Inoculation regulations can change at short notice. Please take medical advice in the case of doubt. 1 There may be some risk of cholera; precautions should be considered.
2 Typhoid is a risk.
Food & drink All 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. Some milk is unpasteurised and should be boiled. Powdered, long-life 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.
Other risks Diarrhoeal diseases and outbreaks of meningococcal meningitis occur. There is some risk of plague. Immunisation against Hepatitis A and TB is recommended. Hepatitis B is highly endemic and Hepatitis C also occurs. Rabies is present. For those at high risk, vaccination before arrival should be considered. If you are bitten, seek medical advice without delay. For more information, see the Health appendix. There are almost 23,000 hospital beds and over 5000 doctors in Mongolia. However, health-care facilities available to foreigners are limited. All Mongolian hospitals are very short of most medical supplies, including basic care items, drugs and spare parts for medical equipment. Reciprocal agreements with the UK or USA are not available and US medical insurance is not valid in Mongolia. Doctors and hospitals expect immediate cash payment for health services. Visitors are urged to have health insurance including cover for evacuation to Hong Kong and to take any regular medication with them. Emergency care is available at the Russian Hospital, although a translator is essential.
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