Health in Vietnam

Vietnam online has taken the greatest care to ensure that the contents of these pages are accurate, but it is your responsibility to visit your local GP or medical facility at least 6 weeks before you depart.

The general information and advice provided below is for travellers who are healthy, not pregnant and who are planning to stay in Vietnam for less than 1 month. Make sure you also get up-to-date information for your personal situation.

Vietnam has a tropical climate. There are more varieties of bacteria in a tropical climate, and your body isn't as used to them as you don't live in that area of the world. Although the risk of getting ill must not be exaggerated, and certainly should not spoil the enjoyment of your holiday, it is advisable to be prepared for your trip and to be aware of the health risks of that country.

Vaccinations in Vietnam

DTP: Diphtheria, Tetanus and Polio. This combined vaccination is recommended for almost everywhere outside Europe.The vaccination lasts for 10 years.

Hepatitis A: You can choose either short-term or long-term protection; the long-term version lasts 10 years.

Typhoid: This vaccination is advised by most health organisation, if you are planning to stay for longer than 2 weeks in Vietnam. The vaccination provides 3 years' protection.
Malaria
Malaria does exist in Vietnam, and although it is not a major problem it is extremely important you seek up-to-date advice from your GP before you travel. The entire coastal region and the flat delta regions (Red River Delta and Mekong Delta) are almost malaria-free, except for the most southerly point of the Mekong Delta to the south of Ca Mau (where we actually do not offer any modules). All provincial capitals are also malaria-free except for Kon Tum. For most of the modules we offer anti-malaria medicine is not necessary.

Because anti-malaria medicine is quite strong, and the fact that there is not a really large risk of malaria in many areas, some travellers do not take any medication. That is the decision of each traveller, and should be based upon the information they have received from the NHS or medical authority.

The best bet is to try and reduce the risk of catching malaria by preventative measures. Keeping your arms, legs and feet covered in the evenings, using anti-mosquito spray/cream on exposed areas of skin (the best ones contain DEET), and sleeping under a mosquito net where possible.

If during or after your trip you find yourself with flu-like symptoms lasting longer than two days (even upto 2 months after your return to Australia), seek the advice of a doctor immediately, and advise you have been in a malaria area.


Dengue fever and Japanese B encephalitis
Both of these diseases are carried by mosquitoes, so you can take the same precautions as for malaria. For more information about these diseases, and the status of any outbreaks, you're advised to seek the advice of the NHS or a suitable medical institution.

There is no vaccine against dengue, however, there is for Japanese B encephalitis, which is advised but only if you are going to be in Asia for longer than six months.


Before you go...

You are advised to visit your local GP at least 6 weeks before you depart. They can check your records and advise what vaccinations you already have, and what you will need.

If you are currently taking prescription medicines, take the information leaflet with you and some spare medicine.
This can help in two ways :
1) There will be no chance for confusion at customs
2) It will make life much easier trying to if you happen to lose your medication and need to replace it whilst away.

If you wear glasses or use contact lenses, it's a good idea to take a copy of your prescription or a spare pair of glasses/lenses.

Websites:
www.smartraveller.gov.au
www.traveldoctor.com.au
www.welltogo.com.au

Staying healthy in Vietnam

Of course it's important that you avoid becoming ill while you are on holiday. When you're away on holiday remain alert: when in doubt, consult a doctor.If you have language problems you can ask our local agents in the larger towns and cities to help

Jet lag
Jet lag is when your biological clock is confused, caused by flying through different time zones. The body has to adjust to the new biorhythm for the first few days after your flight, during which time you can feel tired in the day and awake at night.

Overcoming jet lag
It's generally recommended that you drink limited amounts of coffee or alcohol during the flight, and upon arrival don't demand too much of your body for the first couple of days. It's also handy to get into the new sleeping pattern as quickly as possible. What we usually do is: Sleep for an hour after arrival, and then stay awake and have an early night.

Diarrhoea

A change of routine, climate and food (especially spicy) can throw your stomach out of sorts. As long as it is only loose, watery stools and no other symptoms, it's normally unnecessary to take anything, just take it easy and drink plenty of water in small quantities. The elderly and children may require some Oral Rehydration Salts, these are dissolved in water and prevent dehydration. Drugs, such as loperamide and diphenoxylate, may be taken if you really have to travel when you have diarrhoea (not suitable for children under two years old). These drugs have the effect of sedating the intestines, which stops stomach cramps and suppresses the diarrhoea, but doesn't actually cure it. Only use these drugs when you're on the move and cannot get to the toilet regularly. If the diarrhoea: persists for more than 48 hours, AND is accompanied by headache, vomiting, or blood in the stool OR; you’re taking any other medication at the time, you should contact a doctor. Antibiotics are more readily available in Vietnam than in Europe, but remember that alcohol is often a bad combination with antibiotics, and that both diarrhoea can prevent oral contraception pills working properly.

Diarrhoea prevention

Only consume water, and soft drinks from properly closed and sealed bottles or cans. Drinks made with boiled bottled water, such as tea or coffee are also fine. Ice is only trustworthy in the form of manufactured bagged ice, but this is widely available. Fruit juice is safe, but only if no water has been added. Food, especially meat and fish must be cooked properly, so that it is well cooked all the way through.

In Vietnam eating food from street stalls is common place, but to prevent illness a good idea is to eat where it's busy. This usually means that the food is good, and that the turnover means the time between food preparation and consumption is the shortest possible. It's probably best not to eat meat at the end of the day, as the meat can sometimes have been lying around all day in the heat un-refrigerated.

A few more health tips

Skin care
Always use a high factor sunscreen cream on exposed skin, even during the rainy season. Snorkelling in a T-shirt is a wise idea as even waterproof sunscreen washes off after a while. If you cut or scratch yourself whilst in the tropics, keep a close eye on them. Clean them with disinfectant and keep them covered with a plaster during the day. Don't scratch mosquito bites, they're infuriating, but it only makes them worse. You can avoid attracting biting insects, by wearing light coloured clothing, especially in the evening. Try to avoid resembling a flower, and go easy on the strong perfume aftershave or deodorant. It you're prone to skin irritations, wear cotton or linen clothing, and you can help avoid prickly heat by using talcum powder after your morning shower. Wash or disinfect your hands after using the toilet, and don't bite your nails.

Sunstroke
Sunstroke can be prevented by wearing a hat and sunglasses. Always try and keep a bottle of water with you, especially if you're out in the wilderness and unlikely to come across drinking water. If you suspect sunstroke (feeling light-headed, headaches), you can prevent it from getting worse by drinking water and finding somewhere in the shade to rest.

When you get home.....
After your trip (and this can be months later), pay close attention to your health for a little while. If you contract flu like symptoms, have stomach problems, or experience something unusual symptoms, contact your GP and let them know where you've been on your travels.