Volunteer Travel Guide China

China kept itself to itself for thousands of years, and foreigners still find it difficult to penetrate the inner depths of this fascinating and enigmatic country. There is a great deal to discover in this, the world's most populated country, with more than 1.3 billion citizens, and the third largest in the world territorially. What makes it attractive as a destination for Western tourists is its fascinating culture and valuable antiquities. Ruins and relics from Neolithic settlements and the dynastic reigns of the mighty emperors are there to behold, along with adventures along the legendary ancient trade routes, such as the Silk Road. The Forbidden Palace, Great Wall, and X'ian's Terracotta Army, are just some of the incredible attractions to be seen in this ancient Eastern empire.

The People's Republic of China has been under communist government since 1949, but is currently undergoing social and economic development. Emphasis is being placed on tourist facilities and infrastructure.

China is opening the doors to its wealth of historical and cultural treasures and visitors are flooding in to be amazed and awed.

Organised tours are still the favoured way to explore China, but independent travel is slowly becoming easier. The major cities, like Beijing and Shanghai, are modern metropolises offering fast food and glitzy stores alongside centuries-old historical buildings and traditional eating houses. Archaeological wonders vie with amazing architecture in the interior, while majestic mountains and remote monasteries crown the northern areas.

The Basics

Time:

Local time is GMT +8.

Electricity:

Electrical current is 220 volts, 50Hz. Plug types vary but the two-pin flat blade and oblique three-pin flat blade plugs are common. Adapters are generally required.

Language:

The official language is Mandarin Chinese, but there are hundreds of local dialects.

Health:

A yellow fever vaccination certificate is required from travellers coming from infected areas. There is a risk of malaria throughout the low-lying areas of the country, and it is recommended that travellers to China seek medical advice before departure. A total of 18 human cases of avian influenza ('bird flu') have been reported from China since November 2005. Twelve of the cases were fatal. Travellers are unlikely to be affected by bird flu, but live animal markets and places where contact with live poultry is possible should be avoided. All poultry and egg dishes should also be thoroughly cooked. Outbreaks of SARS (Severe Acute Respiratory Syndrome) are few and far between, although the last fatality was in 2008. Travellers are warned to remain vigilant against this viral disease. Japanese encephalitis has been responsible for the deaths of a number of people in the Shaanxi and Shanxi provinces in northern China, and rabies infects people every year, occasionally causing death. Outbreaks of dengue fever occur. A variant of hand, foot and mouth disease, an intestinal virus has also been prevalent in 2008, with children being at particular risk. Altitude sickness can occur in the mountainous regions of Tibet, Qinghai, parts of Xinjiang, and western Sichuan. Outside city centres, visitors should only drink bottled water. Western-style medical centres with international staff are available in the major cities and usually accept credit cards. Health insurance is recommended.

Tipping:

Tipping is not officially recognised, although the practice is becoming more common among travel guides, top-end restaurants, tour bus drivers and hotel staff. If wanting to tip leave a gratuity of 10%. Large hotels and restaurants often include a service charge in their bills, usually of about 10%.

Customs:

The Chinese have three names, the first of which is their surname, or family name. As a result visitors should be prepared for hotels mistakenly reserving rooms under their first names. For clarity surnames may be underlined. When addressing Chinese people the surname should come first and official titles should be used. Chinese handshakes last longer than those in western countries, and in conversation it is customary to stand close together. Politeness in Western terms is foreign to them, and they rarely bother with pleasantries. All foreigners should carry ID at all times as spot checks are common and failure to show evidence in ID will result in a fine or detention.

Business:

The Chinese are strict timekeepers and being late for a meeting is considered rude. When meeting people for the first time it is normal to shake hands and say 'ni hao', which means 'how are you'. Business cards are exchanged at the start of meetings in China and it is customary to have one side printed in Chinese and one in English. When giving or receiving business cards, or a gift, it is customary to hold it with both hands. Chinese consider gifts as an important show of courtesy. During a meal or reception your host is likely to offer a toast; you may be expected to offer him one in return. Business hours are 8am to 5pm, Monday to Saturday. A five-day week is more normal in larger cities. Workers take their lunch break between 12pm and 2pm and it is not unusual to find offices empty during this time.

Communications:

The international access code for China is +86. The outgoing code is 00 followed by the relevant country code (e.g. 0044 for the United Kingdom). The city code for Beijing is (0)10. International Direct Dialling is available in most cities. Phone cards are widely available and calls can be made from post offices and hotels; phone booths on the streets are usually for local calls only. In hotels, local calls are generally free or will be charged only a nominal fee. Mobile phone networks are very advanced. Operators use GSM 900 networks and have roaming agreements with most non-North American international operators. Internet cafes are available in most main towns.

Duty Free:

Travellers to China do not need to pay customs duty on 400 cigarettes (600 cigarettes if stay exceeds six months), two bottles of alcoholic beverages (not more than 0,75 litres per bottle), or four bottles if staying longer than six months. Perfume for personal use is allowed. Prohibited goods include arms and ammunition or printed material that conflicts with the public order or moral standards of the country. Also prohibited are radio transmitters and receivers, exposed but undeveloped film and fresh produce. Strict regulations apply to the import or export of antiquities, banned publications, and religious literature. All valuables must be declared on the forms provided.

Health

View information on diseases: SARS, Rabies, Malaria, Japanese encephalitis, HIV/AIDS and Sexually Transmitted Diseases, Dengue Fever

SARS

Cause: SARS coronavirus (SARS-CoV) - Virus identified in 2003. SARS-CoV is thought to be an animal virus from an as yet unknown animal reservoir that first infected humans in the Guangdong province of southern China in 2002.

Transmission: An epidemic of SARS affected 26 countries and resulted in over 8,000 cases in 2003. Since then, a small number of cases have occurred as a result of laboratory accidents or through animal-to-human transmission (Guangdong, China). Transmission of SARS-CoV is primarily from person-to-person. SARS-CoV is usually spread when symptomatic cases of SARS cough or sneeze expelling infected respiratory secretions either directly onto the mucus membranes (eyes, nose or mouth) of other people or onto nearby surfaces on which the virus may persist for up to several days without cleaning. Transmission of SARS-CoV occurs mainly during the second week of illness which corresponds to the peak of virus excretion in respiratory secretions and stool and when cases with severe disease start to deteriorate clinically.

Nature of the disease: Initial symptoms are flu-like and include fever, malaise, muscle aches and pains (myalgia), headache, and shivering (rigors). No individual symptom or cluster of symptoms has proven specific for a diagnosis of SARS. Although fever is the most frequently reported symptom, it may be absent on initial measurement. Cough (initially dry), shortness of breath and diarrhoea may be present in the first week but more commonly reported in the second week of illness. Severe cases develop rapidly progressing to respiratory distress and requiring intensive care. Up to 70% of SARS cases develop diarrhoea which has been described as large volume and watery without blood or mucus.

Clinical definition of SARS: A person with a history of fever or a measured fever (≥ 38°C) AND one or more symptoms of lower respiratory tract illness (cough, difficulty breathing, shortness of breath) AND radiographic evidence of lung infiltrates consistent with pneumonia or Acute Respiratory Distress Syndrome (ARDS), OR autopsy findings consistent with the pathology of pneumonia or ARDS without an identifiable cause. No alternative diagnosis can fully explain the illness.

Geographical distribution: The distribution is based on the 2002-2003 epidemic. The disease appeared in November 2002 in the Guangdong province of southern China. This area is considered as a potential zone of re-emergence of SARS-CoV. Other countries/areas in which chains of human-to-human transmission occurred after early importation of cases were Hong Kong Special Administrative Region and Taiwan in China, Toronto in Canada, Singapore and Hanoï in Viet Nam. In other countries, imported cases did not lead to local outbreaks.

Risk for travellers: Currently, no areas of the world are reporting person-to-person transmission of SARS. Since the end of the global epidemic in July 2003, six cases of SARS have been reported globally - two from laboratory accidents (Singapore and Taiwan) and four in southern China in whom the source of infection remains undetermined although there is circumstantial evidence of animal-to-human transmission. Should SARS re-emerge in epidemic form, the World Health Organisation (WHO) will provide guidance on the risk of travel to affected areas. Travellers should stay informed about current travel recommendations. However, even during the height of the 2003 epidemic, the overall risk of SARS-CoV transmission to travellers was low.

Prophylaxis (protective treatment): None.

Precautions: Follow travel recommendations if any are issued by WHO. Frequent hand washing. Source: WHO.

Rabies

Cause: The rabies virus, a rhabdovirus of the genus Lyssavirus.

Transmission: Rabies is a zoonotic disease affecting a wide range of domestic and wild animals, including bats. Infection of humans usually occurs through the bite of an infected animal. The virus is present in the saliva. Any other contact involving penetration of the skin occurring in an area where rabies is present should be treated with caution. In developing countries transmission is usually from dogs. Person-to-person transmission has not been documented.

Nature of the disease: An acute viral encephalomyelitis, which is almost invariably fatal. The initial signs include a sense of apprehension, headache, fever, malaise and sensory changes around the site of the animal bite. Excitability, hallucinations and aerophobia are common, followed in some cases by fear of water (hydrophobia) due to spasms of the swallowing muscles, progressing to delirium, convulsions and death a few days after onset. A less common form, paralytic rabies, is characterized by loss of sensation, weakness, pain and paralysis.

Geographical distribution: Rabies is present in animals in many countries worldwide. Most cases of human infection occur in developing countries.

Risk for travellers: In rabies-endemic areas, travellers may be at risk if there is contact with both wild and domestic animals, including dogs and cats.

Prophylaxis (protective treatment): Vaccination for travellers with a foreseeable significant risk of exposure to rabies or travelling to a hyperendemic area where modern rabies vaccine may not be available.

Precautions: Avoid contact with wild animals and stray domestic animals, particularly dogs and cats, in rabies-endemic areas. If bitten by an animal that is potentially infected with rabies, or after other suspect contact, immediately clean the wound thoroughly with disinfectant or with soap or detergent and water. Medical assistance should be sought immediately. The vaccination status of the animal involved should not be a criterion for withholding post-exposure treatment, unless the vaccination has been thoroughly documented and vaccine of known potency has been used. In the case of domestic animals, the suspect animal should be kept under observation for a period of 10 days.

Rabies post-exposure treatment: In a rabies-endemic area, the circumstances of an animal bite, other contact with the animal, and the animal's behaviour and appearance may suggest that it is rabid. In such situations, medical advice should be obtained immediately. Post-exposure treatment to prevent the establishment of rabies infection involves first-aid treatment of the wound followed by administration of rabies vaccine and antirabies immunoglobulin in the case of a bite or exchange of saliva. The administration of vaccine, and immunoglobulin if required, must be carried out, or directly supervised, by a physician. Source: WHO.

Malaria

General considerations: Malaria is a common and life-threatening disease in many tropical and subtropical areas. It is currently endemic in over 100 countries, which are visited by more than 125 million international travellers every year. Each year many international travellers fall ill with malaria while visiting countries where the disease is endemic, and well over 10,000 fall ill after returning home. Fever occurring in a traveller within three months of leaving a malaria-endemic area is a medical emergency and should be investigated urgently.

Cause: Human malaria is caused by four different species of the protozoan parasite Plasmodium: Plasmodium falciparum, P. vivax, P. ovale and P. malariae.

Transmission: The malaria parasite is transmitted by various species of Anopheles mosquitoes, which bite mainly between sunset and sunrise.

Nature of the disease: Malaria is an acute febrile illness with an incubation period of 7 days or longer. Thus, a febrile illness developing less than one week after the first possible exposure is not malaria. The most severe form is caused by P. falciparum, in which variable clinical features include fever, chills, headache, muscular aching and weakness, vomiting, cough, diarrhoea and abdominal pain; other symptoms related to organ failure may supervene, such as: acute renal failure, generalized convulsions, circulatory collapse, followed by coma and death. It is estimated that about 1% of patients with P. falciparum infection die of the disease. The initial symptoms, which may be mild, may not be easy to recognize as being due to malaria. It is important that the possibility of falciparum malaria is considered in all cases of unexplained fever starting at any time between the seventh day of first possible exposure to malaria and three months (or, rarely, later) after the last possible exposure, and any individual who experiences a fever in this interval should immediately seek diagnosis and effective treatment. Early diagnosis and appropriate treatment can be life-saving. Falciparum malaria may be fatal if treatment is delayed beyond 24 hours. A blood sample should be examined for malaria parasites. If no parasites are found in the first blood film but symptoms persist, a series of blood samples should be taken and examined at 6-12-hour intervals. Pregnant women, young children and elderly travellers are particularly at risk. Malaria in pregnant travellers increases the risk of maternal death, miscarriage, stillbirth and neonatal death. The forms of malaria caused by other Plasmodium species are less severe and rarely life-threatening. Prevention and treatment of falciparum malaria are becoming more difficult because P. falciparum is increasingly resistant to various antimalarial drugs. Of the other malaria species, drug resistance has to date been reported for P. vivax, mainly from Indonesia (Irian Jaya) and Papua New Guinea, with more sporadic cases reported from Guyana. P. vivax with declining sensitivity has been reported for Brazil, Colombia, Guatemala, India, Myanmar, the Republic of Korea, and Thailand. P. malariae resistant to chloroquine has been reported from Indonesia.

Geographical distribution: The risk for travellers of contracting malaria is highly variable from country to country and even between areas in a country. In many endemic countries of Latin America and the Caribbean, Asia and the Mediterranean region, the main urban areas, but not necessarily the outskirts of towns, are free of malaria transmission. However, malaria can occur in main urban areas in Africa and India. There is usually less risk of the disease at altitudes above 1,500 metres, but in favourable climatic conditions it can occur at altitudes up to almost 3,000 metres. The risk of infection may also vary according to the season, being highest at the end of the rainy season. There is no risk of malaria in many tourist destinations in South-East Asia, Latin America and the Caribbean. Source: WHO.

Japanese encephalitis

Cause: Japanese encephalitis (JE) virus, which is a flavivirus.

Transmission: The Japanese encephalitis virus is transmitted by various mosquitoes of the genus Culex. It infects pigs and various wild birds as well as humans. Mosquitoes become infective after feeding on viraemic pigs or birds.

Nature of the disease: Most infections are asymptomatic (e.g. cause no symptoms). In symptomatic cases, severity varies; mild infections are characterized by febrile headache or aseptic meningitis. Severe cases have a rapid onset and progression, with headache, high fever and meningeal signs. Permanent neurological sequelae are common among survivors. Approximately 50% of severe clinical cases have a fatal outcome.

Geographical distribution: Japanese encephalitis occurs in a number of countries in Asia and occasionally in northern Queensland, Australia.

Risk for travellers: Low for most travellers. Visitors to rural and agricultural areas in endemic countries may be at risk, particularly during epidemics of JE.

Prophylaxis (protective treatment): Vaccination, if justified by likelihood of exposure.

Precautions: Avoid mosquito bites. Source: WHO.

HIV/AIDS and Sexually Transmitted Diseases

The most important sexually transmitted diseases and infectious agents are HIV/AIDS, hepatitis B, syphilis, gonorrhoea, chlamydia infections, trichomoniasis, chancroid, genital herpes and genital warts.

Transmission: Infection occurs during unprotected sexual intercourse. Hepatitis B, HIV and syphilis may also be transmitted in contaminated blood and blood products, by contaminated syringes and needles used for injection, and potentially by unsterilized instruments used for acupuncture, piercing and tattooing.

Nature of the diseases: Most of the clinical manifestations are included in the following syndromes: genital ulcer, pelvic inflammatory disease, urethral discharge and vaginal discharge. However, many infections are asymptomatic. Sexually transmitted infections are a major cause of acute illness, infertility, long-term disability and death, with severe medical and psychological consequences for millions of men, women and children. Apart from being serious diseases in their own right, sexually transmitted infections increase the risk of HIV infection. The presence of an untreated disease (ulcerative or non-ulcerative) can increase by a factor of up to 10 the risk of becoming infected with HIV and transmitting the infection. On the other hand, early diagnosis and improved management of other sexually transmitted infections can reduce the incidence of HIV infection by up to 40%. Prevention and treatment of all sexually transmitted infections are therefore important for the prevention of HIV infection.

Geographical distribution: Worldwide. Sexually transmitted infections have been known since ancient times; they remain a major public health problem, which was compounded by the appearance of HIV/AIDS around 1980. An estimated 340 million episodes of curable sexually transmitted infections (chlamydial infections, gonorrhoea, syphilis, trichomoniasis) occur throughout the world every year. Viral infections, which are more difficult to treat, are also very common in many populations. Genital herpes is becoming a major cause of genital ulcer, and subtypes of the human papillomavirus are associated with cervical cancer.

Risk for travellers: For some travellers there may be an increased risk of infection. Lack of information about risk and preventive measures and the fact that travel and tourism enhance the probability of having sex with casual partners increase the risk of exposure to sexually transmitted infections. In some developed countries, a large proportion of sexually transmitted infections now occur as a result of unprotected sexual intercourse during international travel. In addition to transmission through sexual intercourse (both heterosexual and homosexual-anal, vaginal or oral), most of these infections can be passed on from an infected mother to her unborn or newborn baby. Hepatitis B, HIV and syphilis are also transmitted through transfusion of contaminated blood or blood products and the use of contaminated needles. There is no risk of acquiring any sexually transmitted infection from casual day-to-day contact at home, at work or socially. People run no risk of infection when sharing any means of communal transport (e.g. aircraft, boat, bus, car, train) with infected individuals. There is no evidence that HIV or other sexually transmitted infections can be acquired from insect bites.

Prophylaxis: There is a vaccination against hepatitis B. No prophylaxis is available for any of the other sexually transmitted diseases.

Precautions: Male or female condoms, when properly used, have proved to be effective in preventing the transmission of HIV and other sexually transmitted infections, and for reducing the risk of unwanted pregnancy. Latex rubber condoms are relatively inexpensive, are highly reliable and have virtually no side-effects. The transmission of HIV and other infections during sexual intercourse can be effectively prevented when high-quality condoms are used correctly and consistently. Studies on serodiscordant couples (only one of whom is HIV-positive) have shown that, with regular sexual intercourse over a period of two years, partners who consistently use condoms have a near-zero risk of HIV infection. A man should always use a condom during sexual intercourse, each time, from start to finish, and a woman should make sure that her partner uses one. A woman can also protect herself from sexually transmitted infections by using a female condom - essentially, a vaginal pouch, which is now commercially available in some countries. It is essential to avoid injecting drugs for non-medical purposes, and particularly to avoid any type of needle-sharing to reduce the risk of acquiring hepatitis, HIV, syphilis and other infections from contaminated needles and blood. Medical injections using unsterilized equipment are also a possible source of infection. If an injection is essential, the traveller should try to ensure that the needles and syringes come from a sterile package or have been sterilized properly by steam or boiling water for 20 minutes. Patients under medical care who require frequent injections, e.g. diabetics, should carry sufficient sterile needles and syringes for the duration of their trip and a doctor's authorization for their use. Unsterile dental and surgical instruments, needles used in acupuncture and tattooing, ear-piercing devices, and other skin-piercing instruments can likewise transmit infection and should be avoided.

Treatment: Travellers with signs or symptoms of a sexually transmitted disease should cease all sexual activity and seek medical care immediately. The absence of symptoms does not guarantee absence of infection, and travellers exposed to unprotected sex should be tested for infection on returning home. HIV testing should always be voluntary and with counselling. The sexually transmitted infections caused by bacteria, e.g. chancroid, chlamydia, gonorrhoea and syphilis, can be treated successfully, but there is no single antimicrobial that is effective against more than one or two of them. Moreover, throughout the world, many of these bacteria are showing increased resistance to penicillin and other antimicrobials. Treatment for sexually transmitted viral infections, e.g. hepatitis B, genital herpes and genital warts, is unsatisfactory due to lack of specific medication, and cure is difficult to achieve. The same is true of HIV infection, which in its late stage causes AIDS and is thought to be invariably fatal. Antiretroviral drugs cannot completely eradicate the HIV virus; treatment is expensive and complex and most countries have only a few centres that are able to provide it. Source: WHO.

Dengue Fever

Cause: The dengue virus - a flavivirus of which there are four serotypes.

Transmission: Dengue fever is transmitted by the Aedes aegypti mosquito, which bites during daylight hours. There is no direct person-to-person transmission. Monkeys act as a reservoir host in south-east Asia and west Africa.

Nature of the disease: Dengue occurs in three main clinical forms: Dengue fever is an acute febrile illness with sudden onset of fever, followed by development of generalized symptoms and sometimes a macular skin rash. It is known as "breakbone fever" because of severe muscular pains. The fever may be biphasic (i.e. two separate episodes or waves of fever). Most patients recover after a few days; Dengue haemorrhagic fever has an acute onset of fever followed by other symptoms resulting from thrombocytopenia, increased vascular permeability and haemorrhagic manifestations; Dengue shock syndrome supervenes in a small proportion of cases. Severe hypotension develops, requiring urgent medical treatment to correct hypovolaemia. Without appropriate treatment, 40-50% of cases are fatal; with timely therapy, the mortality rate is 1% or less.

Geographical distribution: Dengue fever is widespread in tropical and subtropical regions of central and south America and south and south-east Asia and also occurs in Africa; in these regions, dengue is limited to altitudes below 600 metres (2,000 feet).

Risk for travellers: There is a significant risk for travellers in areas where dengue fever is endemic and in areas affected by epidemics of dengue.

Prophylaxis (protective treatment): None.

Precautions: Travellers should take precautions to avoid mosquito bites both during the day and at night in areas where dengue occurs. Source: WHO.

Contacts

Visa Agencies

Travel Visa Pro, San Francisco, USA. 1-888-470-8472 or www.TravelVisaPro.com

Tourism

China National Tourism Administration (CNTA), Beijing: +86 (0)10 6520 1114 or www.cnta.gov.cn/lyen/index.asp

China Embassies

Chinese Embassy, Washington DC, United States: +1 202 328 2500.

Chinese Embassy, London, United Kingdom: +44 (0)20 7299 4049.

Chinese Embassy, Ottawa, Canada: +1 613 789 3434.

Chinese Embassy, Canberra, Australia: +61 (0)2 6273 4780.

Chinese Embassy, Pretoria, South Africa: +27 (0)12 431 6500.

Chinese Embassy, Dublin, Ireland: +353 (0)1 260 1119.

Chinese Embassy, Wellington, New Zealand: +64 (0)4 472 1382.

Foreign Embassies in China

United States Embassy, Beijing: +86 (0)10 6532 3831.

British Embassy, Beijing: +86 (0)10 5192 4000.

Canadian Embassy, Beijing: +86 (0)10 6532 3536.

Australian Embassy, Beijing: +86 (0)10 5140 4111.

South African Embassy, Beijing: +86 (0)10 6532 0171.

Irish Embassy, Beijing: +86 (0)10 6532 2691.

New Zealand Embassy, Beijing: +86 (0)10 6532 2731.

China Emergency Numbers

Emergencies: 110 (police); 120 (ambulance - Beijing)

Airports

Tribhuvan International Airport (KTM)

Location: The airport is situated four miles (6km) east of Kathmandu.
Time: GMT +5.45.
Contacts: Tel: +977 (0)1 470 274.
Transfer to the city: A pre-paid taxi service operates from immediately outside the arrival gate. Rates are exhibited on a board and the fare must be paid in advance. Local buses also serve the airport, the journey is 35 minutes and costs Rs40.
Car rental: Car rental companies are represented.
Facilities: Facilities include banks and bureau de change, shops, duty-free, snacks, Internet, post office and tourist information. The airport is well equipped with facilities for those with disabilities.
Departure Tax: Rs. 1,130 (international), Rs. 169.50 (domestic).
Website: www.tiairport.com

Climate

The Kathmandu Valley has a mild climate most of the year, situated at an altitude of 4,297ft (1,310m). Summer temperatures range from 67-81°F (19-27°C), and in winter temperatures are between 36 and 68°F (2-20°C). During the rainy monsoon season between June and August, there is an average rainfall of between 7.8-14.7 inches (200-375mm) in Kathmandu. May and June can be very hot and humid until the monsoon rains bring relief. In spring (March to April) and autumn (October to November) the temperatures are pleasant with occasional short bursts of rain, while November to February are dry, but can be very cold, especially at night.

Passport & Visa

Visa Agencies:

Avoid the stress and queues, get a visa agency to arrange your visa.
Travel Visa Pro, San Francisco, USA. 1-888-470-8472 or www.TravelVisaPro.com
Global Visas, London, UK. 0207 190 3903 or www.globalvisas.com

Entry requirements for Americans: United States citizens must have a passport and visa.

Entry requirements for UK nationals: British citizens must have a passport and visa.

Entry requirements for Canadians: Canadians must have a passport and visa.

Entry requirements for Australians: Australians must have a passport and visa.

Entry requirements for South Africans: South Africans must have a passport and visa.

Entry requirements for New Zealanders: New Zealand citizens must have a passport and visa.

Entry requirements for Irish nationals: Irish citizens must have a passport and visa.

Passport/Visa Note: Tourist visas can be issued on arrival to most nationalities. A 60-day visa costs US$30 and a 150-day/multiple-entry visa costs US$80. Tourist visas are valid for Kathmandu Valley, Pokhara Valley and Tiger Tops in Chitwan. Visitors intending to trek or visit other areas should obtain a permit from the Central Immigration Office.