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inoculations

Travel Forums Asia inoculations

1. Posted by grayzer1 (Budding Member 28 posts) 10y

hi i will be travelling to thailand,loas,cambodia and vietnam,ive read that there are no compulsory vaccinations needed to travel to these places but was wondering if its best to have them anyway.thanks.

2. Posted by wildfk (Respected Member 459 posts) 10y

Be careful about taking an anti-malarial drug...they sometimes cause enough trouble to ruin your holiday.
Where are you coming from? Have you consulted a doctor who is well informed on tropical deseases?

One piece of advice: Simply don't allow mosquitoes to bite you......
take repellant (OFF!) anything with DEET in it. Wear light colored clothes that cover your arms and legs at dawn and dusk. Mozzies are looking for CO2 and silhouettes, light colors put them off.
Maybe buy a mozzie net, and use coils or sticks. I use a little plug-in thing that heats a small tablet that gives off a repellant - available in most supermarkets.

One of the biggest risks at this time of year is Dengue fever, but apart from not being bitten there is no prevention/injection and no cure

3. Posted by roni1 (Budding Member 32 posts) 10y

Hi
I was just at the doctors today for my vaccines... I got Hep A and typhoid.... they told me there was no need for hep B or Jap B as the risk is so small. Make sure your tetanus, Dipthiria, polio and MMR are up to date. you may need yellow fever (i had that 3 years ago so am covered)Rabies isn't really needed either unless you are spending alot of time in very remote areas (same with Hep B and Jab B). you will also need malaria. That can be costly. mine is going to cost €300 ( 9 weeks)!!! i nearly fell over in the chemist

I hope that helps but do speak to your doctor as they know best. this is only a guide.

Have fun!

4. Posted by mitti (Inactive 22 posts) 10y

Quoting roni1

Hi
I was just at the doctors today for my vaccines... I got Hep A and typhoid.... they told me there was no need for hep B or Jap B as the risk is so small. Make sure your tetanus, Dipthiria, polio and MMR are up to date. you may need yellow fever (i had that 3 years ago so am covered)Rabies isn't really needed either unless you are spending alot of time in very remote areas (same with Hep B and Jab B). you will also need malaria. That can be costly. mine is going to cost €300 ( 9 weeks)!!! i nearly fell over in the chemist

I hope that helps but do speak to your doctor as they know best. this is only a guide.

Have fun!

Lisen to Roni!
Just got my touch up on polio and typhoid... and if you need Hep A you probably should just get the twinrix, which is Hep A and B combined, I doubt that you'll need yellow fever but do check with your physician. And yes malaria meds are really expencive because of the klorokin resistance..
Safe travels

5. Posted by paul j (Respected Member 217 posts) 10y

I heard malaria is a lot cheaper in thailand than england , and you can buy it in your high st chemist , if anyone can confirm that i read it in another forum.

6. Posted by wildfk (Respected Member 459 posts) 10y

To start with, let me say I'm not medically qualified, but I’m rather worried about the advice some doctors appear to be giving here. Before I went on my travels, (8 years ago), I went to a clinic that specialised in tropical medicine. This meant that at the time they were in possession of the latest information on diseases and risk in the areas I was going to. Tied to a University, they were especially aware of the dangers faced by western students doing the round-the-world thing

In some instances in this posting, the doctors seem to have been a bit arbitrary in the advice they give…. Most of the jabs people have had seem OK if a little paranoid. Were they all necessary? Were some left out? Or were they just looking at the shelf and seeing what they’d got in stock?!?!?

Firstly most of Thailand the Eastern Seaboard and places such as Samui are still rated as very low risk in terms of malaria. (Check out Phuket). The problem was that most anti-malarial drugs had unpleasant side effects which could spoil your holiday. Has anybody mentioned Dengue fever? A far greater risk.

Secondly I got Hep B jabs as this is RIFE in S.E. Asia. The disease is transmittable through intimate contact of various kinds (kissing?) and through such things as raw seafood (e.g. oysters). I have 2 friends who have contracted hep B in Thailand. Many people are symptomless carriers of the disease. Hep B knocks aids into a cocked hat.

Thirdly dog bites… Remember you can get a tetanus jab here in Thailand at a very low cost if you need to……same goes for rabies…which is a risk! I was bitten by a dog here and had rabies shots…..if you have not had them prior to the bite you will get a course of 5 shots…this is not unpleasant and costs about 5000 baht. If any dog so much as punctures your skin you would be best advised to get to a hospital and arrange to have the shots, if you are travelling around you can take the paperwork with you and any other hospital/clinic will give you the shot.

Fourthly; cost of medicines……virtually any medication is available over the counter in Thailand without a prescription, and the price is usually a lot less than in Europe or America. However I recommend you get GOOD insurance cover…I used Trailfinders’ company and when I had to spend a night in hospital, the bill was paid with one phone call, my rabies shots were paid out in retrospect…no problem at all.
If you do end up in hospital insured or otherwise, don’t panic, remember that treatment is usually quite cheap, and in the private hospitals the quality is good. All forms of treatment are fractions of the cost in the west…check out dentistry, opticians even plastic surgery and gender change!

Finally…some general advice: you can do a lot to help yourself….look out for what you eat and drink. Ice is in general OK in Thailand. Don’t eat buffet food that has been out for over an hour or so, bacteria breed rapidly at 35C. Be especially wary of western food i.e. hotel buffets, fast food outlets (anyone doing fish and chips!); it is not part of Thai culture to prepare food at then keep it in a fridge/freezer until cooking. Some fast foods are in and out of the chill-room many times before being sold. Over handling is common. Thai food is cut up small and cooked at high temperatures in a wok or similar killing any bacteria. Wash or wipe fruit or get the skin off, Thais use lots of pesticides!
Take care of cuts and lesions, infections are rapid in the hot moist climate. Stepping on coral will give you multiple deep lacerations. Don’t wash wounds in tap water without using an antiseptic (bromide or something). Don’t drink the tap water….don’t even rinse your teeth with it, always keep a good supply of bottled water handy.
Cover up against mosquitoes as I mentioned earlier there is no prevention or cure for Dengue fever, so just don’t get bitten, wear light coloured clothes with long sleeves and legs at dawn and dusk.
Be aware that if you have an accident, it will take some time to get you to a hospital, ambulances are a rarity in Thailand, mostly just a pickup truck with untrained drivers. Most tourists on Samui have the obligatory asphalt grazes or exhaust pipe burns from crashing their hired motor bike. Samui has the highest accident rate in Thailand.

I hope this doesn't put anyone off...Thailand is really a "soft" destination and in general personal risks are low here.

7. Posted by grayzer1 (Budding Member 28 posts) 10y

thanks everyone for all the advice