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- Why do I need to be
immunized? I’m staying on a five star resort.
Most viruses and bacteria’s do not realize that they are
in good company. Viruses, bacteria and parasites are picked up through
the improper handling of food and water, and then transferred to
you when you eat. Many diseases that you can find in developing
countries are under control in developed countries due to good drinking
water and proper sanitation and hygiene. Many people have allowed
their routine vaccines such as tetanus and diphtheria to wane and
this is a great time to be immunized.
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- Why should I get my
immunizations through a Travel Clinic instead of my family doctor?
Although your family doctor knows you better, he or she is probably
not comfortable giving out travel information as it is constantly
changing. Travel Clinics give more than vaccines. They will help
educate you on your chosen destination(s) regarding diseases and
health awareness. They can help prepare you for unfortunate circumstances
such as travellers diarrhea, where to seek medical aid, altitude
sickness, and much more. Travel Clinics can also offer suggestions
on how to travel comfortably with disabilities, chronic diseases
and children.
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- I’ve traveled
to the same place for the last three years, am I really at any greater
risk?
There is always a risk that is beyond your control - the ice cube
that has been made with contaminated water, the food that has been
allowed to cool to a point that bacteria multiply, a new supplier
of fruit and vegetables. Resorts in developing countries do everything
they can to prevent you from becoming ill, but yet every year people
get sick while they are on vacation.
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- Is there anywhere in
the world where I have to have immunizations?
Yes. Yellow fever is endemic in countries in Africa and South
America. You may also need to have this vaccine if you are travelling
from an infected country to one that has the mosquito that carries
the disease but not the disease itself. This vaccine can only be
administered at approved clinics. As well, certain vaccines can
be required for some pilgrimages.
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- I have heard that many
people get immunized for Hepatitis A and Hepatitis B before they travel.
How can I contract these diseases?
Hepatitis A is passed through contaminated food and water, most
commonly found in areas of the world where there is poor sanitation.
Depending on your age the disease can make you quite ill for a month
or more. Fatalities from this disease increase with the persons
age. Hepatitis B is passed through blood and body fluids. You have
more control over this disease as it is most commonly passed through
sexual intercourse with a carrier, body piercing, tattoos and acupuncture
but it can be passed by injections with contaminated needles, dental
procedures done with improperly cleaned equipment or simply from
having a manicure where the nail file is not changed from person
to person. Both of these viruses do not die off when exposed to
the air, so you could be exposed innocently because the virus was
still present on an inanimate object.
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- Do I have to have these
vaccines a certain time before I travel?
There are a few vaccines that have a series of injections to give
you full efficacy. When you have decided that you are going to travel
is a good time to make an appointment. Most vaccines give you long-term
protection so it isn’t going to hurt to get them early. Many
people call at the last minute because they have been able to get
a cheap flight. If there is a chance that you might do foreign
travel, if the price is right, get your vaccines ahead of time.
You can get some of the vaccines just before leaving and have protection
but it isn’t optimum protection.
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- Are the vaccines covered
by the provincial health plan?
On Prince Edward Island it is the responsibility of the traveller.
You may find that the vaccines are covered under your private insurance
plan but the vaccines will have to be paid for and your slips turned
in to the insurance company.
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- How much can I expect
to pay?
The cost of the vaccines varies but will range from $15.00 to
$125.00 / shot. The cost of the vaccines will depend on what is
required and recommended for your destination, your accommodations,
how your meals will be provided, previous vaccination history and
the length of you trip.
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- Do I need to be vaccinated
every time I travel?
Many of the vaccines offer long term protection so you may be
able to travel for years without a booster for certain vaccines.
Some vaccines need to be boosted more regularly. It is a good idea
to contact your Travel Clinic before you travel to see if anything
needs to be updated. At that time you may be advised of outbreaks
or new vaccines that are available.
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- I am travelling to
an area where malaria is a problem. I’ve been told to use an insect
repellent with DEET in it. Isn’t DEET Dangerous?
DEET when used properly is safe. Malaria on the other hand is
often fatal. When using DEET products try to find one that is cream-based
rather than alcohol-based and put it on exposed body parts. You
do not need to lather it on when you get out of the shower. The
concentration of DEET should be 30 - 35%. Reapply if you have been
swimming or perspiring profusely, despite what the container says.
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- I have been told that
taking malaria medication is worse than actually having the disease.
Do I really need to take the medication if I sleep in mosquito netting
and use insect repellent?
The best answer is yes you should be using malaria prophylaxis
if you are travelling to a high-risk area. Travel Clinics are well
informed in the areas of high risk and it is possible that your
itinerary may not actually be in an area of risk. If it has been
decided that the risk of malaria is high, the medications and their
side effects will be discussed with you. The medication choice will
be made based on your travel requirements and personal health history.
The medications used, interrupt the life cycle of the malaria parasite
and that is why it is important to take the medication for the prescribed
amount of time after you leave the risk area. There is no medication
on the market that can offer 100% protection so it is important
to make sure that you be checked for flu-like illnesses while in
area of risk and for a year after leaving the area of risk.
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- I
am travelling for six weeks and I don’t want to buy bottled water
all the time, how long do I need to boil the water before it is safe
to drink?
The water should come to a good rolling boil. If you are at a
higher altitude you will need to boil it longer.
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- If I started vaccines
in the past for Hepatitis and didn’t complete them, do I need
to restart the series over again?
No. It is always best to complete a series according to the prescribed
schedule but your immune system is very adept at recognizing boosters
despite a delay.
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