Yellow fever vaccination certificate is required of all travelers arriving
within six days from any part of a country in which yellow fever is endemic.
Infants under six months of age are exempt if the motherís vaccination
certificate shows her to have been vaccinated prior to the childís birth.
Countries and areas within the endemic zone are regarded as infected.
Following WHO guidelines issued in 1973, a cholera vaccination certificate
is no longer a condition of entry to Pakistan. However, cholera is a serious
risk in this country and precautions are essential. Up-to-date advice should
be sought before deciding whether these precautions should include
vaccination, as medical opinion is divided over its effectiveness.
Vaccination against typhoid is advised.
Malaria risk exists throughout the year in all areas below 2000m (6560ft).
The malignant falciparum strain is present and has been reported as
Hepatitis A and E occur and hepatitis B is endemic.
Trachoma and typhoid fever are common. Between June and January,
Japanese encephalitis is a risk in rural areas. Dengue fever
may also occur.
Rabies is present. For those at high risk, vaccination before arrival
should be considered. If you are bitten, seek medical advice without delay.
Medical facilities can be very limited. There is no reciprocal health
agreement with the UK. Travelers are strongly advised to take out full
medical insurance before departure.
A certificate proving the visitor to be HIV-negative is required if planning
on staying over one year in the country.