Time Zone: -4 hours. No daylight savings time in 2008.
Tel. Country Code: 758
USADirect Tel.: 1
Electrical Standards: Electrical current is 240/50 (volts/hz). United Kingdom Style Adaptor Plug. Grounding Adaptor Plug C.
TRAVEL ADVISORY - SAINT LUCIA
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.
The U.S. Embassy is located in Barbados in the Wildey Business Part, Wildey, St. Michael telephone  (246) 436-4950, website http://bridgetown.usembassy.gov/. The Consular Section telephone number is  (246) 431-0225. The Consular Section fax number is  (246) 431-0179. The Embassy web address is http://bridgetown.usembassy.gov.
There is no Canadian diplomatic representation in St. Lucia. Canadian travelers should contact the Canadian High Commission in Barbados.
• The Canadian High Commission
Bishop's Court Hill
Tel:  (246) 429-3550
Fax:  (246) 437-7436 - Administration
Email: General: firstname.lastname@example.org
• Resident British Commissioner
British High Commission
Francis Compton Building
Tel:  (758) 452 2484/5
Fax: (1) (758) 453 1543
HIV Test: Not required.
Required Vaccinations: A yellow fever vaccination certificate is required of all travelers older than 1 year arriving from infected areas.
Passport/Visa: COUNTRY DESCRIPTION: For information, travelers can contact the Embassy of St. Lucia, 3216 New Mexico Avenue, N.W., Washington, D.C. 20016, telephone (202) 686-2636, the Permanent Mission to the UN in New York, or via the Internet at http://www.stkittsnevis.org. ENTRY/EXIT REQUIREMENTS: Sea travelers must have a valid U.S. passport (or other original proof of U.S. citizenship, such as a certified U.S. birth certificate with a government-issued photo ID). While a U.S. passport is not mandatory for sea travel, it is recommended since it is a more readily recognized form of positive proof of citizenship. The U.S. Department of State recommends traveling with a valid U.S. passport to avoid delays or misunderstandings. A lost or stolen passport is also easier to replace when outside of the United States than other evidence of citizenship. Visitors may be asked to present an onward/return ticket and proof of sufficient funds to cover the cost of their visit. Stays of up to three months are granted at immigration. Anyone requiring an extension must apply to the Ministry of National Security. There is an airport departure tax and environmental levy charged when leaving the country.
VACCINATIONS: RECOMMENDED AND ROUTINE
Hepatitis A: Recommended for all travelers >1 year of age not previously immunized against hepatitis A.
Hepatitis B: ecommended 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.
• In addition to tetanus, all travelers, including adults, should be fully immunized against diphtheria. A booster dose of a diphtheria-containing vaccine (Td or Tdap vaccine) should be given to those who have not received a dose within the previous 10 years.
Note: ADACEL and Boostrix are new tetanus-diphtheria-pertussis (Tdap) vaccines that not only boost immunity against diphtheria and tetanus, but have the advantage of also protecting against pertussis (whooping cough), a serious disease in adults as well as children. The Tdap vaccines can be administered in place of the Td vaccine when a booster is indicated.
Typhoid: Recommended for all travelers except short-stay visitors and cruise ship passengers..
Yellow Fever: Yellow fever vaccination is required for all travelers >1 year of age arriving from any infected country in the yellow fever endemic zones in Africa or the Americas, but is not recommended or required otherwise.
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 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. In the event of a serious illness or injury that can't be treated adequately in this country, you should be evacuated by air ambulance to Martinique, Puerto Rico, or Miami.
The U. S. Embassy in barbados mainatins a list of hospitals and physicians on St. Lucia at: http://barbados.usembassy.gov/emergency-st_lucia.html
Hospitals on St. Lucia include:
• Victoria Hospital
Tel: (758) 452-2421
Government-run facility with a 24-hour Accident and Emergency Department. Victoria Hospital is the main trauma facility on the island. (Call 911 for emergency ambulance service.) Recent improvements include: Operating suite upgrades, a 6-bed Intensive (ICU) and Cardiac Care Unit (CCU), a 3-bed Recovery Room, a new central sterilization Service Department and the provision of laboratory, radiology and X-ray imaging services. Ventilatory support equipment has been installed in the Neonatal Intensive Care Unit.
• Tapion Hospital
Modern, privately-owned 22-bed facility. The hospital has kidney dialysis machines, two CT scanners, mammography and ultrasound. It has a small emergency room. There are approximately 15 consultant doctors and 3 resident doctors. Minor, intermediate and major surgery is performed.
St. Jude's Hospital
Tel: (758) 454-6041
Fax: (758) 454-6684
The hospital has 110 beds and a large emergency room with 8 acute care beds and two multi-trauma units. There is also a 6-bed intensive care unit. The hospital is affiliated with a few major hospitals in North America for training and teaching emergency care, such as Sunnybrooke and St. Michael's Hospital in Toronto. St. Judes Hospital has close links to the Hewanorra International Airport.
West Quinlan Street
Tel: (758) 459-7258
Community hospital. Use only for relatively minor health problems.
There is no hyperbaric chamber on St. Lucia. Divers requiring treatment for decompression illness need to be evacuated from to Saba.
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%. (Source: www.Avert.org)
• The United Nations does not currently publish HIV/AIDS epidemiological fact sheets for St. Lucia and thus specific HIV/AIDS data are not available for this country.
• You should be aware of the high prevalence of the HIV/AIDS virus in the Caribbean region and take precautions to avoid exposure to it. 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 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: Swimming related hazards include jellyfish, spiny sea urchins, and coral.
• Scuba Diving-Hyperbaric Chamber Referral: Divers' 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.
Dengue Fever: In 2007 there has been a marked increase in the number of reported cases of dengue across the region, including 13 confirmed cases in St Lucia up to November 2007. Dengue fever is a mosquito-transmitted, flu-like viral illness occurring throughout the Caribbean. 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 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.
A dengue fever map is at: http://www.nathnac.org/ds/c_pages/documents/dengue_map.pdf
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 but levels are unclear. Sporadic cases may occur but may be 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 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.
• Hepatitis B is endemic. 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 in the general population but level is not clearly determined. 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.
Marine Hazards: Ciguatera fish toxin poisoning, and swimming related hazards (jellyfish, spiny sea urchins, and coral).
Other Diseases/Hazards: Filariasis (mosquito-borne; low apparent risk; may occur in the Lesser Antilles from Trinidad north to Guadeloupe)
• leptospirosis (skin contact with water or moist soil contaminated with the urine of infected animals)
• Typhoid fever (St. Lucia had the highest incidence reported in the Caribbean in 1987)
• Viral encephalitis
Rabies: St. Lucia is considered rabies-free but stray and sometimes viscous dogs may be encountered. All unprovoked animal bites should be medically evaluated for possible post-exposure treatment.
Schistosomiasis: Disease due to intestinal schistosomiasis (caused by S. mansoni) is present on this island, but is of limited risk. Most snail-infested freshwater foci have been identified and can be avoided. Risk areas include Cul de Sac River Valley (south of Castries), the Roseau Valley, and around Soufriere and Riche Fond.
• 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: Low to moderate risk. In urban and resort areas, the hotels and restaurants generally serve reliable food and potable water. Outside of hotels and resorts, we recommend that you 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 meat or fish. Peel all fruits.
• Wash your hands with soap or detergent, or use a hand sanitizer gel, before you eat. Good hand hygiene reduces the incidence of travelers’ diarrhea by 30%.
• A quinolone antibiotic, azithromycin, or rifaximin (Xifaxin), 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 (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.