What is healthcare in Burma like?

Facilities and Health Information

We highly recommend that you share your travel plans with your doctor so that you can best prepare for the endemic health-related challenges that confront travelers in Burma. Most medical facilities in Burma are inadequate for even routine medical care. There are very few medical personnel in Burma who are trained to U.S. standards. You should also know that, in an emergency, you would likely need to be medically evacuated to a hospital outside Burma. Medical evacuation from Burma is expensive and is transacted in cash. We strongly urge all travelers to secure medical evacuation insurance before coming to Burma. Most pharmaceuticals on sale in Burma have been smuggled into the country, and many are counterfeit or adulterated. Travelers should consider Burmese pharmaceuticals generally unsafe to use and should accordingly bring adequate supplies of their medications for the duration of their stay in Burma. All travelers are advised to bring a complete and detailed list of regularly used medicine, and dosages, in case of an emergency. HIV/AIDS is widespread among high-risk populations, such as prostitutes and illegal drug users. Malaria, dengue fever, tuberculosis, hepatitis, and other infectious diseases are endemic in many parts of the country.

In early 2006 throughout 2007, and again in early 2010, brief avian influenza outbreaks resulted in the death of domestic poultry and some wild birds. In December 2007, the World Health Organization and Burmese Ministry of Health confirmed Burma’s first case of human infection with the H5N1 avian influenza virus. If you travel to Burma and other South Asian countries affected by avian influenza, we caution you to avoid poultry farms, contact with animals in live food markets, and any other surfaces that appear to be contaminated with feces from poultry or other animals. There were no reported human cases of H5N1 in Burma during the 2010 outbreaks.

Drinking Water Source - % of rural population improved

81.1%

Drinking Water Source - % of total population unimproved

14.3%

Drinking Water Source - % of urban population improved

94.8%

HIV/AIDS - adult prevalence rate

0.6%

Hospital Bed Density - beds/1,000 population

.6

People Living with HIV/AIDS

240,000

Physicians Density - physicians/1,000 population

.5

Diseases - note

Highly pathogenic H5N1 avian influenza has been identified in this country; it poses a negligible risk with extremely rare cases possible among US citizens who have close contact with birds

Sanitation Facility Access - % of total population unimproved

22.6%

Sanitation Facility Access - % of urban population improved

84.3%

Sanitation Facility Access - % of rural population improved

73.9%

Infectious Diseases - degree of risk

Very high

Animal Contact Disease (s)

Rabies

Food or Waterborne Disease (s)

Bacterial and protozoal diarrhea, hepatitis A, and typhoid fever

Vectorborne Disease (s)

Dengue fever, malaria, and Japanese encephalitis

Water contact disease (s)

Leptospirosis

Medical Insurance

Uninsured travelers who encounter medical emergencies overseas often face extreme difficulties. Most medical insurance plans do not include coverage outside one's country. Getting medical treatment and hospital care abroad can be very expensive, and, if you need it, a medical evacuation back to your country can cost more than $50,000!

Your local embassy may assist in locating appropriate medical services, informing family or friends, and may even assist in the transfer of funds from back home. But ultimately, payment of hospital and other expenses is entirely your responsibility.

Check the terms of your health insurance policy, whether it’s your own, under your parents' policy, or through your school. If you are not covered while out of the country, you may need to purchase additional coverage. Many travel agents and private companies offer plans that will cover health care expenses overseas including emergency services such as medical evacuations.

Mental Health

Traveling or studying overseas is not a cure for health conditions such as depression or attention deficit disorder. Sometimes going abroad may in fact amplify a condition. One may not have adequate access to prescription medication or mental health facilities. In addition, culture shock, language barriers, and homesickness can deepen isolation or depression.

Before traveling, create a workable plan for managing your mental health while abroad. The availability and quality of mental health services differ widely from country to country. In many countries, one will find it difficult — and sometimes impossible — to find treatment for mental health conditions. With your health services provider or your school, put together a workable mental health plan before you go overseas.

If you have a medical or psychological condition that may require treatment while you are abroad, discuss this ahead of time with your doctor. A vacation or study abroad is a great opportunity to try new things but this is not the time to experiment with not taking your medicine or mixing alcohol with medicine.

Research the social culture of your destination to learn about how mental illnesses are viewed. Attitudes toward mental health can greatly vary between countries.

If you are studying abroad through your university, talk to your university about access to mental health services at overseas programs. Your study abroad office can help you decide what program would be best for you.

If currently receiving mental health services — including prescription medication — find out if those services and/or medication are available at your destination.

Consider the support system you’ll have in place while abroad. If possible, know ahead of time who you can consult about your mental health.

Prescriptions

While you’re abroad is not the time to suddenly realize you ran out of your prescription!

If you have a condition that requires regular medication, bring an extra quantity with you and pack it in your carry-on, just in case your checked luggage gets lost. Just remember to keep it in its original container and clearly labeled — you don’t want to create the impression you’re carrying drugs that haven’t been prescribed to you. In fact, you should check with the local embassy to make sure that your medication is acceptable to carry into the country. Some countries may consider your prescription medication to be illegal. Bring a letter from your doctor listing your medications and explaining why you need them. Doing your research and having a letter can help prevent any misunderstandings along the way.

Bring extras of any medical necessities you need, like contact lenses or glasses. You might want to pack a pair in both your carry-on bag and your checked luggage, just to be safe.

If you have allergies to certain medications, foods, insect bites, or other unique medical problems, consider wearing one of those “medical alert” bracelets and carry a letter from your doctor explaining the required treatment if you become ill. It might not be the coolest piece of jewelry you wear, but it could save your life.

Vaccinations

How important is it to do your research about vaccinations? It might just save your life! Make yourself aware of the different types of vaccinations and which ones you may need to travel to your destination. Schedule an appointment with your doctor at least four to six weeks before you travel to ensure you receive all important shots.

Be sure that you and your family are up to date on your routine vaccinations.

Which vaccinations you need will depend on a number of factors including your destination, whether you will be spending time in rural areas, the season of the year you are traveling, your age, health status, and previous immunizations.