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Health services

18/02/2020

General information

Prior to arriving in Côte d’Ivoire, please note the following:

  • Make sure you have an international vaccination record and that your vaccinations are up to date;
  • Make an appointment with your general practitioner at least one week prior to your trip to receive advice on travel-related vaccinations as well as travel health and safety. This is particularly important if you are receiving ongoing medical treatment.

Illnesses that can be avoided through vaccination

Several infectious diseases can be avoided through vaccination. Generally, vaccinations are recommended for everyone and especially for travellers. Unvaccinated travellers run a higher risk of contracting serious and potentially deadly infectious diseases.

Vaccination required for entry in Côte d’Ivoire: YELLOW FEVER.

In accordance with International Health Regulations (IHR), the yellow fever vaccine is the only vaccine REQUIRED for all visitors prior to entering Côte d’Ivoire. All visitors must present a valid international yellow fever vaccination record upon entry.  

Those travellers who do not have a valid yellow fever vaccination record or who do not have proof of yellow fever vaccination will be vaccinated (with the yellow fever vaccine) at the Abidjan airport or at other points of entry (land, sea, etc.) and an international vaccination record at a cost of 7 000 XOF, 11 euros or 15 USD. 

As a reminder, following the July 2013 WHO recommendations, revaccination with the yellow fever vaccine is no longer indicated, even after 10 years, as previously recommended. A single vaccination is sufficient and will provide lifetime protection. 

NB: If you have not been vaccinated due to allergy or other contraindications, remember to bring an explanatory medical letter with you when you travel. 

Other vaccinations recommended for travelers to tropical destinations:

The following vaccinations are recommended but not required: 

Meningitis vaccine: the tetravalent vaccine for the A + C + Y + W123 strains is recommended and provides protection for three years. The disease is transmitted by inhaling bacteria present in microscopic droplets released when an infected person coughs or sneezes. 

Hepatitis A vaccine: a single dose of the hepatitis A vaccine provides protection for six months, while a series of two doses provides more protection (almost 10 years’). The infection is linked to ingesting food or water contaminated by the hepatitis A virus. 

Hepatitis B vaccine: a single dose of the hepatitis B vaccine provides protection for six months. For optimal immunisation, three doses are needed, which provide protection for ten years or more. As a reminder, it is helpful to have a screening test performed prior to any vaccination. Exposure to the hepatitis B virus occurs through contact with blood or body fluids and/or contaminated materials, by unprotected sexual contact, or from mother to child. 
 
Typhoid fever vaccine: this vaccine is valid for three years. Exposure may occur through the ingestion of contaminated food or water.

Prevention of malaria through medication

Prevention of malaria through medication or prophylactic anti-malaria chemotherapy is indicated for persons travelling from areas without malaria to malaria-endemic regions for a stay of at least one week.

The preferred compound is ATOVAQUONE/PROGUANIL 250/100 mg tablets (Malarone ® or Malanil ®, etc.): the dose is one (1) tablet daily taken at night. The treatment must begin the day of arrival in the malaria-endemic region and continued for seven days after return to the non-malarial area.    

NB: Mefloquine 250 mg (= Lariam® or Mephaquin®) is no longer used due to its significant neurological side effects. 

Along with medication, travelers are cautioned to avoid or reduce exposure to anopheles mosquito bites, including those that are transmission vectors for Dengue and yellow fevers: 

  • Use anti-mosquito cream or lotion on exposed parts of the body; 
  • Wear long pants and long-sleeved clothing to avoid bites;
  • Sleep in rooms with air conditioning, screened doors and windows, or equipped with mosquito nets, preferably those treated with insecticides; 
  • Spray room interiors with insecticides formulated for flying insects.

As a reminder, malaria is transmitted by bites from infected female anopheles mosquitos. 

Symptoms of malaria may include fever, chills, headache, muscle aches, nausea, vomiting, fatigue, etc. These symptoms appear at least seven to nine days, if not more, after the infected mosquito bite. Therefore, you must consult a doctor immediately if you have symptoms that may be malaria or any other illness during your stay in the tropics. 

Malaria, which occurs in both simple and serious forms, can be treated effectively so long as diagnosis and treatment begin early. The disease’s seriousness stems from its multiple complications (neurological, renal, haematological, etc.).

Again, do not hesitate to seek medical care immediately if you have a fever or any other symptoms upon your return. Be sure to tell the care provider that you have recently travelled to the tropics.

Prevention of haemorrhagic fevers: Ebola and other viruses

To date, no cases of Ebola have been declared in Côte d’Ivoire.
However, preventive measures remain in effect upon arrival at the Félix Houphouët-Boigny airport, specifically:

  • Thermal monitoring: using a thermal camera and heat gun, 
  • Disinfection of hands using alcohol gel.

Veterinary formalities

General measures

  • Animals arriving from third countries must have an international veterinary health certificate (IHC) duly signed by the official veterinary service of the country of origin, and
  • Domestic carnivores (dogs and cats) must absolutely be vaccinated against rabies and have a vaccination certificate that is at least one month and not more than eleven months old.

Plant health formalities
Plants or plant products arriving from third countries must conform to decree no. 63-457 of 7 November 1963 establishing conditions of introduction and export of plants and other materials that may carry organisms posing a risk to agriculture. 

This includes:

  • Prior authorisation for import into Ivorian territory that must be requested from the Ministry of Agriculture/DPVCQ, 
  • A plant health certificate that must be presented at the various points of entry (land, air and sea borders), 
  • All wood-based packaging (pallets, dunnage, boxes, load boards, drums, crates, loading beds, barrels, and sleds) must have been treated and must have the NIMP 15 IPPC mark.

On-site formalities and regulations

Public and private health organisations will be identified and informed by the local organising committee. 

This includes:

  • For the public sector: CHU-Treichville, CHU-COCODY, CHU ANGRE, Abidjan Institute of Cardiology (ICA),
  • For the private sector: PISAM, the Plateau Medical Group, the Hôtel Dieu Polyclinic, the Farah Polyclinic and the Indénié Polyclinic. 
  • Human health measures:
    • Smoking is prohibited on-site, in booths and in dining areas. A smoking area will be provided for smokers. 
    • For all illnesses or health problems, please contact the on-site emergency services. Direct numbers: 88 32 40 50 / 88 48 85 69 / 88 48 85 70.

Medication and first aid kit

When preparing for your trip, please make sure to have the following: 

  • Your everyday prescription medications (blood pressure medications, oral diabetes medications, insulin, etc.), and make sure you have enough for your entire stay. Keep them in their original prescription packaging and always put them in your carry-on luggage. Observe security rules if the medications are in liquid form. 
  • A small amount of medications for minor illnesses, for example: pain relief tablets (pain and fever), attapulgite powder to dissolve in liquids (for diarrheal and digestive problems), etc. 
  • A Health insurance: make sure your health insurance card is up to date and carry it with you when you travel.  

After your return

If you develop a fever or any other symptoms when you return home, you must immediately consult your general practitioner and specifically report your recent trip to the tropics (Côte d’Ivoire). Similarly, consult your general practitioner if you have been bitten or scratched by an animal or if you have had injuries or open wounds that occurred during your visit to the tropics.

For additional information, please visit the following websites: