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Gambia Health Care and Vaccinations
Visitors are advised to bring sunscreen, insect repellent and indigestion/diarrhoea medicines; all of these can prove expensive in The Gambia. The government plays a dominant role in health services, but private practices exist in the urban and resort areas. Health insurance is strongly advised. Prescription drugs should be carried in their original containers and with a copy of the prescription.
Note: Some over-the-counter and prescription medicines are banned under The Gambia’s drug laws. These include medicines like those containing diazepam or codeine.
Mains water in the urban and resort areas is safe. Elsewhere, water for drinking, brushing teeth or making ice should be boiled or otherwise sterilised. Fresh milk should be boiled if unpasteurised; powdered or tinned milk is preferable. Avoid unpasteurised dairy products. Meat, fish and vegetables should be cooked, and fruit peeled. Avoid fruits and vegetables with bruised or broken skin.
Diarrhoeal diseases including giardiasis are common. Bilharzia (schistosomiasis) is present; avoid swimming and paddling in stagnant fresh water. Hepatitis E is widespread. Hepatitis B is endemic. Cholera is a risk, and up-to-date advice should be sought on the most suitable precautions. Rabies is present in dogs, bats and other mammals in The Gambia. Visitors who are planning on taking part in outdoor activities are at risk.
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