Travel Immunizations

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In 2003, over 32 million residents of the United States traveled to international destinations, including developing countries throughout the Caribbean, Latin America, Asia and Africa.

Available immunizations include: Hepatitis A, Hepatitis B, Typhoid Fever, Tetanus, Yellow Fever, Japanese Encephalitis, Meningitis and Polio.

Below are available immunizations from our Travel Clinic:

I. Hepatitis A ~ (2) X 0.5 Cc Im 6-12 Months Apart

A. Imm. Inj - 99% Effective - Good For 10 Years Or More
B. Symptoms Of Disease

1. 3-4 Weeks Coming On; Diarrhea, Vomiting, Jaundice (Yellow), Joint Swelling, Liver Involvement

II. Hepatitis B (Twinrix Has Both A & B Vaccine) ~ (3) X 1.0 Cc Im 0, 1, 6 Months (Deltoid); Twinrix - Same Dose And Schedule

A. Africa, Southeast Asia, And Alaska
B. Imm. Inj

1. Need 3 = 1 - 30 Days - 6 Months
2. Good For 10 Years Or More
3. Symptoms Of Disease

3a. Liver Involvement, Jaundice, Diarrhea, Vomiting

III. Tetanus, Diptheria, Pertussis (Tdap) ~ 0.5 Cc Im Q 10 Years

A. Imm. Inj

1. 1 Inj, Good For 10 Years

B. Symptoms Of Disease

1. Muscle Spasms Especially In The Jaw

IV. Malaria - No Vaccine Available

A. Disease Caused By Parasite, Carried By Mosquito
B. Oral Chloroquine: Saudi Arabia, Turkey, Mexico, And Caribbean
C. Oral Mefloquine: South America, Africa

1. Do Not Take Psychiatric Drugs With This Med
2. One Tab A Week Before/Each Week There/For Four Weeks After Return
3. Contraindicated - Seizures, Depression

D. Symptoms Of Disease

1. Recurring Chills And Fever

V. Typhoid Fever - Both Oral And Im Typhoid Vaccination Available (V1 - Im) ~ 0.5 Cc Im (Q 2 Yrs For Repeated Exposure For Im)

A. South America, Southeast Asia, And Central America
B. Oral: 4 Tabs - One Every Other Day - Must Refrigerate - Every Five Years For Protection
C. Symptoms Of Disease

1. High Fever, Diarrhea, Rash, Headache

VI. Yellow Fever ~ 0.5 Cc Subcutaneously - Storage 0-5 ° C.

A. South America (Amazon Region) And Central Africa
B. Imm. Inj

1. Good For 10 Years - Not In Children Less Than 9 Months Of Age Or Immunosuppressed

C. Symptoms Of Disease

1. Sudden Onset Of Fever, Jaundice, Hemorrhage, Prostration

VII. Cholera ~ Will Not Give

A. Africa
B. Imm. Inj

1. Only 40% Effective, Many Side Effects, Not Given Any Longer

C. Symptoms Of Disease

1. Severe Vomiting, Dysentery

VIII. Polio ~ 0.5 Cc Im Or Subcutaneously

A. Africa And Southeast Asia
B. Im, Once For Adults
C. Symptoms Of Disease

1. Fever, Paralysis, Atrophy Of Muscles

IX. Japanese Encephalitis ~ 0.5 Cc (Subcutaneously) - 0, 7, 30 Days

A. Southeast Asia (+60 Days In Area/Rural Area)
B. Imm. Inj

1. 3 Inj: 1-30 Days - Six Months

1a. Immediate Side Effects - Allergic Reactions

1b. Good 2 Years

C. Symptoms Of Disease

1. Headaches, Neck aches, Fever, Inflammation Of The Brain

X. Bubonic Plague - Vaccine Available Through The Defense Department Only

A. Southeast Asia, India, And Southwest Usa
B. Treatment

1. Streptomycin, Tetracycline

C. Symptoms Of Disease

1. Lymph Node Enlargement, Chills, Fever, Pneumonia

XI. Dengue Fever

A. Africa, Caribbean, Pacific Basin, And Southeast Asia
B. No Vaccine - Use Insect Repellents - City Mosquito
C. Symptoms Of Disease

1. High Fever, Bone Pain, No Treatment

XII. Meningitis - New Vaccine - Life Time Protection ~ 0.5 Cc Im X 1

A. Inflammation Of Membranes Enclosing S.C./Brain
B. Types

1. A C W Y

C. Imm. Inj

1. Minimal Side Effects - Life Time Protection

D. Symptoms Of Disease

1. Headache, Neck/Back Pain, Fever, Can Lead To Death.

XII. Rabies - 3 Shot Prevention For Those Traveling To S.E. Asia, Africa, South America - Usually For Persons Going To Rural Areas For A Month Or More. Rabies Is Always Fatal If No Vaccine Protection Given.

A. Given At 0, 7, 21 Or 28 Days Prior To Going ~ 1 Cc Im (Deltoid)
B. Expensive Vaccine So Clinic Needs To Be Informed That Rabies Vaccine Ordered Before Coming
C. Return Visits For This Vaccine May Be Required