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Malta



Capital: Valletta

Time Zone: +1 hour.
Tel. Country Code: 356
USADirect Tel.: 800
Electrical Standards: Electrical current is 220/50 (volts/hz). United Kingdom Style Adaptor Plug. Grounding Adaptor Plug C.


Travel Advisory - Malta

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 Malta


Resource Links

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

Embassies

• U.S. Embassy
Development House, 2nd Floor
St. Anne Street
Demajo House
103 Archbishop Street
Valletta
Tel: [356)] 2552-3233
Fax: [356] 2552-3232
E-Mail: canhcon@demajo.com

The Embassy of Canada in Rome, Italy, has consular responsibility for Malta. The address is as follows:

• Italy - ROME, Embassy of Canada
Via Zara 30, Rome 00198
Tel: [39] (06) 85 444 2911
Fax: [39] (06) 85 444 2912
E-Mail: rome.citizenservices@international.gc.ca
Website: http://www.rome.gc.ca

• British High Commission
Whitehall Mansions
Ta' Xbiex Seafront
Ta' Xbiex
Tel: [356] 2323 0000 (General)
Email: mailto:bhcvalletta@fco.gov.uk
Email: mailto:consular.valletta@fco.gov.uk
Website: http://www.ukinmalta.fco.gov.uk

Entry Requirements

HIV Test: Not required.

Required Vaccinations: Yellow fever: If traveling from an endemic zone and >9 months of age.
• Children <9 months of age arriving from an endemic zone may be subject to isolation or surveillance.

Passport Information

Passport/Visa: Malta is a party to the Schengen agreement. As such, U.S. citizens may enter Malta for up to 90 days for tourist or business purposes without a visa. The passport should be valid for at least three months beyond the period of stay. For further details about travel into and within Schengen countries, please see our fact sheet. For further information concerning entry requirements for Malta, travelers should contact the Embassy of Malta at 2017 Connecticut Avenue, NW, Washington DC 20008, tel.: (202) 462-3611, web site: http://www.foreign.gov.mt/default.aspx?MLEV=47&amp;MDIS=505, or the Maltese Consulate in New York City, tel.: (212) 725-2345.

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 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: Influenza vaccine is recommended for all travelers during flu season, which runs from November through April.

Routine Immunizations: Immunizations against tetanus-diphtheria, measles, mumps, rubella (MMR vaccine) and varicella (chickenpox) should be updated, if necessary, before departure. The new Tdap vaccine, ADACEL, which also boosts immunity against pertussis (whooping cough) should be considered when a tetanus-diphtheria booster is given.

Measles, mumps, rubella (MMR) immunity is especially important for any female of childbearing age who may become pregnant.

Who should receive the MMR vaccine?
• All infants 12 months of age or older
• Susceptible adults who do not have documented evidence of measles immunity, such as a physician-diagnosed case of measles, a blood test showing the presence of measles antibody, or proof of receiving measles vaccine.
• People born before 1957 who are not in one of these high-risk categories are generally considered immune to measles through environmental exposure.

A cluster of rubella cases was reported from Malta in January 2008, involving three people, none of whom had been vaccinated against rubella. All international travelers should make sure they are fully immunized against this disease,

Yellow Fever: Yellow fever vaccine is required for all travelers greater than nine months of age arriving from a yellow-fever-infected country in Africa or the Americas, but is not recommended or required otherwise. Children younger than nine months of age arriving from an infected area may be subject to isolation or surveillance.

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 readily 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 medical evacuation to mainland Europe.

The quality of medical care in Malta is high. The majority of the best doctors practice in private medical facilities. Hospital treatment, in-patient or out-patient, at the public (Government) facility of Mater Dei Hospital is free to British nationals and is of a a high standard.

Travelers should contact the U.S. or UK embassies for physician and hospital referrals.

Mater Dei Hospital
Msida
New public hospital opened in 2007. The 250,000 sqm complex includes 825 beds and 25 operating theaters.

• St Luke’s Hospital
Gwardamangia Hil
Pieta
Public hospital.

Private hospitals

• St. Philips Hospital
St. Venera
Tel: [356] 442-211
Website: http://www.stphilips.com.mt/StPhilips/outpatients.asp
St. Philips is one of the leading private hospitals in this country, with many patients coming from overseas. Specializes in hip knee joint replacement and cosmetic surgery.

• St. Mark's Health Clinic
Clarence Street
Msida
Tel: [356] 2124-6654

• St James Capua Hospital
Sliema
Private hospital, formerly the Capua Palace Hospital.

Saint James Hospital
¯abbar (private hospital)

• Saint James Transforma
Attard

Decompression chambers are located at Mater Dei Hospital, Malta, and at Gozo General Hospital.

Destination Health Info for Travelers

AIDS/HIV: In the 2008 Report on the Global AIDS Epidemic the UNAIDS/WHO Working Group estimated that less than 200 adults aged 15 or over in Malta were living with HIV; the prevalence rate was estimated at less than 0.1% of the adult population. This compares to the prevalence rate in adults in the UK of around 0.2%.
• 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 telephone 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.
Health insurance is essential.

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 may be endemic but the levels are unclear. Sporadic cases may occur but go underdiagnosed or underreported. 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 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 but levels are unclear. 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.

Malaria: There is no malaria in this country.

Other Diseases/Hazards: Brucellosis is occasionally reported. Cattle, sheep, and goats are the most common sources of infection. Humans acquire infection by ingestion of unpasteurized milk 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.
• Leishmaniasis: Visceral leishmaniasis is endemic in Malta. Younger children are often infected. Common symptoms include splenomegaly, hepatomegaly, fever, and pancytopenia with high lymphocyte and monocyte counts. Decreased incidence is attributed to the eradication of stray dogs which are the disease reservoir.
• Mediterranean spotted fever: Tick-transmitted rickettsial disease caused by Rickettsia conorii. It was first described a century ago as a disease that caused high fever and spots. Prevalent in southern Europe, North Africa, and India. An increasing number of regions have been reporting MSF cases, such as central Europe and central and southern Africa.

Travelers, especially those engaging in outdoor activities in rural areas, such as campers and hikers, 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.

Rabies: No cases of indigenous rabies have been confirmed in humans or any animal species, including bats, from 2001 to mid-2006. This country has an adequate surveillance system for rabies.
• Although Malta appears to be rabies-free at this time, all bite wounds, especially from a dog, should be thoroughly cleansed and then medically evaluated for possible post-exposure treatment.

Travelers' Diarrhea: Medium risk outside of first-class 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 milk and dairy products. Do not eat raw or undercooked food (especially meat, fish, raw vegetables—these may transmit intestinal parasites, as well as bacteria). Peel all fruits.
• Wash your hands with soap or detergent, or use a hand sanitizer gel, before you eat. Good hand hygiene helps prevent travelers’ diarrhea.
• 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.