I am getting a little lost with all the information about vaccinations. I will ask my gp as well, but if you have any advice/tips/knowledge, I would appreciate some info.
My trip is (hopefully) as follows:
London -> Toronto (2weeks) -> Auckland to Christchurch (8weeks)-> Borneo (2weeks) -> Manila (2weeks) -> Thailand, Cambodia, Vietnam and Laos (8weeks) -> Katmandu and down to Delhi (8weeks) -> and finally Kenya/Uganda/Tanzania for 8weeks.
Assuming I already have Diptheria, Polio and Tetanus jabs and they are up-to-date, and Hep A and C also - what others do I need for the time periods in these countries?
Yellow Fever i guess is a given. What about JapE, Hep B, Typhoid, Rabies, Meningitis and Malaria, for the time-periods given? I expect I'll get off the beaten track to some extent, but only in as much as any 'normal' backpacker.
Any help would be great! Chees
You will not need vaccinations for Canada, OZ or NZ.
Here are the recommendations for SE Asia, Nepal, India and the African nations you have listed.
Anti-malarials are recommended - see these past threads for more information.
Vaccinations & Anti-malarials
Hope you will find some of these links of help to you!!
As Isadora says you won't need any major immunisations for Canada, Oz or NZ.
As you said, you've probably had polio, tetanus and diptheria at school, so you should be covered but your G.P./practice nurse will check your records for you.
Like you, I'm off to India and SE Asia from September and so far I've had HEP A and B, Typhoid, Jap E, Rabies and Meningitis ACYW. I had Meningitis C when I got to university so I was covered for that.
With concerns to Malaria, speak to your G.P. or practice nurse as they will advise you on different brands and what is best for you on your trip.
Unfortunately I don't know about Yellow Fever as I'm not visiting any affected areas but as I've said before your G.P./practice nurse will be able to advise you on this.
Hope this helps
You didn't need to get all of those.
Some of them are pretty expensive and are not a necessity.
Japanese Encephalitis can only be contracted by getting bitten by mosquitoes that live near paddy fields where there are farm yard animals near by and it's only possible to contract it after dark. As long as you avoid this situation you will be OK.
Rabies is obviously contracted by getting bitten, as long as you are careful around animals you should be OK. The jab doesn't actually stop you from contracting it, only give you a bit more time. It costs £120 and I'm not going to bother with it.
Hepatitis B is contracted by having unprotected sex so unless you are planning to do that then you don't need this. Just be careful if you're involved in an accident and there is any possibility of transferring blood between yourself and someone else who might have Hep B
Yellow fever is only required if you are planning to go into a jungle area, the Amazon for example.
Don't go on your GP's advice, they will just tell you that you need to get everything and their advise if often outdated, go to a travel clinic and they know what they are talking about.
I wouldn't say do not talk with your GP, but I would say be armed with information before you go. that's is what I did when we were going to Panama. My GP wanted us to get every injection out there. We settled on Hep A&B, and a tetanus booster. We also chose to use Chloroquine as the anti-malarial.
India would require you to show a certificate of vaccination for Yellow Fever, IF you were traveling through the African countries you listed - then traveled into India. But, since the itinerary you listed has you visiting India before Africa - you should be okay without the Yellow Fever vaccination.
As for Rabies - check the link I listed above and you will find a pretty clear description of when it is and is not necessary. In your case - it's not.
Cheers everyone! Much help! :D
Isadora, you mention not needing the Yellow Fever vaccination? It was my understanding that to get from one East African country to another (i.e. from Kenya to Tanzania/Uganda) you need to show a Yellow Fever Certificate. Is this not so?
Mayrad, I'll double-check on that and post again... Sorry for any confusion!
Here are the requirements for Kenya, Uganda and Tanzania:
I'm afraid that yes, you will need the Yellow Fever vaccination after all. All three countries are considered Yellow Fever areas:
I had the Hep B as it was combined with the Hep A and at no extra cost so that was a bonus.
My flatmate and I went with Rabies and Jap E because we are going to Cambodia and trekking into the jungle. Obviously Rabies is expensive but if I get bitten in the middle of the jungle then I have 7 days to get to hospital rather than 24 hours. Cambodia's infrastructure isn't exactly the best in the world to get you out in a hurry. Also Cambodia's hospitals aren't exactly the best in the world and the prospect that I might have to be air lifted to Bangkok, we thought £90 (that's what we paid) was worthwhile!!
I'm quite willing to pay for my immunisations and as my Nan always said to me as a kid, your health is everything.
I've been contemplating getting Jap E done but decided against it. I was quoted £40 an injection (so £120 for all 3) plus consultation fee of £15. The odds are very high and I doubt I will be in rural areas for too long. Lets just hope bug spray will be enough. Not having rabies either