Time Zone: +12 hours. No daylight savings time in 2008.
Tel. Country Code: 674
USADirect Tel.: 0
Electrical Standards: Electrical current is 220/50 (volts/hz). South Pacific Style Adaptor Plug. Grounding Adaptor Plug E.
HIV Test: Not required.
Required Vaccinations: A yellow fever vaccination certificate is required of travelers arriving from infected areas.
Passport/Visa: Nauru, a small single-island nation in the South Pacific, is located about 25 miles south of the equator. It is a constitutional republic with a parliamentary system of government. Tourist facilities are available on a limited basis. Yaren, the capital, has an international airport.
ENTRY/EXIT REQUIREMENTS: A passport, visa, onward/return ticket, and proof of hotel bookings (or sponsorship from a resident of Nauru) are required for tourists. Tourist visas are issued for a maximum of thirty days. Travelers transiting with valid ticket for an onward destination do not require a visa, provided that the first connecting flight departs within three days of arrival in Nauru. Business visitors must have a visa and a local sponsor. Nauru collects a departure tax that must be paid in cash and in Australian dollars. For more information on entry/exit requirements, travelers may wish to contact the Nauru Consulate General in Melbourne, Australia, at telephone (613) 9664-4600, fax (613) 9650-6479. The address is: Level 7, 128 Exhibition St., Melbourne, Victoria 3000. E-mail contact is: firstname.lastname@example.org.
VACCINATIONS: RECOMMENDED AND ROUTINE
A yellow fever vaccination certificate is required of travelers arriving from infected areas.
HOSPITALS / DOCTORS
Health care facilities in the Republic of Nauru are adequate for routine medical problems, but very limited in availability. Emergency response capability is extremely limited.
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 or may be of unreliable quality.
• 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 Guam or Australia.
The two main health facilities are the Nauru Phosphate Corporation Hospital (tel. 674-555-4155) and the Nauru General Hospital (674-555-4302), which are adequate for routine medical problems.
For a guide to other physicians and hospitals in Nauru, go to the U.S. Embassy in Fiji website: http://suva.usembassy.gov/doctors.html
DESTINATION HEALTH INFO FOR TRAVELERS
AIDS/HIV: It is estimated that 0.4% of the adult population of Oceania is living with HIV/AIDS, but no statistics are currently available for the Solomon Islands. The prevalence rate in Papua New Guinea is 1.8% of the adult population 15 to 49 years of age.
• 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 fluid 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 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: A small number of cases of dengue fever were reported in early 2003. Sporadic cases may go unreported. Dengue fever is a mosquito-transmitted, flu-like viral illness occurring in many parts of Oceania. Symptoms consist of sudden onset of fever, headache, muscle aches, and a rash. A syndrome of hemorrhagic shock can occur in severe cases.
• Dengue is transmitted via the bite of an infected Aedes aegypti mosquito. Aedes mosquitoes feed predominantly during daylight hours. All travelers should take measures to prevent mosquito bites. Insect-bite prevention measures include applying a DEET- or picaridin-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 this disease.
• You should consider the diagnosis of dengue if you develop an unexplained fever during or after being in this country.
A dengue fever map is at: http://www.nathnac.org/ds/c_pages/documents/dengue_map.pdf
Filariasis: Sporadic cases are reported. Travelers should take protective measures against mosquito bites.
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. Sporadic cases may occur. Transmission of the hepatitis E virus (HEV) occurs primarily through drinking water contaminated by sewage and also through raw or uncooked shellfish. 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.
• Hepatitis B is hyperendemic. The overall hepatitis B (HBsAg) carrier rate in the general population is estimated as high as 20% in some population groups. 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 0.9% 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.
Japanese Encephalitis (JE): Sporadic cases are reported. Travelers should take protective measures against mosquito bites.
Travelers' Diarrhea: Low to moderate risk. First-class hotels and restaurants generally serve reliable food and potable water. Outside 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 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.
Typhoid Fever: Typhoid vaccine is recommended by the CDC for all people traveling to or working in Oceania, 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.