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Before You Go

Health Insurance

Italy has a public health system that is legally bound to provide emergency care to everyone. EU nationals are entitled to reduced-cost, sometimes free, medical care with a European Health Insurance Card (EHIC), available from your home health authority; non-EU citizens should take out medical insurance.

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.

It's also worth finding out if there is a reciprocal arrangement between your country and Italy. If so, you may be covered for essential medical treatment and some subsidised medications while in Italy. Australia, for instance, has such an agreement; carry your Medicare card.

Recommended Vaccinations

No jabs are required to travel to Italy. The World Health Organization (WHO), however, recommends that all travellers should be covered for diphtheria, tetanus, measles, mumps, rubella and polio, as well as hepatitis B.

Websites

The following government websites offer up-to-date travel advisories.

Australia www.smartraveller.gov.au

Canada travel.gc.ca/travelling/health-safety

New Zealand www.safetravel.govt.nz

UK www.gov.uk/foreign-travel-advice

USA travel.state.gov

In Southern Italy

Availability & Cost of Health Care

Health care is readily available throughout Italy, but standards can vary significantly. Public hospitals tend to be less impressive the further south you travel. A pharmacist (farmacista) can give you valuable advice and sell over-the-counter medication for minor illnesses. Pharmacies generally keep the same hours as other shops, closing at night and on Sundays. A handful, however, remain open on a rotation basis (farmacie di turno) for emergency purposes. These are usually listed in newspapers. Closed pharmacies display a list of the nearest ones open.

Pharmacies can also advise you when more-specialised help is required and point you in the right direction. In major cities you are likely to find English-speaking doctors or a translator service available. You can ask about the doctor's fee when making an appointment. The fee is usually payable at the end of your consultation. Always ask for a receipt as you will need to show this to your travel insurance provider if making a claim for reimbursement. Depending on your travel insurance policy, all or a part of the cost will be reimbursed.

If you need an ambulance anywhere in Italy, call 118. For emergency treatment, head straight to the pronto soccorso (casualty) section of a public hospital, where you can also get emergency dental treatment.

Environmental Hazards

Italian beaches are occasionally inundated with jellyfish. Their stings are painful, but not dangerous. Dousing them in vinegar will deactivate any stingers that have not fired. Calamine lotion, antihistamines and analgesics may reduce the reaction and relieve pain.

Italy's only dangerous snake, the viper, is found throughout Puglia and Basilicata. To minimise the possibility 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. Viper bites do not cause instantaneous death and an antivenin is widely available in pharmacies. 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.

Always check all over your body if you have been walking through a potentially tick-infested area. Ticks can cause skin infections and other more serious complications such as Lyme disease and tick-borne encephalitis. 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 body as this may squeeze the tick's gut contents through the attached mouth into the skin, increasing the risk of infection and disease. Lyme disease begins with the spreading of a bull's-eye rash at the site of the bite, accompanied by fever, headache, extreme fatigue, aching joints and muscles, and severe neck stiffness. If untreated, symptoms usually disappear, but disorders of the nervous system, heart and joints can develop later. Treatment works best early in the illness: medical help should be sought. Symptoms of tick-borne encephalitis include blotches around the bite, which is sometimes pale in the middle, and headaches, stiffness and other flu-like symptoms (as well as extreme tiredness) appearing a week or two after the bite. Again, medical help must be sought.

Leishmaniasis is a group of parasitic diseases transmitted by sandflies and found in coastal parts of Puglia. Cutaneous leishmaniasis affects the skin and causes ulceration and disfigurement; visceral leishmaniasis affects the internal organs. Avoiding sandfly bites by covering up and using repellent is the best precaution.

Tap Water

Tap water in Italy is safe to drink. The only exception is where a tap is marked 'Acqua non potabile' (Water not suitable for drinking).