These specifics are standards you should expect any Travel Medicine
provider to meet.
Any provider advising travelers to destinations outside the US
will need the following information. My practice is no exception.
As a general rule, providers advising travelers to destinations
outside the US should address concerns including, but not limited to, the
following. The provider will need to be alert for potential interactions between
vaccines and medicines.
1. Hepatitis A - travelers should receive or have had
hepatitis A vaccine if the destination is Asia, Africa or Latin America. It
may also be advisable for some other destinations.
2. Measles - assure measles immunity. (see
3. Influenza – all travelers to destinations outside the
US should receive or have had the current influenza vaccine regardless of
the time of year or destination (ideally, high dose influenza vaccine for seniors).
(see Influenza handout)
4. Malaria - determine whether an antimalarial is
recommended and which one to use. (see
5. I suggest you see a Travel Medicine provider if you
will be entering an area with malaria or yellow fever.
A Travel Medicine recommendation is also a good idea
if Japanese encephalitis, rabies or typhoid fever
are concerns, or if you plan a long, complicated or not yet well defined
6. Update general vaccines - travelers should be up to
date on general vaccines, which may include tetanus, pertussis, polio,
measles (as well as concern about mumps and rubella in some circumstances).
General vaccines for specific groups may also include vaccines for: pneumococcal
pneumonia, hepatitis B, shingles, HPV or meningococcal meningitis.
7. Information about mosquito precautions and diarrhea prevention
self-treatment is appropriate for most travelers.
Information about other infections including dengue, Zika,
measles, polio, hepatitis B and others is appropriate for some
travelers. In addition, information about motion sickness, water
disinfection, jet lag, rabies prevention, altitude illness, sun protection
and other topics is available from “The Yellow Book” (CDC.gov >>
Travelers Health >> The Yellow Book >> Table of Contents). Browse for your
topics of interest, like scuba diving, fish poisoning, cruise travel, etc.
Hepatitis A and other general vaccines are often available from
a pediatrician or family practitioner who treats children, or from a county
health department (in Lane County, call 541-682-4041 for an appointment; address
151 W. 7th, Eugene).