EHIC works, care is decent in Riga and thinner outside it, and tick-borne encephalitis is genuinely worth a vaccination conversation.
Cover
- EU and EEA visitors: carry your EHIC. UK visitors: the GHIC does the same job. Neither is travel insurance.
- Latvia's state system involves co-payments that you will be asked for at the point of care, even with an EHIC.
- Travel insurance still matters for repatriation and private clinics, and Riga has good private care that is quick and reasonably priced.
Ticks
- Latvia is one of Europe's higher-risk countries for tick-borne encephalitis. The season runs roughly April to October.
- The vaccine is worth discussing with a travel clinic, especially for hiking, camping or any time in the forests - which is most of Latvia.
- Lyme disease is the commoner infection. Cover up in long grass and woodland, use repellent, check yourself daily.
- Remove a tick promptly with fine tweezers, straight out, without twisting.
Everyday health
- Tap water is safe to drink in Riga and the main towns. In very rural areas with private wells, ask.
- Pharmacies (aptieka) are well stocked and pharmacists advise on minor problems.
- Care is good in Riga, more limited elsewhere - the major hospitals are in the capital.
- Bring enough prescription medicine for the trip plus a margin, in original packaging with a copy of the prescription.
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