
International Health Guide Italy
Italy Embassy: 202-328-5500 Rome GMT +1 hrs
Entry Requirements:
Passport/Visa: Passport required.
HIV Test: Not required.
Vaccinations: None required.
Telephone Country Code: 39
Embassies/Consulates: U.S. Embassy, Rome. Via Veneto 119/A; Tel. (6) 46-741. U.S. Consulate, Florence; Tel. (55) 239-8276 or 217-605.
Hospitals / Doctors: Ospedale S. Camillo de Lellis, Rome (3,461 beds); all specialties available. Medical Diagnostic Center, Rome. Ospedale Maggiore di Milano, Milan; all specialties; 24-hour emergency.
AT&T Dial: 172-1011 -- -- MCI Dial: 172-1022
Current Advisories & Health Risks:
Dirofilariasis: Human dirofilariasis reported from the Monferrato area. Other risk areas include Torino, Allessandria, Vercelli, and Pavia. The parasite is transmitted to humans by mosquito bites.
Hepatitis: Increased risk of hepatitis A occurs in the south and on the islands of Sicily and Sardinia. All nonimmune travelers should receive hepatitis A vaccine. The overall carrier rate hepatitis B in the general population is estimated at 2.5%. Hepatitis E and C are endemic.
Legionnaires' Disease: Legionnaire’s disease reported in tourists who have visited the Island of Ischia (near Naples). The source of the infection is thought to be contaminated water supplied by hotels; municipal thermal baths were another possible source of infection.
Leishmaniasis: Cutaneous and visceral leishmaniasis occur in southern rural areas, including the islands of Sardinia and Sicily and along the Mediterranean coast; risk from visceral leishmaniasis is elevated in Sicily and the Campania Region. Transmission occurs May through November, peaking in July–August. Travelers to risk areas should take measures to prevent insect (sandfly) bites.
Other Diseases/Hazards: Anthrax, brucellosis, echinococcosis (elevated risk in the south and on Sardinia), hemorrhagic fever with renal syndrome, listeriosis, leptospirosis, Q fever, sandfly fever, strongyloidiasis, typhoid fever, tularemia (exposure to wild boar meat and uncooked pork), and tuberculosis.
Rabies: No human cases have recently been reported, but animal rabies occurs in the fox population near the Austrian border.
Tapeworm Infection: Six cases of tapeworm (Diphyllobothrium latum) infection have been reported from Lake Como. All those infected had eaten raw or smoked perch filets. Re-emergence of the parasite may be attributed to improvement in pollution levels, resulting in increased population of perch-the major intermediate host of the parasite. During the past 30 years, there have been only sporadic reports of human D. latum infection, all of which came from the Northern lakes area of Italy, southern Switzerland, and France.
Tick-Borne Diseases: Lyme disease, tick-borne encephalitis (TBE), and boutonneuse fever (Mediterranean spotted fever) are reported. Risk areas for Lyme disease are limited primarily to northern Italy—along the Ligurian coast, and the Adriatic coast. TBE has been reported around Florence, near the Swiss border and from the Trento area. Boutonneuse fever occurs countrywide in rural areas but is more common along the Ligurian coast and the islands of Sicily and Sardinia. Travelers to all these regions should take measures to prevent tick bites.
Travelers' Diarrhea: Low risk in major cities, such as Rome, Milan, and Verona, where the water supplies are adequately treated. Higher risk exists in the south and on the islands of Sicily and Sardinia. A quinolone antibiotic is recommended for the treatment of acute diarrhea. Diarrhea not responding to antibiotic treatment may be due to a parasitic disease such as giardiasis. Amebiasis is uncommon in Italy. Cryptosporidiosis is reported.
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