HEALTH & SAFTY

Medical Emergencies and How To Find a Doctor

Tourists come to Nepal for some of the most exciting– and potentially dangerous– adventures in the world. Mountain climbing, trekking, whitewater rafting and many other outdoor activities for which Nepal is famous can cause altitude sickness or present health and safety problems that may be hard to treat in remote locations. More commonly, gastrointestinal ailments such as diarrhea affect tourists and residents alike. More than one U.S. visitor to Nepal has had to visit a clinic or hospital, or has been medically evacuated, during his or her vacation.

Medical care in Nepal

Medical care in Nepal is limited and is often not up to Western standards. Usual ailments and some surgeries can be addressed by clinics in Kathmandu. Serious illness or injury may require evacuation to the nearest adequate medical facility (Singapore, Bangkok or New Delhi) or back to the United States. Illnesses and injuries suffered while trekking often require a helicopter rescue. The cost for a helicopter rescue from remote areas to Kathmandu is typically $3,000 to $10,000. Medical evacuation to the United States may cost in excess of $50,000. The Embassy strongly recommend Americans purchase emergency evacuation insurance before any extended trek or adventure activity in Nepal’s remote areas.

Some clinics and hospitals in Kathmandu accept credit card payment, but others accept only cash. Travelers should be prepared to pay their bills in full before treatment or before discharge from an in-patient facility. The Embassy strongly urges Americans to consult with their medical insurance company prior to traveling to Nepal to confirm whether their policy applies overseas and will cover emergency expenses.

Medical Clinics and Aid Posts

Taking care of yourself in Nepal

Nepal’s geography and sanitation concerns make tourists and residents alike susceptible to many ailments. Exercising some simple precautions can help make your trip safe and enjoyable.

Altitude sickness in the Himalayas can affect even the most seasoned climbers and trekkers. In its most severe forms, it is a life-threatening illness and must be treated immediately by descending to a lower altitude. Flying to Lukla or Lhasa (in Tibet) brings travelers to high altitudes with no time for their bodies to adjust. Physical training or fitness has no impact on altitude sickness susceptibility.

Altitude sickness can take three forms: acute mountain sickness (AMS), high-altitude cerebral edema (HACE), and high-altitude pulmonary edema (HAPE). Symptoms of AMS include headache, fatigue, loss of appetite, nausea and occasionally vomiting. Symptoms may lessen if the affected traveler remains at the same altitude to acclimatize. HACE and HAPE are more severe conditions, marked by lethargy, confusion and/or shortness of breath. Anyone displaying these symptoms should immediately descend to a lower altitude and seek medical assistance.

Diahhrea and other gastro-intestinal ailments are probably the most common problems for travelers to Nepal, especially during the summer monsoon months. Diahhrea is rarely life-threatening. However, if symptoms persist, or if you have special health concerns, you should contact a medical professional. Following the below tips should help prevent gastro-intestinal problems:

Avoid buying food or beverages from street vendors or other unhygienic establishments.
Avoid eating raw or undercooked meat and seafood.
Avoid eating raw fruits and vegetables, unless you have peeled them yourself.
Drink bottled carbonated beverages or water that you are sure has been boiled or treated with iodine/chlorine. Be aware that water bottles in remote locations are sometimes refilled with tap or stream water. Make sure the seal on the bottle is intact before you open it.
For more information on health concerns and vaccination recommendations in Nepal, read the Centers for Disease Control and Prevention information on traveling to Nepal.

Embassies in Nepal
Australia Address: Australian Embassy, Suraj Niwas Bansbari, Kathmandu
Telephone: 4371 678
Fax: 4371 533
Country Code: 977

Bangladesh Address: Embassy of the People’s Republic of Bangladesh Ring Road, Maharajgunj, Kathmandu
Telephone: 4372 843, 4370 438, 4373 265
Fax: 4373 265
Country Code: 977

China Address: Embassy of the People’s Republic of China Baluwatar, Kathmandu
Telephone: 4419 053, 4411 740, 4415 383
Fax: 4414 045
Country Code: 977

Denmark Address: Royal Danish Ambassador Royal Danish Embassy Lazimpat, Kathmandu
Telephone: 4413 010
Fax: 4411 409
Country Code: 977

Egypt Address: Embassy of the Arab Republic of Egypt Pulchowk, Lalitpur
Telephone: 5524 812, 520
Fax: 5522 975
Country Code: 977

Finland Address: Charge d’Affaires a.i. Embassy of Finland Lazimpat, Kathmand
Telephone: 4416 636, 4417 221
Fax: 4416 703
Country Code: 977

France Address: Embassy of the French Republic Lazimpat, Kathmandu
Telephone: 4412 332
Fax: 4419 968
Country Code: 977

Germany Address: Embassy of the Federal Republic of Germany Gyaneshwar, Kathmandu
Telephone: 4412 786
Fax: 4416 899
Country Code: 977

India Address: Embassy of the Republic of India 336 Kapurdhara Marg, Kathmandu
Telephone: 4411 408, 4428 244 (O)
Country Code: 977

Israel Address: Embassy of the State of Israel Lazimpat, Kathmandu
Telephone: 4411 811, 4413 419
Fax: 4413 920
Country Code: 977

Japan Address: Embassy of Japan Panipokhari, Kathmandu
Telephone: 4426680
Fax: 4414101
Country Code: 977
E Mail: comjpn@mos.com.np

Korea Address: Embassy of the Democratic People’s Republic of Korea, Jhamsikhel, Lalitpur
Telephone: 5521855
Fax: 5525394
Country Code: 977

Korea Address: Ambassador Extraordinary and Plenipotentiary Embassy of the Republic of Korea Red Cross Marg, Tahachal, Kathmandu
Country Code: 977

Myanmar Address: Embassy of the Union of Myanmar Chakupat, Patan Gate, Lalitpur
Telephone: 5521 788, 5524 788
Fax: 5523 402
Country Code: 977

Malaysia Address: Embassy of Malaysia 3rd Floor, Block ‘B’ Kartmachari Sanchaya Kosh Bhavan Pulchowk, Lalitpur
Country Code: 977

Norway Address: Royal Norwegian Embassy Pulchowk, Lalitpur
Telephone: 55445307
Country Code: 977

Pakistan Address: Embassy of the Islamic Republic of Pakistan Maharajgunj, Chakrapath, Kathmandu
Telephone: 4374 024
Fax: 4374 012
Country Code: 977

Russia Address: Embassy of the Russian Federation Baluwatar, Kathmandu
Telephone: 4412 155, 4411 063
Fax: 4416 571
Country Code: 977

Sri Lanka, Address: Ambassador Extraordinary and Plenipotentiary Embassy of the Democratic Socialist Republic of Sri Lanka, Chundevi Marg, Maharajung, Kathmandu
Telephone: 4720 623, 4721 381
Fax: 4720 128
Country Code: 977

Thailand Address: Ambassador Extraordinary and Plenipotentiary Royal Thai Embassy Bansbari, Kathmandu
Country Code: 977

United Kingdom Address: Embassy of the United Kingdom Lainchaur, Kathmandu
Telephone: 4410 583, 4411 281, 4411 590, 4414 588
Fax: 4411789
Country Code: 977

United States of America Address: Embassy of the United States of America Panipokhari, Kathmandu.
Telephone: 4411 179, 4412 718, 4413 890
Fax: 4419 963
Country Code: 977