At least 8 weeks before your trip, check the latest country-specific health advice from the National Travel Health Network and Centre (NaTHNaC) on the TravelHealthPro website. Each country-specific page has information on vaccine recommendations, any current health risks or outbreaks, and factsheets with information on staying healthy abroad. Guidance is also available from NHS (Scotland) on the FitForTravel website.

General information on travel vaccinations and a travel health checklist is available on the NHS website. You may then wish to contact your health adviser or pharmacy for advice on other preventive measures and managing any pre-existing medical conditions while you’re abroad.

The legal status and regulation of some medicines prescribed or purchased in the UK can be different in other countries. If you’re travelling with prescription or over-the-counter medicine, read this guidance from NaTHNaC on best practice when travelling with medicines. For further information on the legal status of a specific medicine, you’ll need to contact the embassy, high commission or consulate of the country or territory you’re travelling to.

Health facilities in North Korea are poor. Standards of clinical hygiene in hospitals are low. Anaesthetics are sometimes unavailable. Evacuation is likely to be necessary for serious illness or injury. Avoid surgery if at all possible. Facilities for dental treatment are also poor.

Make sure you take sufficient supplies of any medication that you may need. Most foreign-manufactured medicines aren’t available. Even when they are, they’re sometimes out of date and inappropriately prescribed. Local medical supplies, including oriental medicines exist, but can also be limited.

Make sure you have adequate travel health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation. If you’re participating in any sporting activities like running, skiing or cycling, make sure this is covered in your insurance

Japanese encephalitis occurs in North Korea, especially during the summer. Cholera also occurs and all water is a potential health risk. You should drink or use only boiled or bottled water and avoid ice in drinks. There is also a prevalence of tuberculosis.