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Czech Republic

Capital: Prague

Time Zone: +1 hour. (GMT +2 from the last Sunday in March to the last Sunday in October).
Tel. Country Code: 420
USADirect Tel.: 0
Electrical Standards: Electrical current is 220/50 (volts/hz). European Style Adaptor Plug. Grounding Adaptor Plug D.

Travel Advisory - Czech Republic

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 Czech Republic

Resource Links

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


• U.S. Embassy
Trziste 15
Tel: [420] 257 530 663
After-hours emergencies only: [420] 257-532-716

• Embassy of Canada
Muchova 6
Tel: [420] 272-101-800
Fax: [420] 272-101-890
E-Mail: or

• British Embassy
Thunovska 14
Tel: [420] 257 402 111
Fax: [420] 257 402 280 (Consular/Visa)
Consular/Visa: (Consular/Visa)

Entry Requirements

HIV Test: Not required.

Required Vaccinations: None required.

Passport Information

Passport/Visa: The Czech Republic is located in the heart of Europe. Tourist facilities in Prague are at the level of those found in most European capitals, while travelers can expect lower standards outside of Prague. 

ENTRY REQUIREMENTS: A passport is required and must be valid for 3 months beyond the intended stay. Visas are not required for U.S. citizens for tourist, short study or business visits of up to 90 days. Visas are required for longer stays and for any gainful activity. Visit the Embassy of the Czech Republic•s website at for the most current visa information. The Czech Government requires that proof of finances to pay for your stay and for you to have travel/health insurance and is requiring proof of medical insurance for travelers to the Czech Republic. Minimum coverage of the insurance has to be at least $35,000.
According to the Czech Government, a health insurance card or an internationally recognized credit card with health insurance included will generally be accepted as proof of insurance to enter the Republic.

Vaccinations: Recommended and Routine

Hepatitis A: Recommended for all travelers >1 year of age not previously immunized against hepatitis A.

Hepatitis B: Recommended for all non-immune travelers who might be exposed to blood or body fluids from unsafe/unprotected sexual contact; from injecting drug use with shared/re-used needles and syringes; from medical treatment with non-sterile (re-used) needles and syringes. Recommended for 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.

Rabies: Recommended for travelers spending time outdoors in rural areas where there is an increased the risk of animal bites. Children are considered at higher risk because they tend to play with animals and may not report bites. Pre-exposure vaccination eliminates the need for rabies immune globulin in the event of a high-risk animal bite, but does not eliminate the need for additional booster doses the vaccine.

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.

Typhoid: Recommended for all unvaccinated people traveling to or working in Eastern Europe, especially if visiting smaller cities, villages, or rural areas and staying with friends or relatives where exposure might occur through food or water.

Hospitals / Doctors

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 comprehensive travel insurance with specific overseas coverage. Policies should cover: ground and air ambulance transport, including evacuation to home country; payment of hospital bills; 24-hour telephone assistance. Serious illness or injury may require evacuation to more advanced medical facility in a Western European country.

Prague has good Western-style medical clinics with English-speaking doctors and dentists. However, staff members at the majority of Czech medical facilities do not speak English.

Some information on medical facilities is available here:

• Health Centre Prague
Vodickova 28 - 30
Tel: [420] 603 433 833, 603 481 361
24-hour emergency services; full range of family medicine;
hotel and house calls; multilingual international staff.

• Canadian Medical Centre
Veleslavinska 1
Tel: [420] 235 360 133
Outpatient care in a modern, private medical clinic. English-speaking Czech physicians provide primary care on a drop-in basis, or as part of a membership package.

• American Medical Centers
Janovskeho 48
Tel: [420] (2) 807-756
24-hour emergency services and walk-in clinic with English-speaking physicians. The American Medical Center Prague offers routine outpatient care as well as limited emergency and first aid care 24-hours daily; it also has 7 overnight beds. The clinic does not handle major trauma but can stabilize and evacuate critically injured patients. It has cardiac monitoring, defibrillators, and oxygen. Staff members speak English and Czech. The clinic is located in downtown Prague.

• Charles University Medical School Hospital
V Uvalu 84
Tel: [420] (2) 2443-1111
Charles University Medical School Hospital is a 1415-bed hospital and major trauma center (2 CT head scans, 1 MRI, OR equipped for neurosurgery). The facility provides 24-hour emergency care and has 100 ICU beds. The primary language spoken by the staff is Czech; English is also spoken and translators are available on request. The hospital is located near downtown Prague.

• UNICARE Medical Center
Na Dlouhem lanu 11
Tel: [420] 235 356 553
24-hour emergency: [420] 608 10 30 50

Branch office (pediatrics and general medicine):
Kosatcova 420, 252 43 Pruhonice
Czech Republic
Telephone & Fax: [420] 2-6775-0427
24-hour On-Call Telephone: 0602-201-040, 0608-103-050

Unicare Medical Center is a private medical center providing basic outpatient care and services including referrals to and an escort system to the best facilities in Prague. Emergency care (for non-critical emergencies) is available 24 hours/day, with staff members on call for foreign and local patients. In the event of a life-threatening emergency, contact an ambulance at 155. The Czech emergency number 155 is not always answered by an English speaking person. UNICARE staff can facilitate admittance to local hospitals and monitor patient conditions, acting as a go-between the Czech medical system and the foreign patient including the billing in cases of hospitalization. UNICARE also can facilitate medical evacuations. Emergency transport includes ambulance, air ambulance, or helicopter ambulance by contract with Meditrans. The primary language spoken by the staff is English. Staff members also speak Czech, Spanish, French, German, Greek, Russian, Italian, and Arabic. No membership fees are required; payment is expected at the time of service (cash, credit cards, insurance - direct payment agreements with UltraMed, TieCare, AETNA, BUPA, PPP, and Industrial Insurance). The main clinic (8am-8pm weekdays) is north of the city center, just off the main road to the airport and close to several international schools; it is accessible by public transportation, trams 2, 20 and 26 from Metro Device. The branch office is located in the village of Pruhonice, south of Prague.

Travel Medicine & Infectious Disease Specialists

• Strakrle, Vladimir, MD
Outpatient Department for Infectious Diseases
Travel Medicine & Hepatology
Ponavka 2
Czech Republic
Tel: [420] (5) 4524-0743
Fax: [420] (5) 45216670
Languages: Principal - Czech, English; Other - Russian, German
Pre-Travel Vaccination, Official Yellow Fever Vaccine Center, Post-Travel Medical Consultation, On-Site Diagnostic Laboratory.

• Beran, Jiri, MD
Vaccination and Travel Medicine Centre
Department of Infectious Diseases University Hospital
Sokolska 581
Hradec Kralove
Czech Republic
Tel: [420] (49) 583-2220
Fax: [420] (49) 586-5401
Website: or
Languages: Principal - Czech; Other - English, Russian, German
Pre-Travel Vaccination, Official Yellow Fever Vaccine Center, Post-Travel Medical, On-Site Diagnostic Laboratory.

Destination Health Info for Travelers

AIDS/HIV: The Czech Republic is considered to be one of the European countries less affected by the HIV/AIDS epidemic, although the number of cases is increasing each year. Sexual contact is the most frequent mode of HIV transmission. In 2006, it accounted for 84.8% of all newly diagnosed HIV infections (54.8% homosexual, 29.0% heterosexual). Men who have sex with men (MSM) and at the same time are injecting drug users represented 2.2% of new HIV cases registered in 2006. A further 4.3% of newly diagnosed HIV infections were attributed to injecting drugs only. In 9.7% of cases, the mode of transmission was unknown. Regarding risk groups, MSM are still at the highest risk of HIV infection in the Czech Republic (57.0% of newly diagnosed HIV cases in 2006, including 2.2% MSM who were also injecting drug users).
Source: Eurosurveillance:
• 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 blood or body fluids of another person. Although travel has contributed in a general way to the global spread of AIDS, fear of traveling because of this disease is not warranted.
• 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.

Avian Influenza (Bird Flu): In June 2007, the State Veterinary Administration confirmed that a number of birds at a broiler farm in Norn, East Bohemia, had been infected with the H5N1 strain of the virus. Cases of Avian Influenza were also discovered in a swan in Lednice, South Moravia and in poultry on a closed farm near Usti nad Orlici in the district of Pardubice, East Bohemia. No human cases 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.

Hepatitis: In 2008, 1,616 cases of hepatitis A were reported in the Czech Republic, more than a 10-fold increase compared with the annual number of cases registered in 2003-2007. The infection was initially associated with injecting drug users, most probably by person-to-person contact or parenteral transmission, and in the second half of the year continued to spread among the general population with increased susceptibility.
All travelers not previously immunized against hepatitis A should be vaccinated 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. Sporadic cases may occur but go unrecognized. 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 at 2%. to 3%. 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 a low level with a prevalence estimated at 0.2% in the general population. 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 from November to April. The flu vaccine is recommended for all travelers over age 6 months.

Lyme Disease: Lyme disease is transmitted in all regions of the country, including the parks in Prague and other cities, primarily during the warmer months, April through September.
• Travelers 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.

Other Diseases/Outbreaks: Brucellosis (Humans acquire infection by ingestion of unpasteurized dairy products or, less commonly, ingestion of poorly cooked meat from infected animals, by direct or indirect exposure to the organism through mucous membranes or broken skin, or by inhalation of infectious material)
• Hemorrhagic Fever with Renal Syndrome (low incidence; Hantavirus illness acquired through contact with rodent excreta)
• Echinococcosis
• Leptospirosis
• Listeriosis, transmitted through the consumption of contaminated meat and milk products, has been reported in South Bohemia and North Moravia.
• Cysticercosis
• Rabies (moderately enzootic, with foxes serving as primary zoonotic reservoir; approximately 60% of domestic animal rabies occurs in stray cats)
• Salmonellosis
• Tularemia

Tick-Borne Encephalitis (TBE): Increasing incidence. Tick-borne encephalitis (TBE) is present in all parts of the country. Between 2003 and 2007, an average of 666 TBE cases were reported annually. European tick-borne encephalitis (TBE) occurs April through October in lowland forested areas, with a higher incidence south of Prague in the Vlatva (Moldau) River basin, north of Brno, in the vicinity of Plzen, and in the Danube River basin near Bratislava. In 2007, there was an exceptionally sudden increase, with >1,000 registered TBE cases.
The Czech Republic is second only to Russia in terms of TBE incidence in Europe. Recently, TBE foci have been identified in the northern part of the province of Bohemia. In the eastern part of the country, there has been a high incidence near Olomouc. 
Ixodes ricinus ticks and TBE virus have detected in the Bohemian Mountains at an altitude of over 1,100 metres above sea level. Warm winters have led to an increased number of cases.
Souce: Euosurveilance:
The TBE vaccine (available in Europe and Canada) is recommended only for people who expect to have extensive exposure to ticks in rural areas (e.g., hikers, campers).
• Travelers 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 map showing the distribution of TBE is here:

Travelers' Diarrhea: Low-moderate risk. Water supplies in urban areas are potable. Outside of hotels and resorts, we recommend that you filter or purify all drinking water or drink only bottled water or other bottled beverages and do not use ice cubes. Avoid unpasteurized dairy products. Do not eat raw or undercooked food, especially meat, fish, raw vegetables. Peel all fruits.
• 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.

Typhoid Fever: A traveler from the Czech Republic contracted typhoid fever in India in late 2008 which was resistant to fluoroquinolones and meropenem but sensitive to chloramphenol.
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