Anyone knows good place near Envigado where i can get the yellow fever vaccination on monday ? Goining to Brazil soon.. allready went to one normal hospital near here but they said that they can't give the vacs there..
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1897 results for Vaccines
1
kaz
How easy is it to wheel a buggy around? Are there hard roads / paths that are not covered in sand?
The roads in Lamu town are narrow, but they are paved/concrete, not sandy at all. You'll be fine with a buggy. The waterfront is wide (and paved).
Is the only way to get from Shella Beach to Lamu Old Town by dhow? If so, are there life vests for infants?
No, there are motor boats, or it is a pleasant 40 min walk, mostly along the sea wall, although close to Shela you will be on the beach. At high tide it is quite narrow, plus you need to cross mooring ropes and have to walk on piles of stones, so check the tide times. The dhows do have life vests, but I don't know if they have them small enough for babies.
Is there any shade on the beach?
Shela beach? No, its a long strand backed by dunes. Very little natural shade.
What about the heat? Our AirBnB doesn't have AC. I suspect this might be OK at night but am worried about day time naps.
Lamu runs uphill from the waterfront and just about everywhere faces the channel between Lamu and Manda to catch the breeze. Many of the old houses have covered roof tops - a lovely cool and shady space to while away hot afternoons. As long as the place you choose has one of these - no problem. The houses are built with thick, coral rag walls which keep the heat out so there is no need for AC.
Malaria???? Can infants / toddlers take prophylaxis?
There is malaria. You will need to see your doctor regarding what dose your child needs. Are you living in Australia? If so, you'll need to get vaccinated against Yellow Fever too, a requirement to get into Australia after visiting Kenya.
tearling
This information is from my recent trip to Dzanga-Sangha in February 2020.
If your researching this destination you will know it is expensive and you have very limited options (I am a budget traveler, but the money I spent doing this was worth it, around $2K+ USD for 5 days, 3 full days in the park with excursion - this include all transportation from Bangui, in the park and onto Yaounde). Wish I could give you some tips on how to save some $$$.
I also posted pics on my facebook page - https://www.facebook.com/profile.php?id=100009506296789
The park is awesome and we were basically the only visitors during our stay. Just two of us on the gorilla trek and got to see them feeding in a Bai (jungle meadow). I did a mt gorilla trek in Virunga, DRC. Larger groups of gorillas in the Virunga (22 gorillas in a family) compared to Dzanga (9 gorillas in the family). Seemed easier to view the gorillas in Dzanga and if they do happen to meander into on of the Bai's, you will have an amazing observation. The hike into the jungle is easier and the security issue is better than Virunga.
The elephant bai is must, did it twice. Also a must is to spend time with the pygmies / baAkas - we did a net hunting excursion with them and visited a village, loved it! Also got to borrow Nuria's 2 man water kayak and went up river and into a small tributary and visited a small village and football with kids on a giant sandbar in the middle of the river.
At this time, we had the option to fly from Bangui to Bayanaga, it cost 400 Euro one way and left every Wednesday.
We arranged everything with Nuria Ortega - nortega@wwfcar.org. She also manages the Doli Lodge (90 euros per person per night 3 meals) and organized all out excursions.
Bayanga to Yaounde (early February 2020)
We were lucky and met a solo traveler with a Cameroon guide who came from Yaounde and were going back the same day we were leaving, we were able to share costs with them.
Day 1 – left Bayanga at 7:40am on a speed boat (240 Euro), took 1:10 to reach the customs and immigration office at Lijumbo. You can also hire a motorcycle to go from Bayanga to Lijumbo (quotes we got were between 15K~25K and takes 3 hours)
When we departed CAR, we were required to go to 4 offices.
1st is CAR immigration at Lijumbo – paid 6K~8K CFA
2nd, 3rd, & 4th - took a 5 minute boat ride down river and visited 3 offices (small shacks) and checked in with the military / police – time consuming because each had to hand write our passport details in a ledger book. We were required to pay 2K CFA at each office (total 6K CFA – make sure you have small notes, no one could change a 10K CFA note)
If you are arriving Lijumbo from Cameroon, we saw a price list that showed it was 30000 CFA for visa on arrival + 2000 registration – it appeared it was for any passport that required a visa. USA was visa free along with some other countries.
Took the boat across the river to Cameroon (5 minutes). We had visa’s, immigration asked us for a 10K CFA – we negotiated it down to 5K CFA and probably could have got if for less but we wanted to get moving to try and make it to Batouri. The customs official/s spoke fluent English.
The CAR and Cameroon customs / immigration / police / military stops took about 2 ½ hours in total – we were 4 people.
We left Limbongo at 12:30pm (was hoping to leave by 10:30am). We traveled in a Mitsubishi 4x4 for Yokaduma via Mboy to the East, close to the CAR/Cameroon boarder (This road is not really on any maps and goes close to the Cameroon/CAR border – it’s a logging road and it was in decent condition when we drove on it and some areas we were driving at 70k’s per hour. We averaged about 20k/per hour. It’s not the P4 road (google maps shows a road leaving Yokadouma to the south as P4). The road is hard to find on google maps but you can find it on the maps.me app which you can download and use offline. Not many checkpoints on this section of road and we saw maybe 8 trucks/vehicles pass us from the opposite direction. We arrived Yokaduma at about 8pm and spend the night there – hotel was very basic.
The 4x4 we drove in did not handle the roads as good as small bush taxis – it took us 6.5 hours in the 4x4 vs a bush taxi doing it 4.5 hrs. Truck got stuck in a river crossing and had a 1.5 hour delay and had to wait for a truck to tow us out. A 4x4 in the wet season is probably the only way to go, but the dry season a bush taxi is much better.
If we had not traveled with the other tourist and his guide who had vehicle waiting for them in Limbongo, I think we could have arrange a bush taxi within a day to get to Yokadouma. This is the hardest section to get transport (Yokadouma ~ Limbongo). The 2 of use were planning on hiring 3 motorcycles if we could not get a bush taxi (1 extra in case we had a breakdown – it is very possible you will have a breakdown when traveling this route - Bayanga to Yaounde).
Another thing to point out was this journey was done in early Februray, the dry season. The dust was terrible! Often the road was covered in about 4 inches of powdery dust. We saved our thin paper face mask from the gorilla trek and wore them to help reduce breathing in dust. We also bought some extra heavy plastic bags to put our backpacks in (they were empty 50Kg rice bags that we bought in Limbongo). The really fine red dust stained our clothes and it took days before we got it completely off our skin and out of our hair. Be prepared for it if you are doing this in the dry season.
The next day we traveled by bush taxi -Yukoaduma 8:30am to Bertoui 1:00 pm to Bertoua 3:15pm. It cost us 60K CFA (100 Euro) for a private bush taxi. We were 5 people in the car.
Lots of police checkpoints along this section and they wanted to see passport and vaccination card. No bribes, but time consuming.
Expected this road to be worse than it was –wasn’t bad but a lot more traffic and a lot more dust. We had windows rolled up and had the broken air conditioner on in recycle mode but dust still got in the car and trunk. It was insane.
We could have taken a bus from Bertoua to Yaounde that afternoon but decide to stay the night.
Bertoua to Yaounde is fast, 5-6 hours. Yaounde traffic is a nightmare, took an hour from the edge of the city to get to the bus depot
We visited Sanago-Yong Chimpanzee Rescue outside of Belado. Stayed about 1 ½ hrs, can only visit 3 enclosures. Hired a bush taxi for 30K to take us up and back (had to hire a motorcycle taxi for 5K CFA to drive us there and back, about 20km). Got back to Bertoua for a 3pm bus to Yaounde arrived 9pm (the bus was full but not overcrowed and comfortable).
This is the name and contact of a guide in Yaounde, Cameroon, who we traveled with back to Bertou - it was his first time doing the trip to Dzanga and he is very knowledgeable and could help you arrange a trip if you are coming from Yaounde,
Jude Mainimo Mohmekwe
Email - mainimojude81@yahoo.com
Certified National Tourist Guide.
Ground Logistics and Tour Manager
Nuria Ortega (nortega@wwfcar.org) - she is extremely knowledge about the area and was very helpful in giving us logistics and can help with visas in Bangui if you need one. She has contacts in Bangui. She had some very good info on traveling to Bomassa, Rep of Congo, and visiting the other parks there. If I did this trip over, I would have traveled down river to Rep of Congo vs going across Cameroon.
Another recommendation in Bangui is a guy named Norbert Bogbeyate (norbertbogbeyate@yahoo.fr)
He is a bit of hustler and expensive but he gets stuff done - we used him to take us up to Bioli Falls ($100/ea per person).
Stayed at the Oubangui Hotel in Bangui (40K single room, 49K double room) - nn to make advance reservations, rooms suck but the location is awesome. You can hire a dugout boat to take u for a short ride on the river for 1K CFA.
2
nutraxfornerves
his is my standard rabies post, a bit modified, based on some searching I just did.:
Preventive rabies vaccination is called "pre-exposure vaccination." It is a series of three shots given over a month, so you don't have a lot of time before your trip.
Rabies vaccination does not make you truly immune--not like, say, measles shots. What it does do is buy you time to get treatment and reduce the treatment regime. If you get the pre-exposure vaccination, then the after-bite treatment is two shots of vaccine, three days apart. You also have a latitude of a few more days to get to treatment.
There is no fixed amount of time you have to get treatment after being bitten. It depends on the location & the severity of the bite. A mauling to the head is a big emergency; a nip on the ankle is urgent but not an emergency. Obviously, though, sooner is better; you should never delay getting treatment as soon as you can.
If you were not previously vaccinated, then you need a shot of rabies immune globulin (RIG) and a series of five shots of vaccine given over the course of a month. The vaccine may be hard to find in remote areas.
RIG can be hard to find (there is a worldwide shortage) and can be expensive. I've seen reports of US$1000 or more for human RIG. You may be offered immunoglobulin derived from horse serum (ERIG) as an alternative. The main problem with ERIG is that it can cause serious allergic reactions. You can be given immune globulin up to 7days after you start getting the vaccine, so you can get the vaccine at some rural location (if you can find it) and then head to a big city or to Europe for the rest.
In the DRC and Rwanda, you may have trouble finding any sort of treatment if you are bitten. You might have to get yourself to one of the well developed countries in Africa, or even to Europe. The Surgery in Kampala has vaccine, if you can get to Uganda. You can probably find vaccine in Nairobi and definitely in south Africa; maybe in Kigali, but you'll have to hunt. I'd start with the King Faisal Hospital.
The US CDC recommends pre-exposure immunization for people traveling to remote areas where good medical care may not be available. For Rwanda/DRC they specifically recommend it for "Travelers involved in outdoor and other activities (such as camping, hiking, biking, adventure travel, and caving) that put them at risk for animal bites." Reported human rabies incidence in the DRC & Rwanda has decreased a lot over the last several decades, with the caveat that reporting is pretty bad.
Some people choose to put the money they would have spent on rabies pre-exposure immunization into buying top-of-the line travel health insurance, that will pay for the treatment, and evacuate you to a big city if necessary. Given where you will be, you might want to consider this anyway, if for no other reason than you can call them and have them find you a clinic for whatever health problem you have.
6
craig.w
Just in case others are interested, I am Australian and asked in both Berlin and London about applying for a visa and both said they had no problem issuing to me (there is no embassy in Australia). Requirements for both were the same, hotel booking, flight itinerary , yellow fever vaccination. The Berlin embassy has a requirement of “confirmation from employer” but she said as I was applying for a tourist visa it wasn’t needed. Both said 3 weeks, the lady in Berlin said to apply on a Thursday or Friday to make sure it reaches Bujumbura by the Tuesday meeting and it might be quicker..
2
nutraxfornerves
Don't forget that the certificate is not valid until 10 days after the shot.
I see you are in NYC. I suggest calling around to nearby communities, for example, in New Jersey. Some city and country health department do travel medicine. Sometimes you have to be a resident; sometimes not. Also, some clinics are able to supply an alternate vaccine.
Go to Search for Yellow Fever Vaccination Clinics to see listings of YF clinics.
I saw one report that someone was able to be immunized at the Black Lion Hospital in Addis, but this report is a year old.
Are you transiting through Europe? You may be able to get it at a European airport. There are travel clinics at Heathrow, Schiphol, de Gaulle, and Frankfurt that I know of, but can't verify they have YF vaccine.
You may also want to see if an official YF clinic will give you a letter saying that there are medical reasons why you can't get the shot. This info also needs to be in the certificate as well, with an official stamp. Will help if you can get a French translation of the letter.
Here is a TripAdvisor comment from last month "Traveled November from Nairobi to Kingali via Rwandair and had to present yellow fever record before I was able to board in Nairobi and again at passport control entering Kingali...yes, you need to have the vaccination."
86
MeatIsMurder
My YF vaccination has expired over the 10 year period since I was last in this part of the world.
I’m cycling through The America’s, currently in Southern Colombia (Pasto) and wondering if I should get a shot while I’m in Quito.....I understand that you can get it for free at a clinic there (please correct me if I’m wrong).
Any overland travelers been asked at the land border crossings between Ecuador and Peru and Peru and Bolivia that can offer any advice or instances where they have had to show evidence of having the shot?
I met a fellow cyclist going north the other day...he started in Brazil and has been overland through all the above countries on his bike and was never asked for the card or proof of the shot at any border.
I have read that folks from the USA have quite an ordeal when entering Bolivia overland....passport sized photos, printed itinerary, proof of first nights accommodation, YF cert etc etc.....I read a journal from other bike tourers who had a nightmare with this process at the Peru / Bolivian land border crossing!
Any Non USA folks out there had the same issue with this process??
I’d hate to ride to the border and be denied entry because of this......when I did travel all through The America’s 10 years ago as a backpacker, I had the YF card, but never once had to show it at land or air borders.
Any help or advice would be much appreciated.
Cheers.
2
Coalclifff
Welcome to the forum, and I expect you'll have a great time.
- We use an ekit SIM card (bought in Australia), and it has done the job in all North America, UK-Ireland, and Europe - you get a new phone number (+44 UK) - you might find an equivalent through HI Canada (which you could join anyway).
- Even if you're young, I don't think you're planning enough train trips in your time to justify a Eurail Pass across several countries, so just research point-to-point fares. Fast intercity (and international) trains where there are seat reservations are usually a lot cheaper booked in advance (up to 90 days).
- We have never invested in any vaccinations for European trips.
- We've never lost luggage on flights - I guess it must happen very occasionally -but I don't think the European record would be any worse than North America.
- We've been in Amsterdam, Munich, Austria, Barcelona and Italy in September, and the weather was very good - by mid-late October it's starting to become significantly cooler.
And a few other points:
- Oktoberfest will require very early booking of accommodation (hostel?)
- There is a direct Thalys Train Amsterdam > Brussels (book in advance)
- regional trains (no reservation) are mostly fixed price - buy on the day
- I can't assist on the safety (or otherwise) of night trains - others will
- Nuremberg after Munich - great hostel up at the castle - not Frankfurt
- Berlin if you have the time - lots of young people like it
And take a proper compact camera, and back-up photos on a stick drive ... we don't use cameras or tablets for either taking pictures, or for storing them.
Take a slim money-belt to wear under your shirt ... carry the bare minimum when out strolling (driver's licence, one credit card, and fifty euros or so ... not much else is required - put your passport in a safe at your accomm).
Overall, I think your trip has pretty good pace and shape .. with a bit of time in the major cities to explore some surrounding attractions. For example there are several great day-trips out of Munich and Brussels - I can't advise on the Central European cities however.
Have a great trip!
YanquiBoy
Just absolutely incredible and it goes way beyond treating lung cancer.
A Cuban vaccine might some day turn lung cancer into a chronic disease
http://www.miamiherald.com/news/nation-world/world/americas/cuba/article155129444.html