Time Zone: -4 hours. No daylight savings time in 2008.
Tel. Country Code: 590
USADirect Tel.: 0
Electrical Standards: Electrical current is 220/50 (volts/hz). European Style Adaptor Plug. Grounding Adaptor Plug D.
Travel Advisory - Guadeloupe
Travelers to Central and South America and the Caribbean need to protect themselves against mosquito-transmitted viruses, such as dengue and Zika, as well as nighttime biting mosquitoes in countries where there is the threat of malaria. I recommend all travelers use a combination of DEET or Picaridin repellent on their skin and Permethrin fabric insecticide on their clothing for greater than 99% protection against mosquito and tick bites.
Dr. Rose Recommends for Travel to Guadeloupe
Neither the United States, Canada, Australia, nor the United Kingdom has an embassy in Guadeloupe.
• US Embassy (Barbados)
 (246) 436-4950
US Consular Agency (Martinique)
Hotel Valmeniere #615
Avenue des Arawaks
Fort de France
Tel:  596 75-6754
For after-hours service, American citizens may contact the U.S. Embassy in Bridgetown, Barbados
 (246) 436-4950
• British Embassy (France)
 (1) 44 51 31 00
There is no resident British Diplomatic Mission in Guadeloupe. Routine consular matters are covered by the British Embassy in Paris. In case of emergency, contact the Honorary British Consul in Guadeloupe, 23 rue Sadi Carnot, 97110 Pointe-à-Pitre, Guadeloupe; (Tel: 00 590 590 825 757)
• High Commission of Canada (Barbados)
There is no resident Canadian government office in Guadeloupe. Canadians can obtain consular assistance and further information from the High Commission of Canada in Bridgetown, Barbados:
 (246) 429-3550
Emergency toll-free to Ottawa: 1-888-949-9993
Fax:  (246) 437-7436
For emergency assistance after hours, travelers should call the High Commission of Canada in Bridgetown, Barbados, and follow the instructions. Travelers may also make a collect call to the Department in Ottawa at  (613) 996-8885.
HIV Test: Not required.
Required Vaccinations: A yellow fever vaccination certificate is required for all travelers >1 year of age arriving from an infected or endemic zone within six days.
Passport/Visa: The French West Indies consists of the islands of Martinique, Guadeloupe, St. Martin (the French side) and St. Barthelemy. These islands are well developed. In St. Martin and St. Barthelemy, English is widely spoken and U.S. currency is accepted.
ENTRY/EXIT REQUIREMENTS: Passports are required of U.S. citizens entering the French West Indies. Visas are generally not required for visitors planning to remain for up to 90 days. For further information, travelers can contact the Embassy of France at 4101 Reservoir Road, NW, Washington, DC 20007; telephone 1-202-944-6000; or the nearest French consulate in Atlanta, Boston, Chicago, Houston, Los Angeles, Miami, New York, New Orleans or San Francisco. Visit the web site for the Embassy of France at http://www.info-france-usa.org for the most current visa information.
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 unprotected sex with a high-risk partner; from injecting drug use with shared/re-used needles and syringes; from medical treatment with non-sterile (re-used) needles and syringes; from contact with open skin sores. 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.
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 travelers with the exception of short-term visitors who restrict their meals to major restaurants and hotels, such as business travelers and cruise passengers.
Yellow Fever: A yellow fever vaccination certificate is required for all travelers >1 year of age arriving from any country in the yellow fever endemic zones. Vaccination is not recommended or required otherwise.
Hospitals / Doctors
Good medical care is available throughout the French West Indies. Not all doctors speak or understand English. Hyperbaric chambers are available in Guadeloupe at the Centre Hospitalier Universitaire in Abymes and in Martinique at the Centre Hospitalier Universitaire in Fort de France.
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.
• 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. In the event of a serious illness or injury that cannot be treated adequately in this country, the traveler should be flown by air ambulance to a more advanced medical facility in San Juan, Puerto Rico or Miami.
There are a number of hospitals and many clinics with good-quality medical care.
• Centre Hospitalier Universitaire (CHU) de Pointe-à-Pitre
Tel: 05 90 89 10 10)
This hospital is the major medical facility in Guadeloupe. It has over 250 doctors on staff, 79 interns, and 900 beds. The services provided include Cardiology, Vascular surgery, Orthopedic surgery, General and digestive surgery, Pediatric surgery, Urological Surgery, Dermatology, Diabetic, Gastro, Burns, Gynecology & Obstetrics, Nuclear Medicine, Oncology, and Pediatrics.
• Centre Hospitalier Général Intercommmunal Basse-Terre Saint Claude
Tel: 05 90 80 54 54
• Centre Hospitalier Maurice Selbonne
Tel: 05 90 80 49 00
• Centre Hospitalier Louis Daniel Beauperthuy
Tel: 05 90 80 59 59
• Centre Hospitalier Sainte-Marie
Tel: 05 90 97 65 00
• Hôpital Local
Tel: 05 90 86 75 13
Destination Health Info for Travelers
AIDS/HIV: The Caribbean has a well-established HIV epidemic and the incidence of HIV/AIDS in the region is now second only to sub-Saharan Africa, making the region the second most affected in the world. The prevalence of HIV in the Caribbean is estimated to be between 1.1% and 2.2%; among young people 15-24 years of age, HIV prevalence is approximately 1.6% for women and 0.7% for men. The Bahamas and Haiti are most affected countries, with incidence rates exceeding 3%. Trinidad and Tobago’s national adult incidence of HIV exceeds 2%.
• The United Nations does not currently publish HIV/AIDS epidemiological fact sheets for Guadeloupe and thus specific HIV/AIDS data are not available for this country.
• 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.
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.
Dengue Fever: Update 2010: According to the French Ministry of Health, more than 39,000 suspected cases of dengue fever, a significant increase over the average incidence, have been reported since December 2009; however, the overall number of cases has decreased since August 2010. Areas most affected include the communes of Baillif, Deshaies, La Desirade, Le Moule, Pointe-Noire, Saint Francois, and Point-a-Pitre. Travelers are advised to practice daytime insect precautions.
An outbreak of dengue fever was previously reported from Guadeloupe in the summer of 2007, resulting in almost 900 cases. A larger outbreak was reported in July 2005, affecting St. Martin island, the south of Basse-Terre, and some other scattered areas. Dengue fever is a mosquito-transmitted, flu-like viral illness widespread in the Caribbean and is the most common cause of fever in travelers returned from this region. Symptoms consist of sudden onset of fever, headache, muscle aches, and a rash. It is sometimes complicated by hemorrhage or shock.
• Dengue is transmitted via the bite of an infected Aedes aegypti mosquito. Aedes mosquitoes feed predominantly during daylight hours. All travelers are at risk and should take measures to prevent daytime mosquito bites. Insect-bite prevention measures include applying a DEET-containing repellent to exposed skin and applying permethrin spray or solution to clothing and gear.
• There is no vaccination or medication to prevent or treat dengue.
• A dengue fever map is at: http://www.nathnac.org/ds/c_pages/documents/dengue_map.pdf
Food & Water Safety: Main water supplies are chlorinated and while relatively safe, may cause mild abdominal upsets. Bottled water is advised. Drinking water outside main cities and towns may be contaminated and sterilization is advised. Milk is pasteurized and dairy products are safe for consumption. Local meat, poultry, seafoods and fruit are generally considered safe to eat.
• Travelers should be aware that some types of tropical reef fish are poisonous, even when cooked. Ciguatera poisoning is prevalent and can result from eating coral reef fish such as grouper, snapper, sea bass, jack, and barracuda. The ciguatoxin is not destroyed by cooking.
Hepatitis: 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 may be endemic but levels are unclear. Transmission of the hepatitis E virus (HEV) occurs primarily through drinking water contaminated by sewage and also through raw or uncooked shellfish. Farm animals may serve as a viral reservoir. 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 5% to 7%. 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 with a prevalence of 0.8% 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: Vaccination recommended for all travelers >6 months of age who have not received a flu shot in the previous 12 months.
Leishmaniasis: Limited risk (historically) of cutaneous and visceral leishmaniasis. The parasites that cause leishmaniasis are transmitted by the bite of the female phlebotomine sandfly. Sandflies bite in the evening and at night and are usually found in forests, the cracks of stone or mud walls, or animal burrows.
• All travelers should take measures to prevent sandfly bites. Insect-bite prevention measures include applying a DEET-containing repellent to exposed skin, permethrin (spray or solution) to clothing and gear, and sleeping under a permethrin-treated bednet.
Malaria: There is no risk of malaria on Guadeloupe.
Marine Hazards: SCUBA DIVING-Hyperbaric Chamber Referral: Divers’s Alert Network (DAN) maintains an up-to-date list of all functioning hyperbaric chambers in North America and the Caribbean. DAN does not publish this list, since at any one time a given chamber may be non-functioning, or its operator(s) may be away or otherwise unavailable. Through Duke University, DAN operates a 24-hour emergency phone line for anyone (members and non-members) to call and ask for diving accident assistance. Dive medicine physicians at Duke University Medical Center carry beepers, so someone is always on call to answer questions and, if necessary, make referral to the closest functioning hyperbaric chamber. In a diving emergency, or for the location of the nearest decompression chamber, call 919-684-8111 (collect).
• There is a hyperbaric chamber at the Centre Hospitalier Universitaire (CHU) in Pointe-à-Pitre.
Other Diseases/Hazards: Filariasis (mosquito-borne; low apparent risk; may occur in the Lesser Antilles from Trinidad north to Guadeloupe)
• Leptospirosis (skin contact with water or moist soil contaminated with the urine of infected animals)
• Viral encephalitis
• Ciguatera fish toxin poisoning, and swimming related hazards (jellyfish, spiny sea urchins, and coral)
Rabies: Rabies is not reported on Guadeloupe. Vaccination is not recommended.
Schistosomiasis: This disease (also called bilharzia) is present on the islands of Basse-Terre, Grande-Terre, Marie Galante and La Desirade, but risk of transmission is deemed low. Most freshwater foci (which may harbor the disease-carrying snail) have been identified and can be avoided. Schistosoma mansoni (intestinal) is deemed present, but travelers are at very low risk. Schistosoma larvae, released from infected freshwater snails, penetrate intact skin to establish infection. All travelers should avoid swimming, wading, or bathing in freshwater lakes, ponds, or streams. There is no risk in chlorinated swimming pools or in sea water.
Travelers' Diarrhea: Moderate risk. In urban and resort areas, the hotels and restaurants generally serve reliable food and potable water. 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: Low risk. Typhoid vaccine is recommended by the CDC for all people (except short-stay visitors and cruise ship passengers) traveling to or working in the Caribbean, especially if visiting smaller cities, villages, or rural areas and staying with friends or relatives where exposure might occur through food or water. (Current vaccines against Salmonella typhi are only 50-80% protective and do not protect against Salmonella paratyphi, the cause of paratyphoid fever. (Paratyphoid fever bears similarities with typhoid fever, but the course is generally more benign.) Travelers should continue to practice strict food, water and personal hygiene precautions, even if vaccinated.
Yellow Fever: There is no risk of yellow fever in this country, however, there is a certificate of vaccination requirement for travelers arriving from countries where there is risk of yellow fever (endemic zone countries).