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12. Posted by Chix (Full Member 114 posts) 5y

It might depend whereabouts you're going but I just had Hep A and Typhoid for Thailand...

13. Posted by aswoodcock (Budding Member 5 posts) 5y

Hi there,

I would definitely say you dont need to get all of the vaccinations. I didn't bother with rabies as it was too expensive and as bex76 said it only buys you an extra 24hours to get to a hospital but in SE Asia you will have no bother getting to a hospital in time if you were to have any problems (the dogs are pretty scary though!). I also didnt get the Japanese B encephalitis, my doc didn't even mention it.

Have a good trip!

14. Posted by The Jones (Budding Member 44 posts) 5y

Quoting freespirit1

£500 I hope its not going to be that much ive not budgeted for that! Ive been told around £100 for them as you get some free on the NHS anyone else got experiences of vaccinations and costs?


Yeah some are free like Hep A & tetnous I think, but the cost comes becaues you have to run a corse of them & need more than one dose of each spread over a few weaks. My local Pharmacy had to order them & each one had a handling fee, Was quite suprised because my nurse said it would cost about 70 quid!!!!

15. Posted by packerman (Budding Member 27 posts) 5y

cheers guys decided against them, hope everyone has a good trip!

16. Posted by LaurenLolz (Respected Member 226 posts) 5y

Okay .. I have a question .. and i'm keeping it this thread bc it is relevant. I'm from the US, on the CDC website .. it recommends up to date MMR and TB (have that), hep a, hep b, typhoid, and Japanese encephalitis .. (which is mostly only recommended if you are really truly rural, which I will not be. The closest travel clinic to me is like an hour away and they only administer hep a and b. So I've ruled out needing/getting typhoid ... and it ridiculously priced.

so I'm thinking if i get any .. it would be hep a and b only ... and oh yea, I leave in less than a week, and have already left my hometown to go on vacation (in the us) ...

being that these are recommended and not required ... do i REALLY need shots? I mean if your are careful about what you put in your mouth. I don sleep with people, and i dont fuck around with mani/pedi... what else do you need to know?!

17. Posted by Isadora (Travel Guru 13926 posts) 5y

Hepatitis A & B are always vaccinations to be taken seriously when traveling, especially when venturing outside of your own home country (regardless of where that may be). Lauren, the problem for you now is not 'if you need the shots' but it's the timing. Though no vaccine is 100% effective, the Hep vaccinations actually consist of a series of injections. But, before I get into those details (which may help for any trips you take in the future), here are some reasons why both are important.

Hep A is not just contracted through consumable items (food, water, ice cubes, etc.) It can also be transferred via the cutlery, utensils, dish ware, glassware and service ware used when you order a meal. Some of the finest restaurants around the world contend with occasional contamination and reported cases of infection. It can come from contaminated food, a faulty dishwasher or employee who wasn't so sanitary when washing their hands.

Hep B is less of a problem but also a more serious variety of hepatitis. The most common route of infection actual comes from medical treatments in hospitals and dental clinics. I always hope everyone traveling does so without incidence. But, accidents and medical/dental conditions do arise without warning. Next in line are tattoo/piercing parlors. Unprotected sex comes in as a lowly third on the list. (I'm going for another tattoo in Ft. Myers in June so I'm pleased my Hep B vaccine titer is still high as I was just tested recently. Twenty plus years in the medical field taught me not to trust fate.)

Sorry to make this so long but here is the info on the vaccination series and timing.

Hep A: A series of 2 injections given on day 1 and day 120 (six months).

Hep B: A series of 3 injections given on days 1, 30 (1 month) and 180 (6 months).

Twinrix: Administered on the same schedule as monovalent (above mentioned) Hepatitis B vaccine: on days 1, 30 (1 month) and 180 (6 months). In some circumstances, an accelerated dosing schedule of day 1, day 7 and days 21 to 30, followed by a booster at 12 months can achieve the same effectiveness. Twinrix is a combination of both Hep A & B vaccines.

Hope this helps everyone.

18. Posted by LaurenLolz (Respected Member 226 posts) 5y

Quoting Isadora

Lauren, the problem for you now is not 'if you need the shots' but it's the timing.

So ... If they won't go into effect with one dose ... and I wont be in the country at the time to receive a second dose (which I pretty much found out before reading your post) ... would it even matter?!

19. Posted by Isadora (Travel Guru 13926 posts) 5y

Quoting LaurenLolz

Quoting Isadora

Lauren, the problem for you now is not 'if you need the shots' but it's the timing.

So ... If they won't go into effect with one dose ... and I wont be in the country at the time to receive a second dose (which I pretty much found out before reading your post) ... would it even matter?!

Honestly, yes. As one of my favorite songs states; "A little bit is better than nada". Partial immunity is better than none at all. I left for my travels prior to my second Hep A and third Hep B vaccinations. It's a matter of personal choice. When it comes to these two diseases, I vote for partial immunity. You can always finish them upon your return. Once completed, Hep A is good for ~10 years and Hep B for ~ 15 years. They may be expensive. But, when you break down the cost over the years of protection, it's not all that unreasonable. The boosters (given every 1-5 years) are meant for those who work in the health care field, work in areas where the diseases are prevalent and have high exposure rates. Travelers, such as you and I, are good with the series.

Honestly, it all comes down to your own comfort level. I constantly state rabies is not a necessary vaccination series. (Had those too because of my previous work). But, Hep A & B are two I take seriously. Not only do you not want to turn yellow while traveling, they also do considerable damage to your liver.

I'm sure there will be those who beg to differ and that's fine. I'm just stating my own personal opinions and past experiences. I also had Hep B when I was much younger. My liver function tests were adequate enough that they decided I could receive the vaccine since there is no exact proof having the disease prevents you from contracting it again. Having experienced it, not willing to do it again. And, I may comment/joke about what I drink when it comes to alcohol, but I am also very well aware of the ramifications if I should choose to forget the past.

20. Posted by Curt1591 (Respected Member 230 posts) 5y

If you look at the Stateside kitchen help, you may realize that Hep A vaccination wouldn't be useful only for traveling. The disease can travel; you don't need to!

In the States, Hep A pops up from time to time. But, because it is mostly a local concern, it usually only gets local press coverage.