Hey FF, lets talk about immunizations - Do YOU?
#46
Join Date: Apr 2003
Location: MSY
Programs: BA GfL
Posts: 5,464
FYI, "prophylaxis" means prevention of a disease before you get it (e.g. vaccines and drugs as malarone, taken to prevent malaria). What you are referring to is rabies treatment, which is indeed much more unpleasant than the vaccine/prophylaxis.
#47
FlyerTalk Evangelist
Join Date: Jun 2005
Posts: 34,718
I've had the MMR vaccine 4 times, and I don't have immunity to Measles, Mumps and Rubella (verified by titer). However, because I had the chicken pox, when they ran the titer, it was on the high end of the scale.
And Rabies vaccines is far better than the prophylaxis, which when I had to take it (bitten by a possum), was unpleasant as it required a massive needle and the injection site was in the belly.
And Rabies vaccines is far better than the prophylaxis, which when I had to take it (bitten by a possum), was unpleasant as it required a massive needle and the injection site was in the belly.
#48
FlyerTalk Evangelist
Join Date: Jun 2005
Posts: 34,718
Except rabies "treatment" is really a form of prophylaxis. They're trying to boost your body's ability to fight the possible rabies, not fight it directly.
#49
Join Date: Apr 2003
Location: MSY
Programs: BA GfL
Posts: 5,464
#50
I was born in SE Asia and have lived here almost all of my life - have traveled extensively - do so for work into the jungles of Borneo as well.
All I have (since early age) are: Tdap, Hep B, MMR, DTaP.
But if you are really worried, then the best suggestion IMO is:
All I have (since early age) are: Tdap, Hep B, MMR, DTaP.
But if you are really worried, then the best suggestion IMO is:
Originally Posted by calbear2005 
I get you concern regarding a trip with a vast array of different geographies. The best thing might be to make a list of places you intend to visit and then visit you primary physician. From my experience, for major SE Asian cities, you need hep A, typhoid, and Tdap. The other shots/pills mentioned here then depend on where else you plan to go. But, like I said, go see a doctor.

I get you concern regarding a trip with a vast array of different geographies. The best thing might be to make a list of places you intend to visit and then visit you primary physician. From my experience, for major SE Asian cities, you need hep A, typhoid, and Tdap. The other shots/pills mentioned here then depend on where else you plan to go. But, like I said, go see a doctor.
#52
Join Date: Sep 2012
Posts: 100
I met with a nurse from Passport Health and the consult was worth it however left with no vaccinations. She did not push or said which ones were highly recommended vs not. She gave me prescription for 12 malaria pills and 3 anti diarrhea which my insurance covered. The checklist has: 1) Hep A 2) Hep B 3) Flu shot I am def not getting, my primary physician said the season is over 4) japanese encephalitis (rare but deadly) 5) pneummocal 23 6) rabies decided not to do it if I get bitten I will go to the hospital right away. 7)TDP 8) typiod 9) cholera (didn't even know this was a risk) . SO I am not doing 9 vaccines and how do I choose? I am very confused. Friends just went to Vietnam and Cambodia and did no vaccines at all. I don't know what to do.
#53
FlyerTalk Evangelist
Join Date: Jun 2005
Posts: 34,718
I met with a nurse from Passport Health and the consult was worth it however left with no vaccinations. She did not push or said which ones were highly recommended vs not. She gave me prescription for 12 malaria pills and 3 anti diarrhea which my insurance covered. The checklist has: 1) Hep A 2) Hep B 3) Flu shot I am def not getting, my primary physician said the season is over 4) japanese encephalitis (rare but deadly) 5) pneummocal 23 6) rabies decided not to do it if I get bitten I will go to the hospital right away. 7)TDP 8) typiod 9) cholera (didn't even know this was a risk) . SO I am not doing 9 vaccines and how do I choose? I am very confused. Friends just went to Vietnam and Cambodia and did no vaccines at all. I don't know what to do.
Hep A & B: They are now standard vaccines here, if you don't have the series, get it even if you aren't traveling.
Flu: I certainly wouldn't bother for travel.
Japanese encephalitis is not normally recommended.
Pneummocal is standard at IIRC 65.
Rabies, only recommended for those at high risk and it doesn't avoid post-exposure treatment anyway. It does make it less severe, though, and it provides some protection to unknown exposure (say, airborne while in a bat cave).
TDP, you should get the booster every 10 years anyway.
Typhoid. I've gotten the vaccine in the past. At this point my dietary limits the risk is minimal for me so I don't bother with keeping it up to date.
Cholera, I've always had this one when going into Cholera territory. I haven't been there in a long time, though.
In years past I have also had yellow fever and smallpox vaccines.