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Before You Go

Insurance

Canada offers some of the finest health care in the world. The problem is that, unless you are a Canadian citizen, it can be prohibitively expensive. It’s essential to purchase travel health insurance if your regular policy doesn’t cover you when you’re abroad. Check www.lonelyplanet.com/bookings for supplemental insurance information.

Bring medications you may need clearly labeled in their original containers. A signed, dated letter from your physician that describes your medical conditions and medications, including generic names, is also a good idea.

Recommended Vaccinations

No special vaccines are required or recommended for travel to Canada. All travelers should be up to date on routine immunizations.

Immunize Yourself

chickenpox

Recommended for

travelers who’ve never had chickenpox

Dosage

2 doses 1 month apart

Side effects

fever, mild case of chickenpox

influenza

Recommended for

all travelers during flu season (November through March)

Dosage

1 dose

Side effects

soreness at the injection site, fever

measles

Recommended for

travelers born after 1956 who’ve had only 1 measles vaccination

Dosage

1 dose

Side effects

fever, rash, joint pains, allergic reactions

tetanus-diphtheria

Recommended for

all travelers who haven’t had booster within 10 years

Dosage

1 dose lasts 10 years

Side effects

soreness at injection site

Medical Checklist

  • acetaminophen (eg Tylenol) or aspirin
  • anti-inflammatory drugs (eg ibuprofen)
  • antihistamines (for hay fever and allergic reactions)
  • antibacterial ointment (eg Neosporin) for cuts and abrasions
  • steroid cream or cortisone (for poison ivy and other allergic rashes)
  • bandages, gauze, gauze rolls
  • adhesive or paper tape
  • safety pins, tweezers
  • thermometer
  • DEET-containing insect repellent for the skin
  • permethrin-containing insect spray for clothing, tents and bed nets
  • sunblock
  • motion-sickness medication

In Canada

Availability & Cost of Health Care

Medical services are widely available. For emergencies, the best bet is to find the nearest hospital and go to its emergency room. If the problem isn’t urgent, call a nearby hospital and ask for a referral to a local physician, which is usually cheaper than a trip to the emergency room (where costs can be $500 or so before any treatment).

Pharmacies are abundant, but prescriptions can be expensive without insurance. However, Americans may find Canadian prescription drugs to be cheaper than drugs at home. You’re allowed to take out a 90-day supply for personal use (though know it’s technically illegal to bring them into the USA, but usually overlooked for individuals).

Infectious Diseases

Most are acquired by mosquito or tick bites, or environmental exposure. The Public Health Agency of Canada (www.phac-aspc.gc.ca) has details on all listed here.

Giardiasis Intestinal infection. Avoid drinking directly from lakes, ponds, streams and rivers.

Lyme disease Occurs mostly in southern Canada. Transmitted by deer ticks in late spring and summer. Perform a tick check after you’ve been outdoors.

West Nile virus Mosquito-transmitted in late summer and early fall. Prevent by keeping covered (wear long sleeves, long pants, hats, and shoes rather than sandals) and apply a good insect repellent, preferably one containing DEET, to exposed skin and clothing.

Environmental Hazards

Cold exposure This can be a significant problem, especially in the northern regions. Keep all body surfaces covered, including the head and neck. Watch out for the ‘Umbles’ – stumbles, mumbles, fumbles and grumbles – which are signs of impending hypothermia.

Heat exhaustion Dehydration is the main contributor. Symptoms include feeling weak, headache, nausea and sweaty skin. Lay the victim flat with their legs raised, apply cool, wet cloths to the skin, and rehydrate.

Tap Water

Tap water in Canada is safe to drink.