All travellers should visit either
their personal physician or a travel
health clinic 4-8 weeks before departure.
Do not drink tap water unless it has
been boiled, filtered, or chemically
disinfected. Do not drink unbottled beverages
or drinks with ice. Do not eat fruits or
vegetables unless they have been peeled or
cooked. Avoid cooked foods that are no longer
piping hot. Cooked foods that have been left
at room temperature are particularly hazardous.
Altitude sickness may occur
in those climbing Mt. Kilimanjaro, the highest peak
on the African continent, or in any other travellers
ascending rapidly to altitudes greater than 2500 meters.
Acetazolamide is the drug of choice to prevent altitude
sickness. Travel to high altitudes is not generally
recommended for those with a history of heart disease,
lung disease, or sickle cell disease.
Any animal bite or scratch should be thoroughly
cleaned with large amounts of soap and water and local
health authorities should be contacted immediately for
possible post-exposure treatment, whether or not the
person has been immunized against rabies.
Avoid swimming,
wading, or rafting in bodies of fresh water, such as lakes,
ponds, streams, or rivers. Do not use fresh water for bathing
or showering unless it has been cooked for at least five minutes
or held in a storage tank for at least three days. Towelling oneself
dry after unavoidable or accidental exposure to contaminated water
may reduce the likelihood of schistosomiasis, but does not reliably
prevent the disease and is no substitute for the precautions above.
HIV (human immunodeficiency virus)
infection is reported, but travellers are not at risk unless they have
unprotected sexual contacts or receive injections or blood transfusions.
Dar es Salaam
IST Clinic 00 255(0)22 2601307/8, emergency 00 255(0)744 783393.
Nordic Clinic 00 255(0)22 2601650/2600274, mobile 00 255(0)741 325569.