China

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Vaccinations
Certificate Requirements
Malaria Prevention
Traveler's Diarrhea
Medical Facilities
Common Causes of Illness

Vaccinations

Please obtain the following vaccinations after consulting with your physician.

What vaccinations are routinely recommended?

VaccineRecommended ForWhen do I take it?How is it Given?Do I repeat it?More info
Hepatitis A
Havrix(GSK) Vaqta(Merck)

All travelers

1 dose 4 weeks before trip

1.0 ml intramuscular injection

Once in 6 months

Details
Hepatitis B
Engerix B (GSK) Recombivax HB (Merck)

All travelers

2 doses 4 weeks before trip, doses on days 0, 28

1.0 ml intramuscular injection

Once in 6 months

Details
Typhoid
Typhim Vi (Sanofi)

All travelers

One dose 3 weeks before trip

25 ug intramuscular injection

Every 2 years for travel to at risk areas

Details

What vaccinations do I need to update?

VaccineRecommended ForWhen do I take it?How is it Given?Do I repeat it?More info
Influenza
Fluarix(GSK), Fluvirin(Novartis), Fluzone(Sanofi)

All adult travelers

One dose 2 weeks before trip

0.5 ml intramuscular injection

Every year

Details
Measles
MMR II (Merck)

Non-immunized, born after 1956, or immunized before 1980

One dose anytime before trip

0.5 ml sq injection

no

Details
Pneumonia
Pneumovax 23(Merck)

All travelers Recommended for adult travelers with the following:  Age > 65 years of age • Any age with chronic medical illness of the Heart, Lung, Kidney or Liver • Diabetes • Sickle cell disease • Splenectomy • Chronic steroid use • Cancer • HIV/AIDS • Pregnancy • Autoimmune disease • Transplant • Any immunocompromised state. Recommended for adult travelers with the following
• Age > 65 years of age
• Any age with chronic medical illness of the Heart, Lung, Kidney or Liver
• Diabetes
• Sickle cell disease
• Splenectomy
• Chronic steroid use
• Cancer
• HIV/AIDS
• Pregnancy
• Autoimmune disease
• Transplant
• Any immunocompromised state
at risk

One dose 2 weeks before trip

0.5 ml intramuscular injection

Every 10 years

Details
Polio
IPOL (Sanofi)

All travelers

One dose anytime before trip

0.5 ml intramuscular injection

no

Details
Tetanus
Decavac(Sanofi)

All travelers needing a booster

One dose anytime before trip

0.5 ml intramuscular injection

Every 10 years

Details

What vaccinations are needed in special circumstances?

VaccineRecommended ForWhen do I take it?How is it Given?Do I repeat it?More info
Japanese Encephalitis
JE-Vax (Sanofi)

Those traveling to rural and agricultural areas for > 4 weeks during rainy season or engaging in significant outdoor activity

3 doses 4 weeks before the trip doses on days 0,7,28

1.0 ml subcutaneous injection

Every 2 years if at risk

Details
Rabies
Rabavert (Novartis) Imovax(Sanofi)

Those handling animals or long-term visitors to at risk areas, especially areas with exposure to bats.

3 doses 4 weeks before trip, doses on days 0,7,21

1.0 ml intramusclular injection

Every 2 years if at risk

Details

What is the Yellow Fever Vaccination & Certificate Requirement?

Yellow fever vaccination & certificate are required for all travelers coming from

Countries with risk of Yellow Fever transmission
 
Africa South America
Angola Ethiopia Nigeria   Argentina
Benin Gabon Rwanda   Bolivia
Burkina Faso Gambia Sao Tome and Principe   Brazil
Burundi Ghana Senegal   Columbia
Cameroon Guinea Sierra Leone   Ecuador
Cent African Republic Guinea Bissau Somalia   French Guiana
Chad Kenya Sudan   Guyana
Congo Liberia Tanzania   Paraguay
Cote d' Ivoire Mali Togo   Peru
Dem Republic of Congo Mauritania Uganda   Suriname
Equatorial Guinea Niger Venezuela
 
Central America Carribean
Panama Trinidad and Tabago
countries at risk of yellow fever even if only in transit.

Malaria Prevention

Malaria is a risk in rural parts of Anhui, Guizhou, Hainan, Henan, Hubei, and Yunnan Provinces.  Rare cases occur in other rural partos of the country <1,500 m (4,921 ft) May- Dec.  None is present in urban areas.  Some major river cruises may go through malaria-endemic areas in Anhui and Hubei Provinces. 

 

What medication should I take to prevent malaria?

Please take 1 of the following medications after consulting with your physician

What to Take?When do I take it?How is it Given?Do I repeat it?More info
Atovaquone/proguanil
Malarone (Glaxo)

Starting 2 days before trip

250 mg tablet by mouth once a day with food

During and for 7 days after your trip

Details
Or
Doxycycline
Vibramycin

Starting 2 days before trip

100 mg tablet by mouth once a day

During and for 4 weeks after your trip

Details
Or
Mefloquine
Larium (Roche)

Start 1 week before trip

250 mg tablet by mouth once a week

During and for 4 weeks after your trip

Details

Always take the following protective measures against insect bites:

  • Stay in accommodations with screens
  • Wear long sleeve shirts, pants and socks
  • Apply insect repellant containing DEET to exposed skin and clothing
  • Use mosquito nets impregnated with permethrin
  • Use mosquito repellant coils if available
  • Avoid outdoor activities from dusk to dawn

Traveler's Diarrhea

What should I do if I develop diarrhea?

Carry one of the following antibiotics with you and take with the onset of diarrhea

What to Take?When do I take it?How is it Given?Do I repeat it?More info
Azithromycin
Zithromax (Pfizer)

With the onset of diarrhea

500 mg tablet by mouth once a day

a) if 1-3 loose stools/day take for 1 day b) if> 4 loose stools/day, fever or bloody stools take for 3 days

Details
Or
Levofloxacin
Levaquin (Ortho)

With the onset of diarrhea

500 mg tablet by mouth once a day

a) if 1-3 loose stools/day take for 1 day b) if> 4 loose stools/day, fever or bloody stools take for 3 days

Details
Or
Moxifloxacin
Avelox (Bayer)

With the onset of diarrhea

400 mg tablet by mouth once a day

a) if 1-3 loose stools/day take for 1 day b) if> 4 loose stools/day, fever or bloody stools take for 3 days

Details

In addition you should

  • Take an anti-diarrhea medication like Loperamide (Imodium AD) 2 mg tablet by mouth with each loose stool. Do not take if you have fever or bloody stools and do not take more than 7 tablets in 24 hrs.
  • Aggressively hydrate by drinking juice, ginger-ale, or make up a solution by mixing 6 tsps of sugar, 1 tbsp of salt in 1 liter of boiled, purified or bottled water.

If your symptoms are no better in 3 days or if you are worse at anytime with inability to keep liquids down, feeling lightheaded or with high fever (102 F) please seek medical attention.

Always follow our safe food and water recommendations to prevent illness and its progression.

Where are Local Medical Facilities?

Provider Contact Information
Beijing United Family Hospital and Clinics (BJU)
http://www.unitedfamilyhospitals.com/en_index.asp
Phone: [86] (10) 5927 7000
#2 Jiangtai Lu Chaoyang District Beijing
Chongqing GlobalDoctor, Ltd., Dr. Denis Valdez Gomez
denis@globaldoctor.com.au
Phone: (86) 23 890 388 37
Room 701, Business Tower Hilton Chongqing,No 139, Zhong Shan San Lu, Yu Zhong district, Chongqing 400015, P.R.C.
Guangzhou United Family Hospital
http://www.unitedfamilyhospitals.com/gzindex.asp
Phone: [+86] (20) 8710 6000
Guangzhou, China
Shanghai United Family Hospital and Clinics
Phone: [86] (21) 2216 3900
1139 Xian Xia Lu Changning District Shanghai

For inquires regarding clinics or to request a clinic be added, please contact us.
For additional clinics, please click here.

Have there been any disease outbreaks in this country recently?

08/17/2016
H7N9 On 11 August 2016, the National Health and Family Planning Commission of China notified WHO of five additional cases of laboratory-confirmed human infection with avian influenza A(H7N9) virus, including one death.

08/02/2016
Rift valley fever On 23 July 2016, the National IHR Focal Point of China notified WHO of an imported case of Rift Valley fever (RVF).

06/08/2016
H5N6 virus On 30 May 2016, the National Health and Family Planning Commission (NHFPC) of China notified WHO of one laboratory-confirmed case of human infection with avian influenza A(H5N6) virus.

04/22/2016
Yellow fever Between 4 and 12 April 2016, the National IHR Focal Point of China notified WHO of 2 additional imported cases of yellow fever (YF). To date, a total of 11 laboratory-confirmed YF cases imported from Angola have been reported in China.

For up to date oubreak news information, click here.

What are some common causes of illness in this country?

diarrhea

amebiasis
campylobacter
E coli
giardia
salmonella
shigella

fever

Avian influenza
dengue
Japanese encephalitis
malaria
mononucleosis
paratyphoid
rickettsia
typhoid

other

ascaris
hepatitis
schistosomiasis
strongyloidiasis

skin disorders

animal bite
cutaneous larva migrans
insect bite
skin abscess
swimmers itch

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