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Vaccinations for Thailand
December 10, 2010 in Health Thailand, Vaccinations Thailand
Vaccinations information for Thailand
Vaccinations Thailand:Hepatitis A vaccination: Recommended for all travelers
Typhoid vaccination: For travelers who may eat or drink outside major restaurants and hotels
Yellow fever vaccination: Required for all travelers greater than one year of age arriving from a yellow-fever-infected area in Africa or the Americas. Not recommended otherwise.
Japanese encephalitis vaccination: For long-term (>1 month) travelers to rural areas or travelers who may engage in extensive unprotected outdoor activities in rural areas, especially after dusk
Hepatitis B vaccination: For travelers who may have intimate contact with local residents, especially if visiting for more than 6 months
Rabies vaccination: For travelers who may have direct contact with animals and may not have access to medical care
Measles, mumps, rubella (MMR) vaccination: Two doses recommended for all travelers born after 1956, if not previously given
Tetanus-diphtheria vaccination: Revaccination recommended every 10 years
All travelers should visit either their personal physician or a travel health clinic 4-8 weeks before departure.
Malaria and Insect protection in Thailand
December 10, 2010 in Health Thailand, Malaria Thailand
MALARIA IN THAILAND
Malaria in Thailand: For rural areas bordering Cambodia and Myanmar, prophylaxis with Malarone or doxycycline is recommended. For rural areas bordering Laos, either Malarone, doxycycline, or Lariam should be taken.
Prophylaxis is recommended for rural areas bordering Cambodia, Laos, and Myanmar, including Mae Hong Son. The malaria risk in Phang Nga and Phuket is very limited; therefore, prophylaxis is not recommended for these two areas. There is no malaria risk in Bangkok, Chiang Mai, Chiang Rai, Pattaya, Ko Samui, and Ko Phangan.
Insect protection: Wear long sleeves, long pants, hats and shoes (rather than sandals). For rural and forested areas, boots are preferable, with pants tucked in, to prevent tick bites. Apply insect repellents containing 25-50% DEET (N,N-diethyl-3-methylbenzamide) or 20% picaridin (Bayrepel) to exposed skin (but not to the eyes, mouth, or open wounds). DEET may also be applied to clothing. Products with a lower concentration of either repellent need to be reapplied more frequently. Products with a higher concentration of DEET carry an increased risk of neurologic toxicity, especially in children, without any additional benefit. Do not use either DEET or picaridin on children less than two years of age.
For additional protection against Malaria in Thailand, apply permethrin-containing compounds to clothing, shoes, and bed nets. Don’t sleep with the window open unless there is a screen. If sleeping outdoors or in an accomodation that allows entry of mosquitoes, use a bed net, preferably impregnated with insect repellent, with edges tucked in under the mattress. The mesh size should be less than 1.5 mm. If the sleeping area is not otherwise protected, use a mosquito coil, which fills the room with insecticide through the night. In rural or forested areas, perform a thorough tick check at the end of each day with the assistance of a friend or a full-length mirror. Ticks should be removed with tweezers, grasping the tick by the head. Many tick-borne illnesses can be prevented by prompt tick removal.
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