vaccinations
Travelling the length of East Africa, on the way to Madagascar, what vaccinations do I need?I read about Typhus. Will I need a Yellow Fever jab, too? Is there a vaccin for Hepatitis A and B?
Where can I get these in Amsterdam or Frankfurt?
Which Malaria medecine is recommended to have on me? I will not take the prophylaxis, as I have done this on a previous trip to Africa, and the side effects were very heavy.
I have refreshed my ten yearly tetanus and diphteria, should I refresh polio, too?
1
If you transit from Kenya through Tanzania then yes you will need to have the Yellow Fever vaccination (especially if you intend to spend any time on Zanzibar). http://Another problem with all the old posts having been deleted or not revived - all these questions were answered in them.As for the others - please do not confuse Typhus with Typhoid Fever (I am not a medical person so will not attempt to explain the differences) - I would recommend getting vaccinated against Typhoid; Hep A & B and take an appropriate anti-malarial product. (If you intend to go the Dar es Salaam then I would strongly recommend the Typhoid Fever vaccination - the local water supply is a major source of Typhoid).
As for where you can get the vaccinations in Frankfurt/Amsterdam - YF is usually only available through your major public health facility. Although specialist travel clinics (The Travel Doctor or similar) will be able to provide both advice and vaccinations. Do a google search or check your local phone books. Good luck
2
I suggest you look at the Antwerp Institute of Tropical Medicine web site, to see what is recommended for each country. I am suggesting them because you can read information in languages other than English, including Dutch.Fit for Travel can help you find travel clinics in Germany.
I will not take the prophylaxis, as I have done this on a previous trip to Africa, and the side effects were very heavy.
Malaria itself can have some serous effects, such as death. What antimalarials did you take before? It is likely that you and your doctor can find an antimalarial that works for you.
3
Thanks to both of you.I guess I could get the jabs in Anverse ?
Malaria itself can have some serous effects, such as death.
Yes, my friend and travel-partner died of malaria, thanks for reminding me...
However, the risk of death is preferable for me to weeks of feeling extremely tired all the time and having weird aural hallucinations. Just like many other things I do that are risky, too. I do not plan to get old.
4
Yes you do! Have all the fun of grand-children etc. Death is very permanent!!!I have used both Doxy and Lariam/Mefloquine and yes I did have a few "bad nights" - but these were far better than getting bad sunburn. If you can get hold of a less expensive supplier then try Malarone - you take one tablet daily - but has a warning that (in Europe) it is usually only prescribed for a max 3 weeks. (Although I understand that some of the mining company people have taken it for up to a year.) I would recommend that you have a long discussion with your medical adviser to clarify this issue. Good luck

