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Greece

Health & safety

Before you go

Insurance

If you’re an EU citizen, a European Health Insurance Card (EHIC; formerly the E111) covers you for most medical care but not emergency repatriation home or non-emergencies. It is available from health centres, and post offices in the UK. Citizens from other countries should find out if there is a reciprocal arrangement for free medical care between their country and Greece. If you do need health insurance, make sure you get a policy that covers you for the worst possible scenario, such as an accident requiring an emergency flight home. Find out in advance if your insurance plan will make payments directly to providers or reimburse you later for overseas health expenditures.

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Internet resources

The WHO’s publication International Travel and Health is revised annually and is available online at www.who.int/ith/. Other useful websites include www.mdtravelhealth.com (travel health recommendations for every country; updated daily), www.fitfortravel.scot.nhs.uk (general travel advice for the layperson), www.ageconcern.org.uk (advice on travel for the elderly) and www.mariestopes.org.uk (information on women’s health and contraception).

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Prevention is the key to staying healthy while abroad. A little planning before departure, particularly for pre-existing illnesses, will save trouble later. Bring medications in their original, clearly labelled containers. A signed and dated letter from your physician describing your medical conditions and medications, including generic names, is also a good idea. If carrying syringes or needles, be sure to have a physician’s letter documenting their medical necessity. If you are embarking on a long trip, make sure your teeth are OK and take your optical prescription with you.

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Recommended vaccinations

No jabs are required to travel to Greece, but a yellow-fever vaccination certificate is required if you are coming from an infected area. The World Health Organization (WHO) recommends that all travellers should be covered for diphtheria, tetanus, measles, mumps, rubella and polio.

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Dangers & annoyances

Bar scams

Bar scams continue to be an unfortunate fact of life in Athens, particularly in the Syntagma area. The basic scam is always some variation on the following theme: solo male traveller is lured into bar on some pretext (not always sex), strikes up conversation with friendly locals, charming girls appear and ask for what turn out to be ludicrously overpriced drinks, traveller is eventually handed an enormous bill.

Fortunately, this practice appears confined to Athens at this stage.

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Theft

Crime, especially theft, is low in Greece, but unfortunately it is on the increase. The worst area is around Omonia in central Athens – keep track of your valuables here, especially on the metro and at the Sunday flea market.

The vast majority of thefts from tourists are still committed by other tourists; the biggest danger of theft is probably in dormitory rooms in hostels and at camping grounds. So make sure you do not leave valuables unattended in such places. If you are staying in a hotel room, and the windows and door do not lock securely, ask for your valuables to be locked in the hotel safe – hotel proprietors are happy to do this.

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In transit

Deep vein thrombosis (DVT)

Blood clots may form in the legs during plane flights, chiefly because of prolonged immobility (the longer the flight, the greater the risk). The chief symptom of DVT is swelling or pain of the foot, ankle, or calf, usually but not always on just one side. When a blood clot travels to the lungs, it may cause chest pain and breathing difficulties. Travellers with any of these symptoms should immediately seek medical attention. To prevent the development of DVT on long flights you should walk about the cabin, contract the leg muscles while sitting, drink plenty of fluids and avoid alcohol and tobacco.

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Jet lag

To avoid jet lag drink plenty of nonalcoholic fluids and eat light meals. Upon arrival, get exposure to natural sunlight and readjust your schedule (for meals, sleep etc) as soon as possible.

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While you're there

Bites, stings & insect-borne diseases

Keep an eye out for sea urchins lurking around rocky beaches; if you get some of their needles embedded in your skin, olive oil should help to loosen them. If they are not removed they will become infected. You should also be wary of jellyfish, particularly during the months of September and October. Although jellyfish are not lethal in Greece, their stings can hurt. Dousing the affected area with vinegar will deactivate any stingers that have not ‘fired’. Calamine lotion, antihistamines and analgesics may help reduce any reaction you experience and relieve the pain of any stings. Much more painful than either of these, but thankfully much rarer, is an encounter with the weever fish. The fish buries itself in the sand of the tidal zone with only its spines protruding, and injects a painful and powerful toxin if trodden on. Soaking your foot in very hot water (which breaks down the poison) should solve the problem. Weever-fish stings can cause permanent local paralysis in the worst case.

Greece’s only dangerous snake is the adder. To minimise the possibilities of being bitten, always wear boots, socks and long trousers when walking through undergrowth where snakes may be present. Don’t put your hands into holes and crevices, and be careful when collecting firewood. Snake bites do not cause instantaneous death and an antivenin is widely available. Keep the victim calm and still, wrap the bitten limb tightly, as you would for a sprained ankle, and attach a splint to immobilise it. Seek medical help, if possible with the dead snake for identification. Don’t attempt to catch the snake if there is a possibility of being bitten again. Tourniquets and sucking out the poison are now comprehensively discredited.

Always check all over your body if you have been walking through a potentially tick-infested area as ticks can cause skin infections and other more serious diseases. If a tick is found attached, press down around the tick’s head with tweezers, grab the head and gently pull upwards. Avoid pulling the rear of the tick’s body as this may squeeze the tick’s gut contents through the attached mouth parts into the skin, increasing the risk of infection and disease.

Greece is now officially rabies-free, however even if the animal is not rabid, all animal bites should be treated seriously as they can become infected or can result in tetanus.

Mosquitoes can be an annoying problem in Greece so some precautions may be needed, though there is no danger of contracting malaria. The electric plug-in mosquito repellents are usually sufficient – and more bearable than coils – to keep the insects at bay at night. Nonetheless choose accommodation that has flyscreen window-protection wherever possible. Mosquito species can vary as can your reaction to their bites. Mosquitoes in northern Greece can provoke a severe reaction. The Asian tiger mosquito (Aedes albopictus) may be encountered in mountainous areas and can be a voracious daytime biter. It is known to carry several viruses, including Eastern equine encephalitis, which can affect the central nervous system and cause severe complications and death. Use protective sprays or lotion if you suspect you are being bitten during the day.

Invisible bedbugs can be a major irritation if encountered. Symptoms are lots of pinprick bites that you may initially assign to mosquitoes – even if you are covered up. There is no protection other then to change to a noninfected bed. Airing the mattress thoroughly in the sun may alleviate the problem.

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Heatstroke

Heatstroke occurs following excessive fluid loss with inadequate replacement of fluids and salt. Symptoms of heatstroke include headache, dizziness and tiredness. Dehydration is already happening by the time you feel thirsty – aim to drink sufficient water to produce pale, diluted urine. To treat heatstroke drink water and/or fruit juice, and cool the body with cold water and fans.

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Hypothermia

Hypothermia occurs when the body loses heat faster than it can produce it. As ever, proper preparation will reduce the risks of getting it. Even on a hot day in the mountains, the weather can change rapidly so carry waterproof garments, warm layers and a hat, and inform others of your route. Hypothermia starts with shivering, loss of judgment and clumsiness. Unless rewarming occurs, the sufferer deteriorates into apathy, confusion and coma. Prevent further heat loss by seeking shelter, warm dry clothing, hot sweet drinks and shared bodily warmth.

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Travelling with children

Make sure children are up to date with routine vaccinations and discuss possible travel vaccines well before departure as some vaccines are not suitable for children under a year old. Lonely Planet’s Travel with Children includes travel health advice for younger children.

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Availability & cost of health care

If you need an ambulance in Greece call 166. There is at least one doctor on every island and larger islands have hospitals. Pharmacies can dispense medicines that are available only on prescription in most European countries, so you can consult a pharmacist for minor ailments.

All this sounds fine but, although medical training is of a high standard in Greece, the public health service is badly underfunded. Hospitals can be overcrowded, hygiene is not always what it should be and relatives are expected to bring in food for the patient – which could be a problem for a tourist. Conditions and treatment are much better in private hospitals, which are expensive. All this means that a good health-insurance policy is essential.

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Sexual health

Condoms are readily available but emergency contraception may not be, so take the necessary precautions.

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Traveller’s diarrhoea

If you develop diarrhoea, be sure to drink plenty of fluids, preferably in the form of an oral rehydration solution such as dioralyte. If diarrhoea is bloody, persists for more than 72 hours or is accompanied by fever, shaking, chills or severe abdominal pain you should seek medical attention.

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Women’s health

Emotional stress, exhaustion and travelling through different time zones can all contribute to an upset in the menstrual pattern.

If using oral contraceptives, remember some antibiotics, diarrhoea and vomiting can stop the pill from working. Time zones, gastrointestinal upsets and antibiotics do not affect injectable contraception.

Travelling during pregnancy is usually possible but always consult your doctor before planning your trip. The most risky times for travel are during the first 12 weeks of pregnancy and after 30 weeks.

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