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Jordan



Capital: Amman

Time Zone: +2 hours. GMT +1 hour daylight savings time.
Tel. Country Code: 962
USADirect Tel.: 1
Electrical Standards: Electrical current is 220/50 (volts/hz). United Kingdom Style Adaptor Plug. Grounding Adaptor Plug C, D, F.


Travel Advisory - Jordan

There is a low risk of malaria in North Africa and the Middle East, but other insect-transmitted diseases, such as leishmaniasis and viral infections, are potential threats. Safe water precautions, safe needle, and insect-bite prevention measures are important.

Dr. Rose Recommends for Travel to Jordan


Resource Links

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

Embassies


• U.S. Embassy
Al-Umayyaween Street
Abdoun
Amman
Tel: [962] (6) 590-6000
Fax: [962] (6) 592-4102
Web: http://amman.usembassy.gov

• Canadian Embassy
Pearl of Shmeisani Building
Amman
Tel: [962] (6) 520 3300
Fax: [962] (6) 520 3396
E-Mail: amman@international.gc.ca
Website: http://www.amman.gc.ca

• British Embassy
Amman
Tel: [962] (6) 590 9200
Fax: [962] (6) 590 9279
Email: info@britain.org.jo
Website: http://www.britain.org.jo

Entry Requirements

HIV Test: You must undergo an HIV test if you intend to stay in Jordan for more than three months, either as a resident or as a long-term visitor.

Required Vaccinations: Yellow fever vaccination certificate is required if traveling from an infected area and >1 year of age.

Passport Information

Passport/Visa: The Hashemite Kingdom of Jordan is a constitutional monarchy with a developing economy and a modern infrastructure. Western culture features prominently in the lives of many Jordanians; however, at the same time, Islamic ideals and beliefs provide the conservative foundation for the country's customs, laws and practices. Tourist facilities are widely available, although quality may vary depending on price and location. 

ENTRY/EXIT REQUIREMENTS: A passport and a visa are required. Jordan issues visas for a fee at most international ports of entry upon arrival, and at most international border crossings, except at the crossing known in Jordan as the King Hussein Bridge (this same crossing is known in Israel as the Allenby Bridge). To cross into Jordan at the King Hussein/Allenby Bridge, U.S. citizens must already have either a visa for Jordan in their passports or have an entry permit from the Ministry of Interior.

Foreigners who wish to stay thirty days or more in Jordan must register at a Jordanian police station by their thirtieth day in the country. For stays of six months or more police will require that an AIDS test be performed at a government medical facility. Failure to properly register subjects the traveler to a fine of 1.5 Jordanian dinar (approximately $2.10) per day of overstay. This fine is usually assessed at departure.

Travelers are urged to check the Consular Information Sheets and any existing Travel Warnings or Public Announcements at travel.state.gov for all countries they plan to visit during their travel to the region. Border crossing requirements may change or borders may be closed during periods of heightened security.
For further information, travelers may contact the Embassy of the Hashemite Kingdom of Jordan, 3504 International Drive, NW, Washington, DC 20008, telephone (202) 966-2664, Internet website www.jordanembassyus.org, or one of the Jordanian Honorary Consulates in Detroit, MI, Chicago, IL, or San Francisco, CA.

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; from medical treatment with non-sterile (re-used) needles and syringes; from unscreened blood transfusions; from acupuncture; from contact with open skin sores of another person. Recommended for any traveler requesting protection against hepatitis B.

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

Polio: A one-time dose of IPV vaccine is recommended for any traveler >age 18 who completed the primary childhood series but never received an additional dose of polio vaccine as an adult. Available data do not indicate the need for more than a single lifetime booster dose with IPV (Inactivated Polio Vaccine).

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 treatment with 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 travelers with the exception of short-term visitors who restrict their meals to major restaurants and hotels, such as business travelers and cruise passengers.

Hospitals / Doctors

Basic modern medical care and medicines are available in the principal cities of Jordan, but not necessarily in outlying areas. Medical facilities outside Amman are basic and primitive and in an emergency you are advised to seek treatment in Amman. Most hospitals in Jordan, especially in Amman, are privately owned. Doctors and hospitals often expect immediate cash payment for services.
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; they should bring drugs for malaria prophylaxis, if needed according to their itinerary. 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.

Medical facilities used by travelers include:

• Al Essra Hospital
Queen Rania Al Abdallah Street
Opposite Jordian University Mosque
Amman
Tel: [962] (9) 530 0300
Website: http://www.essrahospital.com/
Multi-specialty facilty with advanced technology.

• AAl Khalidi Medical Center (KMC)
Ben Khaldoun Street
Jabal Amman, near 4th circle
Amman
Tel: [962] (6) 464 4281
Website: http://www.kmc.jo/default/main.asp
KMC is a heart center and a comprehensive specialty hospital with over 15 clinical departments and over 200 affiliated specialists; 24-hour emergency services.

• The Farah Hospital
Amman
Tel: [962] (6) 460-3555/3777
Email: farah1@go.com.jo
Website: http://www.farah-hospital.com/
Modern 12-story facility specializing in Ob/Gyn and reproductive medicine as well as pediatrics/pediatric surgery, neonatology; general surgery; ENT; dental clinic.

• University of Jordan Hospital
University of Jordan Street
Amman
Tel: [962] (6) 535 3444
Website: http://www.ju.edu.jo/resources/hospital.htm
Specialized and high quality health care; outpatient, inpatient, emergency and other services. JUH is a research and teaching center.

Destination Health Info for Travelers

AIDS/HIV: The prevalence of HIV in the Middle East is estimated at 0.4%. As in other regions, known high-risk groups include men who have sex with men, female sex workers and their clients, injecting drug users and prisoners. The quality of the available data, however, is seriously lacking. No country in the Middle East conducts systematic surveys of groups at high risk of infection.
• The development of 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 another person’s body fluids or 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.
• 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.

Avian Influenza (Bird Flu): In March 2006, the Jordanian authorities confirmed an outbreak of avian influenza (H5N1) in domestic poultry near Ajloun in the north of Jordan. There have been no further outbreaks reported. No human infections or deaths have been confirmed.
• 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: 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 at a low level with a seroprevalence thought to be <2%. Unrecognized, sporadic cases may be due to the unavailability of diagnostic tests. 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 ranges from 2.6% to 10%. 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 2.1% 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.

Leishmaniasis: Cutaneous leishmaniasis is focally distributed countrywide, except in the eastern desert areas. The disease is hyperendemic in the middle and lower Jordan Valley. An outbreak has been reported at Qurayqira in Wadi Araba in southern Jordan. There is a low risk of cutaneous leishmaniasis in northern areas. Historically, visceral leishmaniasis (kala-azar) has been reported in the north, but may be more widespread.
• All travelers should take measures to prevent evening and nighttime insect (sandfly) bites. Insect-bite prevention measures include applying a DEET-containing repellent to exposed skin, applying permethrin spray or solution to clothing and gear, and sleeping under a permethrin-treated bednet at night.

Malaria: There is no risk of malaria in this country.

Other Diseases/Hazards: Cholera (low risk; sporadic cases may occur)
• Mediterranean spotted fever (transmitted by dog ticks; the etiologic agent for this infection is Rickettsia conorii; also called boutonneuse fever, Kenya tick typhus, Indian tick typhus, and Israeli tick typhus)
• Brucellosis (high incidence; transmitted by consumption of unpasteurized dairy products, such as cheese)
• Echinococcosis (reported sporadically, especially in northern areas)
• Leptospirosis
• Rabies (most cases occur in foxes, wolves, and jackals, with spillover into the dog population; occurs sporadically in humans), pertussis (whooping cough-prevent with Tdap vaccine), polio (reported active in Iraq; potential spread to Jordan)
• Measles, mumps, rubella (German measles)
• Relapsing fever (tick-borne; caves, rocky shelters, and stone buildings may harbor infected ticks; can also be transmitted by lice)
• Sand fly fever (viral illness; foci occur countrywide; transmission highest April–October)
• Murine typhus (flea-borne)
• West Nile fever (transmitted by night-biting Culex mosquitoes)

Schistosomiasis: Urinary schistosomiasis is present in this country. Risk areas include the Jordan River and East Ghor canal, the Zarqa River, Yarmouk River, Lake Tiberius, and Jarash Spring. Schistosomiasis is transmitted through exposure to contaminated water while wading, swimming, and bathing. 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, streams, cisterns, aqueducts, or irrigated areas. There is no risk in chlorinated swimming pools or in seawater.

Travelers' Diarrhea: High risk. Piped water supplies are unreliable and may be contaminated. TOutside of hotels and resorts, we recommend that you boil, 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.

Tuberculosis (TB): Tuberculosis is endemic in Jordan at low level. Tuberculosis (TB) is transmitted following inhalation of infectious respiratory droplets. Most travelers are at low risk. Travelers at higher risk include those who are visiting friends and relatives (particularly young children), long-term travelers, and those who have close contact, prolonged contact with the local population. There is no prophylactic drug to prevent TB. Travelers with significant exposure should have PPD skin testing done to evaluate their risk of infection.

Typhoid Fever: Typhoid fever is the most serious of the Salmonella infections. Typhoid vaccine is recommended by the CDC for all people (with the exception of short-term visitors who restrict their meals to hotels or resorts) traveling to or working in the Middle East, 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.