Time Zone: -10 hours.
Tel. Country Code: 690
USADirect Tel.: 0
Electrical Standards: n/a
There is no US embassy in Tokelau.
Tel:  (4) 462 6000
Fax:  (4) 499 0490
There is no Canadian embassy in Tokelau.
• Canadian High Commission
Tel:  (4) 473 9577
Fax:  (4) 471 2082
• There is no UK mission in Tokelau.
Please see Wellington, New Zealand.
The British High Commission, Wellington, New Zealand
44 Hill Street
Phone:  (4) 924 2888
Fax: 64] (4) 473 4982
Passport/Visa: Tokelau is a territory of New Zealand that consists of three tropical coral atolls in the South Pacific Ocean. The United Nations General Assembly designated Tokelau a Non-Self-Governing Territory. Until 1976 the official name was Tokelau Islands. Tokelau is sometimes referred to by Westerners by the older, colonial name of The Union Islands.
HIV Test: Not required.
Required Vaccinations: None required.
Tokelau is a territory of New Zealand that consists of three tropical coral atolls in the South Pacific Ocean. The United Nations General Assembly designated Tokelau a Non-Self-Governing Territory. Until 1976 the official name was Tokelau Islands. Tokelau is sometimes referred to by Westerners by the older, colonial name of The Union Islands.
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: Vaccination recommended for all travelers >6 months of age who have not received a flu shot in the previous 12 months.
Rabies: Rabies vaccine is recommended for: persons anticipating an extended stay; for those whose work or activities may bring them into contact with animals; for people going to rural or remote locations where medical care is not readily available; for travelers desiring extra protection.
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.
Typhoid: Recommended for all travelers with the exception of short-stay visitors who restrict their meals to hotels or resorts.
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 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 New Zealand.
Each of the three atolls has a hospital: Sagato Iosefo Hospital (St. Joseph) in Nukunonu; Fanuafala Hospital in Fakaofo; and Lomaloma Hospital in Atafu. Basic medical care is available, but diagnostic testing is extremely limited. Sagato Iosefo Hospital (St. Joseph) is the main facility and the only one with x-ray equipment.
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 Tokelau. 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:
Dengue Fever: Dengue fever is a growing problem in the Western Pacific Region. Unprecedented rapid urbanization has resulted in an increasing number of people living in poor housing with lack of proper waste disposal and inadequate drainage, creating favourable breeding conditions for the mosquito vectors of dengue. In 2007, more than 160,000 cases of dengue and dengue haemorrhagic fever were reported in the western pacific.
Dengue fever is a mosquito-transmitted, flu-like viral illness occurring throughout the Pacific Islands. 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 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, 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.
• Hepatitis B is hyperendemic. The overall hepatitis B (HBsAg) carrier rate in the general population is estimated at >8%. 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 at high level, with a prevalence of 6.5% 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.