Facilities and Health Information:
Medical care in most localities is below Western standards due to shortages of medical supplies, differing practice standards and the lack of comprehensive primary care. Those facilities in Moscow and St. Petersburg with higher standards do not necessarily accept all cases. Access to these facilities usually requires cash or credit card payment at Western rates at the time of service. The U.S. Social Security Medicare Program does not provide coverage for hospital or medical costs in Russia. Elderly travelers and those with existing health problems may be at risk. We do not recommend elective surgeries requiring blood transfusions and/or non-essential blood transfusions due to uncertainties surrounding the local blood supply. Most hospitals and clinics in major urban areas have adopted the use of disposable IV supplies, syringes, and needles as standard practice. However, travelers to remote areas might consider bringing a supply of sterile, disposable syringes and corresponding IV supplies. We recommend travelers do not visit tattoo parlors or piercing services due to the risk of infection.
Outbreaks of diphtheria and hepatitis A have been reported throughout the country, even in large cities such as Moscow and St. Petersburg. The U.S. Centers for Disease Control and Prevention (CDC) recommend up-to-date tetanus and diphtheria immunizations before traveling to Russia and neighboring countries. Typhoid can be a concern for those who plan to travel extensively in the region. Cases of cholera have rarely been reported throughout the area. Travelers can reduce the risk of exposure to infectious and noxious agents by drinking bottled water and using bottled water for food or drink preparation. Tap water is generally unsafe to drink outside of Moscow. Tuberculosis is also an increasingly serious health concern in Russia. For further information about tuberculosis, please consult the CDC's information on Tuberculosis.
HIV infection rates have risen markedly in recent years. While most prevalent among intravenous drug users, prostitutes and their clients, the HIV/AIDS rate in the general population is increasing. Reported cases of syphilis are much higher than in the United States, and some sources suggest that gonorrhea and chlamydia are also more prevalent in Russia than in Western Europe or the United States.
Travelers may obtain information on vaccinations and other health precautions, such as safe food and water precautions and insect bite protection, from the CDC hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747) or via the CDC website. For information about outbreaks of infectious diseases abroad, consult the infectious diseases section of the World Health Organization (WHO) website. The WHO website also contains additional health information for travelers, including detailed country-specific health information.
Alternative Medical Treatments: Foreigners occasionally travel to Russia to receive medical treatment that is more expensive or prohibited in the United States, including stem-cell therapy and surrogate birthing. These treatments may involve considerable risks. Standards of infection control in both surgical and postoperative care may be inadequate. Patients undergoing treatment often develop secondary infections that cannot be handled by the facilities offering the procedures, and must be admitted to local hospitals of uncertain quality. In these cases, the patient is responsible for all additional costs, including repatriation back to the United States.
Drinking Water Source - % of rural population improved"
Drinking Water Source - % of total population unimproved:
Drinking Water Source - % of urban population improved:
HIV/AIDS - adult prevalence rate:
Hospital Bed Density - beds/1,000 population:
People Living with HIV/AIDS:
Physicians Density - physicians/1,000 population:
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:
Sanitation Facility Access - % of urban population improved:
Sanitation Facitlity Access - % of rural population improved:
Infectious Diseases - degree of risk:
Food or Waterborne Disease (s):
Vectorborne Disease (s):