India

How the Medical system works in India

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.

Being admitted to hospital in India

Despite reports of antibiotic-resistant bacteria in hospitals, in general travelers should not delay or avoid treatment for urgent or emergent medical situations.

For emergency services, dial 112 from a cell phone; from a land line, dial 100 for police, 102 for ambulance (108 in parts of South India), and 101 for fire. Ambulances are not equipped with state-of-the-art medical equipment, and traffic does not yield to emergency vehicles. Injured or seriously ill travelers may prefer to take a taxi or private vehicle to the nearest major hospital rather than wait for an ambulance. Most hospitals require advance payment or confirmation of insurance prior to treatment. Payment practices vary and credit cards are not routinely accepted for medical care.

Rh-negative blood may be difficult to obtain as it is not common in Asia.

Buying medication in India

If traveling with prescription medication, check with the government of India to ensure the medication is legal in India. Always, carry your prescription medication in original packaging with your doctor’s prescription.

Vaccinations in India

Be up-to-date on all vaccinations recommended by the U.S. Centers for Disease Control and Prevention.

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.

Dogs and bats create a high risk of rabies transmission in most of India. Vaccination is recommended for all prolonged stays, especially for young children and travelers in rural areas. It is also recommended for shorter stays that involve occupational exposure, locations more than 24 hours 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 (north India), and from June through November (the rainy season) in areas south of the Tropic of Cancer (south India), with a smaller peak from February through April; off-season transmission can also occur. All travelers are at risk. 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, Telangana, and Assam. For further information on pandemic influenza, please refer to the Department of State's 2009-H1N1, Pandemic Influenza, and H5N1 Fact Sheet.

Malaria prophylaxis depends on time of year and area the traveler is visiting. Please consult the CDC website for more information. Dengue fever presents 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 such as wearing long-sleeved shirts and mosquito repellent are recommended by the CDC.

Tuberculosis is an increasingly serious health concern in India. For further information, please consult the CDC’s Travel Notice on TB.

Zika is present in India. See the Centers for Disease Control’s website for more information.

Air quality in India

Air pollution is a significant problem in several major cities in India, and you should consult your doctor prior to travel and consider the impact seasonal smog and heavy particulate pollution may have on you. The air quality in India varies considerably and fluctuates with the seasons. It is typically at its worst in the winter. Anyone who travels where pollution levels are high is at risk. People at the greatest risk from particle pollution exposure include:

• Infants, children, and teens
• People over 65 years of age
• People with lung disease such as asthma and chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema
• People with heart disease or diabetes
• People who work or are active outdoors

Current air quality data can be found on the Embassy’s Air Quality page. The data on this site are updated hourly.