Vaccinations
| Special Precautions | |
|---|---|
| Diphtheria | Yes |
| Hepatitis A | Yes |
| Malaria | No |
| Rabies | Sometimes |
| Tetanus | Yes |
| Typhoid | Sometimes |
| 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.
|
Food and Drink
All water should be regarded as being a potential health risk. Water used for drinking, brushing teeth or making ice should have first been boiled or otherwise sterilised. Bottled water is widely available. Milk is pasteurised and dairy products are safe for consumption. Only eat well-cooked meat and fish, preferably served hot. Vegetables should be cooked and fruit peeled.
Other Risks
Vaccinations are sometimes recommended for Japanese B encephalitis, meningococcal meningitis and tick-borne encephalitis.
Health Care
The highly developed health service provides free medical treatment for all citizens. If a traveller becomes ill during a booked tour, emergency treatment is free, with small sums to be paid for medicines and hospital treatment. If a longer stay than originally planned becomes necessary because of the illness, the visitor has to pay for all further treatment. This can be very expensive; especially air evacuation. All visitors are strongly advised to have full medical cover that includes medical evacuation. It is advisable to take a supply of medicines that are likely to be required (check first that they may be imported legally). A reciprocal health care agreement is in operation between the UK and the Russian Federation, allowing citizens to receive free treatment. Private medical care can be expensive.
