Traveling to Nepal - PowerPoint Presentation

Slide1

Traveling to Nepal

Georgia Tech Team Everest!Slide2

Entry/Exit

travelers must hold a passport valid for at least six months beyond the date of entry into the

country.Personnel must ensure that their passport is stamped when entering or exiting the country in order to avoid delays on departure.Departure Tax:Included in the airfare for international passengers

Domestic passengers need to pay 200 Nepali Rupees

https://www.internationalsos.com/MasterPortal/default.aspx?content=there&countryid=57Slide3

Visa Information

Visas can be obtained on arrival at

 the Tribhuvan International Airport, Kathmandu

tourists can stay for a maximum of 150 days per year

Indian

nationals do not require visa to enter into Nepal

.

(use passport or driver’s license w/ photo)

Visa Facility

Duration

FeeMultiple entry15 daysUS$ 25 or equivalent convertible currencyMultiple entry30 daysUS$ 40 or equivalent convertible currencyMultiple entry90 daysUS$ 100 or equivalent convertible currency

http://welcomenepal.com/promotional/travel-essentials/visa-information/Slide4

Money

Indian nationals may import any amount of local or Indian currency to Nepal, however, the notes should be in smaller denominations. Indian currency bills of 500 and 1,000 rupees (INR) are illegal in Nepal.

travelers of other nationalities can bring in foreign currencies, as long as they are declared and the amount does not exceed US$2,000. Local currency can be exported equivalent to the amount imported.Only 10%

of the amount exchanged into local currency will be

re-exchanged

into foreign currency at the airport upon departure.

https://www.internationalsos.com/MasterPortal/default.aspx?content=there&countryid=57Slide5

Trekkers’ Information Management System (TIMS)

Trekkers must acquire TIMS Card before the onset of their trek.Obtain TIMS Card from government registered trekking companies in Kathmandu and Pokhara.

Each visitor who goes through a trekking company must pay US $10.Part of the collection will go into maintaining the trekkers’ database and in the rescue of trekkers in need of emergency services.

http://welcomenepal.com/promotional/travel-essentials/permits-fees-etc/Slide6

Routine Vaccinations

Make sure you are up to date on routine vaccinations:Measles-Mumps-Rubella (MMR)Varicella (chickenpox)

PolioFluDiphtheria-tetanus-pertussis

http://wwwnc.cdc.gov/travel/destinations/traveler/none/NepalSlide7

Vaccinations Recommended for All Travelers

Typhoid FeverHepatitis AHepatitis B

https://www.internationalsos.com/MasterPortal/default.aspx?content=landing&countryid=57Slide8

Typhoid Fever

Infection

caused by salmonella bacteria spread by contaminated food or water.Symptoms begin 7-21 days after exposurePersistent high fever

Rash with pink spots on chest and abdomen

Flu-like (body aches and pains, weakness, loss of appetite, dull headache)

Table 1: Typhoid Vaccines Available in the United States

Vaccine Name

How Given

Number of Doses Necessary

Time Between Doses

Time immunization should be completed by (before possible exposure)Minimum Age For VaccinationBooster Needed Every...Ty21a (Vivotif Berna, Swiss Serum and Vaccine Institute)1 capsule by mouth42 days1 week

6 years

5 years

ViCPS (Typhim Vi, Pasteur Merieux)

Injection

1

N/A

2 weeks

2 years

2 years

http://www.cdc.gov/nczved/divisions/dfbmd/diseases/typhoid_fever/Slide9

Hepatitis A

Viral Disease affecting the liver

Spread by contaminated food or water.Transmitted Person-to-PersonSymptoms begin 15-50 days after exposure

Fever, chills, weakness, loss of appetite, nausea and/or abdominal discomfort followed by

jaundice.

Past infection gives life-long immunity

Hepatitis A vaccination consists of a series of two injections given on days 0 and after six months. Adequate immunity to hepatitis A develops soon after the first dose. The second dose is necessary to ensure sustained immunity.A 

combined

 hepatitis A and B vaccine is available in many countries. It requires of a series of three injections given on days 0, 30 and after six months. The first two doses are required before immunity to hepatitis A or B can be assumed. The third dose is necessary to ensure sustained immunity to both diseases

.

https://www.internationalsos.com/MasterPortal/default.aspx?content=vaccdetail&diseaseid=8&countryid=57Slide10

Hepatitis B

Viral Disease affecting the liver

Symptoms begin 45-160 days after exposureFever, loss of appetite, nausea and/or abdominal discomfort followed by jaundice.

1 in 10 do not fully recover

In many countries, hepatitis B is included in the routine childhood immunizations and need not be repeated. 

Individual hepatitis B vaccination requires a series of three injections given on days zero, 30 and after 6-12 months.

A combined vaccine for hepatitis A and B is now available in many countries. It also requires a series of three injections given on days zero, 30 and after six months.

https://www.internationalsos.com/MasterPortal/default.aspx?content=vaccdetail&diseaseid=9&countryid=57Slide11

Vaccinations Recommended for Some travelers

Japanese EncephalitisMalariaRabies

Yellow Fever

http://wwwnc.cdc.gov/travel/destinations/traveler/none/NepalSlide12

Japanese Encephalitis

Recommended for people engaging in ‘higher risk’ activity (camping, trekking, biking, fishing, hunting, farming)

Viral illness spread by mosquitoesOnly 1% of people develop symptomsInflammation of the brainFever, headache and vomiting

30% of severe cases are fatal

50% of survivals have permanent brain damage

 "

Ixiaro" requires two doses 28 days apart, which should be completed at least 7 days prior to travel.

https://www.internationalsos.com/MasterPortal/default.aspx?content=vaccdetail&diseaseid=10&countryid=57Slide13

Malaria

There is no malaria:

In KathmanduOn typical Himalayan trek routesAt altitudes higher than 2,000 meters (6,562 ft)

Symptoms usually appear within in 7-30 days but can take up to one year to

develop

High fevers, shaking chills, flu-like illness

Preventing malaria:Prevent mosquito bitesChemoprophylaxis, use a medicationAtovaquone plus

proguanil

(

Malarone® and generics)Doxycycline (many brands and generics)Mefloquine (Lariam® and generics)

https://www.internationalsos.com/MasterPortal/default.aspx?content=precautions&countryid=57http://wwwnc.cdc.gov/travel/diseases/malariaSlide14

Rabies

Viral disease contracted when bitten or scratched by an infected animal

Virus travels along nerves and causes paralysisAs it reaches important organs like the spinal cord and the brain, it causes coma and deathPre-exposure vaccination: three injections (given on days 0, 7 and 21 or 28

).

Post-exposure vaccination:

t

wo doses of rabies vaccine are required (given on days 0 and 3). (different w/o pre-exposure vaccine) It is especially important for children who may not tell their parents that they have been bitten/scratched.

https://www.internationalsos.com/MasterPortal/default.aspx?content=vaccdetail&diseaseid=11&countryid=57Slide15

Yellow Fever

There is no risk of yellow fever in Nepal. The government of Nepal 

requires proof of yellow fever vaccination only if you are arriving from a country with risk of yellow fever. This does not include the US

.

https://www.internationalsos.com/MasterPortal/default.aspx?content=vaccdetail&diseaseid=2&countryid=57

http://wwwnc.cdc.gov/travel/destinations/traveler/none/Nepal

AFRICA

CENTRAL AND SOUTH AMERICA

Angola

Benin

Burkina FasoBurundiCameroonCentral African RepublicChad2Congo, Republic of theCôte d’IvoireDemocratic Republic of the Congo2Equatorial GuineaEthiopia2GabonGambia, TheGhanaGuineaGuinea-BissauKenya2LiberiaMali2Mauritania2Niger2NigeriaRwandaSenegal

Sierra LeoneSudan

2

South Sudan

Togo

Uganda

Argentina

2

Bolivia

2

Brazil

2

Colombia

2

Ecuador

2

French Guiana

Guyana

Panama

2

Paraguay

Peru

2SurinameTrinidad and Tobago2Venezuela2Slide16

No Vaccine for Dengue Fever

Aka “Break-Bone” FeverViral Disease of the tropics and sub-tropics

Transmitted by mosquitoSymptoms:High feverSevere headachesJoint and muscle pain

Rash

Acute illness can last up to ten days, but complete recovery can take two to four weeks

Dengue has been reported in at least 9 districts, including Kathmandu

https://www.internationalsos.com/MasterPortal/default.aspx?content=diseasedetail&countryid=57&diseaseid=3