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1: A yellow fever vaccination
certificate is required from travellers over six months of
age arriving from infected areas.
2: Following WHO guidelines issued in 1973, a cholera vaccination
certificate is no longer a condition of entry to Mexico. However,
cholera is a serious risk in this country and precautions
are essential. Up-to-date advice should be sought before deciding
whether these precautions should include vaccination, as medical
opinion is divided over its effectiveness.
3: Malaria risk, almost exclusively
in the benign vivax form, exists in rural areas of the following
states (in decreasing order of importance): Chiapas, Oaxaca,
Sinaloa, Michoacán, Nayarit, Guerrero, Tabasco, Quintano
Roo, Chihuahua, Campeche and Hidalgo. Recommended prophylaxis
is chloroquine.
стабилизатор напряжения 4: Water supplied in bottles
and from taps marked 'drinking/sterilised water' in hotels
can be drunk without precautions. All other water should be
regarded as being potentially contaminated. Water used for
drinking, brushing teeth or making ice should have first been
boiled or otherwise sterilised. Milk in major cities, hotels
and resorts is pasteurised. Otherwise, milk is unpasteurised
and should first be boiled. Powdered or tinned milk is available
and is advised, but make sure that it is reconstituted with
pure water. Avoid dairy products which are likely to have
been made from unboiled milk. Only eat well-cooked meat and
fish, preferably served hot. Pork, salad and mayonnaise may
carry increased risk. Vegetables should be cooked and fruit
peeled. Rabies is present. For those at high risk, vaccination
before arrival should be considered. If you are bitten, seek
medical advice without delay. Visceral and mucutaneous leishmaniasis
occur. Dysenteries and diarrhoeal diseases are present. Hepatitis
A occurs and hepatitis E has been reported.
Health care:
Health insurance is recommended. Medical facilities are very
good and there are both private and state-organised hospitals,
doctors, clinics and chemists. Medicines are often available
without prescriptions and pharmacists are permitted to diagnose
and treat minor ailments. Owing to the high altitude of Mexico
City, visitors may take some time to acclimatise to the atmosphere,
particularly since its geographical location results in an
accumulation of smog. The levels of pollution in Mexico City
are extremely high and are considered a health threat, so
precautions should be taken.
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