Safety & Health on the Road - Medical
See your doctor or a travel medical clinic (preferred) for specifics as to which ones you need, as it depends on which countries you are travelling to. Ensure you allow lots of time to get all the shots, so you don't have to have them all at once! Also, some require as much as a month elapsed time between several shots, such as rabies.
- YELLOW FEVER - good for 10 years
- TYPHOID - Typhim Vi - good for 3 years
- POLIO SABIN - good for 10 years
- A.D.T. (Diptheria & Tetanus) - good for 10 years
- GAMMA GLOBULIN - Not recommended now as Havrix replaces it.
- HAVRIX (HEPATITIS A) - multiple shots, good for 10 years
- ENGERIX-B (HEPATITIS B) - good for 3-5 years
- MENINGITIS - good for 3 years
- RABIES - multiple shots, good for 3 years per BA Travel Clinic in Cape Town.
Vaccinations - Much more comprehensive explanations, excerpted from the Health Canada site
"Since it can take several weeks for an immunization to protect you against a disease, you should consult a travel health clinic or your family physician 2 to 3 months before your trip in order to allow enough time for the vaccines or immunizing agent to take effect.
The actual immunizations you may require will vary according to your age, health, and any pre-existing medical conditions, as well as the nature of your travel, whether you will be staying in city hotels or travelling in remote rural areas. A travel health clinic or family physician should assess your individual circumstances and provide any vaccines that may be required for your trip.
A list of diseases for which immunization may be required follows. Those which are recommended as part of the routine immunizations in Canada are marked with an asterix *.
Diphtheria is an acute bacterial infection of the throat, nose and tonsils, resulting in lesions in the infected area. In severe cases, it can cause swelling and fluid build-up in the neck. Diphtheria can also infect the skin, causing lesions similar to impetigo. A diphtheria booster shot is recommended every 10 years. All travellers should have up-to-date diphtheria shots prior to travel. This is particularly important because of the resurgence of diphtheria in some Eastern European countries.
European tick borne encephalitis is a viral disease resembling other encephalitides transmitted by mosquito bite. This disease is transmitted by tick bites and has a longer duration of symptoms. Vaccination is recommended for long-term travellers to areas where this disease is widespread, specifically areas of Russia and other countries of the former Soviet Union as well as parts of Europe during April through August .
Hepatitis A is a viral disease affecting the liver. The symptoms include abrupt fever, malaise, loss of appetite, nausea and abdominal discomfort, followed by jaundice (yellowing of skin colour). Hepatitis A varies in severity and duration of the illness. In rare cases it can cause fatal liver damage. Protection against Hepatitis A through immunization with Hepatitis A vaccine is recommended for travellers to developing countries, especially rural areas, or areas where the hygenic quality of food and water supply is likely to be poor , or areas where Hepatitis A is widespread. Those living for prolonged periods in developing countires may require a booster.
Hepatitis B is also a viral disease affecting the liver. Usually more serious than Hepatitis A, its symptoms include gradual development of fever, loss of appetite, abdominal discomfort, nausea and vomiting, joint pain, rash and frequently progresses to jaundice. Its severity also varies, but a greater percentage of cases will involve destruction of the liver cells resulting in liver failure and death. Unlike Hepatitis A, Hepatitis B is transmitted through contact with infected blood and other body fluids. Any traveller who will be staying in an area with widespread Hepatitis B for longer than 6 months , or who is doing medical work, or who is likely to have contact with blood or sexual contact with residents of such areas, should be immunized with Hepatitis B vaccine.
Japanese encephalitis (JE) is caused by a virus transmitted by mosquito bite. It causes an acute inflammation of the brain, spinal cord and the membranes surrounding them which can result in high fever, headache, disorientation, tremors, convulsions occasionally and coma. This disease occurs throughout most of East Asia from India east to Korea and Japan during the late summer and early fall. It also occurs sporadically throughout the year in tropical areas of Southeast Asia including Thailand. Vaccination is recommended for travel to any area prone to JE for more than 4 weeks.
Measles is an acute highly infectious disease caused by a virus. A fever usually develops before the symptoms which include inflammation of the tissue around the eyes, inflammation of the nasal tissues with severe runny nose, cough and red blotchy rash on the skin. Two doses of measles vaccine are recommended for all unimmunized travellers who were born after 1970 and who are en route to a measles endemic area, unless there is serologic proof of immunity or physician documentation of prior measles.
Meningococcal meningitis is an acute bacterial infection resulting in the sudden development of fever, intense headache, nausea and often vomiting, stiff neck and a distinctive rash. Severe cases can result in delirium and coma and, if untreated, toxic shock and death. Meningococcal disease occurs seasonally in some regions of the world. In Sub-Sahara Africa , epidemics of meningococcal disease occur between December and June. Localized outbreaks have been reported in parts of Brazil, India and Nepal . Short-terms travellers staying in city hotels with high standards, and little contact with the local population are at minimal risk and should not need to be vaccinated for travel in Asia, Africa or Latin America.
Poliomyelitis, commonly called polio, is a disease caused by a virus. It can vary in severity from a mild illness with fever, to an inflammation of the lining of the brain, to paralysis and sometimes death. If you have not been vaccinated before, or if you have not had a booster shot in the past 10 years, you may require polio vaccine before you travel. Outbreaks of polio can occur in many countries, especially those without national vaccination programs.
Rabies is an acute viral infection, causing inflammation of the brain and spinal cord which is invariably fatal. Rabies occurs in many areas of the world. Travellers planning extended visits to countries where rabies control programs for domestic animals are inadequate, or who are planning to live in areas where rabies is widespread should consider pre-exposure immunization with rabies vaccine. A post-exposure vaccine exists for use following a bite by a rabid animal; however, it may not be easily available in all countries. Regardless of whether pre-exposure immunization has been given, any traveller bitten by a rabid animal should be given the post-exposure vaccine immediately.
Rubella, also known as German measles, is usually a mild illness caused by a virus. Its symptoms include fever, headache, malaise, inflammation of the tissues around the eyes and a widespread rash. Rubella can cause serious birth defects in an unborn child should the mother be infected during pregnancy. All women of childbearing age who have never had rubella or have not been previously vaccinated, should be given a rubella vaccine prior to travel.
Tetanus, also known as lockjaw, is caused by a toxin produced by the tetanus bacteria. This bacteria, found usually in the soil, infects an open wound or cut and begins to produce toxin. The toxin causes painful muscle contractions usually in the face and neck muscles. If untreated, the contractions can restrict breathing, causing death. In Canada, a tetanus booster shot is recommended every 10 years. All travellers should have up-to-date tetanus shots prior to travel.
Typhoid fever is caused by a bacterial infection. Its symptoms include a sustained fever, headache, malaise, loss of appetite, slowed heartbeat, enlarged spleen and rose spots developing on the trunk of the body. Typhoid is typically spread through water which has not been adequately treated to remove or kill the bacteria. Typhoid vaccine is recommended for any traveller who will have prolonged exposure to potentially contaminated water and food. Most urban tourist destinations provide water which is adequately treated; however, if you plan to travel in smaller cities and villages in developing countries, or rural areas off the usual tourist routes, you may need to be vaccinated against typhoid before you travel.
Yellow fever is an viral disease spread by mosquito bite. The symptoms include the sudden onset of fever, chills, headache, generalized muscle pain, severe fatigue, nausea and vomiting.
International Health Regulations, established by the World Health Organization, require that travellers to regions where yellow fever is found be vaccinated against yellow fever and given an International Certificate of Vaccination. A valid certificate issued within the past 10 years is required for entry into 21 countries in Central Africa and South America. In addition, 102 other countries require proof of vaccination from travellers who have passed through (non-direct flights) an area where yellow fever occurs. Travellers without proper vaccination and certificate can be seriously delayed, depending on the route and destination."
Health Canada's excellent site also contains:
- Travel Health Advisories
- News from International Public Health Authorities
- Travel Health Recommendations
- Travel Advice by Country
- General Travel Health Advice
- Gastrointestinal Illness while Travelling
- General Advice for Travellers
- Carrying Syringes While Travelling
- Countries with HIV-Related Entry Restrictions
- Disease-related Travel Health Recommendations
- Dengue Fever
- Ebola Haemorrhagic Fever
- Hepatitis A
- Misconceptions about Malaria and Mefloquine
- Ross River Virus Infection
- Sexually Transmitted Diseases (STDs)
- Typhoid Fever
- Yellow Fever
Travel medications available from www.doctorfox.co.uk, including malaria tablets, travel sickness/diarrhoea plus Diamox for high altitudes (a UK regulated service).
Are you an Overland Adventure Traveller?
Does the smell of spices wafting through the air make you think of Zanzibar, a cacophony of honking horns is Cairo, or a swirl of brilliantly patterned clothing Guatemala? Then this is the site for you!
Hosted by Grant and Susan Johnson, RTW 1987-1998
HUGE, 11.5 x 16.5 inches, beautifully printed in Germany on top quality stock! Photos are the winning images from over 600 entries in the 9th Annual HU Photo Contest!
"The calendar is magnificent!"
"I just wanted to say how much I'm loving the new, larger calendar!"
We share the profit with the winning photographers. YOU could be in the HU Calendar too - enter here!
Next HU Events
- UK - Haggs Bank: Sept. 19-21
- USA California: Sept. 25-28
- Aus Queensland: Oct 3-6
- Aus Perth: Oct 10-12
- Germany Autumn: Oct 23-26
- Aus VIC: Oct 24-26
- Aus NSW: Oct 31-Nov 2
- South Africa: Nov 13-16
- NEW! USA Virginia: Apr 9-12, 2015
- NEW! HUMM Morocco: May 13-16, 2015
Take 40% off Road Heroes Part 1 until October 31 only!
Road Heroes features tales of adventure, joy and sheer terror by veteran travellers Peter and Kay Forwood (193 countries two-up on a Harley); Dr. Greg Frazier (5 times RTW); Tiffany Coates (RTW solo female); and Rene Cormier (University of Gravel Roads).
"Inspiring and hilarious!"
"I loved watching this DVD!"
"Lots of amazing stories and even more amazing photographs, it's great fun and very inspirational."
Check it out at the HU Store! Remember to use Coupon Code 'HEROES' on your order when you checkout.
10th Annual HU Travellers Photo Contest is on now! This is an opportunity for YOU to show us your best photos and win prizes!
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.