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Immunizations For The Traveler
Travelers to other countries may find themselves turned away at the border or airport, or put in lengthy quarantine, particularly countries in Asia, Africa and South America if they fail to anticipate required vaccinations or immunizations. Also, certain immunizations are recommended, although not required, and travelers are advised to check these recommendations as well. Please view the following Information on both required and recommended immunizations.

Take Care of Immunizations Early, many vaccinations require several days or weeks to take effect; you will want to anticipate any "holding period" well before you travel.

Links
Many of the links below are accessible at the Center for Disease Control's Travel Information Web site; we tried to put them into context below, and added some explanation and tips. One of the best overall resources for healthy travel information is the Moon Handbook's  Staying Healthy in Asia, Africa, and Latin America, by Dirk Schroeder, Sc D, MPH. Despite the title, most of the information found therein is of use worldwide.

Infectious Diseases Links
A simple, easy-to-read list of infectious diseases listed by country, the Summary of Health Information for International Travel, also known as The Blue Sheet.

Immunizations / Vaccination Links
Required immunizations vary greatly by country; the Center for Disease Health Information for International Travel, also known as The Yellow Book, is the definitive resource for this frequently changing information.

For extensive additional information by region, including recommended vaccinations, see the CDC's Geographic Health Recommendations.

Another extremely useful resource is the CDC's Vaccine Recommendations, which includes information about which routine vaccinations, such as those most Americans receive as children, require periodic boosters. A short list of common vaccinations and booster requirements follows:

- Tetanus/Diphtheria: booster every 10 years.
- Measles/Mumps/Rubella: if born after 1957, one dose of each; if given after 1967, the vaccination is good for life.
- Polio: If immunized, get a booster before traveling abroad.
- Yellow Fever: immunization valid for 10 years.
- Cholera: immunization valid 6 months. 50% effective.
- Meningococcal Meningitis: immunization good for 2-3 years.

Multiple Country Itineraries
Some countries that do not require vaccinations, for instance for yellow fever, are nonetheless infected with yellow fever. In some cases, travelers from the US are not required to have certain vaccinations, but if you are entering a country from a nation other than the U.S., you may need the vaccination. Be sure to do the proper research to anticipate these types of requirements.

The Yellow Health Card
All immunizations must be recorded and presented on an official International Certificate of Vaccination, also known as the "yellow health card." Your doctor or health care provider will fill out the card, and you must get an official stamp, obtainable from your county health department (some doctors can also provide the stamp at the time of vaccination).

Yellow Fever Tips
Yellow fever is the most commonly required immunization; the CDC maintains a page dedicated to yellow fever vaccinations, Comprehensive Yellow Fever Vaccination Requirements.

Malaria Tips
Transmitted by the bite of a malaria-infected mosquito, malaria is common throughout the world. A plethora of information outlining yellow fever and malaria conditions, organized by country, can be found here.

The possibility of good news is on the horizon: Researchers have made a crucial breakthrough in the development of a vaccine for Malaria, and much progress has also been made in the area of preventative drugs.

The CDC maintains an extensive information page on malaria symptoms and identification, its avoidance and treatment, and much more.

Mothers Breast-feeding, Children, Pregnant Women
Many immunizations are unsafe for children and pregnant women, although most are safe for breast-feeding mothers. People with possible contraindications for vaccinations, as well as persons with HIV and AIDS, may be at risk from possible side effects of some immunizations. Be certain to speak to a doctor or health worker about possible side effects.
For more information, see Vaccine Recommendations for Infants and Children.

You Cannot Receive Certain Required Vaccinations
if you cannot receive a required vaccination for health reasons, you should carry a note from your doctor verifying the condition, and have this stamped with the official stamp.

Please Beware Unsanitary Conditions
If you need to get a vaccination while traveling, note that some third world immunization clinics may be unsanitary; in some cases, clinics may use the same needle repeatedly. If conditions appear suspect, check with your embassy for recommendations on acceptable clinics.

Agency contact information for assistance:
Centers for Disease Control and Prevention
1600 Clifton Road
Atlanta, GA 30333
 
Find broken links, incorrect information or have related tips you'd like to share? Let us know!

 

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