ROUTINE VACCINES FOR ADULT TRAVELERS TO THAILAND

Revised in Feb 2007

Tetanus-Diphtheria (Td)
  Once every 10 years
   
Typhoid
 

The Swiss made oral form is self administered every 3 years.  The injectible form is also available. Neither vaccines are effective against paratyphoid fever which is an emerging problem in Asia. 

   
Hepatitis B vaccine
  Series of 3 vaccinations at day 0,1-2 months, and after 4-6 months. Efficacy is long lasting. A few days different in the schedule do not matter.
   
Hepatitis A vaccine
 

Recommended for all extensive travelers to Asia, Africa and South America.  It consists of 2 vaccine doses 6 months apart.  Efficacy is long lasting.

   
Japanese encephalitis vaccine
  For individuals who will travel extensively or live in rural Asia.  It is given in three injections on days 0, 7-14 and days 28-30.  Efficacy is only 3 years for the currently used mouse brain products.
   
Polio vaccine
  You should have a booster if you did not have any vaccine within 10 years and if you are going to travel extensively in  Africa, Nepal, India, Cambodia, Viet Nam, Bangladesh, Burma, Pakistan, Russia and former USSR countries.  Polio is being controlled by mass vaccination of children in Thailand, Malaysia and Singapore.  The oral form should not be given to immune compromised subjects.
   
Rabies pre-exposure series
  If you are going to spend much time walking about in Asian countries (or Africa or Parts of South America) consider having the 3 injection rabies pre-exposure series (day 0, 7-14 and 28).  The vaccine is very long lasting and you would only need a booster if bitten by a rabid dog.
   
ORAL CHOLERA VACCINE
  Not recommended
   
Meningococcal vaccine
  Recommended for extensive travel to Africa, Nepal and Northern India or Pakistan.  Required for pilgrims to Moslem holy shrines in Saudi Arabia.  It consists of one injection only.  Many colleges in North America, Canada and Europe may require  the vaccination for students.
   
INFLUENZA VACCINE
  Recommended particularly for the elderly (over 60 years) and for individuals with chronic diseases.  It consists of one injection every year.
   

PNEUMOCOCCAL VACCINE

  Same recommendations as for Influenza vaccine but only one injection is given.  Indications are the same as for influenza vaccination.
   
  VACCINATON DURING PREGNANCY
  CONTRAINDICATED (MAY HARM THE BABY)
  Measles (Rubeola)
 

Mumps (Pertussis)

 

German measles (rubella)

 

Yellow fever

 

Oral polio

  Japanese encephalitis
   

VACCINES NOT NEEDED FOR THAILAND

 

Cholera

  Yellow fever
  Smallpox (has been eliminated worldwide)
 
   
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