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Cambodia Health care


Cambodia Health care

As Cambodia is one of the poorest countries in the world, reliable medical facilities, doctors, clinics, hospitals or medication are scarce, especially in rural areas. For more serious ailments it is very advisable to get to Bangkok, or to Singapore as more specialists are available and repatriation to your own country is easier. Make sure that you have travel insurance which covers flying you to a city where you can be treated. The private (and expensive) Royal Rattanak Hospital in Phnom Penh, however, can be trusted for emergency medical care and can treat most diseases and injuries common to the region. Naga Clinic, with locations in Siem Reap and Phnom Penh, is also clean, safe and useful for minor conditions. Other than the aforementioned places,Local hospitals and clinics in Cambodia) can be in very poor condition and badly equipped and medicines are often past their sell-by date or made up of local mixtures of flour and sugar. In local clinics, avoid getting an infusion to treat dehydration, as there is a risk of septicemia which is caused by bacteria entering their blood during infusions. The same goes for blood transfusions. Although no health certificates or vaccinations are required by visitors to Cambodia, it is recommended that you get vaccinations against tetanus, diphtheria, meningitis, a polio booster and especially gamma globulin shots (against hepatitis A). In addition to this, you should take a course of malaria tablets if your trip to Cambodia is less than 30 days, and a mosquito net will provide extra protection. The mosquitoes come out in force in Siem Reap at dusk. Take a medical kit including panadol, antihistamines, antibiotics, kaolin, oral rehydration solution (ORS), calamine lotion, bandages and band-aids, scissors, DEET insect repellent, etc. Phnom Penh is malaria free, and most major tourist attractions (including Siem Reap) are virtually malaria free. The biggest threat disease-wise is the mosquito-borne dengue fever which, although quite unpleasant, to say the least (it's called "break-bone fever" because of how it feels) generally isn't life-threatening for first-time victims. The most common ailment for travelers is diarrhea, which can deteriorate into dysentery, resulting in dehydration. Avoid untreated water, ice made from untreated water and any raw fruit or vegetables that may have been washed in untreated water. The local water supply is not drinkable, so avoid. Bottled water is available everywhere and is very cheap and you should try to drink 3 liters a day if possible. Take water purification tablets with you or iodine crystals to sterilize water if you plan to go more rural areas. Boiling water will also make it safe to drink, and will not cause plastic bottle waste, or impart a taste to water. If you do get severe diarrhea and become badly dehydrated, use an oral rehydration solution to help you overcome it as well as plenty bottled mineral water. However, if you have a lot of blood or mucus in your stools get to a doctor as you probably have dysentery and will need antibiotics. In the hottest months, March and April, the temperature can rise to 35°C, so use sunscreen and always wear a hat to avoid sunstroke. Consult your doctor a few weeks before you leave to get the most up to date advice on which inoculations you need and what to take with you. Please be aware that local prostitutes of both sexes carry with them many STD's. The official HIV rate within the prostitute population is 34%. Most medical services in Cambodia are not up to Western standards, and the rest are few and far between and very expensive. Should you become seriously ill or injured while in Cambodia, evacuation to Thailand or Singapore will be the most likely result. Because this can be incredibly costly, adequate insurance coverage is an absolute must while in Cambodia. There are presently no vaccination requirements to enter Cambodia, unless arriving directly from Africa. Border officials have from time to time operated scams whereby travellers were "fined" for not having proof of vaccinations, however this now appears to have stopped completely. Before visiting Cambodia, be sure to discuss prevention with a qualified specialist / travel clinic. It's especially important to review the relevant vaccinations (hepatitis A, hepatitis B, Japanese encephalitis, measles, rabies, tetanus-diphtheria, typhoid, etc) well in advance; in addition, both malaria and dengue fever are endemic in some parts of Cambodia, particularly in heavily forested areas for malaria, though dengue fever can be found throughout the country. HIV/AIDS is widespread and on the increase, with some surveys showing as many as 40% of commercial sex workers being HIV positive. If you intend to engage in such activities, be sure to use protection. Tap water in Cambodia is not suitable for drinking, and some people even choose to brush their teeth with bottled water. Phnom Penh tap water is treated and is theoretically safe to drink, but it may be contaminated by the time it reaches your faucet– drink at your own risk! Boiling water will also make it safe to drink, and will not cause plastic bottle waste.

The Most Frequently Asked Travel Questions about Cambodia


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Cambodia Travel Guide from Wikitravel. Many thanks to all Wikitravel contributors. Text is available under Creative Commons Attribution-ShareAlike 3.0, images are available under various licenses, see each image for details.

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