Somalia Travel Health Insurance - Country Review
Learn more about Somalia Travel Health Insurance with an overview from the CDC and the US State Department. Here we cover Vaccines, Medicines and Insurance.
At AARDY we can’t recommend travel insurance enough. Whether you are just traveling a few hundred miles from home to see family, or traveling to the other side of the world, travel insurance should be considered an essential part of your holiday packing. The hope is that you won’t have to use your travel insurance, and that you’ll have a fun and enjoyable trip. The following advice should help you make the most of your trip to Somalia.
Note: Always check that your destination country is one approved for travel by your travel insurance provider.
Somalia Travel Health – CDC
You should be up to date on routine vaccinations while traveling to any destination. Some vaccines may also be required for travel.
Vaccines and Medicines
Check the vaccines and medicines list and visit your doctor (ideally, 4-6 weeks) before your trip to get vaccines or medicines you may need.
Make sure you are up-to-date on routine vaccines before every trip. These vaccines include measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and your yearly flu shot.
- Infants (6 through 11 months old): 1 dose of measles-mumps-rubella (MMR) vaccine before travel. This dose does not count as the first dose in the routine childhood vaccination series.
- People 12 months old or older, with no evidence of immunity or no written documentation of any doses: 2 doses of MMR vaccine before travel. The 2 doses must be given 28 days apart.
- People 12 months old or older who have written documentation of 1 dose and no other evidence of immunity: 1 additional dose before travel, at least 28 days after the previous dose.
Get travel vaccines and medicines because there is a risk of these diseases in the country you are visiting.
CDC recommends this vaccine because you can get hepatitis A through contaminated food or water in Somalia, regardless of where you are eating or staying.
You will need to take prescription medicine before, during, and after your trip to prevent malaria. Your doctor can help you decide which medicine is right for you, and also talk to you about other steps you can take to prevent malaria. Areas of the Somalia with risk of malaria: All. See more detailed information about malaria in the Somalia.
Health Recommendation: You may need a polio vaccine before your trip to Somalia, especially if you are working in a health care facility, refugee camp, or humanitarian aid setting. This kind of work might put you in contact with someone with polio.
- If you were vaccinated against polio as a child but have never had a polio booster dose as an adult, you should get this booster dose. Adults need only one polio booster in their lives.
- If you were not completely vaccinated as a child or do not know your vaccination status, talk to your doctor about getting vaccinated.
Country exit requirement: If you will be in Somalia for more than 4 weeks, the government of Somalia may require you to show proof of polio vaccination when you are exiting the country. To meet this requirement, you should receive a polio vaccine between 4 weeks and 12 months before the date you are leaving Somalia. Talk to your doctor about whether this requirement applies to you.
You can get typhoid through contaminated food or water in the Somalia. CDC recommends this vaccine for most travelers, especially if you are staying with friends or relatives, visiting smaller cities or rural areas, or if you are an adventurous eater.
Ask your doctor what vaccines and medicines you need based on where you are going, how long you are staying, what you will be doing, and if you are traveling from a country other than the US.
Vaccination may be considered for adults who are traveling to areas of active cholera transmission. Areas of active cholera transmission are localized to the regions of Banadir, Hiiran (last case reported November 2018), Lower Jubba (last case reported November 2018), Lower Shabelle (last case reported August 2018), and Middle Shabelle (last case reported November 2018) in Somalia. Cholera is rare in travelers but can be severe. Certain factors may increase the risk of getting cholera or having severe disease (more information). Avoiding unsafe food and water and washing your hands can also help prevent cholera.
You can get hepatitis B through sexual contact, contaminated needles, and blood products, so CDC recommends this vaccine if you might have sex with a new partner, get a tattoo or piercing, or have any medical procedures.
Rabies can be found in dogs, bats, and other mammals in the Somalia, so CDC recommends this vaccine for the following groups:
- Travelers involved in outdoor and other activities in remote areas that put them at risk for bat bites (such as adventure travel and caving).
- People who will be working with or around bats (such as wildlife professionals and researchers).
- People who are taking long trips or moving to Somalia
- Children, because they tend to play with animals, might not report bites, and are more likely to have animal bites on their head and neck.
Required if traveling from a country with risk of YF virus transmission.¹
Generally not recommended for travelers going to the following regions: Bakool, Banaadir, Bay, Galguduud, Gedo, Hiiraan, Lower Juba, Lower Shabelle, Middle Juba, and Middle Shabelle (see map 3-14). Not recommended for all other areas not listed above.
Note: Yellow fever vaccine availability in the United States is currently limited. If you need to be vaccinated before your trip, you may need to travel some distance and schedule your appointment well in advance. Find the clinic nearest you.
Stay Health and Safe
Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Somalia, so your behaviors are important.
Eat and Drink Safely
Unclean food and water can cause travelers' diarrhea and other diseases. Reduce your risk by sticking to safe food and water habits.
- Food that is cooked and served hot
- Hard-cooked eggs
- Fruits and vegetables you have washed in clean water or peeled yourself
- Pasteurized dairy products
- Food served at room temperature
- Food from street vendors
- Raw or soft-cooked (runny) eggs
- Raw or undercooked (rare) meat or fish
- Unwashed or unpeeled raw fruits and vegetables
- Unpasteurized dairy products
- Bushmeat (monkeys, bats, or other wild game)
- Bottled water that is sealed
- Water that has been disinfected
- Ice made with bottled or disinfected water
- Carbonated drinks
- Hot coffee or tea
- Pasteurized milk
- Tap or well water
- Ice made with tap or well water
- Drinks made with tap or well water (such as reconstituted juice)
- Unpasteurized milk
Talk with your doctor about taking prescription or over-the-counter drugs with you on your trip in case you get sick.
Prevent bug bites
Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Somalia. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites. What can I do to prevent bug bites?
- Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
- Use an appropriate insect repellent (see below) .
- Use permethrin-treated clothing and gear (such as boots, pants, socks, and tents). Do not use permethrin directly on skin.
- Stay and sleep in air-conditioned or screened rooms.
- Use a bed net if the area where you are sleeping is exposed to the outdoors.
What type of insect repellent should I use?
- FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection.
- Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
- Oil of lemon eucalyptus (OLE) or PMD
- Always use insect repellent as directed.
What should I do if I am bitten by bugs?
- Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
- Check your entire body for ticks after outdoor activity. Be sure to remove ticks
What can I do to avoid bed bugs?
Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs. For more detailed information on avoiding bug bites, see Avoid Bug Bites.
Stay safe outdoors
If your travel plans in **Somalia include outdoor activities, take these steps to stay safe and healthy during your trip.**
- Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
- Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
- Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
- Heat-related illness, such as heat stroke, can be deadly. Eat and drink regularly, wear loose and lightweight clothing, and limit physical activity during high temperatures.
- If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
- Protect yourself from UV radiation: use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
- Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
- Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.
Stay safe around water
- Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
- Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
- Do not dive into shallow water.
- Do not swim in freshwater in developing areas or where sanitation is poor.
- Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
- To prevent infections, wear shoes on beaches where there may be animal waste.
Schistosomiasis, a parasitic infection that can be spread in fresh water, is found in Somalia. Avoid swimming in fresh, unchlorinated water, such as lakes, ponds, or rivers.
Keep away from animals
Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies. Follow these tips to protect yourself:
- Do not touch or feed any animals you do not know.
- Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
- Avoid rodents and their urine and feces.
- Traveling pets should be supervised closely and not allowed to come in contact with local animals.
- If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.
All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:
- Wash the wound with soap and clean water.
- Go to a doctor right away.
- Tell your doctor about your injury when you get back to the United States.
Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.
Reduce your exposure to germs
Follow these tips to avoid getting sick or spreading illness to others while traveling:
- Wash your hands often, especially before eating.
- If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
- Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
- Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
- Try to avoid contact with people who are sick.
- If you are sick, stay home or in your hotel room, unless you need medical care.
Avoid sharing body fluids
Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen. Protect yourself:
- Use latex condoms correctly.
- Do not inject drugs.
- Limit alcohol consumption. People take more risks when intoxicated.
- Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
- If you receive medical or dental care, make sure the equipment is disinfected or sanitized.
Know how to get medical care while traveling
Plan for how you will get health care during your trip, should the need arise:
- Carry a list of local doctors and hospitals at your destination.
- Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.
- Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.
- Some prescription drugs may be illegal in other countries. Call the Somalia embassy to verify that all of your prescription(s) are legal to bring with you.
- Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.
Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (Joint Commission International).
In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.
Malaria is a risk in Somalia. Fill your malaria prescription before you leave and take enough with you for the entire length of your trip. Follow your doctor’s instructions for taking the pills; some need to be started before you leave.
Select safe transportation
Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries. In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.
Be smart when you are traveling on foot.
- Use sidewalks and marked crosswalks.
- Pay attention to the traffic around you, especially in crowded areas.
- Remember, people on foot do not always have the right of way in other countries.
Choose a safe vehicle.
- Choose official taxis or public transportation, such as trains and buses.
- Ride only in cars that have seatbelts.
- Avoid overcrowded, overloaded, top-heavy buses and minivans.
- Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
- Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
- Choose larger vehicles, which may provide more protection in crashes.
Think about the driver.
- Do not drive after drinking alcohol or ride with someone who has been drinking.
- Consider hiring a licensed, trained driver familiar with the area.
- Arrange payment before departing.
Follow basic safety tips.
- Wear a seatbelt at all times.
- Sit in the back seat of cars and taxis.
- When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
- Avoid driving at night; street lighting in certain parts of Somalia may be poor.
- Do not use a cell phone or text while driving (illegal in many countries).
- Travel during daylight hours only, especially in rural areas.
- If you choose to drive a vehicle in Somalia, learn the local traffic laws and have the proper paperwork.
- Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver's license at all times.
- Check with your auto insurance policy's international coverage, and get more coverage if needed. Make sure you have liability insurance.
- Avoid using local, unscheduled aircraft.
- If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
- Try to schedule flights during daylight hours and in good weather.
Medical Evacuation Insurance
If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having medical evacuation insurance can be helpful for these reasons.
Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.
The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.
Maintain personal security
Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.
Before you leave
- Research your destination(s), including local laws, customs, and culture.
- Monitor travel warnings and alerts and read travel tips from the US Department of State.
- Enroll in the Smart Traveler Enrollment Program (STEP).
- Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
- Pack as light as possible, and leave at home any item you could not replace.
While at your destination(s)
- Carry contact information for the nearest US embassy or consulate.
- Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
- Follow all local laws and social customs.
- Do not wear expensive clothing or jewelry.
- Always keep hotel doors locked, and store valuables in secure areas.
- If possible, choose hotel rooms between the 2nd and 6th floors.
Healthy Travel Packing List
Use the Healthy Travel Packing List for Somalia for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.
Why does CDC recommend packing these health-related items?
It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.
After Your Trip
If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic. Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.
If your doctor prescribed antimalarial medicine for your trip, keep taking the rest of your pills after you return home. If you stop taking your medicine too soon, you could still get sick.
Malaria is always a serious disease and may be a deadly illness. If you become ill with a fever either while traveling in a malaria-risk area or after you return home (for up to 1 year), you should seek immediate medical attention and should tell the doctor about your travel history.
For more information on what to do if you are sick after your trip, see Getting Sick after Travel.
Somalia Travel Health – The US State Department
U.S.- SOMALIA RELATIONS
The United States established diplomatic relations with Somalia in 1960, following its constituent parts’ independence from British and Italian administration, respectively. A 1969 coup replaced Somalia’s elected government with military rule that reflected both ideological and economic dependence on the Soviet Union.
Following war with Ethiopia in the 1970s, Somalia began turning toward the West, including the United States, for international support, military equipment, and economic aid. Civil war in the 1980s led to the collapse of Somalia’s central government in 1991.
Following this, various groupings of Somali factions, sometimes supported by outside forces, sought to control the national territory (or portions thereof) and fought one another. Although the United States never formally severed diplomatic relations with Somalia, the U.S. Embassy in Somalia was closed in 1991.
From 1992-94, the United States took part in operations that aimed to provide assistance to Somalis. Numerous efforts at mediation and reconciliation were attempted over the years, and a transitional government was established in 2004. In 2012, Somalia completed its political transition through a limited, indirect election of a new federal parliament and president.
With the adoption of a provisional constitution, the United States formally recognized the new Federal Government of Somalia (FGS) on January 17, 2013. In February 2017, the FGS completed its first national electoral process since the 2012 transition, selecting a new federal parliament and a new president, President Mohamed Abdullahi Mohamed.
U.S. foreign policy objectives in Somalia are to promote political and economic stability, prevent the use of Somalia as a safe haven for international terrorism, and alleviate the humanitarian crisis caused by years of conflict, drought, flooding, and poor governance.
The United States is committed to helping Somalia’s government strengthen democratic institutions, improve stability and security, and deliver services for the Somali people. Since 2013, the Federal Government of Somalia has made progress establishing government institutions, negotiating relationships with regional authorities, and supporting community stabilization.
The United States supports the FGS’s state-building agenda for completing federal state formation, completing a review of the provisional constitution and holding a constitutional referendum, preparing for democratic elections, promoting reconciliation, and strengthening responsive and representative governing institutions.
The United States recognizes the sovereignty and territorial integrity of Somalia within its 1960 borders in accordance with the Somali provisional constitution, which includes Somaliland and Puntland.
The United States also has welcomed the African Union Mission in Somalia’s (AMISOM) success in driving the al-Shabaab terrorist organization out of strategically important population centers, and has underscored the continued U.S. commitment to support AMISOM and the Somali national forces in extending security throughout Somalia.
U.S. Assistance to Somalia
The United States has provided more than $3 billion in humanitarian assistance for Somalia since fiscal year 2006 to address the problems of drought, famine, and refugees. Since 2011, the United States has provided an additional $253 million in development assistance to support economic, political, and social sectors to achieve greater stability, establish a formal economy, obtain access to basic services, and attain representation through legitimate, credible governance.
The United States works closely with other donor partners and international organizations to support social services and the development of an effective and representative security sector, including military, police, and justice sector, while supporting ongoing African Union peacekeeping efforts.
Bilateral Economic Relations
The United States has little trade or investment with Somalia. U.S. exports to Somalia include legumes, grain, baking-related goods, donated products, and machinery. U.S. imports from Somalia include precious stones and low-value shipments.
Somalia’s Membership in International Organizations
Somalia and the United States belong to a number of the same international organizations, including the United Nations, International Monetary Fund, and World Bank.
On December 2, 2018, for the first time since the closure of the U.S. Embassy in Mogadishu on January 5, 1991, the United States reestablished a permanent diplomatic presence in Somalia. In addition to its Mogadishu office, the U.S. Mission to Somalia operates partially from the U.S. Embassy in Nairobi. The U.S. Embassy in Nairobi handles consular coverage for Somalia. Other principal mission officials are listed in the Department’s Key Officers List.
Somalia maintain an embassy in the United States at 1705 DeSales Street NW, Suite 300, Washington, DC 20036 (tel. 202.296.0570).
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