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Before You Go
Given the nature of the roads and the remoteness of the area, comprehensive cover is required for off-road driving, trekking and medical evacuation.
Cholera, Hepatitis A, Tetanus and Typhoid are advised. Hepatitis B and rabies are also recommended.
Maleria tablets are only required for those intending to travel in the eastern Wakhan or Little Pamir.
The most important health condition to be aware of in Tajikistan, other than the effects of increased radition from the sun at high altitude, is altitude sickness. This can be avoided by taking time to aclimatise by overnighting at slowly increasing altitudes before attempting treks at 3000m or over. Some medication can alleviate the symptoms, but the only cure for accute mountain sickness is to descend to lower altitudes. Untreated, it can be fatal.
Availability & Cost of Health Care
Clinics are available in main towns but overall the country's medical facilities are underfunded and ill-equipped. Non-prescription medicines (mostly Russian brands) are available in pharmacies in Dushanbe, Khujand, Penjikent and Khorog at reasonable cost, but availability is not guaranteed outside the capital. There are very few opticians even in Dushanbe.
It is not safe to drink tap water in Tajikistan, due to Giardia lamblia which causes diarrhoea and other intestinal infection. Bottled water is widely available.