A yellow fever vaccination certificate is required for
entry to Pakistan by travellers coming from an infected area.
Malaria exists in parts of Pakistan year round, and travellers
should seek medical advice before travelling. Dengue fever is
another reason to protect against mosquito bites. Typhoid,
Hepatitis A, Japanese encephalitis (long-term travellers to rural
areas) and polio are also a risk. Bird flu has been confirmed on
poultry farms and found in wild birds, and thousands of birds have
been culled; one human death has also been reported. The risk to
travellers is low, but as a precaution close contact with live
birds should be avoided and all poultry and egg dishes well cooked.
There is a risk of diarrhoeal diseases; visitors should only drink
bottled or otherwise sterilised water, and avoid dairy products,
uncooked meat, salads and unpeeled fruit. There is a low risk of
cholera and Hepatitis E. Outside the major cities there are few
hospitals of a high standard. Medical insurance is strongly
advised.