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Before
you leave
Routine
vaccination
(every 10 years) should be maintained against tetanus
& diphtheria, regardless of your travel
plans. A booster shot for routine vaccination such
as measles, German measles, mumps and polio
may also be appropriate.
Required
vaccinations:
Yellow fever vaccination is a requirement for an entry
visa for certain countries of Africa and South America.
We are authorized by the State
of Virginia to provide yellow fever vaccination.
We will provide you with the yellow fever vaccine
certification.
Country
Specific:
Depending on circumstances, we may recommend vaccination
against:
Polio
Influenza
Hepatitis (A or B)
Japanese encephalitis
Typhoid
Meningococcal meningitis, or
Rabies
You
can get more information about country-specific recommendations
from the U.S. Centers
for Disease Control (CDC).
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While
you are there
You
can take steps
that lower the risk of getting sick while you are
away. We can provide counseling on risk avoidance.
Depending on your travel plans, this might include
discussion of what, how and where to eat, drink, swim
or sleep.
Personal
hygeine
is important to avoid dysentery and other food and
water-borne infections (E. coli, Shigella, Hepatitis,
Giardia, or Amoebas).
Mosquitos
or other insects
spread many diseases (dengue, Japanese encephalitis,
malaria, Chagas, and elephanthiasis) and can be avoided
with proper precautions.
An
expert in malaria,
Dr. Wanid can discuss proper prophylaxis during and
after travel to affected areas.
Person-to-person
spread of old diseases (tuberculosis) or new ones
(SARS) may requre special attention depending on when
or where you travel.
Sexually
transmitted diseases
like HIV or gonorrhea may be widespread or difficult
to treat when acquired in some overseas locations.
Information
about specific diseases
can be found at the CDC
website.
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After
your return
A
consultation or examination
may be a good idea when you
come back, especially if you are not feeling well
or got sick while away.
Medicines
and medical care received
abroad may not be up to US standards and should be
reviewed upon your return.
An
upset stomach
aquired abroad (traveler's diarrhea) sometimes keeps
returning when caused by difficult to treat organisms
like amoebas or Giardia.
Unusual
diseases
such as encephalitis, malaria and dengue require specialized
care--frequently in a hospital--and need to be recognized
and diagnosed quickly. Trained in Thailand, Dr. Wanid
has direct clinical experience with many of these
illnesses.
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