Sierra Leone - health - Countries Guide

All travellers arriving from a yellow fever area are required to hold a vaccination certificate, but yellow fever is a risk throughout the country and immunisation is recommended for all visitors. Other recommended vaccinations include Hepatitis A, typhoid, rabies and polio. Malaria and dengue fever are high risks and precautions against mosquito bites are advised, as well as prophylaxis for malaria, which occurs throughout the year. Outbreaks of Lassa fever is endemic in the east. HIV/AIDS is prevalent. Diarrhoea and dysentery are common complaints and water should be treated before drinking. Cholera is also a concern. Travellers should bring adequate supplies of personal medication to the country, as supplies are often not available in pharmacies. Medical care is limited in Freetown and almost non-existent elsewhere. An emergency hospital is located near Freetown, but the bad road makes it difficult to get there; there is no ambulance service in the country. Comprehensive travel insurance is advised, which includes emergency evacuation.