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| You must discuss your own particular needs and contraindications to vaccines or tablets with your doctor or practice nurse. Ensure you are fully insured for medical emergencies including repatriation. Immunisations Yellow fever certificate required if over 1 year old and entering from an endemic or an infected area. It may sound a scary list of immunisations to be taken, but in
fact they are all given in one go and present no side effects for
the vast majority of people. Notes on the above deseases Typhoid and hepatitis A are spread through contaminated food and water. Typhoid causes septicaemia and hepatitis A causes liver inflammation and jaundice. In risk areas you should be immunised if good hygiene is impossible. Cholera is spread through contaminated water and food. More common
during floods and rainy seasons. Those unable to take effective
precautions, for example, during wars and when working in refugee
camps or slums may consider vaccination when outbreaks are anticipated
or being reported. Meningococcal meningitis and diphtheria are also spread by droplet infection through close personal contact. Vaccination is advised if close contact with locals in risk areas is likely. Yellow fever is spread by mosquito bites. It is uncommon in tourist areas but can cause serious, often fatal illness so most people visiting risk areas are immunised. Hepatitis B is spread through infected blood, contaminated needles and sexual intercourse, It affects the liver, causes jaundice and occasionally liver failure. Those visiting high risk areas for long periods or at social or occupational risk should be immunised. Rabies is spread through bites or licks on broken skin from an infected animal. It is always fatal. Vaccination is advised for those going to risk areas that will be remote from a reliable source of vaccine. Even when pre-exposure vaccines have been received urgent medical advice should be sought after any animal bite. Malaria Malaria Precautions Prompt investigation of fever is essential. If travelling to remote
areas, a course of emergency 'standby' treatment should be carried.
Avoid drinking water as much as you can. Mineral water is inexpensive and much safer. Insect bites Use insect repellent, if possible at all time, the best are the ones containing 50% diethyl-meta-toluanide (DEET). But be careful: it is an acid, clean your hands before touching anything (in particular your expensive digital camera!). Coils, fans, nets, air conditioning (rare!) all help reducing bites. HIV HIV is largely spread in Africa. Don't forget the obvious prevention! |
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