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    Travel vaccinations

    I'm sure that there are many well travelled folk here on Munsterfans and I'm seeking some travel vaccination advice.
    My young lad is on the Irish School Debating team and they are off to the World Championships in Thailand (Bangkok) this summer (it was to be in Sri Lanka - but the bombings forced a change) They are also doing a warm-up week in Chennai, India beforehand. He's getting the recommended shots: Tetanus, Typhoid, Hep A etc.

    But I'm wondering about the optionals (as listed on the Tropical Medical Bureau website)
    Malaria
    Rabies
    Hep B
    Meningococal meningitis
    Cholera

    Don't really want him getting ones he doesn't really need (not because of cost - but as they are all administered on the same day, would prefer to keep it to essentials) If any of you kind folks have been to these regions, I'd appreciate any insights. He'll be in urban environments/hotels etc, so for example, maybe rabies shots aren't particularly necessary?
    Last edited by Valencia; 3rd-June-2019, 13:55.
    Con Artist

    #2
    I can only remember getting two in advance of a trip to Singapore and Bangkok about 15 or so years ago, and unfortunately I'm not 100% sure what one of them was - might have been for malaria, but I've a vague memory that that one was only recommended at the time if I had plans to spend a fair bit of time in the countryside, which I didn't. So I think that one was more likely to have been for typhoid.

    The other one which I definitely remember getting was for yellow fever. That did give me some mild symptoms for two or three days, mainly of fever/sweating and some general muscle discomfort, but no nausea etc. Annoyingly, because of how far in advance I had to get the jabs, those few days of symptoms coincided with the interview for a job I'd been interested in, which meant I had to answer questions and deliver a presentation as the sweat streamed down my face and soaked through my shirt, prompting one of the panellists to ask if I was quite alright. I got reserve, dagnabbit!! So he should make sure that the two or three days after getting the jab won't clash with something important.

    People talk about "Delhi belly" affecting those visiting India - from what I've heard, that can be hard to avoid so probably best he brings the imodium and some spare underwear regardless.
    Tis but a scratch.

    Comment


      #3
      Union Quay Medical Centre - Cork, (021) 431 0311, they specialise in vaccinations , i had a query a few months ago , rang them and they told me i didn't need one as long as i was not going to the countryside , worth giving them a call

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        #4
        Cheers lads. Appreciate it
        Con Artist

        Comment


          #5
          I wouldn’t take anything for Thailand, had malaria tablets when I was there and they messed my head up so stopped taking them, and hadn’t been bitten anyway, could be dependent on time of year and I was in a few rural spots, no way you need it for Bangkok.



          India though not a clue.

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            #6
            Originally posted by lawrence View Post
            I wouldn’t take anything for Thailand, had malaria tablets when I was there and they messed my head up so stopped taking them, and hadn’t been bitten anyway, could be dependent on time of year and I was in a few rural spots, no way you need it for Bangkok.



            India though not a clue.
            I would suggest in Bangkok you need a different type of protection

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              #7
              Originally posted by mac22 View Post

              I would suggest in Bangkok you need a different type of protection
              Thailand is a great place, and mad in a very calm way, you become very accustomed to seeing ladyboys, not that they are everywhere, but they sure ain’t rare
              its just normal,

              At first it’s weird when the lad making you a coffee in the morning or taking your order for lunch can still have their hair done from the night before and a load of make up still on but nobody takes any notice.

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                #8
                https://www.who.int/ith/ith-country-list.pdf?ua=1


                THAILAND
                Yellow fever (2018) Country requirement at entry: a yellow fever vaccination certificate is required for travellers aged 9 months or over arriving from countries with risk of yellow fever transmission and for travellers having transited through an airport of a country with risk of yellow fever transmission.
                WHO vaccination recommendation: no

                Malaria (2018) Malaria risk exists throughout the year in rural (especially forested and hilly) areas of the country, mainly toward the international borders, including the southernmost provinces. There is no risk in cities (e.g. Bangkok, Chiang Mai, and Pattaya), urban areas, Samui Island, and the main tourist resorts of Phuket Island. However, there is a risk in some other areas and islands. P. falciparum resistance to mefloquine and to quinine has been reported from areas near the borders with Cambodia and Myanmar. Artemisinin resistance has been reported near the border with Myanmar. P. vivax resistance to chloroquine has been reported. Human P. knowlesi infection has been reported.
                WHO recommended prevention in risk areas: A; in areas near Cambodia and Myanmar borders: C

                INDIA

                Yellow fever (2018) Country requirement at entry:
                anyone (except infants up to the age of 9 months) arriving by air or sea without a yellow fever vaccination certificate is detained in isolation for up to 6 days if that person (i) arrives within 6 days of departure from an area with risk of yellow fever transmission, or (ii) has been in such an area in transit (except those passengers and members of the crew who, while in transit through an airport situated in an area with risk of yellow fever transmission, remained within the airport premises during the period of their entire stay and the Health Officer agrees to such exemption), or (iii) arrives on a ship that started from or touched at any port in an area with risk of yellow fever transmission up to 30 days before its arrival in India, unless such a ship has been disinsected in accordance with the procedure laid down by WHO, or (iv) arrives on an aircraft that has been in an area with risk of yellow fever transmission and has not been disinsected in accordance with the Indian Aircraft Public Health Rules, 1954, or as recommended by WHO. Countries and areas regarded as having risk of yellow fever transmission are, in Africa: Angola, Benin, Burkina Faso, Burundi, Cameroon, Central African Republic, Chad, Congo, Côte dʼIvoire, Democratic Republic of the Congo, Equatorial Guinea, Ethiopia, Gabon, Gambia, Ghana, Guinea, Guinea-Bissau, Kenya, Liberia, Mali, Mauritania, Niger, Nigeria, Rwanda, Senegal, Sierra Leone, Sudan, South Sudan, Togo, and Uganda; and in the Americas: Argentina, Bolivia, Brazil, Colombia, Ecuador, French Guiana, Guyana, Panama, Paraguay, Peru, Suriname, Trinidad and Tobago (Trinidad only), and Venezuela (Bolivarian Republic of). Note: When a case of yellow fever is reported from any country, that country is regarded by the Government of India as a country with risk of yellow fever transmission and is added to the above list.
                WHO vaccination recommendation: no

                Malaria (2018)
                Malaria risk due to P. falciparum (40-50%) and P. vivax (50-60%) exists throughout the year in the entire country below 2000 m. There is no transmission in parts of the states of Himachal Pradesh, Jammu and Kashmir, and Sikkim. Risk of P. falciparum malaria is relatively higher in the northeastern states, in the Andaman and Nicobar Islands, Chhattisgarh, Gujarat, Jharkhand, Karnataka (with the exception of the city of Bangalore), Madhya Pradesh, Maharasthra (with the exception of the cities of Mumbai, Nagpur, Nasik, and Pune), Orissa, and West Bengal (with the exception of the city of Kolkata).
                WHO recommended prevention in risk areas: C

                Other country requirement(s) (2018)
                Proof of oral polio vaccination at least 4 weeks before departure for resident national travellers from polioendemic countries (Afghanistan, Nigeria, and Pakistan) and countries with poliovirus circulation following importation (Ethiopia, Kenya, Somalia, Syrian Arab Republic, and Democratic Republic of the Congo) is required.

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                  #9
                  Add cholera, and make sure he has a good DEET spray.
                  Light long sleeve shirts and trousers and try to avoid being outside at dusk and dawn when mossies are most active.
                  psychoanalysis is wasted on the Irish; Sigmund Freud

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                    #10
                    Originally posted by treatycity1 View Post
                    Add cholera, and make sure he has a good DEET spray.
                    Light long sleeve shirts and trousers and try to avoid being outside at dusk and dawn when mossies are most active.
                    I know you’re abroad a lot Treaty, Cholera is listed as optional, but you reckon it’s a must?
                    Con Artist

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                      #11
                      Malaria - no
                      Rabies - yes
                      Hep B - yes
                      Meningococal meningitis - yes
                      Cholera - no

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                        #12
                        I'd chuck in the HPV vaccine as well Valencia. It's a lot more common than any of the other diseases and causes a lot of cancers as well as other icky symptoms in boys as well as girls.
                        Munster – Champions of Europe 2006, 2008, 2020.

                        Comment


                          #13
                          Watch out for water - e.g. toothbrushing from a tap, swallowing shower water, ice cubes.

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                            #14
                            Listen to Treaty City re long tousers/sleeves and avoiding dusk/dawn. I'd add a specific ointment called Fucibet to the travellers kit. Outstanding stuff if you are bitten by any flying nasties. It's prescription only. In terms of Deet - would advise getting the roll-on applicator; very handy. No harm either to pack a box of generic OTC antihistamines; handy yokes to have too.

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