Latvia Health Overview
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No health certificates or vaccinations are required to enter Latvia, but visitors are advised to have an inoculation against tick-borne encephalitis if planning to hike in the country and forests or stay in rural areas, especially during the summer months of March to October. There was a outbreak of hepatitis A in a restaurant in Riga in May 2008 and travellers are recommended to get vaccinated before travelling to Latvia. Rabies is endemic, and outbreaks of meningitis occur. Medicines are usually available, but it is best to bring a supply of personal medication. Health insurance is necessary. A reciprocal agreement with the UK entitles UK citizens to emergency treatment on the same terms as Latvian nationals on presentation of a European Health Insurance Card (EHIC).
View information on diseases: Tick-borne encephalitis, Hepatitis A
Tick-borne encephalitis
Cause: The tick-borne encephalitis (TBE) virus, which is a flavivirus. Other closely related viruses cause similar diseases. Transmission: Infection is transmitted by the bite of infected ticks. There is no direct person-to-person transmission. Some related viruses, also tick-borne, infect animals such as birds, deer (louping-ill), rodents and sheep. Nature of the disease: Infection with tick-borne encephalitis may induce an influenza-like illness, with a second phase of fever occurring in 10% of cases. Encephalitis develops during the second phase and may result in paralysis, permanent sequelae or death. Severity of illness increases with age. Geographical distribution: Tick-borne encephalitis is present in large parts of Europe, particularly Austria, the Baltic States (Estonia, Latvia, Lithuania), the Czech Republic, Hungary and the Russian Federation. The disease is seasonal, occurring mainly during the summer months in rural and forest areas at altitudes up to 1,000 metres. Risk for travellers: In endemic areas during the summer months, travellers are at risk when hiking or camping in rural or forest areas. Prophylaxis (protective treatment): A vaccine against TBE is available. Precautions: Avoid bites by ticks by wearing long trousers and closed footwear when hiking or camping in endemic areas. If a bite occurs, the tick should be removed as soon as possible. Source: WHO.
Back to TopHepatitis A
Cause: Hepatitis A virus, a member of the picornavirus family. Transmission: The virus is acquired directly from infected persons by the faecal-oral route or by close contact, or by consumption of contaminated food or drinking water. There is no insect vector or animal reservoir (although some non-human primates are sometimes infected). Nature of the disease: An acute viral hepatitis with abrupt onset of fever, malaise, nausea and abdominal discomfort, followed by the development of jaundice a few days later. Infection in very young children is usually mild or asymptomatic (e.g. causes no symptoms); older children are at risk of symptomatic disease. The disease is more severe in adults, with illness lasting several weeks and recovery taking several months; case-fatality is greater than 2% for those over 40 years of age and 4% for those over 60. Geographical distribution: Worldwide, but most common where sanitary conditions are poor and the safety of drinking water is not well controlled. Risk for travellers: Non-immune travellers to developing countries are at significant risk of infection. The risk is particularly high for travellers exposed to poor conditions of hygiene, sanitation and drinking water control. Prophylaxis (protective treatment): Vaccination. Precautions: Travellers who are non-immune to hepatitis A (i.e. have never had the disease and have not been vaccinated) should take particular care to avoid potentially contaminated food and water. Source: WHO.
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