The quality of medical care in India varies considerably.
Medical care in the major population centers approaches and occasionally meets Western standards, but adequate medical care is usually very limited or unavailable in rural areas.
If you are arriving in India from Sub-Saharan Africa or other yellow-fever areas, Indian health regulations require that you present evidence of vaccination against yellow fever.
If you do not have such proof, you could be subjected to immediate deportation or a six-day detention in the yellow-fever quarantine center.
If you transit through any part of sub-Saharan Africa, even for one day, you are advised to carry proof of yellow fever immunization.
Good information on vaccinations and other health precautions are available from the Centers for Disease Control and Prevention (CDC) or by calling the hotline for international travelers at 1-877-FYI-TRIP (1-877-394-8747).
Some vaccines such as Typhoid, Influenza, and Hepatitis A are recommended for all travelers, and other vaccines such as Hepatitis B, Japanese Encephalitis, and Rabies are recommended for high-risk travelers.
A high risk of rabies transmission exists in most of India with dogs and bats posing the most common threat.
Vaccination is recommended for all prolonged stays with a priority for young children and travelers in rural areas.
It is also recommended for shorter stays that involve occupational exposure; locations more than 24 hours' travel from a reliable source of human rabies immune globulin and rabies vaccine for post-exposure treatment; adventure travelers, hikers, cave explorers, and backpackers.
Monkeys also can transmit rabies and herpes B, among other diseases, to human victims.
Avoid feeding monkeys.
If bitten, you should immediately soak and scrub the bite for at least 15 minutes and seek urgent medical attention.
Influenza is transmitted from November to April in areas north of the Tropic of Cancer, and from June through November (the rainy season) in areas south of the Tropic of Cancer, with a smaller peak from February through April; off-season transmission can also occur.
All travelers are at increased risk.
The influenza vaccine is recommended for all travelers during the flu season.
Outbreaks of Avian Influenza (H5N1 virus) occur intermittently in eastern India, including West Bengal, Manipur, Sikkim, Andhra Pradesh, and Assam.
For further information on avian influenza (bird flu), please refer to the Department of State's Avian Influenza Fact Sheet.
Malaria prophylaxis depends on the time of year and area the traveler is visiting.
Please consult the CDC website for more information.
Dengue fever presents a significant risk in urban and rural areas.
The highest number of cases is reported from July to December, with cases peaking from September to October.
Daytime insect precautions are recommended.
For information about outbreaks of infectious diseases abroad, consult the World Health Organization (WHO).
The WHO website also contains additional health information for travelers, including detailed country-specific health information.
These websites provide useful information, such as suggested vaccinations for visitors to India, safe food and water precautions, appropriate measures to avoid contraction of mosquito-borne diseases (such as malaria and Japanese B encephalitis), suggestions to avoid altitude sickness, etc.
Further, these sites provide information on disease outbreaks that may arise from time to time.
Outbreaks of mosquito-borne viral diseases such as dengue fever and chikungunya occur in various parts of India each year.
You should check these sites shortly before traveling to India.
Further health information for travelers is available from the WHO.
Tuberculosis is an increasingly serious health concern in India.
For further information, please consult the CDC’s Travel Notice on TB.
For emergency services, dial 112 from a cell phone; from a landline, dial 100 for police, 102 for an ambulance (108 in