information gathered from 
"Center for disease control and prevention"

Health Information for Travelers to MYANMAR

CDC Website: http://wwwnc.cdc.gov/travel/destinations/traveler/none/burma


All travelers
You should be up to date on routine vaccinations while traveling to any destination. Some vaccines may also be required for travel.
Routine vaccines: Make sure you are up-to-date on routine vaccines before every trip. These vaccines include measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and your yearly flu shot.

Most travelers
Get travel vaccines and medicines because there is a risk of these diseases in the country you are visiting.
Hepatitis A:  CDC recommends this vaccine because you can get hepatitis A through contaminated food or water in Burma, regardless of where you are eating or staying.
 Typhoid: You can get typhoid through contaminated food or water in Burma. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you are an adventurous eater.

Some travelers
Ask your doctor what vaccines and medicines you need based on where you are going, how long you are staying, what you will be doing, and if you are traveling from a country other than the US.
Hepatitis B:  You can get hepatitis B through sexual contact, contaminated needles, and blood products, so CDC recommends this vaccine if you might have sex with a new partner, get a tattoo or piercing, or have any medical procedures.
Japanese Encephalitis: You may need this vaccine if your trip will last more than a month, depending on where you are going in Burma and what time of year you are traveling. You should also consider this vaccine if you plan to visit rural areas in Burma or will be spending a lot of time outdoors, even for trips shorter than a month. Your doctor can help you decide if this vaccine is right for you based on your travel plans. See more in-depth information on Japanese encephalitis in Burma.
 Malaria: Talk to your doctor about how to prevent malaria while traveling. You may need to take prescription medicine before, during, and after your trip to prevent malaria, especially if you are visiting low-altitude areas. See more detailed information about malaria in Burma.
 Rabies: Rabies can be found in dogs, bats, and other mammals in Burma, so CDC recommends this vaccine for the following groups:

• Travelers involved in outdoor and other activities (such as camping, hiking, biking, adventure travel, and caving) that put them at risk for animal bites.
• People who will be working with or around animals (such as veterinarians, wildlife professionals, and researchers).
• People who are taking long trips or moving to Burma
• Children, because they tend to play with animals, might not report bites, and are more likely to have animal bites on their head and neck. 

Yellow Fever: There is no risk of yellow fever in Burma. The government of Burma requires proof of yellow fever vaccination only if you are arriving from a country with risk of yellow fever. This does notinclude the US. If you are traveling from a country other than the US, check this list to see if you may be required to get the yellow fever vaccine: Countries with risk of yellow fever virus (YFV) transmission.

For more information on recommendations and requirements, see yellow fever recommendations and requirements for Burma. Your doctor can help you decide if this vaccine is right for you based on your travel plans.

Eat and Drink Safely
Unclean food and water can cause travelers' diarrhea and other diseases. Reduce your risk by sticking to safe food and water habits.
Eat

• Food that is cooked and served hot
• Hard-cooked eggs
• Fruits and vegetables you have washed in clean water or peeled yourself
• Pasteurized dairy products

Don't Eat

• Food served at room temperature
• Food from street vendors
• Raw or soft-cooked (runny) eggs
• Raw or undercooked (rare) meat or fish
• Unwashed or unpeeled raw fruits and vegetables
• Unpasteurized dairy products
• ”Bushmeat” (monkeys, bats, or other wild game)

Drink

• Bottled water that is sealed
• Water that has been disinfected
• Ice made with bottled or disinfected water
• Carbonated drinks
• Hot coffee or tea
• Pasteurized milk

Don’t Drink

• Tap or well water
• Ice made with tap or well water
• Drinks made with tap or well water (such as reconstituted juice)
• Unpasteurized milk

Take Medicine
Talk with your doctor about taking prescription or over-the-counter drugs with you on your trip in case you get sick.

Prevent bug bites
Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Taiwan. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.

What can I do to prevent bug bites?

• Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
• Use an appropriate insect repellent (see below).
• Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do not use permethrin directly on skin.
• Stay and sleep in air-conditioned or screened rooms.
• Use a bed net if the area where you are sleeping is exposed to the outdoors.

What type of insect repellent should I use?

• FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
• FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection.
  • DEET
  • Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
  • Oil of lemon eucalyptus (OLE) or PMD
  • IR3535
• Always use insect repellent as directed.

What should I do if I am bitten by bugs?

• Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
• Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly.

What can I do to avoid bed bugs?Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs.

For more detailed information on avoiding bug bites, see Avoid Bug Bites.


Keep away from animals
Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.
Follow these tips to protect yourself:

• Do not touch or feed any animals you do not know.
• Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
• Avoid rodents and their urine and feces.
• Traveling pets should be supervised closely and not allowed to come in contact with local animals.
• If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. 
If you are bitten or scratched by an animal, immediately:

• Wash the wound with soap and clean water.
• Go to a doctor right away.
• Tell your doctor about your injury when you get back to the United States.

Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.

Reduce your exposure to germs
Follow these tips to avoid getting sick or spreading illness to others while traveling:

• Wash your hands often, especially before eating.
• If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
• Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
• Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
• Try to avoid contact with people who are sick.
• If you are sick, stay home or in your hotel room, unless you need medical care.

Maintain personal security
Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.
Before you leave

• Research your destination(s), including local laws, customs, and culture.
• Monitor travel warnings and alerts and read travel tips from the US Department of State.
• Enroll in the Smart Traveler Enrollment Program (STEP).
• Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
• Pack as light as possible, and leave at home any item you could not replace.

While at your destination(s)

• Carry contact information for the nearest US embassy or consulate.
• Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
• Follow all local laws and social customs.
• Do not wear expensive clothing or jewelry.
• Always keep hotel doors locked, and store valuables in secure areas.
• If possible, choose hotel rooms between the 2nd and 6th floors.