Time Zone: +1 hour. GMT +1 hour daylight savings time.
Tel. Country Code: 35
USADirect Tel.: 800
Electrical Standards: Electrical current is 220/50 (volts/hz). European Style Adaptor Plug. Grounding Adaptor Plug D.
Travel Advisory - Luxembourg
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 Luxembourg
• U.S. Embassy
22 Boulevard Emmanuel Servais
Tel:  (2) 46-01-23
Fax:  (2) 19-39
• Canadian Embassy
Price Waterhouse Coopers
400, route d’Eich
Tel:  (2) 402-4201
A passport is required. A visa is not required for American citizens for business or tourist stays of up to 90 days. That period begins when you enter any of the Schengen group of countries: Austria, Belgium, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Italy, Latvia, Lithuania, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Slovakia, Slovenia, Spain, and Sweden. Luxembourg is a member of the Schengen group within the European Union. No immunization is necessary. For further information concerning entry requirements for Luxembourg, travelers may contact the Embassy of Luxembourg at 2200 Massachusetts Ave. NW, Washington, DC 20008, phone: (202) 265-4171 or 4172, or the Luxembourg Consulate General in New York, phone: (212) 888-6664 or in San Francisco, phone: (415) 788-0816. Visit the Embassy of Luxembourg web site athttp://www.luxembourg-usa.org for the most current visa information.
HIV Test: Not required.
Required Vaccinations: None required.
Luxembourg is a highly developed, stable constitutional monarchy and parliamentary democracy. Tourist facilities are widely available.
Vaccinations: Recommended and Routine
Hepatitis A: Nonimmune travelers should consider hepatitis A vaccine for added protection.
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.
Hospitals / Doctors
Good medical facilities widely available. US medical insurance not always valid outside USA.
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.
• Clinique Ste. Therese
36 Rue Zithe
Tel:  (49) 77 64 821
• Clinique d’Eich
78 Rue d’Eich
Tel:  441112
• Hopital Kirchberg
9 Rue Edward Steichen
Tel:  24681
Destination Health Info for Travelers
AIDS/HIV: Primary risk groups include men having sex with men (MSM) and intravenous drug users. According to UNAIDS estimates, the largest numbers of people living with HIV in Western Europe in 2006 were in Italy and France. Heterosexual contact has been the most frequent transmission mode in the West since 1999. It is responsible for the largest proportion of diagnosed HIV infections in every country except Germany, Greece and the Netherlands, in which men who have sex with men (MSM) form the largest transmission group.
Adult HIV prevalence in Luxembourg is 0.3%. (Source: Avert.org)
• 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. Important safety rules to follow are 1) Do not drive at night, 2) Do not rent a motorcycle, moped, bicycle, or motorbike, even if you are experienced, and 3) Don't swim alone, at night, or if intoxicated.
• 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.
Hepatitis: There is very low incidence of hepatitis A in Luxembourg, but nonimmune travelers should consider hepatitis A vaccine for added protection. Outbreaks of this disease occasionally occur, even in developed countries. 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 low but undetermined levels. Sporadic cases may 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, 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 <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 with a prevalence of 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.
Lyme Disease: The ticks that transmit Lyme disease are found in brushy, wooded areas and broadleaf (mostly oak) forests under 1,000 meters elevation. 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:http://content.nejm.org/cgi/content/abstract/345/2/79)
Rabies: No human cases have been officially reported for several years. Wild foxes are the primary reservoir of the disease. Animal rabies has been declining in the west, but there is potential risk of transmission to humans, especially in the eastern regions. All unprovoked dog or wild animal bites should be medically evaluated for possible post-exposure treatment.
Tick-Borne Encephalitis (TBE): Low risk. Most cases reported from lowland forested and wooded areas. Transmission of TBE occurs from May through October, below 1,400 meters (4,600 feet) elevation. 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 vaccine is available in Canada and Europe. Vaccination against TBE is recommended only for persons who have higher-than-average exposure to ticks. Such persons include foresters and agricultural workers, as well as some hikers and campers.
• A map showing the distribution of TBE is here:http://www.nathnac.org/includes/contents/documents/TBEmap.gif
Travelers' Diarrhea: Low risk. Tap water is potable. A quinolone antibiotic, or azithromycin, combined with loperamide (Imodium), is recommended for the treatment of acute diarrhea. Giardiasis and cryptosporidiosis may be a cause of persistent diarrhea.