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Poland Travel Health Information

Read below for travel health advice on Poland 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. 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

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  • Summary You can't Edit

    1

    Summary of recommendations

    Most travelers 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
    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

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    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

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    Immunizations

    The following are the recommended vaccinations for Poland:

    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. 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.

    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.

    Rabies vaccine is recommended for travelers spending a lot of time outdoors, for travelers at high risk for animal bites, such as veterinarians and animal handlers, for long-term travelers and expatriates, and for travelers involved in any activities that might bring them into direct contact with bats. Children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites. A complete preexposure series consists of three doses of vaccine injected into the deltoid muscle on days 0, 7, and 21 or 28. Side-effects may include pain at the injection site, headache, nausea, abdominal pain, muscle aches, dizziness, or allergic reactions.

    Any animal bite or scratch should be thoroughly cleaned with large amounts of soap and water and local health authorities should be contacted immediately for possible post-exposure treatment, whether or not the person has been immunized against rabies.

    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.

    Influenza vaccine is recommended for all travelers during flu season, which runs from November through April. The vaccine may cause soreness at the injection site, low-grade fevers, malaise, and muscle aches. Severe reactions are rare. Influenza vaccine should not be given to pregnant women during the first trimester.

    Tick-borne encephalitis vaccine may be considered for long-term travelers who expect to be visiting rural or forested areas in the spring or summer, especially in the northeast. In Poland, most cases occur in two northeastern provinces adjacent to Lithuania and Belarus, in the area around Bialystok. Cases are also reported from the southwestern part of the country, in districts adjacent to the Czech Republic. See Eurosurveillance for further information. The incidence of tick-borne encephalitis rose dramatically in the late 1990s but has stabilized since then (see Eurosurveillance).

    Two vaccines have been developed: TicoVac, also known as FSME Immun (Baxter AG), which is manufactured in Austria, and Encepur (Chiron Behring), which is made in Germany. The vaccines are approved for use in a number of European countries, but not the United States. A full series consists of three doses over a one-year period, which is not practical for most travelers, though limited data indicate that Encepur may be given in an accelerated schedule for faster immunity. Tick precautions, as discussed below, are strongly advised.

  • Recent outbreaks of diseases You can't Edit

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    Recent outbreaks

    A rubella outbreak was reported from Poland in early 2013,causing more 38,577 cases for the year. Two babies were born with birth defects because their mothers had rubella when pregnant. The entire country was affected, but the western region (Malopolskie and Wielkopolskie provinces) had the highest number of cases. Other provinces with large numbers of cases included Lublin, Lubusz, Kuyavian-Pomeranian, Podkarpackie, Pomeranian, and Zachodniopomorskie (West Pomeranian)(see Eurosurveillance. As of January 2014, the number of cases was declining. All travelers born after 1956 should make sure they have had either two documented MMR or rubella immunizations or a blood test showing rubella immunity. Those born before 1957 are presumed to be immune.

    A measles outbreak was reported in the summer of 2009 among the Roma community in Pulawy, a town in the Lubelskie province in eastern Poland (see Eurosurveillance. All travelers born after 1956 should make sure they have had either two documented MMR or measles immunizations or a blood test showing measles immunity. Those born before 1957 are presumed to be immune. Although measles immunization is usually begun at age 12 months, children between the ages of 6 and 11 months should be given an initial dose of measles or MMR vaccine before traveling to Poland.

    An unexpected increase in the number of measles cases was observed in Poland between January and May 2006, possibly related to a recent outbreak in neighboring Ukraine. A total of 60 cases were identified, mostly in those over age 19. During the first phase of the outbreak, clusters of cases were noted in the southeastern provinces of Malopolskie, Lubelskie and Podkarpackie, bordering on Ukraine and Slovakia. Later in the outbreak, more cases were reported from the central and western provinces of Wielkopolskie, Mazowieckie, and Dolnoslaskie. As of June 2006, the number of cases appeared to be declining.

    An outbreak of H5N1 avian influenza ("bird flu") was reported from a poultry farm in Poland in May 2006, followed by several poultry outbreaks in the Mazowieckie region in December 2007. No human cases have been reported to date.

    Most travelers are at extremely low risk for avian influenza, since almost all human cases in other countries have occurred in those who have had direct contact with live, infected poultry, or sustained, intimate contact with family members suffering from the disease. The World Health Organization and the Centers for Disease Control do not advise against travel to countries affected by avian influenza, but recommend that travelers to affected areas should avoid exposure to live poultry, including visits to poultry farms and open markets with live birds; should not touch any surfaces that might be contaminated with feces from poultry or other animals; and should make sure all poultry and egg products are thoroughly cooked. A vaccine for avian influenza was recently approved by the U.S. Food and Drug Administration (FDA), but produces adequate antibody levels in fewer than half of recipients and is not commercially available. The vaccines for human influenza do not protect against avian influenza. Anyone who develops fever and flu-like symptoms after travel to Poland should seek immediate medical attention, which may include testing for avian influenza. For further information, go to the World Health Organization, Health Canada, the Centers for Disease Control, and ProMED-mail.

    An outbreak of trichinellosis was reported in July 2007 from West-Pomerania, a province in northwestern Poland bordering Germany. As of July 18, a total of 214 cases had been identified, including cases among travelers from Ireland and Germany. The outbreak was linked to consumption of contaminated pork products from a single meat processing plant. See Eurosurveillance for further information. Cases of trichinellosis in Poland have also been reported after consumption of wild boars (see ProMED-mail; March 2, 2003). All pork products should be fully cooked before consumption.

    A small number of cases of bovine spongiform encephalopathy ("mad cow disease") have been identified, but transmission to humans has not been reported to date. At present, the risk of acquiring variant CJD from European beef appears to be extraordinarily low, at most about one in 10 billion servings. The Centers for Disease Control does not advise against eating European beef, but suggests that travelers who wish to reduce their risk may either abstain from beef while in Europe or eat only solid pieces of muscle meat, such as steak, rather than products like sausage or chopped meat that might be contaminated. There is no evidence of any risk from pork, lamb, milk or milk products. For recent updates, go to ProMED-mail.

  • Other Infections You can't Edit

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    Other infections

    Lyme disease is occasionally reported from Poland. Lyme disease is a tick-borne infection which causes fever, headache, joint pains, body aches, and malaise, usually in association with an expanding red rash, often pale in the center (known as a bull's eye rash). If not treated in its early stages, the illness may be complicated by arthritis, meningitis, encephalitis, Bells palsy, or cardiac involvement. Tick precautions are recommended for travel to rural and forested areas, especially during the warm weather months.

    Diphtheria has been reported, mostly imported from countries in the former Soviet Union.

    Brucellosis is occasionally reported. Cattle, sheep, and goats are the most common sources of infection.

    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

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    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, and sea bass.

    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.

  • Tick Protection You can't Edit

    7

    Insect and Tick Protection

    Wear long sleeves, long pants, and boots, with pants tucked in when traveling to rural or forested areas. 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 and shoes. Permethrin-treated clothing appears to have little toxicity. Perform a thorough tick check at the end of each day with the assistance of a friend or a full-length mirror. Ticks should be removed with tweezers, grasping the tick by the head. Many tick-borne illnesses can be prevented by prompt tick removal.

  • General Advice You can't Edit

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    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.

    According to the U.S.State Department, "Polish immigration law requires travelers either to carry adequate medical insurance in case of accident or hospitalization while in Poland or to be able to document access to sufficient financial resources (at least 400 zlotys per day) to cover such medical emergencies. Failure to carry insurance or the inability to provide documentation of sufficient financial resources if requested may result in a traveler being denied admission to Poland."

    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

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    Ambulance and Emergency Services

    For an ambulance anywhere in Poland, call 999 (Polish-speaking dispatcher). The response time may be slow in rural areas. For a private ambulance service with an English-speaking dispatcher, call one of the following:

    • Falck: 200-0100
    • LuxMed: 0 801 80 08 08 or (22) 33 22 888 (mobile phone)
    • Medicover: 96-77

    In Warsaw, another option for ambulance service (adults only) is to call the Hospital of the Ministry of the Interior (ul. Woloska 137) at 022-508-1500.

  • Medical Facilities You can't Edit

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    Medical facilities

    Medical care is adequate for routine problems, but specialized treatment may not be available. Many physicians are well-trained, but hospital facilities are not comparable to those in Western Europe or North America. Emergency services may be limited, especially in small towns and rural areas. Many travelers go to one of the following private clinics:

    • Lux Med Ltd. (clinics in Warsaw, Lodz, Gdansk, Katowice, Cracow, Poznan, and Wroclaw; see website at http://www.luxmed.pl/en/ for addresses and phone numbers; 24-hour emergency assistance)
    • LIM Medical Centre (clinics in Warsaw, Cracow, Poznan, Wroclaw; see website at http://www.cm-lim.pl/ for addresses and phone numbers; 24-hour emergency assistance)
    • Damian Medical Centre (46 Walbrzyska Str., Warsaw; tel. 022 847 33 13, 853 16 44, 566-22-22; 022 319 06 06; website: http://www.damian.pl/en/
    • Medicover (24 hour emergency tel. 96 77; prepaid health plan; clinics in Warsaw, Cracow, Poznan, Wroclaw, Gdansk, Katowice, Gdynia, Lodz, and Szczecin; see website at http://www.medicover.com/pl/en/ for addresses and phone numbers)
    • Falck (clinics in Warsaw, Gdansk, Katowice, Cracow, Poznan, Lodz, and Szczecin; see website at http://www.falck.pl/ for addresses and phone numbers)

    For a list of other physicians and hospitals in Poland, go to the U.S. Embassy or the Canadian Embassy websites. Most doctors and hospitals will expect payment in cash, regardless of whether you have travel health insurance. Serious medical problems will require air evacuation to a country with state-of-the-art medical facilities.

  • Pharmacies You can't Edit

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    Pharmacies

    Quality control of pharmaceuticals is generally in accord with EU standards. There are a large number of well-supplied pharmacies in Poland. Most are owned by individual pharmacists, rather than by chains. Most medications available in Western Europe and North America are available in Poland, but often under different names. For further information on pharmaceuticals in Poland, go to the World Health Organization.

  • Travel with children You can't Edit

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    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.

    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.

    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

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    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. 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. Adequate fluid intake is essential.

  • Maps You can't Edit

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    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

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    Embassy/Consulate Location

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

    U.S. citizens are encouraged to register with the U.S. Embassy or the U.S. Consulate, where they can obtain updated information on travel and security within Poland. The U.S. Embassy in Warsaw is located at Aleje Ujazdowskie 29/31. The Consular Section entrance is located around the corner at Ulica Piekna 12, telelphone (48)(22) 628-3041, after-hours telelphone (48)(22) 625-0055, fax (48)(22) 625-0289. The U.S. Consulate General in Krakow is located at Ulica Stolarska 9, telephone (48)(12) 429-6655, fax (48)(12) 421-8292, after-hours cellular phone, 0601-483-348. A Consular Agency providing limited consular services in Poznan is located at Ulica Paderewskiego 7, telephone (48)(61) 851-8516, fax (48)(61) 851-8966. On-line registration is available at http://www.usinfo.pl/forms/regform.html.

  • Safety Information You can't Edit

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    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.

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