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Greece.txt
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* Home
* Country_Information
* Greece
General information
The information on these pages should be used to research health risks and to
inform the pre-travel consultation. For advice regarding safety and security
please check the UK Foreign and Commonwealth Office (FCO) website.
Travellers should ideally arrange an appointment with their health professional
at least four to six weeks before travel. However, even if time is short, an
appointment is still worthwhile. This appointment provides an opportunity to
assess health risks taking into account a number of factors including
destination, medical history, and planned activities. For those with pre-
existing health problems, an earlier appointment is recommended.
While most travellers have a healthy and safe trip, there are some risks that
are relevant to travellers regardless of destination. These may for example
include road traffic and other accidents, diseases transmitted by insects or
ticks, diseases transmitted by contaminated food and water, sexually
transmitted infections, or health issues related to the heat or cold.
All travellers should ensure they have adequate_travel_health_insurance. If
visiting European Economic Area (EEA) countries carry an European_health
insurance_card_(EHIC) as this will allow access to state-provided healthcare in
EEA countries, at a reduced cost, or sometimes for free. The EHIC, however, is
not an alternative to travel insurance.
A list of useful resources including advice on how to reduce the risk of
certain health problems is available below.
Resources
* Food_and_water_hygiene
* Insect_and_tick_bite_avoidance
* Personal_safety
* Sexually_transmitted_infections
* Sun_protection
* Home
* Country_Information
* Greece
Vaccine recommendations
Details of vaccination recommendations and requirements are provided below.
All Travellers
Travellers should be up to date with routine vaccination courses and boosters
as recommended_in_the_UK. These vaccinations include for example measles-
mumps-rubella (MMR) vaccine and diphtheria-tetanus-polio vaccine.
Those who may be at increased risk of an infectious disease due to their work,
lifestyle choice, or certain underlying health problems should be up to date
with additional recommended vaccines. See the individual chapters of the ‘Green
Book’ Immunisation_against_infectious_disease for further details.
Certificate Requirements
There are no certificate requirements under International Health Regulations
(2005).
Most Travellers
The vaccines in this section are recommended for most travellers visiting this
country. Information on when these vaccines should be considered can be found
by clicking on the arrow. Vaccines are listed alphabetically.
Tetanus
Tetanus is caused by a toxin released from Clostridium tetani and occurs
worldwide. Tetanus bacteria are present in soil and manure and may be
introduced through open wounds such as a puncture wound, burn or scratch.
Prevention
Travellers should thoroughly clean all wounds and seek appropriate medical
attention.
Tetanus vaccination
* Travellers should have completed a primary vaccination course according to
the UK schedule.
* If travelling to a country where medical facilities may be limited, a booster
dose of a tetanus-containing vaccine is recommended if the last dose was more
than ten years ago even if five doses of vaccine have been given previously.
Country specific information on medical facilities may be found in the ‘health’
section of the FCO_foreign_travel_advice website.
Tetanus_in_brief
Some Travellers
The vaccines in this section are recommended for some travellers visiting this
country. Information on when these vaccines should be considered can be found
by clicking on the arrow. Vaccines are listed alphabetically.
Rabies
Rabies is a viral infection which is usually transmitted following contact with
the saliva of an infected animal most often via a bite, scratch or lick to an
open wound or mucous membrane (such as on the eye, nose or mouth). Although
many different animals can transmit the virus, worldwide most cases follow a
bite or scratch from an infected dog. Bats are also an important source of
infection in some countries.
Rabies symptoms can take some time to develop, but when they do the condition
is almost always fatal.
The risk of exposure is increased by certain activities and length of stay (see
below). Children are at increased risk as they are less likely to avoid contact
with animals and to report a bite, scratch or lick.
Rabies in Greece
* Rabies in wild animals has been reported in the regions of Eastern Macedonia
and Thrace, Epirus, Thessalia, Western and Central Macedonia in Greece.
* The rest of Greece is not considered to be a risk for rabies in animals.
* Bats may carry rabies-like viruses in this country
Prevention
* Travellers to the regions of Eastern Macedonia and Thrace, Epirus, Thessalia,
Western and Central Macedonia in Greece should avoid contact with animals.
* For other areas in Greece travellers should avoid contact with bats. Bites
from bats are frequently unrecognised. Bat lyssaviruses are preventable with
prompt post-exposure rabies treatment.
* Following a possible exposure, wounds should be thoroughly cleansed and an
urgent local medical assessment sought, even if the wound appears trivial.
Although rabies has not been reported in other animals in parts of this
country, it is sensible to seek prompt medical advice if bitten or scratched.
It is possible, although very rare for bats to pass rabies like viruses to
other animals including pets.
* Post-exposure treatment and advice should be in accordance with national
guidelines.
Rabies vaccination
For travellers to the regions of Eastern Macedonia and Thrace, Epirus,
Thessalia, Western and Central Macedonia in Greece:
* Pre-exposure vaccines are recommended for those who are at increased risk due
to their work (e.g. laboratory staff working with the virus, those working
with animals or health care workers who may be caring for infected patients).
* Pre-exposure vaccines could be considered for those who are at increased risk
of exposure to wild animals.
For other areas in Greece:
* Pre-exposure rabies vaccinations are recommended for those who are at
increased risk due to their work (e.g. laboratory staff working with the
virus and those working with bats).
* Pre exposure vaccines could be considered for those whose activities put them
at increased risk of exposure to bats.
Rabies_in_brief
Tick-Borne Encephalitis (TBE)
TBE is a viral infection transmitted by the bite of infected ticks. Less
commonly, cases of TBE occur following ingestion of unpasteurised milk
products.
Travellers are at increased risk of exposure during outdoor activities in areas
of vegetation (gardens, parks, forest fringes and meadows typically below 1,500
metres). Ticks are most active between spring and autumn
TBE in Greece
There is a low risk of TBE in some areas of the country. Single cases were
reported from around the city of Thessaloniki. The transmission season varies,
however, ticks are most active during early spring to late autumn (March to
November).
Prevention
* All travellers should avoid tick bites during outdoor activities.
* Travellers should check their skin regularly for ticks and remove them as
soon as possible with a recommended_technique.
* Travellers should not eat or drink unpasteurised milk products.
Tick-borne encephalitis vaccination
* TBE vaccine is not normally given to travellers to this country.
TBE_in_brief
* Home
* Country_Information
* Greece
Malaria
* Sporadic cases of locally acquired malaria have been reported in Greece since
2009.
* There is a very low risk of malaria in Greece:awareness of risk and bite
avoidance recommended.
* Home
* Country_Information
* Greece
Other risks
The risk below may be present in all or part of the country.
Altitude
There is a risk of altitude illness when travelling to destinations of 2,500
metres (8,200 feet) or higher. Important risk factors are the altitude gained,
rate of ascent and sleeping altitude. Rapid ascent without a period of
acclimatisation puts a traveller at higher risk.
There are three syndromes; acute mountain sickness (AMS), high-altitude
cerebral oedema (HACE) and high-altitude pulmonary oedema (HAPE). HACE and HAPE
require immediate descent and medical treatment
Altitude illness in Greece
There is a point of elevation in this country higher than 2,500 metres.
Prevention
* Travellers should spend a few days at an altitude below 3,000m.
* Where possible travellers should avoid travel from altitudes less than 1,200m
to altitudes greater than 3,500m in a single day.
* Ascent above 3,000m should be gradual. Travellers should avoid increasing
sleeping elevation by more than 500m per day and ensure a rest day (at the
same altitude) every three or four days.
* Acetazolamide can be used to assist with acclimatisation, but should not
replace gradual ascent.
* Travellers who develop symptoms of AMS (headache, fatigue, loss of appetite,
nausea and sleep disturbance) should avoid further ascent. In the absence of
improvement or with progression of symptoms the first response should be to
descend.
* Development of HACE or HAPE symptoms requires immediate descent and emergency
medical treatment.
Altitude_illness_in_brief
* Home
* Country_Information
* Greece
Important News
_Greece_
07 Apr 2016
Temporary_Hep_A_vaccination_recommendation_for_Greece_lifted
The temporary recommendation to consider Hepatitis A vaccination for those
travelling to affected areas in Greece has been removed Read_more
*
_street-food_
24 Dec 2015
Hepatitis_A_cluster_in_travellers_returning_from_Rhodes,_Greece
Public Health England has identified hepatitis A infections in UK residents who
had been to Greece Read_more
*
_Saudi-Arabia_
22 Jun 2015
MERS-CoV_update:_Republic_of_Korea_and_China
Ongoing surveillance of Middle East respiratory syndrome coronavirus (MERS-CoV)
in Republic of Korea (South Korea) and China Read_more
*
05 Jun 2015
MERS-CoV:_Republic_of_Korea_and_China
Middle East respiratory syndrome coronavirus (MERS-CoV) update: Republic of
Korea and China Read_more
*
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