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General Map

General map of São Tomé and Príncipe

Medical Summary

The health risk information presented here is summarized from Shoreland Travax®, a decision-support tool used by health care providers to perform a detailed health risk analysis based on specific locations, individual travel styles, and traveler risk behaviors. Travax provides practitioners current, independently researched malaria risk and prevention recommendations in a map-based format that goes beyond the annual WHO and CDC statements included here. Not included here are current reports from Travax of disease outbreaks or environmental events that may pose elevated risks to travelers’ health and safety. The Providers section of this site offers a directory of health care providers who utilize Shoreland Travax for travel health counseling. Learn more about the detailed reports and maps available from these practitioners (includes links to samples).

General Information

São Tomé and Príncipe is a developing nation in the lower half of the world's economies. Located in the Gulf of Guinea (west of Africa), the climate is classified as humid equatorial (short dry season).

Immunizations

Yellow Fever

See also: Library article for Yellow Fever

An official yellow fever vaccination certificate may be required depending on your itinerary. Vaccination is usually recommended if you’ll be traveling in areas where there is risk of yellow fever transmission.

  • Requirement: A vaccination certificate is required for travelers aged ≥ 1 year coming from countries with risk of YF transmission. This also applies to all airport transit stops in risk countries.

Other Vaccines

Depending on your itinerary, your personal risk factors, and the length of your visit, your health care provider may offer you vaccination against hepatitis A, hepatitis B, influenza, measles, mumps, rubella, rabies, or typhoid fever. Routine immunizations, such as those that prevent tetanus/diphtheria or "childhood" diseases, should be reviewed and updated as needed.

Malaria

See also: Library article for Malaria

The following is current information as reported by the World Health Organization (WHO) and the U.S. Centers for Disease Control (CDC):

WHO—International Travel and Health (current online update, Country List)

(2018) Malaria risk due predominantly to P. falciparum exists throughout the year in the entire country.
  • Recommended prevention in risk areas: C – Risk of P. falciparum malaria, in combination with reported chloroquine and sulfadoxine–pyrimethamine resistance. Mosquito bite prevention plus atovaquone–proguanil or doxycycline or mefloquine chemoprophylaxis (select according to reported side effects and contraindications) a
    aAlternatively, for travel to rural areas with low risk of malaria infection, mosquito bite prevention can be combined with stand–by emergency treatment (SBET).

WHO Country List footnote: When available, the date of the most recent update or confirmation is indicated in parentheses in the country list. If no date is indicated, the most recent update or confirmation was provided before 2013.

CDC—Health Information for International Travel (current online edition)

Areas with malaria: All.
  • Estimated relative risk of malaria for US travelers: Very low.
  • Drug resistance4: Chloroquine
  • Malaria species: P. falciparum 85%; P. malariae, P. ovale, and P. vivax 15% combined.
  • Recommended chemoprophylaxis: Atovaquone-proguanil, doxycycline, or mefloquine.
    4 Refers to P. falciparum malaria unless otherwise noted.

Other Concerns

Travelers' Diarrhea

See also: Library article for Travelers' Diarrhea

High risk exists throughout the country, including in deluxe accommodations. Food and beverage precautions may reduce the likelihood of illness.

Travelers should carry loperamide for self-treatment of diarrhea and, if risk is moderate to high, an antibiotic to add if diarrhea is severe. Consult a knowledgeable health care provider regarding which antibiotic is appropriate for you and most effective for your destination.

Other Disease and Health Risks

Additional concerns include marine hazards, schistosomiasis, snakebites, tuberculosis.

Consular Advice

The material below includes information from the U.S. Department of State (DOS), U.K. Foreign & Commonwealth Office (FCO), Global Affairs Canada (GAC), and Australia's Department of Foreign Affairs and Trade (DFAT), as well as from additional open-source material. Standard safety precautions that apply to all international travel can be found in the Library article Safety and Security.

Terrorism Risk

No intrinsic risk of attack by terrorist groups exists, but unforeseen attacks are possible.

Crime

Low risk of violent crime (armed robbery, home invasion, sexual assault, carjacking, and murder) exists throughout the country.

Risk of petty crime exists throughout the country, especially in markets, near hotels, and on beaches.

Civil Unrest

Protests and demonstrations may infrequently occur and have the potential to turn violent without warning.

Water Safety

Rent water sports equipment from reputable operators. Scuba dive only with personnel certified by PADI or NAUI, and use equipment only from PADI- or NAUI-certified dive operators.

Transportation Safety

Significant risk of traffic-related injury or death exists. The road-traffic death rate is greater than 24 per 100,000 population, the highest risk category. Carefully assess the safety of transportation options before any road travel. Speed laws are poorly enforced. Driving at night is not advised. Seek local advice before traveling on roads outside urban areas after dark.

Traffic flows on the right-hand side of the road. Travelers (including drivers and pedestrians) accustomed to traffic moving on the opposite side should be vigilant when navigating traffic.

Many taxis are unsafe. Use taxis from official ranks or dispatched via smart phone app or radio from a reputable company and ascertain the license or identification number of the dispatched vehicle.

Consular Information

Selected Embassies or Consulates in São Tomé and Príncipe

  • United States: The U.S. does not have an embassy or consulate in São Tomé and Príncipe.
  • United Kingdom: U.K. does not have an embassy or consulate in São Tomé and Príncipe.
  • Canada: Canada does not have an embassy or consulate in São Tomé and Príncipe.
  • Australia: Australia does not have an embassy or consulate in São Tomé and Príncipe.

São Tomé and Príncipe's Embassies or Consulates in Selected Countries

  • In the U.S.: São Tomé and Príncipe does not have an embassy or consulate in the U.S.
  • In Canada: São Tomé and Príncipe does not have an embassy or consulate in Canada.
  • In the U.K.: [+44] 20-8788-6139
  • In Australia: São Tomé and Príncipe does not have an embassy or consulate in Australia.

Visa/HIV Testing

HIV testing is not required to obtain a tourist, work, or residence visa.