1

Where are they travelling from? If the UK then they would need lots of vaccinations and, very importantly, Malaria prophylactics. But wouldn't your friend be better checking with her doctor/medical practitioner rather than seeking advice on this forum.

2

Hep A B for sure! Maybe yellow fever and typhoid. Check with your travel health clinic.

3

Sure he'll speak to his doctor and to the travel health office. He just wanted an advice cause he knows I've been 2 months in Africa and a part of in Kenia. But it was 20 years ago and I wanted to get updated opinions from people travelling these days. The offices are always extremely careful. I think maybe to much.
We are italian.

4

You will almost certainly need Typhoid, Hep A and Hep B, Diptheria, Tetanus, TB, Polio and Meningitis plus malaria tablets. You probably won't need rabies or yllow fever. But check with your travel doctor to be sure.

5

Yes - definitely go to your nearest major public health office (check UK National Health web site). Required - Yellow Fever, now I know that a number of people will tell you that as you are arriving from a non-YF country you will not require this vaccination for arrival in Kenya. But it is still listed on the WHO and other places as a YF country and that the vaccination is mandatory. Just to stress the point - YF has a very high fatality rate. Other vaccinations recommended - yes Hep A & B; Typhoid; update Polio and Tetanus shots. As recommended - anti malarial profilactics. If they are going to be anywhere near monkeys or farm pets then maybe considered Rabies - but a better option is to not get anywhere close to likely carriers. Good luck and I hope your friend enjoys Kenya.

6

As others have said, discuss with your doctor, but you do not need any vaccinations specifically for Kenya however, anti-malarial prophylactics are a must.

It is recommended that you are up to date with those vaccinations and boosters recommended for life in most European cities: diphtheria; tetanus; poliomyelitis and typhoid and hepatitis A are always a good idea whereever you are travelling to.

Hepatitis B is only recommended for people likely to be in close contact with carriers or at occupational risk e.g. health care workers.

As for yellow fever it is entirely a personal choice, you will not be asked for proof of vaccination if you arrive in Kenya from Europe, it is not mandatory, neither will you be asked for it on your return. The purpose of the certificate is not for your benefit but to prove that you are not carrying the disease and so cannot introduce it to the country you are entering. As the disease is not endemic and indeed cannot survive in the Europe you will not be asked to produce a certificate when travelling to Kenya or returning home.

There has only ever been one outbreak of yellow fever in Kenya and that was in the early 1990s, the last case was reported in 1995. Although parts of Kenya are still on the World Health Organisation 'at risk' map and they still recommend the vaccination for those areas, in April 2011 they changed their advice to travellers, it now says -

"There is a low potential for exposure to yellow fever in the North Eastern province, the states of Kilifi, Kwale, Lamu, Malindi, and Tanariver in Coastal province, and the cities of Nairobi and Mombasa."

Vaccination is now not normally recommended if you are only visiting these areas."

So they no longer recommend the vaccination for Malindi.

(By the way just for information, the mortality rate for Yellow Fever is around 3%)

As for Rabies the vaccinations (a course of 3) do not give you immunity to the disease, they increase the time you have in the event of being bitten or scratched before treatment needs to start. If you have had the pre-treatment you will still need two further vaccinations, if you haven't then you have the full series of 5. Your friend's daughter will never be more than a few hours from treatment

The following are extracts from the UK Health Protection Agency's National Travel Health Network and Centre website

"Rabies pre-exposure vaccine should generally be given to adults and children who are at risk of rabies including

*Those travelling to remote areas where medical care is not readily available

*Those undertaking higher risk activities (e.g. cycling, running)

*Those who are travelling for long periods through rabies endemic countries

*Those at occupational risk e.g. vets, animal handlers, and laboratory workers who handle the virus."

7

I'm very grateful for your help.
@ Doffcocker: You are something more than a traveller ...

8

Karibu (you are welcome) - as they say here in Kenya)