Travel Tips for Austria, Updated Intl. Guide – Travel Medicine, Inc.
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Capital: Vienna

Time Zone: +1 hour. GMT +2 from the last Sunday March to October.
Tel. Country Code: 43
USADirect Tel.: 0
Electrical Standards: Electrical current is 220/50 (volts/hz). European Style Adaptor Plug. Grounding Adaptor Plug D.

Travel Advisory - Austria

Europe, Russia and former the Soviet Union countries vary widely in travel risks and adequacy of health care delivery. Water- and food-borne illnesses such as travelers' diarrhea, typhoid and Giardia are threats outside of Western Europe. Insect-transmitted diseases, such as Lyme disease and tick-borne encephalitis are common in wooded, rural areas in most countries, including Western Europe.

Dr. Rose Recommends for Travel to Austria

Resource Links

World Health Organization
Travel Health Services
Country Insights
Travel Warnings
Consular Information
Foreign Commonweatlh Office


• U.S. Embassy
Parkring 12,
Phone: [43] (1) 31339-7535
Fax: [43] (1) 512 58 35
Web Site:
Office Hours: Monday through Friday, 1:00-3:00 pm

• Canadian Embassy
Laurenzenberg 2
Tel: [43] (1) 31-38-3000
Fax: [43] (1) 531-38-3905

• British Embassy
Jauresgasse 12
Telephone: [43] (1) 716130
Email: (Consular enquiries)

Entry Requirements

• Visa: A visa is not required for tourist/business stays up to three months.

• HIV Test: Testing is required of foreign workers applying for residence permits.

• Vaccinations: None required.

Passport Information

Passport/Visa: Passport required. A visa is not required for business or tourist stays up to three months. For further information concerning entry requirements for Austria, travelers should visit the Embassy of Austria•s web site at for the most current visa information. The Embassy of Austria is located at 3524 International Court NW, Washington, DC 20008, tel: (202) 895-6711, and the Austrian Consulates General are located in Chicago, Los Angeles, and New York.

HIV Test: Not required.

Required Vaccinations: None required.

Vaccinations: Recommended and Routine

Hepatitis A: Vaccination against hepatitis A should be considered for all travelers >1 year of age not previously immunized against this disease.

Hepatitis B: Recommended for all non-immune travelers at potential risk for acquiring this infection. Hepatitis B is transmitted via infected blood or bodily fluids. Travelers may be exposed by needle sharing and unprotected sex; from acupuncture, tattooing or body piercing; when receiving non-sterile medical or dental injections, or unscreened blood transfusions; by direct contact with open skin sores on an infected person. Recommended for long-term travelers, expatriates, and any traveler requesting protection against hepatitis B infection.

Influenza: Vaccination recommended for all travelers >6 months of age who have not received a flu shot in the previous 12 months.

Routine Immunizations: Immunizations against tetanus-diphtheria, measles, mumps, rubella (MMR vaccine) and varicella (chickenpox) should be updated, if necessary, before departure. MMR protection is especially important for any female of childbearing age who may become pregnant.
• The new Tdap vaccine, ADACEL, which also boosts immunity against pertussis (whooping cough) should be considered when a tetanus-diphtheria booster is indicated.

A measles outbreak was reported from the Salzburg area in April 2008, resulting in more than 200 cases as of April 14. The outbreak was linked to a school in Salzburg, most of whose students had not been vaccinated against measles.

Hospitals / Doctors

Medical care in Austria is of a high standard. All travelers should be up-to-date on their immunizations and are advised to carry a medical kit as well as antibiotics to treat travelers diarrhea or other infections. Travelers who are taking regular medications should carry them properly labeled and in sufficient quantity to last for the duration of their trip; they should not expect to obtain prescription or over-the-counter drugs in local stores or pharmacies in this country - the equivalent drugs may not be available.
• Travelers are advised to obtain travel insurance that provides for medical evacuation in the event of serious illness or injury. Such insurance is advised especially for skiers and people hiking in remote areas.

• For a physician referral in Vienna, contact the American Medical Society of Vienna, Tel: [43] (1) 424-568, or the Doctors Board of Vienna-Service Department for Foreign Patients, Weihburggasse, Vienna, Tel. [43] (1) 40-144. The Doctors Board also provides 24-hour physician referral throughout Austria. English spoken.

• Vienna General Hospital (AKH - Allgemeines Krankenhaus)
Wahringer Gurtel 18-20
Tel: [43] (1) 404 000
The major teaching facility/treatment center in Austria; all specialties.

• Privatklinik Doebling
Heiligenstadter Str. 57-63
Tel: [43] (1) 360 660
The Privatklinik Dobling is a 160-bed private in-patient hospital with an affiliated outpatient clinic. Facility combines hotel-style comfort with high-tech state-of-the-art care.

• Landeskrankenhaus Salzburg
Mullner Hauptstrasse 48
Tel: [43] (0) 662-4482
Major referral center with all specialties; 24-hour emergency services.

• Air Ambulance
Tyrol Air Ambulance
Innsbruck Airport
Tel: [43] 512 22422
Besides TAAs international capability with jet aircraft, turboprops and helicopters, they have special planes flying between Innsbruck, the French Alps, The Netherlands, Belgium, England, and elsewhere which are reserved for victims of ski accidents.

Travel Medicine and Infectious Diseases practitioners who are members of the International Society of Travel Medicine:

• Martin Haditsch, MD
Travel Med Center
Hochstr 6A
Tel: [43] (732) 670580-0
Fax: [43] (732) 670580-64
Pre-Travel Vaccination, Official Yellow Fever Vaccine Center, Post-Travel Medical Consultation, On-Site Diagnostic Laboratory.

• Ursal Hollenstein, MD
Favoritenstrae 32
Tel: [43] (1) 505 64 46
Fax: [43] (1) 505 64 46 14
Pre-Travel Vaccination, Official Yellow Fever Vaccine Center, Post-Travel Medical Consultation, On-Site Diagnostic Laboratory.

• Herwig Kollaritsch, MD, Prof
Gruppenpraxis der Fach•rzte Tropenmedizin
Zimmermanngasse 1a
Tel: [43] (1) 4038 34311
Fax: [43] (1) 4038 34390
Pre-Travel Vaccination, Official Yellow Fever Vaccine Center, Post-Travel Medical Consultation, On-Site Diagnostic Laboratory.

• Hannes Pichler, MD
Hietzinger Hauptstrabe 127
Tel: [43] (1) 877-5606
Fax: [43] (1) 877-56063
Pre-Travel Vaccination, Official Yellow Fever Vaccine Center.

• Johann Sommer, MD
Anton Baumgartner Strasse 44
Tel: [43] (1) 667-3201
Fax: [43] (1) 66732014
Pre-Travel Vaccination, Official Yellow Fever Vaccine Center, Post-Travel Medical Consultation.

Destination Health Info for Travelers

AIDS/HIV: Primary risk groups include men having sex with men (MSM) and intravenous drug users. Adult HIV prevalence in Austria is 0.1%. The largest numbers of people living with HIV in Western Europe in 2006 were in France (0.4% prevalence), Italy (0.5% prevalence) and Spain (0.6% prevalence). (Source:
• Transmission of HIV can be prevented by avoiding: sexual contact with a high-risk partner; injecting drug use with shared needles; non-sterile medical injections; unscreened blood transfusions.
• The threat of HIV/AIDS should not be a primary concern for the traveler. However, there may be a concern for a subset of travelers who may be exposed to HIV, the virus that causes AIDS, through contact with the body fluids of another person or their blood. Although travel has contributed in a general way to the global spread of AIDS, fear of traveling because of this disease is not warranted.

Accidents & Medical Insurance: Accidents and injuries are the leading cause of death among travelers under the age of 55 and are most often caused by motor vehicle and motorcycle crashes; drownings, aircraft crashes, homicides, and burns are lesser causes.
• Heart attacks cause most fatalities in older travelers.
• Infections cause only 1% of fatalities in overseas travelers, but, overall, infections are the most common cause of travel-related illness.
• MEDICAL INSURANCE: Travelers are advised to obtain, prior to departure, supplemental travel health insurance with specific overseas coverage. The policy should provide for direct payment to the overseas hospital and/or physician at the time of service and include a medical evacuation benefit. The policy should also provide 24-hour hotline access to a multilingual assistance center that can help arrange and monitor delivery of medical care and determine if medevac or air ambulance services are required.

Avian Influenza A (Bird Flu): There were a number of confirmed cases of H5N1 infection in migratory birds in Austria in 2006. There have been none so far in 2007. No human infections or deaths have been reported.
• H5N1 avian influenza is predominantly a disease of birds. The virus does not pass easily from birds to people and does not to pass from person to person (except in very rare cases of close contact with an infected blood relative).
• The risk to humans from avian influenza is believed to be very low and no travel restrictions are advised, except travelers should avoid visiting animal markets, poultry farms and other places where they may come into close contact with live or dead poultry, or domestic, caged or wild birds and their excretions. In addition, travelers are advised to:
1. Cook poultry and egg dishes thoroughly. (Well-cooked poultry is safe to eat.)
2. Wash hands frequently with soap and water if around poultry.

• The World Health Organization (WHO) does not recommend travel restrictions to countries experiencing outbreaks of H5N1 avian influenza in birds, including those countries which have reported associated cases of human infection.

The usual vaccines against influenza are not protective against “bird flu.”
Oseltamivir (Tamiflu) is somewhat effective in the treatment of H5N1 avian influenza. It seems to be effective in some cases, but may fail in others. Recently, resistant strains have been reported. In addition, the dosage and duration of treatment appear to be different in severe H5N1 cases.

The World Organisation for Animal Health (OIE) has confirmed cases of avian influenza in birds in a number of countries throughout the world. For a list of these countries, visit the OIE website:

Food & Water Safety: Milk is pasteurized and dairy products are safe for consumption. Local meat, poultry, seafood, fruit and vegetables are considered safe.

Hepatitis: All travelers not previously immunized against hepatitis A should consider vaccination against this disease. Travelers who are non-immune to hepatitis A (i.e. have never had the disease and have not been vaccinated) should take particular care to avoid potentially contaminated food and water. Travelers who will have access to safe food and water are at lower risk. Those at higher risk include travelers visiting friends and relatives, long-term travelers, and those visiting areas of poor sanitation.
• Hepatitis E is endemic but levels are unclear. A case of indigenous hepatitis E was reported in the New England Journal of Medicine in 1998. ( Transmission of the hepatitis E virus (HEV) occurs primarily through drinking water contaminated by sewage and also through raw or uncooked shellfish. Farm animals, such as swine, and also deer and wild boar, may serve as a viral reservoirs. (HEV is one of the few viruses which has been shown to be transmitted directly from animals through food.) In developing countries, prevention of hepatitis E relies primarily on the provision of clean water supplies and overall improved sanitation and hygiene. There is no vaccine.
• The overall hepatitis B (HBsAg) carrier rate in the general population is estimated less than 1%. Hepatitis B is transmitted via infected blood or bodily fluids. Travelers may be exposed by needle sharing and unprotected sex; from non-sterile medical or dental injections, and acupuncture; from unscreened blood transfusions; by direct contact with open skin lesions of an infected person. The average traveler is at low risk for acquiring this infection. Vaccination against hepatitis B is recommended for: persons having casual/unprotected sex with new partners; sexual tourists; injecting drug users; long-term visitors; expatriates, and anybody wanting increased protection against the hepatitis B virus.
• Hepatitis C is endemic at low levels in the general population; the prevalence of HCV antibodies in blood donors averages 0.2% or less for this region.
Most hepatitis C virus (HCV) is spread either through intravenous drug use or, in lesser-developed countries, through blood contamination during medical procedures. Over 200 million people around the world are infected with hepatitis C, an overall incidence of around 3.3% of the population of the world. Statistically, as many people are infected with HCV as are with HIV, the virus that causes AIDS.

Influenza: Influenza is transmitted from November through March. The flu vaccine is recommended for all travelers over age 6 months.

Lyme Disease: This tick-borne disease occurs focally in rural forested areas up to 1,500 meters elevation in the Danube River basin of eastern Austria, Carinthia, and elsewhere. Ticks are most abundant and active from April through September.
• Lyme disease is transmitted by Ixodes ticks that are found in wooded, brushy areas, although transmission can also occur in backyards. All travelers who engage in hiking, camping, or similar outdoor activities in rural wooded regions of endemic areas during the peak transmission season should take measures to prevent tick bites.
All travelers who engage in hiking, camping, or similar outdoor activities in rural wooded regions of endemic areas should take measures to prevent tick bites. Tick-bite prevention measures include applying a DEET-containing repellent to exposed skin and permethrin spray or solution to clothing and gear.
• A single 200-mg dose of doxycycline is effective in preventing Lyme disease if taken within 72 hours of being bitten by an infected tick. (Reference:

Other Diseases/Hazards: Echinococcosis (low risk; reported from rural areas in the western part of the country; human alveolar echinococcosis is caused when eggs of the tapeworm, excreted by the final hosts (usually foxes), are accidentally ingested; fatal liver disease may occur if not treated early)
• Leishmaniasis (visceral leishmaniasis has been reported from eastern Austria)
• Leptospirosis (associated to exposure to livestock or swimming in lakes/streams)
• Rubella (German measles) Since October 2008, a total of 143 cases of rubella have affected the two Austrian provinces Styria and Burgenland.
Since October 2008, a total of 143 cases of rubella have affected the two Austrian provinces Styria and Burgenland. Rubella is of high public health importance owing to teratogenic effects that can result from congenital rubella infection (CRI) during the first trimester of pregnancy)
• Tularemia (reported sporadically in outdoorsmen after contact with the meat of killed game)

Rabies: Austria is reported to be free of canine rabies. All wild animal bites, however, especially from a racoon dog or fox, should be vigorously cleansed with soap and water and medically evaluated for possible post-exposure treatment.
Rabies is still present in Europe. Its incidence in humans remains limited (fewer than 5 human cases per year) through the application of strict prophylactic measures (anti-rabies treatment) and by means of veterinary rabies control measures in the domesticated and wild animal populations. The main indigenous animal reservoirs are: the dog in eastern European countries and on the borders with the Middle East; the fox in central and eastern Europe; the racoon dog in northeastern Europe; and the insectivorous bat throughout the entire territory.

Swimmers’ Itch: Cercarial dermatitis (swimmers itch) occurs during hot, dry summer months. The cercaria that penetrate the skin may be found in warm-water lakes harboring snails.

Tick-Borne Encephalitis (TBE): Human TBEV infections are acquired through bites of infected ticks or, rarely, by ingesting unpasteurized dairy products primarily from infected goats, sheep, or cows.

Before the annual TBE vaccination campaign was introduced in 1981, Austria had the highest recorded morbidity of TBE in Europe, with up to 700 hospitalized cases annually. The increase in vaccination coverage since 1981 has led to a steady decline in TBE. TBE is a viral tick-transmitted disease present primarily in the lowland (<1,400 meters elevation) forests of eastern and southeastern Austria, particularly in the areas around Klagenfurt, Graz, Wiener Neustadt, and Linz, as well in the Danube River valley west of Vienna. In 2003, new endemic areas were described in the region around Mattsee, Wallersee, and Thalgau north of the city of Salzburg. There is no apparent risk in Tyrol and Voralberg Provinces. The peak transmission season, when ticks are most active, runs from early spring to late autumn (March to November). The tick vector for this disease, (the same tick that transmits Lyme disease), is widely distributed in brushy and forested areas.
For an unvaccinated tourist staying in a highly endemic province of southern Austria, such as Styria, the risk of acquiring TBE has been estimated at 1 to 10,000 person-months of exposure. Based on the number of tourist overnight stays in Austria during the summer, around 60 travel-associated cases of clinical TBE can be expected to occur among visitors of Austria.
Note: An outbreak of tick-borne encephalitis caused by eating homemade goat cheese was reported from western Vorarlberg province in August 2008. Food-transmitted TBE has been reported previously (

• Vaccination is recommended only for travelers at significant risk of exposure, such as campers and hikers on extended trips, and forestry workers. The standard vaccination schedule consists of 3 doses given at 0, 1-3 months, and at 9-12 months. An 2-dose accelerated schedule is possible (0, 21 days), with 85% protection resulting. The European vaccine (FSME-IMMUN-Baxter) is available in health clinics in Germany, Austria, Slovakia, Czech Republic and Poland, as well as Canada, but the traveler would have to initiate the vaccine after arriving in the area and hiking/camping delayed for 3 weeks before adequate protection to kick in. This makes administration of vaccine impractical for the average traveler. Tick-bite protection is therefore essential.
• Travelers, especially those engaging in outdoor activities in rural areas, are advised to take measures to prevent tick bites during the peak transmission season, March to November. Tick-bite prevention measures include applying a DEET-containing repellent to exposed skin and permethrin spray or solution to clothing and gear.
• A map showing the distribution of TBE is here:
More information on TBE is available from the CDC at:
and Eurosurveillance:

Travelers' Diarrhea: Low risk. Tap water supplied by municipal water systems is potable. Good hand hygiene reduces the incidence of travelers’ diarrhea by 30%. A quinolone antibiotic, or azithromycin, combined with loperamide (Imodium), is recommended for the treatment of diarrhea. Diarrhea not responding to antibiotic treatment may be due to a parasitic disease such as giardiasis, amebiasis, or cryptosporidiosis.
• Seek qualified medical care if you have bloody diarrhea and fever, severe abdominal pain, uncontrolled vomiting, or dehydration.

Tuberculosis (TB): The first documented case of extensively drug-resistant tuberculosis (XDR-TB) case in Austria was diagnosed 2008 in a 45-year old Romanian. His symptoms inluded fatigue, constitutional symptoms and weight loss. While this is the first published report of a case of XDR-TB in Austria it does not preclude the possibility that other cases had occurred or transited the country previously. The term XDR-TB is defined as: resistance to at least rifampicin and isoniazid, in addition to any fluoroquinolone, and to at least one of the three following injectable drugs used in anti-TB treatment: capreomycin, kanamycin, and amikacin.
By June 2008, 18 countries in the European Union (EU) and Western Europe - and six in the former Soviet Union had officially reported XDR-TB cases.
Four of these countries (Czech Republic, Germany, Italy, and Slovenia) share a border with Austria. A large part of the drug-resistant TB caseload in Europe occurs in the countries of the former Soviet Union. The XDR-TB case in Austria originated from Romania, a resource constrained country at the eastern border of the EU. This case shows that XDR-TB is not confined by state borders. Source: Eurosurveillance.
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