Time Zone: 0 hours.
Tel. Country Code: 228
USADirect Tel.: 0
Electrical Standards: Electrical current is 220/50 (volts/hz). Grounding Adaptor Plug D.
Travel Health Services
Foreign Commonweatlh Office
U.S. Embassy: Intersection of Rue Kouenou and Rue Tokmake, Lome: Tel: 228-21-29-92 or 228-21-29-93; Fax: 228-21-79-52.
• Passport/Visa: Short-stay visas up to 90 days. Long-stay visas: from 3 months to 2 years. Visas can be extended on arrival in Lomé at the Sûreté Nationale for visits not exceeding 6 months.
• HIV Test: Not required.
• Vaccinations: A yellow fever vaccination certificate is required from all travelers older than 1 year of age arriving from ALL COUNTRIES.
Hospitals / Doctors
|• Medical services are provided by the state. Most towns have either a hospital or a dispensary, but these are usually overcrowded and lack adequate supplies. Visitors who get seriously ill are advised to contact their Embassy, which can refer them to a specialist or arrange evacuation. Health insurance and a good supply of personal medical provisions are recommended. There is no reciprocal health agreement with the UK or USA. It is important to carry a basic first aid kit.
• Tokoin National Hospital, Lome (650 beds); general medical/surgical facility; trauma unit;
• Hospital Baptiste Biblique Adeta; well-equipped medical/surgical facility. Travelers should contact the U.S. Embassy for additional physician referrals.
Destination Health Info for Travelers
AIDS/HIV: Heterosexual transmission is the predominate means of transmission. Current infection rates of high-risk groups is presently not available. All travelers are cautioned against unsafe sex, unsterile medical or dental injections, and unnecessary 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.
African Sleeping Sickness (Trypanosomiasis): African trypanosomiasis is endemic in focal areas throughout Togo, but the incidence is low. Travelers should take precautions against insect (tsetse fly) bites.
Animal Hazards: Animal hazards include snakes (vipers, cobras), centipedes, scorpions, and black widow spiders.
Cholera: This disease is reported active in this country, but the threat to tourists is very low. Cholera vaccine is recommended primarily for people at high risk (e.g., relief workers) who work and live in highly endemic areas under less than adequate sanitary conditions.
• The manufacture and availability of the injectable cholera vaccine in the United States ceased in June 2000.
• Many countries, including Canada, license an oral cholera vaccine. The oral vaccine is not available in the United States.
• Cholera vaccine is not "officially" required for entry into, or exit from, any country. Despite this, some countries, on occasion, require proof of cholera vaccination from travelers coming from cholera-infected countries. Anticipating such a situation, certain travelers may wish to carry a medical exemption letter from their health-care provider. Travel Medicine, Inc., recommends that travelers use the International Certificate of Vaccination (Yellow Card) for this purpose, having their health-care provider state "exempt from cholera vaccine" and validate the exemption with both their signature and their official stamp (the "Uniform Stamp" in the United States).
Dengue Fever: Dengue is reported in both urban and rural areas. Travelers should take precautions against daytime mosquito bites.
Hepatitis: High risk. All susceptible travelers should receive hepatitis A vaccine. The hepatitis B carrier rate in the general population is estimated to exceed 10%. Vaccination against hepatitis B should be considered for stays over 3 months and by short-term travelers desiring maximum protection. Travelers should be aware that hepatitis B can be transmitted by unsafe sex and the use of contaminated needles and syringes.
Influenza: Influenza is transmitted year-round in the tropics. The flu vaccine is recommended for all travelers over age 50; all travelers with chronic disease or a weakened immune system; travelers of any age wishing to decrease the risk of this illness; pregnant women after the first trimester.
Leishmaniasis: Both cutaneous and visceral leishmaniasis (kala-Azar) are reported. Travelers should take precautions against insect (sandfly) bites during the evening and nighttime.
Malaria: Risk is present throughout this country, including urban areas. Falciparum malaria accounts for approximately 85% of cases. Most other cases of malaria are due to the P. malariae and P. ovale species. Chloroquine-resistant falciparum malaria is reported. • Prophylaxis with atovaquone/proguanil (Malarone), mefloquine (Lariam), or doxycycline is recommended.
• All travelers should take measures to prevent evening and nighttime mosquito bites. Insect-bite prevention measures include a DEET-containing repellent applied to exposed skin, insecticide (permethrin) spray applied to clothing and gear, and use of a permthrin-treated bednet at night while sleeping.
Meningitis: Togo lies within the sub-Saharan meningitis belt. Sporadic outbreaks of meningococcal meningitis occur, especially in the northern and central areas. As of April 2002, 550 cases have occurred since January 2002, with greatest impact in Assoli, Tchamba, Sotouboua, Blitta, and Wawa districts. Serogroup A meningitis is confirmed.
• Vaccination is recommended for all travelers staying longer than 1 month during dry season, December to June, and should be considered for shorter stays during dry season if prolonged contact with the local populace is anticipated. Vaccination recommended throughout the year for travelers going into epidenmic regions.
Other Diseases/Hazards: African tick typhus (contracted from dog ticks, often in urban areas, and bush ticks), anthrax, brucellosis (usually from consumption of raw dairy products), filariasis (mosquito-borne), Lassa fever, leishmaniasis (sporadic cases have previously been reported), leprosy (up to 1.3 cases/1,000 population), onchocerciasis (black-fly-borne; transmitted near fast-flowing rivers), toxoplasmosis, syphilis, tuberculosis (a major health problem), typhoid fever, and intestinal helminths (very common).
Rabies: Human rabies is present, and the risk is increased in rural areas. All dog bites or scratches should be taken seriously and postexposure prophylaxis sought, even in those already immunized. No one should pet or pick up any stray animals. All children should be warned to avoid contact with unknown animals. Rabies pre-exposure vaccination is recommended for long-term residents, adventure travelers, and should be considered by travelers who plan to venture off the usual tourist itinerary and possibly be exposed to the stray dog population.
Schistosomiasis: Risk is present in eastern, central, and northern areas, but transmission reportedly does not occur within 100 km of the Atlantic coast. Travelers should avoid swimming or wading in freshwater lakes, ponds, or streams.
Travelers' Diarrhea: High risk. Safe water is available in only a few urban areas where there are treatment plants and piped distribution systems. These systems are subject to contamination. Travelers should observe all food and drink safety precautions. A quinolone antibiotic, combined with loperamide (Imodium), is recommended for the treatment of acute diarrhea. Diarrhea not responding to treatment with an antibiotic, or chronic diarrhea, may be due to a parasitic disease such as giardiasis or amebiasis.
Tuberculosis: Tuberculosis a major health problem in this country. Travelers planning an extended stay should have a predeparture TB skin test (PPD test) and be re-rested after leaving this country. Travelers should avoid crowded public places and public transportation whenever possible. Domestic help hired by long-stay visitors should be screened for TB.
Typhoid Fever: Typhoid vaccine is recommended, especially for long-term travelers, adventure travelers, and those wishing maximum disease protection. Because the typhoid vaccines are only 60% to 70% effective, safe food and drink guidelines should continue to be observed.
Yellow Fever: Vaccination is recommended for all travelers over 9 months of age who plan to travel outside urban areas. This country is in the Yellow Fever Endemic Zone and a valid yellow fever vaccination certificate may be required for entry to other countries.