective, but may cause an exaggerated sunburn reaction, which limits its usefulness in the tropics. Long-term travelers who may not have access to medical care should bring along medications for emergency self-treatment should they develop symptoms suggestive of malaria, such as fever, chills, headaches, and muscle aches, and cannot obtain medical care within 24 hours. See malaria for details. Symptoms of malaria sometimes do not occur for months or even years after exposure. Insect protection measures are essential. Bring insect repellent containing 90% DEET.
For further information on malaria in Uganda, including a map showing the risk of malaria in different parts of the country, go to the World Health Organization and Roll Back Malaria. Visa Requirements:
1. One dully filled Application form by each applicant,
2. Every section of the application form must be completed. Incomplete forms will not
be processed.
3. 2 passport size photographs 4. Must submit original Passport valid past the date of your expected departure from 5. Correct visa fee, letter of invitation/introduction, if traveling on business.
6. Applicants may be requested to submit additional supporting documentation.
7. An international Inoculation Certificate against yellow fever.
8. A prepaid self-addressed USPS Express Overnight return envelope only must be
included with applications sent by mail. N.B. You are advised to ensure that your passport has a validity of at least six months from the
date of your intended travel. Processing time for a visa is 2 to 3 working days.
Visa fees and other details
a) US$ 50 for single entry: Valid for three months from the date of arrival. NB. For the time being only single entry visas - valid for 3 months will be issued by the Embassy. Application for extension can be done in Kampala - Uganda at the Ministry of Internal Affairs - Directorate of Citizenship and Immigration. Visa fees must be paid money order payable to UGANDA EMBASSY, on submission of visa
application. Personal Checks are not accepted. Please note that the visa fee is non-
refundable.

NB: Failure to complete the application form fully may result in the issuance of a visa being
delayed or refused. The visa enables the holder to proceed to a port of entry where he/she must
comply with the laws and regulations governing the admission of persons to the Republic of
Uganda.
For further information on immigration go to: www.immigration.go.ug

Source: http://redeemerchestnuthill.org/sites/default/files/Uganda_Vaccinations_and_Visa_Requirements.pdf

Microsoft word - colonoscopy_halflytelyaugust 07.doc

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