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we are going to ghana pretty soon.
over the weeknd we took 4 vaccines.
the doctor didnt think we need meningitis vaccine for south of ghana.
my question is, is that true for accra/cape coast area?
also the typhoid, our arms has been hurting for two days, is that expected?
plus, he was going to prescribe Doxycycline for malaria, but i urged him for malarone as we all want to be on the same drug. he was going to give malarone for the kids and Doxycycline for us adults, but now we are all going to be on malarone.

what are peoples experiences with vaccines and drugs that worked?

thanks,
chociao

Edited by: chociao

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I thought Doxycycline was normally not prescribed for Africa? Have certainly never heard of anyone taking it in West Africa, malarone seems to be the usual. The good thing about that is that it doesn't have any side effects, the bad thing that it's very expensive. I got malaria despite taking malarone, but I'm sure that can happen with any drug.

I never got typhoid vaccination (was told it's only needed for very bad hygenic circumstances), but 2 days of hurting doesn't seem unusual for any kind of vaccination. Yellow Fever usually hurts (+ swollen / colored arm) for at least 2 weeks, hepatitis A I felt for a week too.

I was told for Burkina Faso that meningitis is only needed from Christmas onwards, so I think you should be fine unless you're staying that long.

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Doxycycline is indeed effective in West Africa. One advantage it has is that it is much less expensive than Malarone. Children cannot take doxycycline as it can interfere with growing bones & teeth. Your doctor may have wanted to spare you expense by prescribing doxy for the adults.

Mefloquine is also effective in West Africa.

Some notes for you: Malarone needs to be taken with something that has fat in it, in order to be sure the drug is properly absorbed. A meal that includes something fried or fatty meat would suffice. (Full fat milk is good, but unless you know for sure the milk is sterile, you shouldn't be drinking it in Ghana.) Taking it with food also helps avoid upset stomach. It needs to be taken at the same time each day to be sure there is a steady level in your bloodstream.

Meningitis. Take a look at this map: Areas with frequent epidemics of meningococcal meningitis Vaccination is usually recommended only for the dark orange areas. Coastal Ghana is not in that area. The season in Ghana is December-June.

Typhoid:You are some of the unlucky ones who got sore arms. It is not common. The typhoid shot is good for 2 years. If you travel again & need to be revaccinated, tell the doctor about the bad reaction. If the oral typhoid vaccine is available in your country, you might prefer it. Are you sure it was the typhoid and not the yellow fever that caused sore arms? That's a common reaction to YF. Also, if you got all the shots on the same day, then you are more likely to have some soreness.

Thorntree has a Health Branch (where I usually hang out), which is a good place to post these kinds of questions.


Nutrax
The plural of anecdote is not data.
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You might want to consider taking malaria testing kits, and treatment, if these won't be available where you will be.

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Chociao,I think you are complicating too much!Aren't you a Ghanaian?Why would you be taking antimalaria drugs?Don't you know that all those drugs affect your liver?
I have been living here in Ghana for the past four years with my children and none of us have had malaria (we have never taken any tablets)You just need to take good care of yourself,this means sleeping in mosquito nets,wearing long sleeves at dusk or using repelents.

About vaccines:before moving here we had just a shot against yellow fever and agains Hep.A and B....They make good business with all these vaccines in Europe and USA.They tell you, you need to get it even if it is not really necessary.And they don't know how the situation really is in Africa.
Wishing you good luck!

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hehe Obroni, I am 100% ghanaian who left the country long long time ago. I am bringing with me 3 precious people with me who are non-ghanaians, so i feel really obligated in protecting them, and reading more stuff, and making sure i cover everything health related. i guess, i am trying to be responsible for their lives. i owe it to them after all if i am showing them my motherland. i want all to go smooth. i will soon blog about it upon arrival. thanks though;-)

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n/t..

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Yeah...you mean Iam irresponsible mother because I dont poison my husband and kids with antimalaria drugs,By the way...I also have birracial kids-half Ghanaian....yours are not???

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Hi, hope you have a great time in Ghana, I took doxy for my Ghana travels, after looking at my options (including nothing) i decided that it was the easiest and most appropriate malarial medication for me. I had no side effects and after 5 months, no malaria. I did however not have any vaccinations and for 10 months in Africa had no problems, except if entering south Africa from Ghana (or west Africa) you will need proof of yellow fever vaccine. If you dont, then you either fly back to where you have just left from, or like me had to spend $80 on getting vaccinated at the airport.

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