Go Back   Horizons Unlimited - The HUBB > Planning, Trip > Staying Healthy on the Road

Staying Healthy on the Road Medical info, e.g. malaria, vaccinations, travel medical tips, medical insurance, where to find a doctor.
Contact Overland Solutions for all your custom modifications and setup for overland travel.

Global Rescue, WORLDwide evacuation services for EVERYONE to YOUR choice of home hospital

LinkBack Thread Tools Display Modes
Old 18 Apr 2012
Registered Users
HUBB regular
Join Date: Jun 2011
Posts: 33
Vaccinations for Russia, Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan

This is the list of vaccinations my GP has recommended for my motorcycle tour of the Stans, going for seven weeks. Hep A, Hep B, Rabies, Japanese Encephalitis and Tick borne Encephalitis. I have already had Tetanus, Polio, Typhoid and the other usual UK vaccinations. I will have Hep A and B. But not sure if the others are needed.

So what is the consensus Rabies, Japanese Encephalitis and Tick borne Encephalitis for the Stans necessary or over kill? What do you think.

Thanks Nick
Reply With Quote
Old 19 Apr 2012
mattcbf600's Avatar
Gold Member
Veteran HUBBer
Join Date: Aug 2006
Location: London, England
Posts: 706
TBE I would definitely go for - it's a horrid horrid thing and so easy to defend against - and heading to the stans you're right in the middle of the hot spot - having said that if you're not camping and only staying in cities the risk would be low.

Rabies - well - Rabies can kill you - and still does kill a lot of people. The practical reality is that by the time the symptoms are presented it's too late to do anything - which is why treatment is automatically given after and questionable interaction (generally a bite) from an animal that could be a carrier. If you have the jab in advance you save yourself 3 injections into the stomach if you do get bitten - if you don't have it and do have an interaction that would require treatment you'd need 6. Again rabies is very common on your route.

JE - Meh... well - it's very serious if you do get it. Major risk areas are the far east and south east asia. You're right on the lines between the hot spots and medium risk areas so it's your call - again it'd figure how much camping I would be doing and how far east I'd be. At the end of the day if you get it your brain swells until you die. Got to worth a jab right?


Watch some of my camp cooking videos

AIM: mattcashmore
SKYPE: matthewcashmore
MSN: matthew@matthewcashmore.com
Reply With Quote
Old 19 Apr 2012
Registered Users
Veteran HUBBer
Join Date: Dec 2006
Location: Moscow
Posts: 1,121

I've done a mile or two in Russia over the last 6 years.

Never had so much as a rumbling tum - even when living on almost only berries and swamp water for a couple of days along the east BAM.

The only precaution I take (apart from hangover relief) is TBE - but that is depending on the region and time of year.

Not all ticks are infected and those that are infected can only pass it to Humans during a fairly short time period of the life cycle.

TBE is not just across all of Russia - it extends through most of east Europe and southern Scandinavia as far west as Germany and the Low Countries

However it occurs only in a fairly narrow lattitude band and is not in the Stans except the very north of Kazakhstan.

Immunisation is a couple of injections a few weeks apart and a certain time before exposure. A specialist State clinic in Moscow charged about £20 each. They did the first and we took the other with us and 'her indoors', a Doctor, administered the second for free!
Reply With Quote
Old 29 Apr 2012
Registered Users
HUBB regular
Join Date: Jun 2011
Posts: 33
Thanks Matt and Tony P for the comments. Anybody else?

I have tried to look up the risk for TBE in for late July early Aug for Eastern Kaz and Kyrgyz do you know if the is medium or high risk months and area?

Thanks Nick
Reply With Quote
Old 29 Apr 2012
Contributing Member
Veteran HUBBer
Join Date: Sep 2009
Location: Australia
Posts: 168
In Australia I asked my local travel medicine centre about getting the TBE injections for Russia and found it was practically impossible - apparently the vacine isn't normally held in-country so is very expensive if you want it. The doctors advice was that if I decided I wanted to get it as soon as I arrived in Russia. As it was I was out of the season (arrived late July) so didn't bother.

Anyway if you decide you do need it - its worth checking out the practicalities of getting it at home versus organising it in Russia.

In the end I only had the standard injections - most importantly getting my tetanus up to date.
Reply With Quote
Old 29 Apr 2012
Contributing Member
HUBB regular
Join Date: Feb 2009
Location: wirral
Posts: 71
Go for everything, Bar the JE Liverpool School of Tropical medicine told me JE is a live vacine and if you are in a JE area less than 3 months you stand more chance of dying from the vaccine,(but its your choice) You will be really glad you got the Rabies when a wakhan hound is playing chase through his village (they are working dogs and can run faster than you can ride on there roads)

Reply With Quote
Old 18 Jun 2012
chris's Avatar
Probably out riding
Veteran HUBBer
Join Date: Jun 2000
Location: God's Own County
Posts: 2,283
I'm doing a similar trip to the OP. We're both on the same flight to Almaty and our bikes are in the same container.

In addition to the usual, on Saturday I started courses of injections for HepB, TBE and Rabies. I went for Rabies because of the nurse's advice: It gives you more time to get somewhere for help if bitten and you might not need help if bitten because the jabs you've had will do the trick. However, the reason why you should still seek medical help following an incident is because the jabs you've had may not be enough. (injections at 0,7, 21 to 28 days, then ok for life, or until you die of rabies?!! )

My main anti dogbite preventative measure though is virtually rigid plastic/leather mx boots (Alpinestars Tech 6).

HepB because if I need blood following a crash, my chances of not dying from contaminated blood are higher. (injections at 0,7, 21 to 28 days, 1 year, 5 years, then ok for life?!). Also, I always carry a sterile needle kit.

TBE: because it's so common, including in Europe (injections 0 and 28 days, 5 to 12 months, then ok for 3 years). I'll be buying a tick remover too.

I found the following website very useful: NaTHNaC | Travellers

Reply With Quote
Old 18 Jun 2012
Registered Users
Veteran HUBBer
Join Date: Oct 2007
Location: aberdeenshire scotland
Posts: 157
I am pretty certain the rabies injections are no longer given in the stomach after a bite according to the nurse that gave me mine.
Reply With Quote

Currently Active Users Viewing This Thread: 1 (0 Registered Users and/or Members and 1 guests)
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are On
Pingbacks are On
Refbacks are On


HU DVD Summer Special!

Now that summer is here, get On the Road! Take 30% off the Achievable Dream - On the Road! 2-DVD set until August 31 only. Get On the Road! Learn the tips to staying healthy, happy and secure on your motorcycle adventure!

Our veteran travellers share their tips (and great stories) for staying healthy, happy and secure on your motorcycle adventure.

"A fantastic, informative and inspirational DVD."

"It's brilliant - thank you very much!"

Check it out at the HU Store! Remember to use Coupon Code 'ONTHEROAD' on your order when you checkout.

Renedian Adventures

Renedian Adventures

What others say about HU...

"I just wanted to say thanks for doing this and sharing so much with the rest of us." Dave, USA

"Your website is a mecca of valuable information and the DVD series is informative, entertaining, and inspiring! The new look of the website is very impressive, updated and catchy. Thank you so very much!" Jennifer, Canada

"...Great site. Keep up the good work." Murray and Carmen, Australia

"We just finished a 7 month 22,000+ mile scouting trip from Alaska to the bottom of Chile and I can't tell you how many times we referred to your site for help. From how to adjust your valves, to where to stay in the back country of Peru. Horizons Unlimited was a key player in our success. Motorcycle enthusiasts from around the world are in debt to your services." Alaska Riders

contest pic

10th Annual HU Travellers Photo Contest is on now! This is an opportunity for YOU to show us your best photos and win prizes!

NEW! HU 2014 Adventure Travel T-shirts! are now available in several colors! Be the first kid on your block to have them! New lower prices on synths!

HU 2014 T-shirts now in!

Check out the new Gildan Performance cotton-feel t-shirt - 100% poly, feels like soft cotton!

What turns you on to motorcycle travel?

Global Rescue, WORLDwide evacuation services for EVERYONE

Global Rescue is the premier provider of medical, security and evacuation services worldwide and is the only company that will come to you, wherever you are, and evacuate you to your home hospital of choice. Additionally, Global Rescue places no restrictions on country of citizenship - all nationalities are eligible to sign-up!

New to Horizons Unlimited?

New to motorcycle travelling? New to the HU site? Confused? Too many options? It's really very simple - just 4 easy steps!

Horizons Unlimited was founded in 1997 by Grant and Susan Johnson following their journey around the world on a BMW R80 G/S motorcycle.

Susan and Grant Johnson Read more about Grant & Susan's story

Membership - help keep us going!

Horizons Unlimited is not a big multi-national company, just two people who love motorcycle travel and have grown what started as a hobby in 1997 into a full time job (usually 8-10 hours per day and 7 days a week) and a labour of love. To keep it going and a roof over our heads, we run events (22 this year!); we sell inspirational and informative DVDs; we have a few selected advertisers; and we make a small amount from memberships.

You don't have to be a Member to come to an HU meeting, access the website, the HUBB or to receive the e-zine. What you get for your membership contribution is our sincere gratitude, good karma and knowing that you're helping to keep the motorcycle travel dream alive. Contributing Members and Gold Members do get additional features on the HUBB. Here's a list of all the Member benefits on the HUBB.

Books & DVDs


All the best travel books and videos listed and often reviewed on HU's famous Books page. Check it out and get great travel books from all over the world.

Motorcycle Express for shipping and insurance!

Motorcycle Express

MC Air Shipping, (uncrated) USA / Canada / Europe and other areas. Be sure to say "Horizons Unlimited" to get your $25 discount on Shipping!
Insurance - see: For foreigners traveling in US and Canada and for Americans and Canadians traveling in other countries, then mail it to MC Express and get your HU $15 discount!

All times are GMT +1. The time now is 06:22.