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).
Tajikistan is a developing nation in the lower half of the world's economies. Located west of China in central Asia, its climate varies by region. Its winters are cold and long, and its summers are typically cool and short.
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.
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)(2017) Malaria risk due predominantly to P. vivax exists from June through October particularly in southern areas (Khatlon Region), and in some central (Dushanbe), western (Gorno-Badakhshan Autonomous Region) and northern (Leninabad Region) areas.
- Recommended prevention in P. vivax only risk areas: B – Risk of P. vivax malaria only. Mosquito bite prevention plus chloroquine chemoprophylaxisa
- Recommended in southern risk areas near the border with Afghanistan: 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: Rare indigenous cases.
- Estimated relative risk of malaria for US travelers: Very low.
- Drug resistance4: Chloroquine.
- Malaria species: P. vivax 90%, P. falciparum 10%.
- Recommended chemoprophylaxis: Mosquito avoidance only.
4 Refers to P. falciparum malaria unless otherwise noted.
See also: Library article for Travelers' Diarrhea
High risk exists throughout the country, with moderate risk 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 Food-Borne Illnesses
Precautions to prevent brucellosis may be needed.
Insect- and Arthropod-Borne Diseases
Other Disease and Health Risks
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.
Consular Travel Advice
Due to violent crime and landmines, Australia (DFAT) advises reconsidering travel (or avoiding nonessential travel) to Gorno-Badakhshan Autonomous Region and areas bordering Afghanistan, Kyrgyzstan, and Uzbekistan. Canada (GAC) has a more limited warning. U.S. (DOS) and U.K. (FCO) have no current warnings.
Risk of attack by transnational terrorist groups exists throughout the country, especially in Dushanbe and areas bordering Afghanistan. Targets may include domestic and international organizations and businesses; public places and events, including those frequented by tourists; and transportation systems.
Risk of violent crime (armed robbery and sexual assault including verbal and physical harassment) and petty crime exists throughout the country, especially in Dushanbe.
Protests and demonstrations may infrequently occur and have the potential to turn violent without warning.
The border region with Afghanistan is a transit point for drugs and other smuggled goods. There have been incidents involving armed clashes between border forces and suspected criminal groups in the border regions with the Kyrgyz Republic and Uzbekistan.
Land mines are present in areas immediately adjoining the Afghan, Uzbek, and Kyrgyz borders.
High risk of traffic-related injury or death exists. The road-traffic death rate is 12 to 24 per 100,000 population. The rate is < 10 in most high-income countries. 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.
The rainy season is from December through March in northeastern areas and from May through October in southwestern areas. Floods, mudslides, and landslides may occur.
Avalanches, floods, mudslides, and landslides may occur from March through May, especially in high-altitude areas.
Seismic activity frequently occurs.
Selected Embassies or Consulates in Tajikistan
- United States: [+992] 37-229-2000; tj.usembassy.gov
- Canada: Canada does not have an embassy or consulate in Tajikistan.
- United Kingdom: [+992] 237-224-2221; www.gov.uk/world/organisations/british-embassy-dushanbe
- Australia: Australia does not have an embassy or consulate in Tajikistan.
Tajikistan's Embassies or Consulates in Selected Countries
- In the U.S.: www.tajemb.us
- In Canada: Tajikistan does not have an embassy or consulate in Canada.
- In the U.K.: www.tajembassy.org.uk
- In Australia: Tajikistan does not have an embassy or consulate in Australia.
HIV testing is not required to obtain a tourist, work, or residence visa.