Health support and advice?
Replies: 12 - Last Post: Mar 14, 2012 10:56 AM Last Post By: Geer37
Mar 13, 2012 5:59 PM
Health support and advice?Hi everyone!
I am heading to Thailand and Bali in 3 weeks! I just booked! I am wanting to hear peoples experiences and thoughts on vaccinations and meds.
Should I bother getting hep a and b and thyphoid vaccination? Its only 3 weeks away so would it even work? Also, the diseases itself are very treatable with home care so I question if I should even bother.
What about malaria and dengue? I am not taking the malaria meds and plan to cover up and use repellant. Is Thailand and Bali infected with malaria and dengue? How concerned should I really be?
Any other disease to be aware of?
Mar 13, 2012 8:11 PM
Mar 13, 2012 9:07 PM
Mar 13, 2012 10:35 PM
Mar 13, 2012 11:33 PM
Mar 14, 2012 12:01 AM
Mar 14, 2012 12:02 AM
Mar 14, 2012 12:37 AM
7Hep A&B yes, but you're too late. The first is given six weeks before departure and the second two weeks before departure. If you have the third shot which is given six months after the first, you covered for over 10 years. Hep A&B is now a combined shot called Twinrix.
Typhus yes - again you're too late, it is given six weeks before departure.
Use an insect repellent with DEET ( 20% or 40% ) make sure you wash it off before going to bed. Best brand is Bushman's.
Mar 14, 2012 4:42 AM
Mar 14, 2012 7:46 AM
9You probably do not have time to get Hep B, but you do have time to get Hep A alone. Hep A is two shots, 6 to 12 months apart. The first shot should be sufficient ot protect you for your trip, but you should be sure to get the second one. It makes immunity long lasting, perhaps life-long.
Hep B alone or the combined Hep A&B is a series of three shots--the second one is given a month after the first. You need the second shot to be protected for your trip. There is a fast schedule for Hep B that consists of 4 shots--0, 7, and 21 days, then a booster a year later.
Typhoid will either be one shot or a series of 4 pills taken every other day, depending on what you and your doctor choose. Let the doctor know if you are currently taking any sort of antibiotic. This could interfere with the oral vaccine. You don't need to get it 6 weeks in advance, but it is a good idea to get it as soon as possible. I just looked up some information on the shot. After 2 weeks over 90% of people produce antibodies. You need to get a booster every few years.
Although typhoid is usually treatable, it can be hard ot diagnose and there are drug resistant strains out there, so it may be hard to treat.
In some countries, a combined Hep A and typhoid vaccine is available. You need to get a Hep A booster after 6 months, to make that immunity long lasting.
Mar 14, 2012 8:45 AM
10you can get follow-up vaccinations for Hep A & B in Bangkok
Mar 14, 2012 9:00 AM
You do not have time to get the pre-exposure immunization, and it can be very expensive.
Mar 14, 2012 10:56 AM
12"Also, the diseases itself are very treatable with home care so I question if I should even bother."
almost all of the people who get Hep B also develop liver cancer later in life with a 5-year survival rate of less than 10%. the Hep B vaccine is recognised as the first vaccine against a specific form of cancer.
hep B is 100 times as contagious as HIV. according to the CDC, high risk activities for Hep B are sharing razors, tooth brushes, or gettting manicures/pedicures along with conventional body-fluid exchanges...
Hep B is endemic in many asian countries.
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