Guam

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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
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 not required.

Malaria Prevention

Low risk of malaria, therefore prophylaxis is not indicated.

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?

Medical facilities are limited - for serious illness recommend evacuation to Hawaii or Japan

Provider Contact Information
Guam Memorial Hospital
http://www.gmha.org/Services.html
Phone: [671] 647 2555
850 Gov. Carlos G. Camacho Road
Oka
Tamuning

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?

None reported as of 01/27/2011

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

dengue
paratyphoid
typhoid

other

ascaris
hepatitis
strongyloidiasis

skin disorders

cutaneous larva migrans
insect bite
skin abscess
swimmers itch

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