Transcript Traveling to Nepal

Traveling to
Nepal
Georgia Tech Team Everest!
Entry/Exit
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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:
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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=57
Visa Information
Visas can be obtained on arrival at the Tribhuvan International
Airport, Kathmandu
Visa Facility
Multiple entry
Duration
15 days
Fee
US$ 25 or equivalent
convertible currency
Multiple entry
30 days
US$ 40 or equivalent
convertible currency
Multiple entry
90 days
US$ 100 or equivalent
convertible currency
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)
http://welcomenepal.com/promotional/travel-essentials/visa-information/
Money
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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=57
Trekkers’ Information
Management System (TIMS)
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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/
Routine Vaccinations
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sure you are up to date on routine
vaccinations:
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Measles-Mumps-Rubella (MMR)
Varicella (chickenpox)
Polio
Flu
Diphtheria-tetanus-pertussis
http://wwwnc.cdc.gov/travel/destinations/traveler/none/Nepal
Vaccinations Recommended
for All Travelers
 Typhoid
Fever
 Hepatitis A
 Hepatitis B
https://www.internationalsos.com/MasterPortal/default.aspx?content=landing&countryid=57
Typhoid Fever
 Infection
caused by salmonella bacteria
spread by contaminated food or water.
 Symptoms begin 7-21 days after exposure
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Persistent 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
Number of
Doses
Necessary
How Given
Ty21a (Vivotif
1 capsule
Berna, Swiss
by mouth
Serum and
Vaccine Institute)
ViCPS (Typhim Vi,
Injection
Pasteur Merieux)
Time
Between
Doses
Time immunization
Minimum Age
should be completed
For
by (before possible
Vaccination
exposure)
Booster
Needed
Every...
4
2 days
1 week
6 years
5 years
1
N/A
2 weeks
2 years
2 years
http://www.cdc.gov/nczved/divisions/dfbmd/diseases/typhoid_fever/
Hepatitis A
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Viral Disease affecting the liver
Spread by contaminated food or water.
Transmitted Person-to-Person
Symptoms begin 15-50 days after exposure
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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=57
Hepatitis B
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Viral Disease affecting the liver
Symptoms begin 45-160 days after exposure
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Fever, 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=57
Vaccinations Recommended
for Some travelers
 Japanese
Encephalitis
 Malaria
 Rabies
 Yellow
Fever
http://wwwnc.cdc.gov/travel/destinations/traveler/none/Nepal
Japanese Encephalitis
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Recommended for people engaging in ‘higher
risk’ activity (camping, trekking, biking, fishing,
hunting, farming)
Viral illness spread by mosquitoes
Only 1% of people develop symptoms
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Inflammation of the brain
Fever, 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=57
Malaria
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There is no malaria:
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Symptoms usually appear within in 7-30 days but
can take up to one year to develop
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In Kathmandu
On typical Himalayan trek routes
At altitudes higher than 2,000 meters (6,562 ft)
High fevers, shaking chills, flu-like illness
Preventing malaria:
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Prevent mosquito bites
Chemoprophylaxis, use a medication
Atovaquone plus proguanil (Malarone® and
generics)
 Doxycycline (many brands and generics)
 Mefloquine (Lariam® and generics)
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https://www.internationalsos.com/MasterPortal/default.aspx?content=precautions&countryid=57
http://wwwnc.cdc.gov/travel/diseases/malaria
Rabies
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Viral disease contracted when bitten or
scratched by an infected animal
Virus travels along nerves and causes paralysis
As it reaches important organs like the spinal
cord and the brain, it causes coma and death
Pre-exposure vaccination: three injections (given
on days 0, 7 and 21 or 28).
Post-exposure vaccination: two 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=57
Yellow Fever
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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.
AFRICA
Angola
Benin
Burkina Faso
Burundi
Cameroon
Central African
Republic
2
Chad
Congo, Republic of
the
Côte d’Ivoire
Democratic
Republic of the
2
Congo
Equatorial Guinea
2
Ethiopia
Gabon
Gambia, The
Ghana
Guinea
Guinea-Bissau
2
Kenya
Liberia
2
Mali
CENTRAL AND SOUTH
AMERICA
2
Mauritania
2
Niger
Nigeria
Rwanda
Senegal
Sierra Leone
2
Sudan
South Sudan
Togo
Uganda
2
Argentina
2
Bolivia
2
Brazil
2
Colombia
2
Ecuador
French Guiana
Guyana
2
Panama
Paraguay
2
Peru
Suriname
Trinidad and
2
Tobago
2
Venezuela
https://www.internationalsos.com/MasterPortal/default.aspx?content=vaccdetail&diseaseid=2&countryid=57
http://wwwnc.cdc.gov/travel/destinations/traveler/none/Nepal
No Vaccine for Dengue Fever
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Aka “Break-Bone” Fever
Viral Disease of the tropics and sub-tropics
Transmitted by mosquito
Symptoms:
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High fever
Severe headaches
Joint 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&country
id=57&diseaseid=3