Swaziland

General Info:

The information that appears on this website should be used to obtain general information on health risks and to consult information before traveling.

This information does not substitute a medical consultation under any circumstances. Ideally, travelers should see their health care provider four to six weeks before their trip. At the pretravel consultation, health risks will be assessed individually, taking into account the destination, trip duration, travel purpose, age, personal medical history and medications taken by the traveler.

There are risks that are relevant to all travelers regardless of their destination. Examples include traffic accidents and other types of accidents, diseases transmitted by insects and/or ticks, diseases transmitted by contaminated food and water, sexually transmitted infections, or health problems related to hot or cold weather.

All travelers should ensure they have adequate travel health insurance.

Vaccinations:

Travelers must be up-to-date on their immunization schedule, whether children or adults. For example, these vaccines include the measles, mumps, and rubella (MMR) vaccine; and diphtheria, tetanus, and poliomyelitis.

Some travelers may be at increased risk of contracting an infectious disease due to their age, job, lifestyle, or underlying diseases, so they should be up-to-date on additional recommended vaccines.

Required Vaccines

There is no risk of yellow fever transmission in the country. In accordance with international health regulations, a vaccination or exemption certificate against yellow fever is required ONLY for travelers aged 9 months or older coming from countries at risk of yellow fever transmission, or for those who have transited through an airport of a country at risk of yellow fever transmission, regardless of the duration of the transit.

According to the World Health Organization (WHO), from July 11, 2016 (in all countries) the certificate of vaccination against yellow fever is valid for the life of the person vaccinated. Consequently, a valid certificate presented by travelers cannot be rejected on the grounds that more than 10 years have passed since the date on which the vaccination became effective (as stated on the certificate). Therefore, reinforcements or revaccinations cannot be required.

Recommended Vaccines

The vaccinations that appear in this section are recommended for some of the travelers that visit this country. Such vaccines should be evaluated during the personalized pretravel consultation.

• Hepatitis A
• Hepatitis B
• Tetanus-Diphtheria
• Typhoid Fever
• Rabies

Malaria:

There is a low risk of malaria in the country. Depending on the characteristics of the trip, such as the duration and season of the year, offering preventive treatment for malaria will be considered. This treatment must be assessed and prescribed by a professional in the traveler's consultation according to the characteristics of each person.

To prevent malaria, it is necessary to take into account the following:

• Cover areas of the body exposed to mosquitoes with long pants,
  long-sleeved shirts, and socks.
• Avoid wearing dark-colored clothing because they attract mosquitoes.
• Apply insect repellent to exposed areas of the skin (neck, arms, and legs). Use repellents with a concentration of at least 30% IR3535 to protect against malaria, 20% to 50% DEET, 20% Icaridine, and 30% PMD.
• When staying in the risk area, always sleep under mosquito nets (preferably impregnated ones) or in air-conditioned rooms.
• REMEMBER: If you have a fever, headache and/or tiredness during the trip or on your return (even if you are taking antimalarial medication), you should see a doctor as soon as possible, particularly one specialized in Tropical Medicine and International Health to rule out malaria.

Other Risks:

Arboviral Diseases

There is a risk of dengue and chikungunya transmission. They are viral infections transmitted by mosquitoes that bite during the daytime and are found in urban areas. They cause a flu-like illness. Cases of severe dengue fever are rare in travelers. As a preventive measure, it is recommended to avoid mosquito bites, since no medicines or vaccines are available. If you have a fever, headache, and/or tiredness, you should see a doctor as soon as possible, particularly a Tropical Medicine and International Health specialist.

Problems Associated with Bathing in Fresh Water

There is a risk of developing schistosomiasis in rivers and lakes. They harbor a type of parasite that can penetrate through healthy skin when we swim or put our feet or hands in fresh water. Before traveling, you should check if the water of the rivers and lakes of the country of destination has this parasite (bilharzia or Schistosoma). There is no risk of schistosomiasis in salt water. However, risks such as bacterial infections or animal bites are present.