Eastern Europe / Baltic States

There is no universally accepted definition of which countries constitute Eastern Europe. The Lonely Planet guide to this region includes European countries to the east of Germany, Swizerland and Italy. These countries are culturally diverse, rich in history, and are generally less developed than their western European counterparts.

The following information provides some broad and general guidelines about health risks and recommendations for travel to Eastern Europe. This should not be taken as a substitute for a personal consultation with one of our travel health doctors, whose advice will be specific for you and your trip and may include other issues not mentioned here.

  • Plan Head - Calendar/Itinerary?

    Six to eight weeks out from departure is a good time to have a travel health consultation. You may need blood tests to check immunity to diseases or need a course of vaccines like rabies for example, and this gives you plenty of time to get everything completed. If you are travelling sooner however it's not too late for an appointment, simply make one as soon as you can.

  • Vaccine Recommendations

    Travellers should be up to date for routine childhood vaccines such as tetanus, measles/mumps/rubella and hepatitis B. The following vaccines may also be recommended –influenza, pneumococcal vaccine, hepatitis A, rabies or tick- borne encephalitis (for hikers/campers). Decisions regarding which are most appropriate depend on duration and nature of travel, itinerary, age, underlying medical conditions and past vaccinations.

List of Common Health Issues

  • Respiratory and Gastrointestinal Illness

    Observe strict food and water safety precautions and practice good hand hygiene in Eastern Europe. Consider taking a well stocked self-treatment medication kit. Medical facilities may not be up to western standard, especially in rural areas, and there may be language difficulties. Seek medical advice if persistent or severe illness and consider evacuation to Western Europe / United Kingdom, particularly for infants, the elderly or those with underlying medical conditions. Flu and pneumonia vaccine should be considered, especially for travel in the northern winter, the elderly, and those with underlying medical conditions.

  • Rabies

    Whilst rabies vaccination is not recommended for most travellers to Eastern Europe, it should be discussed and offered to those at particular risk or anyone wanting lifelong protection. Avoid animals (particularly dogs, monkeys, cats and bats). Thoroughly rinse and disinfect any animal wound and seek prompt medical care to discuss the need for post exposure management (whether or not pre-vaccinated).

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  • Deep vein thrombosis

    Because of the long flight between Australia and Europe, all travellers should take steps to avoid deep vein thrombosis, including adequate hydration and avoidance of prolonged immobilisation. Some individuals are at high risk and need to take additional measures such as wearing compression stockings or taking blood thinning medication.

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  • Tick borne encephalitis

    Mainly a risk to those hiking extensively in certain areas, long sleeve clothing and careful removal of ticks reduces risk. In Australia vaccination is not readily available but can be arranged by special order and must be started well in advance of travel to be effective.

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  • Influenza

    Influenza is one of the most common vaccine preventable illnesses in travellers and is generally recommended for travel to Europe.

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  • Hepatitis A

    Hepatitis A may be recommended depending on your itinerary and requires discussion with a travel doctor.

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  • Accidents

    Be sensible. Many accidents are alcohol related. Wear helmets on bikes/ motorbikes. Have adequate insurance.

  • Mosquitos

    More of a nuisance than anything else in Eastern Europe particularly for those hiking and/or camping around lakes in the warmer months – take insect repellent.

  • Sexually transmitted illness

    Rates of STI's and in particular HIV, are higher than in Western Europe, so avoid the risk.

Latest Health Alerts

  • COVID 19 (Coronavirus)

    March 29, 2020

    As there is no non-essential overseas travel at this time this article will simply remain as an information resource for COVID-19. See our main COVID-19 page for more detailed information. We hope to be able to inform our travelers once again after this crisis passes. The links below remain trustworthy

  • Sri Lanka – Dengue Fever

    January 9, 2020

    Over 48,000 cases of dengue fever have been reported in Sri Lanka since 1st October 2019, a significant increase in incidence. Travellers should observe strict mosquito avoidance measures, particularly during daylight hours.

  • Solomon Islands – proof of measles vaccination required

    December 19, 2019

    As a result of recent outbreaks of measles in various countries, the Solomon Islands' will be requiring arriving travellers from/via American Samoa, Australia, Fiji, New Zealand, Philippines, Samoa, or Tonga to show proof of measles vaccination, effective December 28th 2019. Vaccination needs to have been at least 15 days prior and