China (Tibet Region)
Locked away in its Himalayan fortress, Tibet has long exercised a 'Shangri-la' type hold on the imagination of the West. A 'Land of Snows', the 'Rooftop of the World' is mysterious in a way that few other places are. Tibet's strategic importance, straddling the Himalaya between China and the Indian subcontinent, made it irresistible to China, which invaded in 1950. But Tibetans have never had it easy. Theirs is an unforgiving environment, and human habitation has always been a precarious proposition. Even so, the deliberate cultural strangling inflicted by the Chinese government since 1950 rates as the harshest burden Tibet's native inhabitants have been forced to endure.Following virtual closure after the Chinese annexation of the Buddhist kingdom, Tibet was opened to foreign tourism in 1984. It was closed to all but tour groups in 1987 after an uprising by Tibetans in Lhasa, and reopened in 1992. Travel in Tibet comes with some ludicrous permit requirements. The present Chinese policy on individual tourism in Tibet seems to be one of extorting as much cash as possible from foreigners, but not so much as to scare them off completely.
The primary language(s): Tibetan and Chinese
Source: CIA World Factbook
The preventive measures you need to take while traveling in East Asia depend on the areas you visit and the length of time you stay. You should observe the precautions listed in this document in most areas of this region. However, in highly developed areas of Japan, Hong Kong, South Korea, and Taiwan, you should observe health precautions similar to those that would apply while traveling in the United States.
Travelers diarrhea, the number one illness in travelers, can be caused by viruses, bacteria, or parasites, which can contaminate food or water. Infections may cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites), fever (Typhoid fever and toxoplasmosis), or liver damage (hepatitis). Make sure your food and drinking water are safe.
Malaria is a serious, but preventable infection that can be fatal. Prevent this deadly disease by seeing your health care provider for a prescription antimalarial drug and by protecting yourself against mosquito bites. Travelers to some areas in China, Hong Kong S.A.R. (China), North Korea, and South Korea may be at risk for malaria. Travelers to malaria-risk areas in China, North Korea, and South Korea should take an antimalarial drug. The risk of malaria in Hong Kong S.A.R. is so limited that taking an antimalarial drug is not recommended. There is no risk of malaria in Japan, Taiwan, Macao S.A.R. (China), and Mongolia.
Dengue, filariasis, Japanese encephalitis, leishmaniasis, and plague are diseases carried by insects that also occur in this region. Protecting yourself against insect bites will help to prevent these diseases.
If you visit the Himalayan Mountains, ascend gradually to allow time for your body to adjust to the high altitude, which can cause insomnia, headaches, nausea, and altitude sickness. In addition, use sunblock rated at least SPF 15, because the risk of sunburn is greater at high altitudes.
There is no risk for yellow fever in East Asia. A certificate of yellow fever vaccination may be required for entry into certain of these countries if you are coming from countries in South America or sub-Saharan Africa. For detailed information, see Comprehensive Yellow Fever Vaccination Requirements. Also, find the nearest authorized U.S. yellow fever vaccine center.
CDC recommends the following vaccines (as appropriate for age):
See your doctor at least 46 weeks before your trip to allow time for shots to take effect.
- Hepatitis A or immune globulin (IG), except travelers to Japan.
- Hepatitis B, if you might be exposed to blood (for example, health-care workers), have sexual contact with the local population, stay longer than 6 months, or be exposed through medical treatment.
- Japanese encephalitis, only if you plan to visit rural areas for 4 weeks or more, except under special circumstances, such as a known outbreak of Japanese encephalitis.
- Rabies, if you might be exposed to wild or domestic animals through your work or recreation.
- Typhoid, particularly if you are visiting developing countries in this region.
- As needed, booster doses for tetanus-diphtheria and measles. Hepatitis B vaccine is now recommended for all infants and for children ages 1112 years who did not receive the series as infants.
- Drink only bottled or boiled water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes. If this is not possible, make water safer by BOTH filtering through an absolute 1-micron or less filter AND adding iodine tablets to the filtered water. Absolute 1-micron filters are found in camping/outdoor supply stores.
- If you visit an area where there is risk for malaria, take your malaria prevention medication before, during, and after travel, as directed. (See your doctor for a prescription.)
- Protect yourself from mosquito bites:
- Pay special attention to mosquito protection between dusk and dawn. This is when the type of mosquito whose bite transmits malaria is active.
- Wear long-sleeved shirts, long pants, and hats.
- Use insect repellents that contain DEET (diethylmethyltoluamide).
- Read and follow the directions and precautions on the product label.
- Apply insect repellent to exposed skin.
- Do not put repellent on wounds or broken skin.
- Do not breathe in, swallow, or get into the eyes (DEET is toxic if swallowed). If using a spray product, apply DEET to your face by spraying your hands and rubbing the product carefully over the face, avoiding eyes and mouth.
- Unless you are staying in air-conditioned or well-screened housing, purchase a bed net impregnated with the insecticide permethrin or deltamethrin. Or, spray the bed net with one of these insecticides if you are unable to find a pretreated bed net.
- DEET may be used on adults, children, and infants older than 2 months of age. Protect infants by using a carrier draped with mosquito netting with an elastic edge for a tight fit.
- Children under 10 years old should not apply insect repellent themselves. Do not apply to young children’s hands or around eyes and mouth.
- To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot.
Source: Centers for Disease Control and Prevention
China (Tibet Region)'s electrical current is 220/50 (volts/hz) and uses the plug adaptors listed to the right under Related Items. Many North American appliances are designed to operate only within the 100-125 volt range. These appliances will suffer damage if plugged into 220-250 volts without the proper transformer or converter.
To determine which plug adaptors you'll need and if you'll require a transformer or converter, use our Electrical Connection Wizard.
For a detailed discussion of international electrical standards, see our related article on Electrical and Phone Adaptation.
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