Vaccinations
Please obtain the following vaccinations after consulting with your physician.
What vaccinations are routinely recommended?
Vaccine | Recommended For | When do I take it? | How is it Given? | Do I repeat it? | More info |
Hepatitis A
Havrix(GSK) Vaqta(Merck)
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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)
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All travelers | 2 doses 4 weeks before trip, doses on days 0, 28 | 1.0 ml intramuscular injection | Once in 6 months |
Details |
Polio
IPOL (Sanofi)
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All travelers | One dose anytime before trip | 0.5 ml intramuscular injection | no |
Details |
Typhoid
Typhim Vi (Sanofi)
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All travelers | One dose 3 weeks before trip | 25 ug intramuscular injection | Every 2 years for travel to at risk areas |
Details |
Yellow Fever
YF-Vax (Sanofi)
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All travelers | One dose 10 days before trip | 0.5 ml subcutaneous injection | Every 10 years if at risk |
Details |
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What vaccinations do I need to update?
What vaccinations are needed in special circumstances?
Vaccine | Recommended For | When do I take it? | How is it Given? | Do I repeat it? | More info |
Rabies
Rabavert (Novartis) Imovax(Sanofi)
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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 |
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What is the Yellow Fever Vaccination & Certificate Requirement?
Yellow fever vaccination & certificate are required for all travelers greater than 1 year of age.
We do recommend yellow fever vaccine for all travelers visiting this country.
Malaria Prevention
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)
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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
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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)
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Start 1 week before trip | 250 mg tablet by mouth once a week | During and for 4 weeks after your trip |
Details |
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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)
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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)
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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)
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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 |
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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
Provider |
Contact Information |
ELWA Mission Hospital |
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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
shigella
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fever
dengue
malaria
mononucleosis
rickettsia
typhoid
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other
ascaris
hepatitis
strongyloidiasis
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skin disorders
cutaneous larva migrans
insect bite
leishmaniasis
myiasis
skin abscess
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