Traveling to Nepal Georgia Tech Team Everest!

Entry/Exit  travelers must hold a passport valid for at least six months beyond the date of entry into the country.  Personnel must ensure that their passport is stamped when entering or exiting the country in order to avoid delays on departure.  Departure Tax:  Included in the airfare for international passengers  Domestic passengers need to pay 200 Nepali Rupees

Visa Information Visas can be obtained on arrival at the Tribhuvan International Airport, Kathmandu tourists can stay for a maximum of 150 days per year Indian nationals do not require visa to enter into Nepal. (use passport or driver’s license w/ photo) Visa FacilityDurationFee Multiple entry15 daysUS$ 25 or equivalent convertible currency Multiple entry30 daysUS$ 40 or equivalent convertible currency Multiple entry90 daysUS$ 100 or equivalent convertible currency

Money  Indian nationals may import any amount of local or Indian currency to Nepal, however, the notes should be in smaller denominations. Indian currency bills of 500 and 1,000 rupees (INR) are illegal in Nepal.  travelers of other nationalities can bring in foreign currencies, as long as they are declared and the amount does not exceed US$2,000.  Local currency can be exported equivalent to the amount imported.  Only 10% of the amount exchanged into local currency will be re-exchanged into foreign currency at the airport upon departure.

Trekkers’ Information Management System (TIMS)  Trekkers must acquire TIMS Card before the onset of their trek.  Obtain TIMS Card from government registered trekking companies in Kathmandu and Pokhara.  Each visitor who goes through a trekking company must pay US $10.  Part of the collection will go into maintaining the trekkers’ database and in the rescue of trekkers in need of emergency services.

Routine Vaccinations  Make sure you are up to date on routine vaccinations:  Measles-Mumps-Rubella (MMR)  Varicella (chickenpox)  Polio  Flu  Diphtheria-tetanus-pertussis

Vaccinations Recommended for All Travelers  Typhoid Fever  Hepatitis A  Hepatitis B

Typhoid Fever  Infection caused by salmonella bacteria spread by contaminated food or water.  Symptoms begin 7-21 days after exposure  Persistent high fever  Rash with pink spots on chest and abdomen  Flu-like (body aches and pains, weakness, loss of appetite, dull headache) Table 1: Typhoid Vaccines Available in the United States Vaccine NameHow Given Number of Doses Necessary Time Between Doses Time immunization should be completed by (before possible exposure) Minimum Age For Vaccination Booster Needed Every... Ty21a (Vivotif Berna, Swiss Serum and Vaccine Institute) 1 capsule by mouth 42 days1 week6 years5 years ViCPS (Typhim Vi, Pasteur Merieux) Injection1N/A2 weeks2 years

Hepatitis A  Viral Disease affecting the liver  Spread by contaminated food or water.  Transmitted Person-to-Person  Symptoms begin days after exposure  Fever, chills, weakness, loss of appetite, nausea and/or abdominal discomfort followed by jaundice.  Past infection gives life-long immunity  Hepatitis A vaccination consists of a series of two injections given on days 0 and after six months. Adequate immunity to hepatitis A develops soon after the first dose. The second dose is necessary to ensure sustained immunity.  A combined hepatitis A and B vaccine is available in many countries. It requires of a series of three injections given on days 0, 30 and after six months. The first two doses are required before immunity to hepatitis A or B can be assumed. The third dose is necessary to ensure sustained immunity to both diseases.

Hepatitis B  Viral Disease affecting the liver  Symptoms begin days after exposure  Fever, loss of appetite, nausea and/or abdominal discomfort followed by jaundice.  1 in 10 do not fully recover  In many countries, hepatitis B is included in the routine childhood immunizations and need not be repeated.  Individual hepatitis B vaccination requires a series of three injections given on days zero, 30 and after 6-12 months.  A combined vaccine for hepatitis A and B is now available in many countries. It also requires a series of three injections given on days zero, 30 and after six months.

Vaccinations Recommended for Some travelers  Japanese Encephalitis  Malaria  Rabies  Yellow Fever

Japanese Encephalitis  Recommended for people engaging in ‘higher risk’ activity (camping, trekking, biking, fishing, hunting, farming)  Viral illness spread by mosquitoes  Only 1% of people develop symptoms  Inflammation of the brain  Fever, headache and vomiting  30% of severe cases are fatal  50% of survivals have permanent brain damage  "Ixiaro" requires two doses 28 days apart, which should be completed at least 7 days prior to travel.

Malaria  There is no malaria:  In Kathmandu  On typical Himalayan trek routes  At altitudes higher than 2,000 meters (6,562 ft)  Symptoms usually appear within in 7-30 days but can take up to one year to develop  High fevers, shaking chills, flu-like illness  Preventing malaria:  Prevent mosquito bites  Chemoprophylaxis, use a medication  Atovaquone plus proguanil (Malarone® and generics)  Doxycycline (many brands and generics)  Mefloquine (Lariam® and generics)

Rabies  Viral disease contracted when bitten or scratched by an infected animal  Virus travels along nerves and causes paralysis  As it reaches important organs like the spinal cord and the brain, it causes coma and death  Pre-exposure vaccination: three injections (given on days 0, 7 and 21 or 28).  Post-exposure vaccination: two doses of rabies vaccine are required (given on days 0 and 3). (different w/o pre-exposure vaccine)  It is especially important for children who may not tell their parents that they have been bitten/scratched.

Yellow Fever  There is no risk of yellow fever in Nepal. The government of Nepal requires proof of yellow fever vaccination only if you are arriving from a country with risk of yellow fever. This does not include the US. AFRICACENTRAL AND SOUTH AMERICA Angola Benin Burkina Faso Burundi Cameroon Central African Republic Chad 2 Congo, Republic of the Côte d’Ivoire Democratic Republic of the Congo 2 Equatorial Guinea Ethiopia 2 Gabon Gambia, The Ghana Guinea Guinea-Bissau Kenya 2 Liberia Mali 2 Mauritania 2 Niger 2 Nigeria Rwanda Senegal Sierra Leone Sudan 2 South Sudan Togo Uganda Argentina 2 Bolivia 2 Brazil 2 Colombia 2 Ecuador 2 French Guiana Guyana Panama 2 Paraguay Peru 2 Suriname Trinidad and Tobago 2 Venezuela 2

No Vaccine for Dengue Fever  Aka “Break-Bone” Fever  Viral Disease of the tropics and sub-tropics  Transmitted by mosquito  Symptoms:  High fever  Severe headaches  Joint and muscle pain  Rash  Acute illness can last up to ten days, but complete recovery can take two to four weeks  Dengue has been reported in at least 9 districts, including Kathmandu id=57&diseaseid=3