Car hire in Russia - Medical Facilities

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Medical Facilities

MEDICAL FACILITIES: Medical care is generally below western standards, with shortages of basic medical supplies and equipment outside big cities. Access to quality facilities that exist in major cities usually requires cash payment at western rates upon admission. The U.S. embassy and consulates maintain lists of such facilities and English-speaking doctors. Many resident Americans travel to the west for medical needs. Such travel can be very expensive if undertaken under emergency conditions. Travelers should check their insurance coverage and purchase supplemental coverage for medical evacuation. A medical evacuation from Russian can cost between 50,000 to 100,000 U.S. dollars, depending on the complexity of the situation. Elderly travelers and those with existing health problems may be at particular risk.

Elective surgery and non-essential blood transfusions are not recommended, due to uncertainties surrounding the local blood supply. Most hospitals and clinics in major urban areas have adopted the use of disposable syringes as standard practice; however, travelers to remote regions should bring a supply of sterile, disposable syringes for eventualities. Travelers should refrain from visiting tattoo parlors or piercing services due to the risk of infection.

Within Russia, HIV and AIDS particularly affect intravenous drug users, prostitutes, and their clients. Rates of HIV infection have risen markedly in recent years. Reported cases of syphilis are much higher than in the U.S., and some sources suggest that gonorrhea and chlamydia are also more prevalent than in Western Europe or the U.S. Travelers should be aware of the related health and legal risks and take all appropriate measures.

Information on appropriate health precautions can be obtained from local health departments or private doctors. General guidance can also be found in the U.S. Public Health Service book, "Health Information For International Travel," available from the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402.

Tourists in frail health are strongly advised not to visit Russia because of the harsh conditions and lack of adequate medical facilities.