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1965 results for Vaccines
7

Current thinking is that Hep A immunity is at least 20 years and may be life-long. The US CDC says

A recent review by an expert panel, which evaluated the projected duration of immunity from vaccination, concluded that protective levels of antibody to [hepatitis A virus] could be present for at least 25 years in adults and at least 14–20 years in children.

The main reason for the uncertainty is that the vaccine hasn't been around long enough to be able to determine how things look after more than about 25 years.


Nutrax
The plural of anecdote is not data.
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11

Well miss, all I can say is that you are very disrespectful of people's lives. And you still continue to discuss with non-arguments about things you very clearly know nothing about.
Grow your own mind and look up on the internet what kills more people: The vaccin or the yellow fever disease?

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Hey guys

I've just graduated from uni, working for a bit at the moment, then setting off to backpack around South America for 5/6 months, then the same in India/Southeast Asia. Can't wait! But I have a couple of questions :

1) First question. I'm from the UK, and obviously, we don't have seasons like they do in South America. I've been doing quite a bit of research and came up with this. Would love to know what you guys think :

Late January/February : Head to Rio. Going to spend limited time in the big cities and definitely want to head to the islands, and also venture up to Salvador. As you can tell I haven't planned too much yet!
Late February/March : Down to Uruguay for a bit, then Argentina.
Late March/April : Chile. My friend's family live in Santiago, so can stay with they for free for awhile before I venture south. It's Argentina and Chile that I'm most concerned with regards weather and seasons!
Late April/May : Peru.
Late May/June : Ecuador then Colombia.

Obviously, there are places I'll spend more or less time in. Just see how it goes! But this is a vague plan. How does it look so far? I'm from the UK, so anything over 20 Celsius is warm weather to me, but is Chile/Argentina OK in the months I've listed?

2) Second question. I would like to budget £10,000/$13,000 for 5/6 months in South America, visiting the places I've listed above. I get my vaccinations for free, don't need visas and my parents are buying my flights for me as a graduation + birthday + Christmas present. Does this seem like a feasible budget? I don't drink alcohol, apart from the very very occasional drink. Apparently, I can't goto Brazil and not try Caipirinhas! I also plan to take local travel and night buses where possible, aswell as staying in dorms/hostels most of the time. Self cater alot, but definitely not skimp on food!

Thanks all! Any advice would be great :)

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Hey, So i will be travelling to South America, Ecuador, Peru and Bolivia in February and I am finding it hard to work out if it is compulsary to have the yellow fever injections to travel into these countries or whether they just recommend it? I am very against vaccinations and I am also a vegan so to inject products into my blood which contain animal products in are completely against my beliefs. So I am worried about arriving at one of these borders either by bus or plane and not being allowed entry due to the fact that I have no proof of yellow fever vaccination. Please can somebody shed some light on this situation and help me :) Many thanks in advance. Emily

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Hello,

I have booked a very last minute trip to Nepal for 3 weeks, leaving in 1 week. I have all my vaccinations from a previous trip and i can obtain a visa on arrival so I'm good to get there. Normally when i have been traveling (mainly around SE Asia) i have turned up with a very rough plan of where i want to go and it has worked very well. However in Nepal I would like to do some trekking, with limited knowledge and time I'm wondering if anyone can advise me on my approach, can i turn up and organise / join a group on a trek??

Thanks in advance :)

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4

We enjoy La Casa de las Sopas in Antigua - pepían is my favorite. Here's a photo from my last lunch there and their website:
https://www.flickr.com/photos/staceyholeman/34136934682/in/album-72157680445157352/
https://la-casa-de-las-sopas.negocio.site/

I never drink tap water in Guatemala nor use it to brush my teeth. I carry a Steripen for transition days and refill a water bottle as noted above. In restaurants that cater to tourists ice should be fine - made from purified water - but they don't always serve purified water in a glass - you might need to buy a small bottle from them (I hate that - so much garbage!) or bring your bottle with you (might look tacky but oh well).

Here's my health and safety advice, reposted from an earlier thread:
:: I tend to follow the advice of the CDC for the country/ies I’m visiting:
http://wwwnc.cdc.gov/travel/destinations/list.htm

:: I recommend you at least be sure you're up to date on routine vaccines like diphtheria/tetanus and measles/mumps/rubella; many adults in the US aren't and some of those illnesses are horrible and still prevalent in developing countries. In my opinion everyone should have Hep A, too.

:: Keep the bugs from biting by wearing long sleeves/pants during buggy times (usually dusk and dawn), using effective, safe repellent (I like Ultrathon and Sawyer's Controlled Release deet products). You can also buy clothes preloaded with permethrin or buy the sprays and do it yourself; even a bandana is handy this way. I've read that any sort of oil will keep sand flies at bay but we haven't had much problem with them in our travels (pray for a steady breeze!) so can't speak about that personally.

:: I only drink bottled water, never tap (unless I purify it or boil it), even on my toothbrush (good idea to practice this in advance). I refill my own waterbottle and carry a steripen in case purified water isn’t readily available. If we’re staying for a chunk of a week or more in 1 spot we buy a big water container - trying to avoid water bottle garbage as much as possible.

:: I wash my hands every chance I get and carry hand sanitizer with me.

:: I avoid fruit I haven't peeled myself unless I trust the preparer (no bags of yummy-looking cut up mangos from street vendors, but usually I've felt ok in homestays)

:: I soak fruit and vegetables I'm preparing myself in microdyne (even if I plan to peel them)

:: I avoid lettuce (usually)

:: I only eat street food if it's selling quickly and really hot; most careful folks would say avoid it

:: I take shelf stable probiotics on the road; the one I prefer is here:
http://www.iherb.com/Jarrow-Formulas-Jarrow-Dophilus-EPS-60-Veggie-Caps/124?at=0

:: I take a papain and bromelain digestive enzyme capsule just before or after high protein meals to speed digestion; I don't have a preferred brand but here's a link to some information:
http://healthyeating.sfgate.com/benefits-bromelain-papain-6891.html

:: When I have a touch of diarrhea, I take 2 or 3 cayenne capsules and repeat every few hours - usually kicks it

:: I carry imodium or the like but rarely need it (maybe facing a bus trip?); it shouldn't be used if you're REALLY sick as it keeps the bad bugs in your system longer (can be really dangerous)

:: I get a prescription filled for the antibiotic Ciproflaxin to carry along in case one of us gets REALLY sick (powerful stuff not to be taken lightly); it's usually available without a prescription in Central America if you’d rather not mess with it ahead (although CDC says not to trust Central American-grade prescriptions).
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For kids I take small rubber finger puppets, stickers, pencils, and small pencil sharpeners - all sorts of school supplies but generally buy them there; I don't give out candy or balloons for health/safety reasons. Sometimes I find those glow stick/bracelet things at the Dollar Store and take those, and some little hair doodads for girls. I don't give money to kids who ask (beg) for it but foreign currency can make a fun gift for kids you know well - host family kids for example - if they're old enough to keep it out of their mouths - all the coins and a $1 bill, maybe.

Re: weather, mornings will generally be gorgeous and it will rain some days starting in the afternoon or evening - I think it's a lovely time to visit and will be in Guatemala around the same time for about 3 weeks, mostly on Lake Atitlán but also Antigua and Monterrico. Note that if a tropical storm or hurricane brushes by it can rain all day for days; that's unlikely but you can keep tabs here: https://www.nhc.noaa.gov/

Have a great trip!


My photos w/ blog & travelogue links on the main page of each collection: http://www.flickr.com/photos/staceyholeman/collections
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1
In response to #0

@chelsea2210516946

My partner and me are going travelling in March 2019 for a year, starting with India ...We are planning on 10 weeks in India overall

So, the first question is, how do you feel about hot weather? Because April and May will be blistering on the northern plains. If you could re-schedule India to be there between October and March, that would be better.

We are flying to Goa then making our way North through Mumbai and going to end East in Kolkata before flying on to our next destination

Second question - why have you chosen that route? With 10 weeks in hand you could easily see some of the south and the north, but you haven't oped for that.

Third question - do you have any sense of the sorts of things you would like to see, do and experience in India?

https://www.lonelyplanet.com/india/planning/india-is-known-for/a/nar/0476bc35-a51d-4d42-8d89-404be5d62570/356195

Any recommendations , must sees, tips etc would be appreciated.

Hampi https://www.lonelyplanet.com/india/karnataka/hampi

Agra / Taj Mahal https://www.lonelyplanet.com/india/uttar-pradesh/agra

Kerala backwaters https://www.lonelyplanet.com/india/kerala/alappuzha-alleppey

The Golden Temple of Amritsar https://www.lonelyplanet.com/india/punjab-and-haryana/amritsar

Delhi https://www.lonelyplanet.com/india/delhi

Jaisalmer https://www.lonelyplanet.com/india/rajasthan/jaisalmer

Varanasi https://www.lonelyplanet.com/india/uttar-pradesh/varanasi

Ajanta Caves https://www.lonelyplanet.com/india/maharashtra/ajanta

Mumbai https://www.lonelyplanet.com/india/mumbai-bombay

Khajuraho https://www.lonelyplanet.com/india/madhya-pradesh-and-chhattisgarh/khajuraho

Gompas of Pelling https://www.lonelyplanet.com/india/sikkim/pelling

Medical / Health:

Assuming you've had all the 'usual' childhood vaccines, and assuming no other existing immunity, then the basics would be:

Tetanus / Diphtheria / Pertussis
Typhoid
Hep A
Hep B
Influenza

Take comprehensive mosquito-bite avoidance measures.

Rabies - understand the risks, and if you are bitten or scratched by any mammal seek medical attention immediately and commence the post-exposure treatment.

Take sufficient supply of any currently prescribed medication with you (that said, most drugs can be obtained without prescription from a pharmacist in India)

Drink bottled water only.

Money:

Generally you can rely on withdrawing cash from ATMs. Arrange a debit card with a 4 digit PIN linked to your transaction account. Do some research to find a financial institution which offers the best deal for you. (Transaction fees, foreign exchange fees, etc). Do take some GBP / Euro / US$ for when you find yourself in an emergency, or without ready access to an ATM. Credit cards are widely accepted.

Dress

Modesty still rates highly in India - dress accordingly. Always carry a thin scarf to double as head-covering if necessary.

Be prepared to be stared at, a lot. Be prepared to be photographed (surreptiously and otherwise) a lot.

Food

There is an old colonial adage that says: ‘If you can cook it, boil it or peel it you can eat it...otherwise forget it’.

Scrupulous hand hygiene.

Go veggo for the duration.

Avoid salads, and salad vegetables - if making your own, wash all produce with purified water.

Fruits should also be washed in purified water, and peeled.

Choose restaurants that look clean and well run and if the vendor also looks clean and healthy. In general, places that are packed with locals, will be fine, while empty restaurants are questionable. The food in busy restaurants is cooked and eaten quite quickly with little standing around and is probably not reheated. (This goes for street stalls also).

https://www.lonelyplanet.com/india/travel-tips-and-articles/5-tips-for-india-first-timers/40625c8c-8a11-5710-a052-1479d27705ec

https://www.roughguides.com/article/india-ten-tips-for-first-time-travellers/

http://www.bbc.com/travel/story/20110204-5-tips-for-india-first-timers

https://www.fodors.com/world/asia/india/experiences/news/photos/going-to-india-for-the-first-time-you-need-to-know-these-10-things

And culture shock:
https://www.lonelyplanet.com/thorntree/permalink/post/22407504

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2

I've never been in South Africa but I visited some countries in Southern Africa (Zambia, Malawi and Zimbabwe) and I've never been asked for any proof of funds. Only checked regarding YF vaccination in Lilongwe. It's all.
I have a Belgian passport and I was there as tourist.

Michel

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23
In response to #22

I'll wear my rain jacket, wear waterproofed boots, bring flip flops for the shower, wear a big rectangular scarf that I can tie in different ways to become a cardigan, a skirt,... and also use as a blanket when I'm cold, bring/wear a tank top+cycling shorts to wear to bed, 2 t-shirts, 2 long-sleeves, a pair of leggings, and either a pair of jeans or a skirt+tights, a few pairs of underwear and socks, a bathing suit and a microfiber towel, which could also double up as a blanket. In addition to that, I'll bring my phone+usb-c charger+headphones, my kindle+micro-usb cable, portable charger, a pretty minimalist toiletry bag (toothbrush, comb, hair ties+bobby pins, Dr. Bronner's soap, deodorant, tweezers, nail clippers, razor, bandaids, tiny sewing kit so basically two needles and some string, condoms, B12, collapsible menstrual cup, no makeup), a cutlery set (full size butter knife without perforation, small spoon, small fork, chopsticks), a collapsible lunchbox, a stainless steel water bottle to attach to the outside of my backpack, a tote bag for groceries or to put my clothes and toiletries in and leave at the place I'll stay at while using my backpack as a daypack, a journal and some pens, my passport, credit card-sized wallet with, most importantly, my driver's license, credit card, health insurance+travel health insurance card, student ID and cash and also some less important cards like my organ or my blood donor card, my vaccine certificate passport thing, my keys, a flash drive with copies of important documents and I think that's it. All of my clothes fit into a small to medium sized packing cube and my toiletries into a 1l plastic bag, which, plus the rest of my stuff, fit into my 16l backpack and my pockets.

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38
In response to #37

It appears that the suspension of the crackdown reported by segacs in post 28 is correct, that is:

"Considering this, the Bolivian authorities have suspended the policy and its enforcement. The exception to this is when entering Bolivia from a lowland border where mosquitos are more prevalent, where it is likely the Yellow Fever Documentation will still be likely be asked for. Also those who have travelled to or from countries designated as Yellow Fever pandemic areas, the Yellow Fever Vaccine would still be required."

Let's monitor this situation, but it appears most entry into Bolivia without YF vaccination should be okay for the time being.

Looks like coming from Salta should be safe? Right?

Edited by DmytroPaslavskyy
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