SalaamGarage


Vaccinations for India by maggie soladay

I am leading the India 2009 trip to Rajasthan India with SalaamGarage founder Amanda Koster in 6 weeks and 1 day! An hour from now I will visit my doctor to get caught up on my adult vaccinations. Working in the freelance photography business in New York City, I was a typical uninsured worker bee for many years. Not anymore, thanks to the Freelancer’s Union health insurance for the self-employed! Still, I don’t like the idea of antibiotics at all, not sure what I think about vaccinations either. There is a lot of controversy around vaccinations. But, since my career and passions will be taking me all over the developing world, I am determined not to mess around with my health and safety.

I will request the Hepatitis A and B vaccines, as well as Polio, Typhoid, and probably Meningitis. Japanese Encephalitis is buzzing around the travel health sites but I don’t think I will be in enough rural areas this time around to be concerned. But I will report back here on this Japanese Encephalitis.

If traveling to India from some parts of South America or Africa, Yellow Fever vaccine is required. (I do not think that is anyone from our group) It is not recommended if you are not transiting from infected areas. There are no other required vaccines for travel to India currently.

VACCINATIONS

The links that I used to make my decisions:
Centers for Disease Control, Traveling to India page:
http://wwwn.cdc.gov/travel/destinations/india.aspx

Simple and helpful page at MDTRAVELHEALTH.com:
http://www.mdtravelhealth.com/destinations/asia/india.php

To have the most benefit, visit your doctor or a travel doctor at least 4–6 weeks before your trip to allow time for your vaccines to take effect and to start taking medicine to prevent malaria, if you choose to take an anti-malarial drug.

Find a doctor who specializes in Travel Medicine:
http://wwwn.cdc.gov/travel/content/travel-clinics.aspx

MALARIA

CDC page on Malaria in India says, “According to the World Health Organization, every year in India an estimated 2 million cases of malaria occur, with 1,000 deaths; and 95% of the population live in malaria-risk areas.” But, the traveldoctor.co.uk says that Rajasthan and Delhi are low risk areas. Also, from what I have read, it is between dusk and dawn that these mosquitoes bite.

There are several different Malaria prophylactic treatments. From Amanda’s past experience with the strong medication, it was not worth it because side effects are hallucinations, bad dreams, etc..
Amanda’s recipe:
“ The low level antibiotic malaria medicine, see how many mosquitoes are around, and drink lots of tonic water. The quinine in the tonic sweats through our pores which repels mosquitoes. Combine with a repellent (with some deet) like REI’s Jungle Juice when they’re buzzing around the ankles.” (she always travels with ciprio + has mostly given it to others who forgot it and unfortunately, needed it. always travel with rehydration/electrolyte stuff as well)

Wikipedia page on Malaria Prophelaxis
http://en.wikipedia.org/wiki/Malaria_prophylaxis

2 choices for travelers visiting low risk Rajasthan and Delhi as per the traveldocto.co.uk.

The traveldoctor.co.uk says, either;
Chloroquinine 300mg weekly or Proguanil 200 mg daily
Or
That “no prophylactic tablets required but anti mosquito measures should be strictly observed: Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.”

Proguanil: 100 mg tablets supplied as Paludrine
Chloroquinine: 150 mg tablets supplied as Nivaquine or Avloclor

Chloroquine, Proguanil & Maloprim: Start one week before travel, throughout your stay in an endemic area and continue for four weeks after return. Important to take regularly and before or after a meal.

Time to go…
Maggie Soladay


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