Time Zone: -4 hours. No daylight savings time in 2008.
Tel. Country Code: 596
USADirect Tel.: 0
Electrical Standards: Electrical current is 220/50 (volts/hz). European Style Adaptor Plug. Grounding Adaptor Plugs D, F.
Travel Advisory - Martinique
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 Martinique
Neither the United States, Canada, Australia, nor the United Kingdom has an embassy in Martinique.
• US Embassy (Barbados)
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
• British Embassy (France)
 (1) 44 51 31 00
There is no resident British Diplomatic Mission in Martinique. 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 Martinique. Canadians can obtain consular assistance and further information from the High Commission of Canada in Bridgetown, Barbados:
Emergency toll-free to Ottawa: 1-888-949-9993
Fax:  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 by travelers over one year of age arriving from an infected or endemic zone country.
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 unsafe/unprotected sexual contact; from injecting drug use; 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.
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 care is available throughout the French West Indies. Not all doctors speak or understand English. Hyperbaric chambers are available in Martinique at the Centre Hospitalier Universitaire in Fort de France and in Guadeloupe at the Centre Hospitalier Universitaire in Abymes.
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 travel insurance that provides for medical evacuation to more advanced medical facility in another country in the event of serious illness or injury.
Martinique has 18 hospitals and several specialists and clinics.
• Le Centre Hospitalier Universitaire de Fort-De-France
Hopital Pierre Zobda-Quimann
Tel:  55 20 00
General medical/surgical facility; trauma; 24-hour emergency services.
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 Martinique 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.
Animal/Marine Hazards: Snake bites: Fatal Fer de Lance pit viper bites are reported from Martinique. Seek immediate medical care if bitten by a snake - you may need emergency treatment with antivenom. Early treatment of a pit viper bite with specific purified equine antivenom will prevent complications. Death can occur after severe envenomations and when antivenom is not administered in a timely fashion.
• Swimming related hazards include jellyfish, spiny sea urchins, and corals. Ciguatera poisoning occurs and can result from eating coral reef fish such as grouper, snapper, sea bass, jack, and barracuda. The ciguatoxin is not destroyed by cooking.
• 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).
Dengue Fever: According to the French Ministry of Health, more than 3,300 cases of dengue fever, a significant increase over the average incidence, have been reported from Martinique since March 2010. Areas most affected include Le Diamant, Sainte-Luce, Le Marin, and Sainte-Anne.
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. Dengue 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.
Food & Water Safety: Main water supply is normally chlorinated, and while relatively safe may cause mild abdominal upsets. Drinking water outside main cities and towns may be contaminated and sterilisation is advisable. Milk is pasteurised and dairy products are safe for consumption. Local meat, poultry, seafood, fruit and vegetables 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: There is a low to moderate risk of hepatitis A; all non-immune travelers may wish to be vaccinated. Hepatitis A is transmitted through contaminated food and water. Travelers who 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.
• The incidence of hepatitis B carriers is estimated at at 5%–7% of the general population. Vaccination against hepatitis B should be considered for all non-immune travelers at potential risk for acquiring this infection. Infected blood or bodily fluids transmit Hepatitis B. Travelers may be exposed by needle sharing; by unprotected sex with a new or a high-risk partner; when receiving medical or dental injections with re-used equipment; by unscreened blood transfusions; by direct contact between open skin sores. Vaccination is recommended for any traveler requesting protection against hepatitis B infection.
Histoplasmosis: An outbreak of pulmonary histoplasmosis has been reported, with 13 cases among a group of travelers who were exposed (by inhalation) to spores of fungus in bat guano on a trek into a bat-filled tunnel. Histoplasmosis is endemic in some French territories, French Guyana, French West Indies, New Caledonia, as well as parts of North America, including the Ohio and Mississippi Valleys, South America.
Influenza: Influenza is transmitted year-round in the tropics. The flu vaccine is recommended for all travelers over age 6 months.
Leishmaniasis: Limited risk. Cutaneous and visceral forms of leishmaniasis may be present. Travelers should take measures to avoid insect (sandfly) bites.
Melioidosis: A fatal case of acute melioidosis, contracted in Martinique by a European traveler, was reported November 2010. Gram-negative rods were isolated from a blood culture and Burkholderia pseudomallei identified within 24 hours after first medical contact. The patient died two days after admission to hospital despite intensive antibiotic therapy. Travelers returning from the subtropics or tropics with severe pneumonia or septicemia should be evaluated for the possibility of acute melioidosis.
• Melioidosis is an infectious disease of public health importance that is endemic in southeast Asia and northern Australia. However, cases are increasingly recognized in other parts of the world, including Africa, Latin America, and the Middle East. In the Caribbean, few cases of melioidosis have been reported: in Puerto Rico during flood waters, in Guadeloupe and a single case 15 years ago from an inhabitant of Martinique. Melioidosis is occasionally reported in travelers returning from Asia, including in three Finnish tourists after the tsunami of 2004. Melioidosis in travelers from other regions is rarely reported: a tourist who presented with acute fatal septicemic pneumonia due to melioidosis after a visit to Brazil was diagnosed in the Netherlands.
Rabies: Rabies is not reported on Martinique. Vaccination is not recommended.
Schistosomiasis: Disease due to intestinal schistosomiasis is present on this island, but the risk is deemed to be low. Most snail-infested freshwater foci have been identified and can be avoided. Schistosomiasis is a parasitic flatworm infection of the intestinal or urinary system caused by one of several species of Schistosoma. 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, or streams. There is no risk in chlorinated swimming pools or in seawater.
Travelers' Diarrhea: Low to moderate risk. In resort areas, the hotels and restaurants serve reliable food and potable water. Elsewhere, travelers should observe safety precautions. A quinolone antibiotic, azithromycin, or rifaximin (Xifaxan), combined with loperamide (Imodium) is recommended for the treatment of acute diarrhea. Persistent diarrhea may indicate the presence of a parasitic infection, such as giardiasis or cryptosporidiosis.
Typhoid Fever: Typhoid fever is the most serious of the Salmonella infections. 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.