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VACCINATIONS for THAILAND

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

Quoting Isadora

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.

Okay, thanks for the advice. I made an appointment for twinrix and typhoid (oral) .. which together are about $130US ... Do you know how effective the 1st does is? I've read its about 70% and the 2nd being 90% then 100%. Although .. I will (suppose) that I will just take precautionary measures while I am away .. and am able to come back to the states for the 2nd dose a month later. Thanks again.

22. Posted by ptl161 (First Time Poster 1 posts) 5y

Have a good trip!

[ Edit: Edited on 05-May-2011, at 18:46 by ptl161 ]

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

Actually on that note .. has anyone ever gotten sick from the typhoid oral?? I've been reading that some people feel queazy on the 3rd/4th days... but these symptoms are usually rare? I'm thinking I'll be okay .. just that the 4th dose lands on the day of my flight due to my poor planning and lack of travel clinic within 2 hours drive. Uggh.. thanks!!!

24. Posted by Neeke89 (Budding Member 52 posts) 5y

Guess it's similar with the side effects that the shots give. I had no problems with most of my shots. The only one that gave me slight problems was the Hep. A vaccin, giving me a slight fever. Don't know how it differs from oral medication though.
I'd think that if you rarely have side effects from the shots, you won't have to bother that much with the effects of this one.

Either way, have a good, safe journey! ;)

[ Edit: Edited on 06-May-2011, at 01:27 by Neeke89 ]

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

Quoting LaurenLolz

Okay, thanks for the advice. I made an appointment for twinrix and typhoid (oral) .. which together are about $130US ... Do you know how effective the 1st does is? I've read its about 70% and the 2nd being 90% then 100%. Although .. I will (suppose) that I will just take precautionary measures while I am away .. and am able to come back to the states for the 2nd dose a month later. Thanks again.

You are welcome. Depending on the studies/information you read at any particular time, the first vaccination ranges from 50-75% effectiveness. This has less to do with the vaccine but rather plays to the individual receiving it and how their body functions normally. Everyone's body performs differently since we aren't clones. (As Dolly the sheep proved, even cloned individuals have differences from the cell donor.) And yes, you can finish up the series upon your return.

Also, smart move on the typhoid prophylaxis. Side effects from both the injectable and oral versions are rare. I can not speak from experience here. Though, in my 6+ years on this site, I have yet to read where anyone has experienced side effects from the oral vaccine. And, most choose the oral because no one really likes getting more jabs than necessary. Be sure NOT to take them with a hot liquid, such as coffee or tea. Iced coffee and tea are okay. As with most medications, the more liquid you drink when taking it, the better - at least 8-12 ounces. I'm sure the docs will tell you this, but they are to be taken about 1 hour prior to a meal. They are designed to release the vaccine in the intestine and not the stomach. If taken with food, it negates the process.

If you experience nausea, you can take a Dramamine (Gravol). Though Dramamine is marketed for motion sickness, they help with nausea in general. (Actually, they were originally designed to be an allergy medication. They didn't help allergies but did prevent motion sickness and nausea. Worked for the company that originally created Dramamine.) It should not interfere with the typhoid vaccine as Dramamine is adsorbed in the stomach.

The typhoid vaccine (either version) does not provide 100% immunity. But, it helps tremendously if someone does contract the disease. Samsara2 can attest to that as she ate a few too many undercooked eggs in South America requiring medical treatment. Because of her experience, she is also a strong supporter of taking the vaccine. (If memory serves, she used the oral version and suffered no side effects.)

[ Edit: Edited on 06-May-2011, at 07:30 by Isadora ]

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

Quoting Isadora

[quote=LaurenLolz]

Thanks again!! :) That puts me at ease.

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