Entry requirements
Visitors to Egypt must hold passports valid for at least six months beyond their date of entry. Citizens of most countries also need visas.
Most nationalities, including British, Irish, Americans, Canadians, Australians, New Zealanders and EU citizens, can obtain visas on arrival at officially designated international airports and sea ports, but not at land borders. The process is generally painless and cheaper than getting a visa through an embassy or consulate, although visas issued on arrival are valid for one month only, whereas embassies issue single-visit and multiple-entry visas entitling you to stay in Egypt for three months (the latter allow you to go in and out of the country three times within this period). Visas are not available at overland border crossings or sea ports, apart from Sinai-only visas.
Visa applications can be made in person or by post. If applying in person, turn up early in the day. Postal applications take between seven working days and six weeks to process. Don’t be misled by statements on the application form indicating “valid for six months”; this simply means that the visa must be used within six months of the date of issue. When returning the form, you need to include a registered or recorded SAE, your passport, one photo and a postal or money order (not a personal cheque).
Getting a standard visa on arrival costs $15, irrespective of your nationality. The cost of getting a visa in advance of your trip varies according to your nationality, and from place to place. Some consulates may demand that you pay in US dollars instead of local currency, or ask you to supply extra photos. It’s wise to allow for all these eventualities.
Free Sinai-only visas (available to EU, North American and Australasian nationals) are issued at Taba on the Israel–Egypt border, at Sharm el-Sheikh and St Catherine’s airports, and at the sea ports at Sharm el-Sheikh and Nuweiba. They are valid for fourteen days only and restrict you to the Gulf of Aqaba coast down to Sharm el-Sheikh and the vicinity of St Catherine’s; they are not valid for Ras Mohammed, the mountains around St Catherine’s (except for Mount Sinai), or any other part of Egypt. They can’t be extended, and there’s no period of grace for overstaying.
In Egypt, carry your passport with you: you’ll need it to register at hotels, change money at banks, and possibly to show at police checkpoints. If travelling for any length of time, it may be worth registering with your embassy in Cairo, which will help speed things up if you lose your passport. At the least, it’s wise to photocopy the pages recording your particulars and keep them separately (or carry them in the street instead of your passport itself). If travelling to areas of the country that require permits (see Agents and operators), spare sets of photocopies are useful for producing with your application.
Visa extensions
Tourists who overstay their visa are allowed a fifteen-day period of grace in which to renew it or leave the country. After this, they’re fined £E150 unless they can present a letter of apology from their embassy (which may well cost more).
Visa extensions cost around £E11, and are obtainable from Al-Mugamma in Cairo or from passport offices in governorate capitals such as Alexandria, Luxor, Aswan, Suez, El-Tor, Mersa Matrouh and Ismailiya. Depending on how long you wish to extend by, and on the whim of the official, you may have to produce exchange or ATM receipts proving that you’ve cashed sufficient hard currency during your stay, and you’ll need to supply one or two photos. Procedures vary slightly from office to office, but shouldn’t take longer than an hour outside Cairo. Re-entry visas (to leave the country and then come back if you don’t already have a multiple entry visa) can be obtained at the same places as visa extensions.
Gay and lesbian travellers
As a result of sexual segregation, homosexuality is relatively common in Egypt, but attitudes towards it are schizophrenic. Few Egyptian men will declare themselves gay – which has connotations of femininity and weakness – and the dominant partner in gay sex may well not consider himself to be indulging in a homosexual act. Rather, homosexuality is tacitly accepted as an outlet for urges that can’t otherwise be satisfied. Despite this, people are mindful that homosexuality is condemned in the Koran and the Bible, and reject the idea of Egypt as a “gay destination” (although male prostitution is an open secret in Luxor and Aswan). The common term for gay men in Egyptian Arabic, khawal, has derogatory connotations.
Homosexuality is not illegal in Egypt, but that doesn’t stop the authorities from persecuting gay men, and places that are well known as gay locales have become dangerous for Egyptians. Foreigners seem to be safe from arrest, but if you have a gay relationship with an Egyptian man, be aware that discretion is vital. Lesbians do not face this kind of state harassment, but they have never been visible in Egyptian society. As a Western woman, your chances of making contact are virtually zilch.
Health
Changes of diet and climate accounts for most visitors’ health problems, usually nothing worse than a bout or two of diarrhoea. Some people adapt quickly, others take longer, especially children and older people. If you’re only here for a week or two, it makes sense to be cautious, while for longer-staying visitors it is worth trying to acclimatize.
Unless you’re coming from an area where yellow fever is endemic (mainly sub-Saharan Africa), there are no compulsory inoculations for Egypt, though you should always be up to date with polio and tetanus, if not typhoid (which occasionally flares up in parts of Egypt). For vaccination clinics see w masta.org (in Britain), w cdc.gov/travel (US), w csih.org (Canada) or w tmvc.com.au (Australia, New Zealand and South Africa).
HEALTH HAZARDS
Tap water in Egyptian towns and cities is heavily chlorinated and mostly safe to drink, but is unpalatable and rough on tender stomachs. In rural areas, Sinai campsites and desert rest-houses there’s a fair risk of contaminated water. Consequently, most tourists stick to bottled mineral water, which is widely available and tastes better. However, excessive fear of tap water is unjustified and hard to sustain in practice if you’re here for long. Once your stomach has adjusted, it’s usually okay to drink it without going to the hassle of purifying it (which you can do with Halazone tablets or iodine, or by boiling it).
What you should avoid is any contact with stagnant water that might harbour bilharzia (schistosomiasis) flukes. These minute worms, which breed in the blood vessels of the abdomen and liver (the main symptom is blood in the urine), infest irrigation canals and the slower stretches of the Nile. Don’t drink or swim there, nor walk barefoot in the mud, or even on grass that’s wet with Nile water. The saline pools of desert oases are fine to bathe in.
Heat and dust
Many visitors experience problems with Egypt’s intense heat, particularly in the south, in summer and in the middle of the day (going out in the early morning and late afternoon is better). Wear a hat and loose-fitting clothes (preferably not synthetic fabrics), and a high-factor sunscreen to protect from sunburn, especially in summer. Wear a T-shirt when snorkelling, for the same reason. Sprinkling water on the ground cools the surrounding area by evaporation, and also levels the dust.
Because sweat evaporates immediately in the dry atmosphere, you can easily become dehydrated without realizing it. Dehydration is exacerbated by both alcohol and caffeine. Drink plenty of other fluids (at least three litres per day; more if you’re exerting yourself) and take a bit of extra salt with your food.
Heat exhaustion
– signified by headaches, dizziness and nausea – is treated by resting in a cool place and drinking plenty of water or juice with a pinch of salt. An intense headache, heightened body temperature, flushed skin and the cessation of sweating are symptoms of heatstroke, which can be fatal if not treated immediately. The whole body must be cooled by immersion in tepid water, or the application of wet towels, and medical assistance should be sought. If walking long distances in the sun, it is vital to carry drinking water. A sunhat can be drenched with water, wrung to stop it dripping, and worn wet so that the evaporation cools your head – you’ll be amazed how quickly it dries out. Less seriously, visitors may suffer from prickly heat, an itchy rash caused by excessive perspiration trapped beneath the skin. Loose clothing and frequent bathing can reduce it.
Desert dust – or grit and smog in Cairo – can irritate your eyes. Contact-lens users may find switching to glasses helps. If ordinary eye drops don’t help, try antihistamine decongestant eye drops such as Vernacel, Vascon-A or Optihist. Persistent irritation may indicate trachoma, a contagious infection which is easily cured by antibiotics at an early stage, but eventually causes blindness if left untreated. Dust can also inflame sinuses. Covering your nose and mouth with a scarf helps prevent this; olbas oil or a nasal decongestant spray can relieve symptoms.
Digestive complaints
Almost every visitor to Egypt gets diarrhoea at some stage. Rare meat and raw shellfish top the danger list, which descends via creamy sauces down to salads, juices, raw fruit and vegetables. Visitors who insist on washing everything (and cleaning their teeth) in mineral water are overreacting. Just use common sense, and accustom your stomach gradually to Egyptian cooking. Asking for dishes to be served very hot (sukhna awi) will reduce the risk of catching anything.
If you have diarrhoea, the best initial treatment is to simply adapt your diet, eating plain boiled rice and vegetables, while avoiding greasy or spicy food, caffeine, alcohol and most fruit and dairy products (although some say that bananas and prickly pears can help, while yogurt provides a form of protein that your body can easily absorb). Most importantly, keep your bodily fluids topped up by drinking plenty of bottled water. Especially if children are affected, you may also want to add rehydration salts (brands include Rehydran) to the water, or failing that, half a teaspoon of salt and eight of sugar in a litre of water will help the body to absorb the fluid more efficiently.
Drugs like Imodium or Lomotil can plug you up if you have to travel, but undermine your body’s efforts to rid itself of infection. Avoid Enterovioform, which is still available in Egypt despite being suspected of damaging the optic nerve. Antinal (nifuroxazide) is widely prescribed against diarrhoea in Egypt and available over the counter in pharmacies. Note that having diarrhoea may make orally administered drugs (such as contraceptive pills) less effective, as they can pass straight through you without being absorbed.
If symptoms persist longer than a few days, or if you develop a fever or pass blood in your faeces, get medical help immediately, since acute diarrhoea can also be a symptom of dysentery, cholera or typhoid.
Rabies and malaria
Rabies is endemic in Egypt, where many wild animals (including bats, sometimes found in temples, tombs and caves) carry the disease. Avoid touching any strange animal, wild or domestic. Treatment must be given between exposure to the disease and the onset of symptoms; once these appear, rabies is invariably fatal. If you think you’ve been exposed, seek help immediately.
Malaria, spread by the anopheles mosquito, exists in the Fayoum in summer, but you won’t need malaria pills unless you’re staying in that area for a while. You should nevertheless take extra steps to avoid mosquito bites in the Fayoum – use repellent and cover bare skin, especially feet and ankles, after dusk (see Mosquitoes and other bugs).
Even without malaria, mosquitoes are a nuisance, ubiquitous in summer and never entirely absent. Fans, mosquito coils, repellent and plug-in vaporizers (sold at pharmacies) all help. A lot of Egyptians use citronella oil, obtainable from many pharmacies, as a repellent, but tests have shown it to be less effective (and to require more frequent applications) than repellents containing DEET (diethyltoluamide), which are the ones recommended by medical authorities. Don’t forget to put repellent on your feet and ankles if they are uncovered when you go out in the evening. The best guarantee of a bite-less night’s sleep is to bring a mosquito net.
Flies transmit various diseases, and only insecticide spray or air conditioning offer protection. Some cheap hotels harbour fleas, scabies, mites, cockroaches and other bugs. Consult a pharmacist if you find yourself with a persistent skin irritation.
Scorpions and snakes
The danger from scorpions and snakes is minimal, as most are nocturnal and avoid people, but don’t go barefoot, turn over rocks or stick your hands into dark crevices anywhere off the beaten track. Whereas the sting of larger, darker scorpions is no worse than a bad wasp sting, the venom of the pale, slender-clawed fat-tailed scorpion (Androctonus australis and a few related species) is highly toxic. If stung, cold-pack the affected area and seek medical help immediately. Photographs of the most danegrous species, plus sound information and advice can be found on the Scorpion Venom website at w web.singnet.com.sg/~chuaeecc/venom/venom.htm.
Egypt has two main types of poisonous snake: vipers and cobras. Vipers vary in colour from sandy to reddish (or sometimes grey) and leave two-fang punctures. The horned viper, Egypt’s deadliest snake, is recognizable by its horns. Cobras have a distinctive hood and bite mark (a single row of teeth plus fang holes). The smaller Egyptian cobra (coloured sandy olive) is found throughout the country, the longer black-necked cobra (which can spit its venom up to three metres) only in the south.
All snakebites should be washed immediately. Try not to move the affected body part, get immediate medical help, and stay calm, as panicking sends the venom through your bloodstream more quickly.
HIV and AIDS
Levels of HIV infection are low in Egypt but so is AIDS awareness – even among those involved in sex tourism, an industry catering to Western women or gays (in Luxor, Aswan and Hurghada) and male Gulf Arabs (in Cairo). Pharmacies in these cities, plus a few outlets in Sinai, are the only places in Egypt sure to sell condoms (kabout) – Egyptian brands such as Sportex are cheaper but less reliable than imported Durex. It’s best to bring your own supply.
Women’s health
Travelling in the heat and taking antibiotics for an upset stomach make women much more susceptible to vaginal infections. The best precautions are to wash regularly with mild soap, and wear cotton underwear and loose clothing. Yeast infections can be treated with Nystatin pessaries (available at pharmacies), “one-shot” Canesten pessaries (bring some from home if you’re prone to thrush), or douches of a weak solution of vinegar or lemon juice. Sea bathing can also help. Trichomonas is usually treated with Flagyl, which should only be taken under medical supervision.
Bring your own contraceptives, since the only forms widely available in Egypt are old-fashioned, high-dosage pills, the coil, and not too trusty condoms. Cap-users should pack a spare, and enough spermicide and pessaries. Note that persistent diarrhoea can render the pill ineffective. Sanitary protection is available from pharmacies in cities and tourist resorts, but seldom anywhere else, so it’s wise to bring a supply for your trip.
Medical services in Egypt
Egyptian pharmacists are well trained, usually speak English and can dispense a wide range of drugs, including many normally on prescription. If necessary, they can usually recommend a doctor – sometimes on the premises.
Private doctors are just as common as pharmacies, and most speak English or French. They charge for consultations: expect to pay about £E100–200 a session, which doesn’t include drugs, but should cover a follow-up visit. There is a call-out charge for private and public ambulances (t 123).
If you get seriously ill, hospitals (mustashfa) that are privately run are generally preferable to public-sector ones. Those attached to universities are usually well-equipped and competent, but small-town hospitals are often abysmal. Private hospitals usually require a cash deposit of at least £E150 (it can go as high as £E1500) to cover the cost of treatment, and often require payment on the spot; you will then have to claim it back from your insurance provider. Despite several good hospitals in Cairo and Alexandria, Egypt is not a country to fall seriously ill in. In particular, if you need surgery, it’s best to get back home for it if you can.
Hiring guides
Professional guides can be engaged through branches of Misr Travel or American Express, local tourist offices and large hotels, and on the spot at sights such as the Egyptian Antiquities Museum in Cairo and the Pyramids of Giza. They normally charge a fixed hourly rate, and a tip is also expected.
Guides can be useful at major sites, like the Valley of the Kings, where they will be able to ease your way through queues at the tombs. If you feel intimidated by the culture, too, you might welcome an intermediary for the first couple of days’ sightseeing. In general, however, and armed with this book, you shouldn’t need a guide.
At ancient sites, there are always plenty of hangers-on posing as “guides”, who will offer to show you “secret tombs” or “special reliefs” or just present themselves in tombs or temples, with palms outstretched. They don’t have a lot to offer you, and encouraging them makes life more difficult for everyone else.
On the other hand, especially in small towns or villages, you may meet local people, often teenagers, who genuinely want to help out foreigners, and maybe practise their English at the same time. They may offer to lead you from one taxi depot to another, or show you the way to the souks or to a local site. Most people you meet this way don’t expect money and you could risk offence by offering – if they want money, they won’t be shy about asking.