Brunei Travel Health Information

Read below for travel health advice on Brunei from the MDtravelhealth channel on Red Planet Travel.

Page Sections

  1. Summary
  2. Medications
  3. Immunizations
  4. Recent outbreaks of diseases
  5. Other Infections
  6. Food and Water
  7. Insect Tick Protection
  8. General Advice
  9. Ambulance
  10. Medical Facilities
  11. Pharmacies
  12. Travel with children
  13. Travel and pregnancy
  14. Maps
  15. Embassy
  16. Safety Information
  17. Page Drop Box Submissions
  18. Page Drop Box

Are you a doctor or medical professional with knowledge of the situation in Brunei  Why not apply to contribute to this page?

Would you like to Edit this page? Login or Sign up!
  • Summary You can't Edit

    1

    Summary of recommendations

    Most travelers to Brunei Darussalam will need vaccinations for hepatitis A and typhoid fever, as well as medications for travelers' diarrhea. Other immunizations may be necessary depending upon the circumstances of the trip and the medical history of the traveler, as discussed below. All travelers should visit either a travel health clinic or their personal physician 4-8 weeks before departure.

    Vaccinations:

    Hepatitis A Recommended for all travelers
    Typhoid For travelers who may eat or drink outside major restaurants and hotels
    Yellow fever Required for all travelers arriving from a yellow-fever-infected area in Africa or the Americas and for travelers who have been in transit more than 12 hours in an airport located in a country with risk of yellow fever transmission. Not recommended otherwise.
    Japanese encephalitis For travelers who may spend a month or more in rural areas and for short-term travelers who may spend substantial time outdoors in rural areas, especially after dusk
    Hepatitis B Recommended for all travelers
    Rabies For travelers spending a lot of time outdoors, or at high risk for animal bites, or involved in any activities that might bring them into direct contact with bats
    Measles, mumps, rubella (MMR) Two doses recommended for all travelers born after 1956, if not previously given
    Tetanus-diphtheria Revaccination recommended every 10 years
  • Medications You can't Edit

    2

    Medications

    Travelers' diarrhea is the most common travel-related ailment. The cornerstone of prevention is food and water precautions, as outlined below. All travelers should bring along an antibiotic and an antidiarrheal drug to be started promptly if significant diarrhea occurs, defined as three or more loose stools in an 8-hour period or five or more loose stools in a 24-hour period, especially if associated with nausea, vomiting, cramps, fever or blood in the stool. A quinolone antibiotic is usually prescribed: either ciprofloxacin (Cipro)(PDF) 500 mg twice daily or levofloxacin (Levaquin) 500 mg once daily for a total of three days. Quinolones are generally well-tolerated, but occasionally cause sun sensitivity and should not be given to children, pregnant women, or anyone with a history of quinolone allergy. Alternative regimens include a three day course of rifaximin (Xifaxan) 200 mg three times daily or azithromycin (Zithromax) 500 mg once daily. Rifaximin should not be used by those with fever or bloody stools and is not approved for pregnant women or those under age 12. Azithromycin should be avoided in those allergic to erythromycin or related antibiotics. An antidiarrheal drug such as loperamide (Imodium) or diphenoxylate (Lomotil) should be taken as needed to slow the frequency of stools, but not enough to stop the bowel movements completely. Diphenoxylate (Lomotil) and loperamide (Imodium) should not be given to children under age two.

    Most cases of travelers' diarrhea are mild and do not require either antibiotics or antidiarrheal drugs. Adequate fluid intake is essential.

    If diarrhea is severe or bloody, or if fever occurs with shaking chills, or if abdominal pain becomes marked, or if diarrhea persists for more than 72 hours, medical attention should be sought.

    Though effective, antibiotics are not recommended prophylactically (i.e. to prevent diarrhea before it occurs) because of the risk of adverse effects, though this approach may be warranted in special situations, such as immunocompromised travelers.

  • Immunizations You can't Edit

    3

    Immunizations

    The following are the recommended vaccinations for Brunei Darussalam:

    Hepatitis A vaccine is recommended for all travelers over one year of age. It should be given at least two weeks (preferably four weeks or more) before departure. A booster should be given 6-12 months later to confer long-term immunity. Two vaccines are currently available in the United States: VAQTA (Merck and Co., Inc.) (PDF) and Havrix (GlaxoSmithKline) (PDF). Both are well-tolerated. Side-effects, which are generally mild, may include soreness at the injection site, headache, and malaise.

    Older adults, immunocompromised persons, and those with chronic liver disease or other chronic medical conditions who have less than two weeks before departure should receive a single intramuscular dose of immune globulin (0.02 mL/kg) at a separate anatomic injection site in addition to the initial dose of vaccine. Travelers who are less than one year of age or allergic to a vaccine component should receive a single intramuscular dose of immune globulin (see hepatitis A for dosage) in the place of vaccine.

    Typhoid vaccine is recommended for all travelers, with the exception of short-term visitors who restrict their meals to major restaurants and hotels, such as business travelers and cruise passengers. It is generally given in an oral form (Vivotif Berna) consisting of four capsules taken on alternate days until completed. The capsules should be kept refrigerated and taken with cool liquid. Side-effects are uncommon and may include abdominal discomfort, nausea, rash or hives. The alternative is an injectable polysaccharide vaccine (Typhim Vi; Aventis Pasteur Inc.) (PDF), given as a single dose. Adverse reactions, which are uncommon, may include discomfort at the injection site, fever and headache. The oral vaccine is approved for travelers at least six years old, whereas the injectable vaccine is approved for those over age two. There are no data concerning the safety of typhoid vaccine during pregnancy. The injectable vaccine (Typhim Vi) is probably preferable to the oral vaccine in pregnant and immunocompromised travelers.

    Japanese encephalitis vaccine is recommended for those who expect to spend a month or more in rural areas and for short-term travelers who may spend substantial time outdoors or engage in extensive outdoor activities in rural or agricultural areas, especially in the evening. Japanese encephalitis is transmitted by mosquito bites and appears to occur sporadically and year-round. The recommended vaccine is IXIARO , given 0.5 cc intramuscularly, followed by a second dose 28 days later. The series should be completed at least one week before travel. The most common side effects are headaches, muscle aches, and pain and tenderness at the injection site. Safety has not been established in pregnant women, nursing mothers, or children under the age of two months. In addition to vaccination, strict attention to insect protection measures is essential for anyone at risk.

    Hepatitis B vaccine is recommended for all travelers if not previously vaccinated. Two vaccines are currently licensed in the United States: Recombivax HB (Merck and Co., Inc.) (PDF) and Engerix-B (GlaxoSmithKline) (PDF). A full series consists of three intramuscular doses given at 0, 1 and 6 months. Engerix-B is also approved for administration at 0, 1, 2, and 12 months, which may be appropriate for travelers departing in less than 6 months. Side-effects are generally mild and may include discomfort at the injection site and low-grade fever. Severe allergic reactions (anaphylaxis) occur rarely.

    Tetanus-diphtheria vaccine is recommended for all travelers who have not received a tetanus-diphtheria immunization within the last 10 years.

    Measles-mumps-rubella vaccine: two doses are recommended (if not previously given) for all travelers born after 1956, unless blood tests show immunity. Many adults born after 1956 and before 1970 received only one vaccination against measles, mumps, and rubella as children and should be given a second dose before travel. MMR vaccine should not be given to pregnant or severely immunocompromised individuals.

    Cholera vaccine is not recommended. Cholera is not being reported from Brunei at this time.

    Polio vaccine is not recommended for any adult traveler who completed the recommended childhood immunizations. In October 2000, the World Health Organization certified that polio had been eradicated from the Western Pacific region.

    Yellow fever vaccine is required for all travelers over one year of age arriving from a yellow-fever-infected country in Africa or the Americas, and for travelers who have been in transit more than 12 hours in an airport located in a country with risk of yellow fever transmission, but is not recommended or required otherwise. Yellow fever vaccine (YF-VAX; Aventis Pasteur Inc.) (PDF) must be administered at an approved yellow fever vaccination center, which will give each vaccinee a fully validated International Certificate of Vaccination. Yellow fever vaccine should not in general be given to those who are younger than nine months of age, pregnant, immunocompromised, or allergic to eggs. It should also not be given to those with a history of thymus disease or thymectomy.

  • Recent outbreaks of diseases You can't Edit

    4

    Recent outbreaks

    An increase in the number of cases of dengue fever, a flu-like illness that may be complicated by hemorrhage and shock, was reported from Brunei in May 2010. A total of 77 cases were reported for the first three months of the year, compared to 37 for all of 2009. Dengue fever is transmitted by Aedes mosquitoes, which bite primarily in the daytime and favor densely populated areas, though they also inhabit rural environments. No vaccine is available at this time. Insect protection measures are advised, as outlined below.

    A small outbreak of hand, foot, and mouth disease was reported in March 2006. See NATHNAC for further information. Hand, foot, and mouth disease is caused by enteroviruses, which are transmitted by exposure to fecal material from infected individuals. Most cases occur in infants and children, though adults may also be affected. The illness is characterized by fever, oral blisters, and a rash or blisters on the palms and soles. Most cases resolve uneventfully, but a small percentage are complicated by encephalitis (inflammation of the brain), myocarditis (inflammation of the heart muscle), or pulmonary edema (fluid in the lungs). The key to prevention is good personal hygiene and scrupulous hand-washing, especially after defecation and before handling food.

  • Other Infections You can't Edit

    5

    Other infections

    For an overview of health care in Brunei, go to the World Health Organization - Western Pacific Region.

    Scrub typhus occurs in deforested areas.

    Fasciolopsiasis is reported.

    Melioidosis may occur in Brunei.

    Venomous marine life are found in the waters around Brunei, including stonefish, lionfish, and the box jelly fish. Their stings are potentially life-threatening. Antivenom exists but may be difficult to find in a timely fashion.

    HIV (human immunodeficiency virus) infection is reported, but travelers are not at risk unless they have unprotected sexual contacts or receive injections or blood transfusions.

  • Food and Water You can't Edit

    6

    Food and water precautions

    Do not drink tap water unless it has been boiled, filtered, or chemically disinfected. Do not drink unbottled beverages or drinks with ice. Do not eat fruits or vegetables unless they have been peeled or cooked. Avoid cooked foods that are no longer piping hot. Cooked foods that have been left at room temperature are particularly hazardous. Avoid unpasteurized milk and any products that might have been made from unpasteurized milk, such as ice cream. Avoid food and beverages obtained from street vendors. Do not eat raw or undercooked meat or fish. Some types of fish may contain poisonous biotoxins even when cooked. Barracuda in particular should never be eaten. Other fish that may contain toxins include red snapper, grouper, amberjack, sea bass, and a large number of tropical reef fish.

    All travelers should bring along an antibiotic and an antidiarrheal drug to be started promptly if significant diarrhea occurs, defined as three or more loose stools in an 8-hour period or five or more loose stools in a 24-hour period, especially if accompanied by nausea, vomiting, cramps, fever or blood in the stool. Antibiotics which have been shown to be effective include ciprofloxacin (Cipro), levofloxacin (Levaquin), rifaximin (Xifaxan), or azithromycin (Zithromax). Either loperamide (Imodium) or diphenoxylate (Lomotil) should be taken in addition to the antibiotic to reduce diarrhea and prevent dehydration.

    If diarrhea is severe or bloody, or if fever occurs with shaking chills, or if abdominal pain becomes marked, or if diarrhea persists for more than 72 hours, medical attention should be sought.

  • Insect Tick Protection You can't Edit

    7

    Insect and Tick Protection

    Wear long sleeves, long pants, hats and shoes (rather than sandals). Apply insect repellents containing 25-50% DEET (N,N-diethyl-3-methylbenzamide) or 20% picaridin (Bayrepel) to exposed skin (but not to the eyes, mouth, or open wounds). DEET may also be applied to clothing. Products with a lower concentration of either repellent need to be repplied more frequently. Products with a higher concentration of DEET carry an increased risk of neurologic toxicity, especially in children, without any additional benefit. Do not use either DEET or picaridin on children less than two years of age. For additional protection, apply permethrin-containing compounds to clothing, shoes, and bed nets. Permethrin-treated clothing appears to have little toxicity. Don't sleep with the window open unless there is a screen. If sleeping outdoors or in an accommodation that allows entry of mosquitoes, use a bed net, preferably impregnated with insect repellent, with edges tucked in under the mattress. The mesh size should be less than 1.5 mm. If the sleeping area is not otherwise protected, use a mosquito coil, which fills the room with insecticide through the night.

  • General Advice You can't Edit

    8

    General advice

    Bring adequate supplies of all medications in their original containers, clearly labeled. Carry a signed, dated letter from the primary physician describing all medical conditions and listing all medications, including generic names. If carrying syringes or needles, be sure to carry a physician's letter documenting their medical necessity.Pack all medications in hand luggage. Carry a duplicate supply in the checked luggage. If you wear glasses or contacts, bring an extra pair. If you have significant allergies or chronic medical problems, wear a medical alert bracelet.

    Make sure your health insurance covers you for medical expenses abroad. If not, supplemental insurance for overseas coverage, including possible evacuation, should be seriously considered. If illness occurs while abroad, medical expenses including evacuation may run to tens of thousands of dollars. For a list of travel insurance and air ambulance companies, go to Medical Information for Americans Traveling Abroad on the U.S. State Department website. Bring your insurance card, claim forms, and any other relevant insurance documents. Before departure, determine whether your insurance plan will make payments directly to providers or reimburse you later for overseas health expenditures. The Medicare and Medicaid programs do not pay for medical services outside the United States.

    Pack a personal medical kit, customized for your trip (see description). Take appropriate measures to prevent motion sickness and jet lag, discussed elsewhere. On long flights, be sure to walk around the cabin, contract your leg muscles periodically, and drink plenty of fluids to prevent blood clots in the legs. For those at high risk for blood clots, consider wearing compression stockings.

    Avoid contact with stray dogs and other animals. If an animal bites or scratches you, clean the wound with large amounts of soap and water and contact local health authorities immediately. Wear sun block regularly when needed. Use condoms for all sexual encounters. Ride only in motor vehicles with seat belts. Do not ride on motorcycles.

  • Ambulance You can't Edit

    9

    Ambulance and Emergency Services

    For an ambulance in anywhere in Brunei, call 991. The following are local ambulance phone numbers:

    • Bandar Seri Begawan: 222-2366 / 991
    • Muara: 222-2366
    • Tutong: 422-1366
  • Medical Facilities You can't Edit

    10

    Medical facilities

    The main facility is the government-run Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital (across Edinburgh Bridge on Jl Putera Al-Muhtadee Billah, Bandar Seri Begawan; tel. 02-242424), which offers a broad range of specialty services, as well as outpatient emergency care. The government also operates three smaller district hospitals. For further information, go to the Ministry of Health website. The leading private hospital is Jerudong Park Medical Centre (Jerudong Park, B.G 3122, tel. 673 2 611 433; website http://www.jpmc.com.bn/), which offers comprehensive outpatient care as well as extensive inpatient services. For outpatient care, there are also a number of private clinics, including Borneo Clinic (Simpang 27, 1 Bang PIF, Jln Gadong; tel. 02-224301) and Hart Medical Clinic (1st Floor, 47 Jalan Sultau; tel. 02-225531), both in Bandar Seri Begawan. Many physicians in Brunei have been trained in the UK, Australia, and New Zealand. Basic medical care is satisfactory, but life-threatening medical conditions should be treated in Singapore or elsewhere, due to the unreliability of supplies and staffing in Brunei.

  • Pharmacies You can't Edit

    11

    Pharmacies

    Twenty-four hour pharmacy services are available through the government hospitals (see the Ministry of Health).

  • Travel with children You can't Edit

    12

    Traveling with children

    Before you leave, make sure you have the names and contact information for physicians, clinics, and hospitals where you can obtain emergency medical care if needed (see Ministry of Health website).

    All children should be up-to-date on routine childhood immunizations, as recommended by the American Academy of Pediatrics. Children who are 12 months or older should receive a total of 2 doses of MMR (measles-mumps-rubella) vaccine, separated by at least 28 days, before international travel. Children between the ages of 6 and 11 months should be given a single dose of measles vaccine. MMR vaccine may be given if measles vaccine is not available, though immunization against mumps and rubella is not necessary before age one unless visiting a country where an outbreak is in progress. Children less than one year of age may also need to receive other immunizations ahead of schedule (see the accelerated immunization schedule).

    When traveling with young children, be particularly careful about what you allow them to eat and drink (see food and water precautions), because diarrhea can be especially dangerous in this age group and because the vaccines for hepatitis A and typhoid fever, which are transmitted by contaminated food and water, are not approved for children under age two. Baby foods and cows' milk may not be available in developing nations. Only commercially bottled milk with a printed expiration date should be used. Young children should be kept well-hydrated and protected from the sun at all times.

    Be sure to pack a medical kit when traveling with children. In addition to the items listed for adults, bring along plenty of disposable diapers, cream for diaper rash, oral replacement salts, and appropriate antibiotics for common childhood infections, such as middle ear infections.

  • Travel and pregnancy You can't Edit

    13

    Travel and pregnancy

    International travel should be avoided by pregnant women with underlying medical conditions, such as diabetes or high blood pressure, or a history of complications during previous pregnancies, such as miscarriage or premature labor. For pregnant women in good health, the second trimester (18–24 weeks) is probably the safest time to go abroad and the third trimester the least safe, since it's far better not to have to deliver in a foreign country.

    Before departure, make sure you have the names and contact information for physicians, clinics, and hospitals where you can obtain emergency obstetric care if necessary (see the Ministry of Health website). In general, pregnant women should avoid traveling to countries which do not have modern facilities for the management of premature labor and other complications of pregnancy.

    Strict attention to food and water precautions is especially important for the pregnant traveler because some infections, such as listeriosis, have grave consequences for the developing fetus. Additionally, many of the medications used to treat travelers' diarrhea may not be given during pregnancy. Quinolone antibiotics, such as ciprofloxacin (Cipro) and levofloxacin (Levaquin), should not be given because of concern they might interfere with fetal joint development. Data are limited concerning trimethoprim-sulfamethoxazole, but the drug should probably be avoided during pregnancy, especially the first trimester. Options for treating travelers' diarrhea in pregnant women include azithromycin and third-generation cephalosporins. For symptomatic relief, the combination of kaolin and pectin (Kaopectate; Donnagel) appears to be safe, but loperamide (Imodium) should be used only when necessary. Adequate fluid intake is essential.

  • Maps You can't Edit

    14

    Maps

    Helpful maps are available in the University of Texas Perry-Castaneda Map Collection and the United Nations map library. If you have the name of the town or city you'll be visiting and need to know which state or province it's in, you might find your answer in the Getty Thesaurus of Geographic Names.

  • Embassy You can't Edit

    15

    Embassy/Consulate Location

    (reproduced from the U.S. State Dept. Consular Information Sheet)

    Americans living in or visiting Brunei are encouraged to register at the Consular section of the U.S. Embassy in Brunei and obtain updated information on travel and security within Brunei. The U.S. Embassy is located on the 3rd floor, Teck Guan Plaza, Jalan Sultan, Bandar Seri Begawan BS 8811, Brunei Darussalam. Mail sent from the United States can be addressed to the Embassy_s FPO address: American Embassy, PSC 470 (BSB), FPO AP, 96507. The telephone number is (673)(2) 229-670, fax number (673)(2) 225-293 and e-mail address USEmbassy_BSB@state.gov. The Consular section_s fax number is (673)(2) 23-5254 and their e-mail address is: ConsularBrunei@state.gov. The Embassy_s after-hours number for emergency calls is (673)(8) 730-691.

  • Safety Information You can't Edit

    16

    Safety information

    For information on safety and security, go to the U.S. Department of State, United Kingdom Foreign and Commonwealth Office, Foreign Affairs Canada, and the Australian Department of Foreign Affairs and Trade.

Back to Page Index

Page drop box submissions

These are comments made by visitors to this site. Why not add your own if you've been to recently?

Page drop box for MDth Brunei

Been to Brunei recently? What is the current health situation there? Do you have any information on the place. Is the information on this page as you found it?

You can earn Reputation score by joining our community and also enrol on the TravelTip$ program and get paid for good advice by other travellers.

If you are not logged in, or choose to make the drop box anonymously you can tell the community honestly what you seen without any concern. Please send images or other evidence to support your claims.

Drop image here or click to upload

     

     

    The MDtravelhealth channel is a source of travel health information for travellers, written by medical professionals.

    MDth Navigation

    Page is maintained by

    The MDtravelhealth channel relies on medical professionals from all over the world to maintain the Travel Health Information on these pages.

    Nobody :(
    Are you a Doctor, nurse or other Medical professional that feels they can update this page? Please login or sign up and select MDtravelhealth Channel in the Account Area.

    Topic Tags for Brunei

    Topic Tags are what bind the Red Planet Travel site together, and are very important.

    This place has been tagged:

    If you think those tags are not perfect, then please let the person responsible for this page know by dropping a note in the anonymous drop box below, or better yet sign up or login and join our community, once you've got enough reputation score you can edit them yourself!

    Got a Question?

    ?

    Ask any travel related question or help others with your experience and earn Reputation Score and become a valued member of our community.

    MDtravelhealth Medical Contributions

    Before you apply read about the Medical Professionals Roles on Red Planet Travel

    You need to be logged in and have applied to MDth channel to contribute to this page.

    Have something to Contribute?

    We are looking to grow the information on this site, if you have something to contribute to any page then we'd like to hear from you.

    What's more you can now earn money (paid direct via Paypal) for writing descriptions about places you know.

    You will need to tell other members about yourself and your relevant knowledge and experience about what you want to contribute about.

    Look below for some example page types, and types of people whose views on a place might be useful to know.

    Page Type: Hotel

    Are there any special benefits or adaptations that this Hotel or it's location has that you can comment on in your capacity as a Doctor

    Tell us your job, knowledge, experience..

    My Experience: Doctor

    This hotel has great CPR equipment and I can see the team are all trained

    If you are the owner/manager of any place, then you can, of course, take control of your page and add relevant information other visitors might want to know

    Related Pages

    Check out our page on Brunei for information on how to get there, accommodation, video and reviews.

    Medical Clinics

    Do you have any recent experiences of clinics here? Please search for them, use the drop box at the bottom of their page to send us comments - good and bad.

    Hotels near Brunei

    More hotels from our Partner Booking.com

    Related Questions

    Can you help with answering any of these questions? Help other travellers with your experience and earn reputation score on this site.