Spain Embassy: Madrid GMT +0 hrs

Entry Requirements:
Spanish Entry Requirements for US Citizens: Passport but no visa required for stays of up to 3 months. Contact: Embassy of Spain, 2375 Pennsylvania Avenue NW, Washington, DC. 20037. (202) 728-2330, or consulate in Boston, Chicago, Houston, Los Angeles, Miami, New Orleans, NYC, San Francisco, or San Juan. Information on Andorra: Andorran Mission to UN., 2 UN. Plaza, 25th Floor, NYC, NY 10018 (212) 750-8064.
HIV Test: Not required.
Vaccinations: None required.
Telephone Country Code: 34

Embassies/Consulates: U.S. Embassy: Serrano 75, Madrid; Tel: 91-587-2200; Fax: 34-91-587-2303; Web: www.embusa.es/indexbis.html.
Consulates: Paseo Reina Elisenda 23-25, Barcelona; Tel: 93-280-2227; Fax: 93-205-5206.
Malaga, at Avenida Juan Gomez Juanito #8, Edificio Lucia 1C, Fuengirola; Tel: 952-474-891; Fax:952-465-189.
La Coruna, at Canton Grande 16-17; Tel: 981-213-233, Fax: 34-981-222-808.
Las Palmas, at Edificio Arca, Calle Los Martinez de Escobar 3 Tel: 928-222-552; Fax: 928-225-863.
Palma de Mallorca, Ave. Jaime III, 26 Entresuelo; Tel: 971-725-051; Fax: 971-718-755.
Seville, at Paseo de Las Delicias; Tel: 954-231-885; Fax: 34-954-232-040.
Valencia, at Doctor Romagosa #1; Tel: 96-351-6973; Fax: 34-96-352-9565.
Canadian Embassy: Goya Building, 35 Nuñez de Balboa, Madrid; Tel: 91-423-3250; Fax: 91-423-3251; E-mail: mdrid@dfait-maeci.gc.ca; Web: www.canada-es.org

Hospitals / Doctors:
US medical insurance not always valid outside of the United States. Supplemental medical insurance with specific overseas coverage is recommended. Pharmacy hours established by each town's City Hall, though such establishments generally open from 9.30 a.m. to 2 p.m. & from 4:30 to 8:00
Ciudad Sanitaria de la Paz, Madrid (2,346 beds); all specialties.
Unidad Medica Anglo-Americana. Hospital Clinico y Provincal, Barcelona (1,001 beds); all specialties, including cardiology.
AT&T Dial: 900-99-00-11 -- -- MCI Dial: 900-99-0014

Current Advisories & Health Risks:

Accidents & Medical Insurance: • Accidents and injuries are the leading cause of death among travelers under the age of 55 and are most often caused by motor vehicle and motorcycle crashes; drownings, aircraft crashes, homicides, and burns are lesser causes.
Heart attacks cause most fatalities in older travelers.
Infections cause only 1% of fatalities in overseas travelers, but, overall, infections are the most common cause of travel-related illness.
Travelers are advised to obtain, prior to departure, supplemental travel health insurance with specific overseas coverage. The policy should provide for direct payment to the overseas hospital and/or physician at the time of service and include a medical evacuation benefit. The policy should also provide 24-hour hotline access to a multilingual assistance center that can help arrange and monitor delivery of medical care and determine if medevac or air ambulance services are required.

Hepatitis: Hepatitis A vaccine is recommended for nonimmune travelers. Hepatitis E is endemic, but levels are unclear. The hepatitis B carrier rate in the general population varies from approximately 1% in the northwest to more than 3% in the southeast Mediterranean areas. Hepatitis B vaccine is recommended for stays over 3 months and for short-term travelers wanting increased protection. Travelers should be aware that the risk of hepatitis B is increased by unsafe sex and the use of unsterile needles and syringes.

Influenza: Influenza is transmitted from November through March. Flu vaccine is recommended for travelers over age 50; travelers of any age with a chronic illness or weakened immune system; any traveler under age 50 wishing to decrease the risk of influenza; pregnant women after the first trimester.

Leishmaniasis: Risk of cutaneous and visceral leishmaniasis occurs in rural areas of central Spain, the south (Andalucia), the east (Catalonia and Valencia), and the Balearic Islands. Travelers should take measures to prevent sandfly bites which during the evening and at night.

Lyme Disease: Lyme disease occurs in northern Spain, but the risk is low. Travelers to rural areas should take precautions against ticks. The Lyme disease vaccine (Lymerix) that is administered in the U.S. and Canada is not effective against the strain of Lyme borreliosis which occurs in Europe. In southern Spain, an atypical form of Lyme disease occurs, and is caused by a related Borrelia organism.

Mediterranean Spotted (Boutonneuse) Fever: Risk areas include the southern Mediterranean coast, the west-central and northern provinces (except areas bordering the Bay of Biscay), and the Balearic Islands (Majorca, Menorca, and Ibiza). The Canary Islands are risk free. Most cases result from contact with tick-carrying dogs.

Other Diseases/Hazards: Brucellosis (risk associated with consumption of unpasteurized dairy and goat cheese products), echinococcosis, fascioliasis, legionellosis (outbreaks associated with resort hotel spas and hot tubs; reported in Granada and Majorca), leptospirosis, trichinosis, tick-borne relapsing fever, tuberculosis, and intestinal helminth infections are reported.

Rabies: Spain is currently rabies-free.

Travelers' Diarrhea: Medium risk. Urban water supplies are considered potable, but travelers are advised to consume only bottled, boiled, or treated water. A quinolone antibiotic, combined with loperamide (Imodium), is recommended for the treatment of acute diarrhea. Giardiasis and cryptosporidiosis are reported.

Typhoid Fever: There is a higher risk of typhoid fever than in other major European countries. Typhoid vaccine is recommended for long-term travelers, adventure travelers, and those wishing maximum disease protection. Because the typhoid vaccines are only 60% to 70% effective, safe food and drink selection remain important.