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Other services include general practice medicine, basic pediatric and obstetric care, vaccinations, travel health advice and first aid training. Between 19 Chad was torn by ethnic conflict and repeated Libyan incursions.
Chad received an influx of refugees fleeing a civil war in the Darfur region of neighboring Sudan, and Sudanese rebel groups continue to launch raids across the border.
MMR protection is especially important for any female of childbearing age who may become pregnant.
• The new Tdap vaccine, ADACEL, which also boosts immunity against pertussis (whooping cough) should be considered when a tetanus-diphtheria booster is indicated. Yellow Fever: Yellow fever vaccination is required for all travelers 9 months of age. All travelers should be up-to-date on their immunizations and are advised to carry a medical kit as well as antibiotics to treat travelers’ diarrhea or other infections; they should bring drugs for malaria prophylaxis, if needed according to their itinerary.
Country Code: 235 USADirect Tel.: 0 Electrical Standards: Electrical current is 220/50 (volts/hz).  221-090 Internet: British High Commission Avenue Winston Churchill Yaounde Cameroon Tel:  2222 05 45  2222 07 96 Email: [email protected] Web: Test: Not required.
Na THNa C World Health Organization CDC Travel Health Services Country Insights Travel Warnings Consular Information Foreign Commonweatlh Office • U. Embassy Avenue Felix Eboue N’Djamena Tel:  51 62-18/32-69 Web: • Canadian Embassy (Cameroon) Tel.
Fewer than one percent of children sleep under treated bednets.
The tuberculosis death rate for the country is 52 per 100,000.
• Doctors Without Borders/ Médecins Sans Frontières (MSF) has been working in Chad since 1981: HIV prevalence in the 15-49 age range is estimated at 3.5%.
The determinants of this country situation include low condom use, multiple sexual partners, poverty, low education status of women and girls, socio political insecurity, conflict and limited access to AIDS services.
Rabies: Recommended for travelers spending time outdoors in rural areas where there is an increased the risk of animal bites.
Children are considered at higher risk because they tend to play with animals and may not report bites.
Chad is landlocked and very arid, with only 3 percent of its land arable.