Thur. August 9
Destination Country: Unknown Destination
Recommended or Required Vaccinations for Unknown Destination
|Cholera||Oral: single dose||Food & Water||May be recommended for travel to some lesser developed countries especially in Africa, Asia and the Caribbean.|
|Meningitis||Single dose, later boosters may be recommended||Airborne & Direct Contact||Given to anyone unvaccinated or at an increased risk, especially students. Countries located in the meningitis belt (parts of Sub-Saharran Africa) have an increased risk of infection from Dec. to June.|
|Hepatitis A||Two doses: 0 and 6 months||Food & Water||Recommended for most travelers|
|Hepatitis B||Three doses: 0, 1 and 6 months||Blood & Body Fluids||Accelerated schedule available|
|Twinrix||Three doses: 0, 1 and 6 months||Food, Water, Blood & Body Fluids||Accelerated schedule available|
|Typhoid|| Shot (Age 2 and over): Single dose |
Oral (Age 6 and over): Four doses
|Food & Water||Recommended for most countries. Oral doses must be kept in refrigerator. Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills.|
|Yellow Fever||Single dose||Mosquito||Required for entry to many countries in South America and Africa. May be required for countries throughout the world if traveling from a region with yellow fever. Recommended for most of South America and Africa.|
|Japanese Encephalitis||Two doses: 0 and 1 month||Mosquito||Extended stay, rural travel or participating in outdoor activities. Present throughout regions of East (especially Southeast) Asia. Most cases from May to October.|
|Rabies||Three doses: 0, 7, 21 or 28 days||Saliva of Infected Animals||Vaccine recommended for long-term travelers and those who may interact with animals.|
|Anthrax||Four doses: 1, 6, 12 and 18 months. Annual thereafter.||Animals & Biological Agents||Vaccination may be recommended or required for U.S. government employees or contractors traveling to the Middle East.|
Routine Vaccinations Recommended for All Travelers
|Polio|| Adults: Single booster dose |
Children: Primary series
|Food & Water||Considered a routine vaccination for most travel itineraries. Single adult booster recommended. Infections still occassionally occur in West Africa and the Middle East.|
|Measles, Mumps & Rubella (MMR)||Two doses: 0 and 1 month||Various Vectors||Given to anyone unvaccinated and/or born after 1957. One time adult booster recommended.|
|Tetanus, Diphtheria, Pertussis||Booster dose every 5 years for international travel||Wounds & Airborne||Only one adult booster of pertussis required.|
|Chickenpox||Two Doses: 0 and 1 month||Direct Contact & Airborne||Given to those unvaccinated that did not have chickenpox.|
|Shingles||Two doses: 0 and 2-6 months||Direct Contact||Vaccine can still be given if you have had shingles.|
|Pneumonia||Schedule varies by vaccine, health status and age||Airborne||Two vaccines given seperately. All 65+ or immunocompromised should receive both.|
|Influenza||Single seasonal dose||Airborne||Vaccine components change annually.|
Preventive Measures for Unknown Destination
Malaria is a serious disease that causes high fever, chills and muscle pain. Some types of malaria cause damage to the heart, lungs, kidneys, or brain and can be deadly.
While relatively rare in North America, malaria is commonly found in Africa, Southern Asia and Central and South America.
Unlike other infections which may require contact with a person with the disease, malaria can spread through a single mosquito bite. Prevention is extremely important if traveling to regions where malaria may be present.
There are two main categories that provide malarial protection:
- Mosquito avoidance – Using mosquito repellents, netting and avoiding areas where mosquitoes may be more common.
- Antimalarial medications – There is a wide variety of antimalarial medications available for travelers to regions with the disease. Some areas have resistance to one or more types of antimalarials. It is important to have the right medication for your specific destination.
|Regions w/ Malaria||Malaria Season|
|Unknown/Not Applicable||Malaria is present in many regions throughout the world and at different times of the year. Antimalarials are recommended for regions with an increased risk.||Varies|
In regions where malaria is rare, antimalarials may only be recommended for some travelers. No matter your destination, use of mosquito repellent and netting is highly recommended.
Recommended Antimalarial Medications for [COUNTRY] –
- IF: Atovaquone-proguanil
- IF: Doxycycline
- IF: Mefloquine
- IF: Primaquine
- IF: Chloroquine
- IF RESISTANCE: Note: [DRUG NAME] resistance has been documented in [COUNTRY].
Most prescription plans do not cover malaria prophylaxis. Be sure to verify with your insurer that you are covered. Please be sure to pick it up within 48 hours of your visit. If not picked up, the transaction will be reversed and the medication will be put back into stock.
It is also important to verify that you have received the correct number of pills. Verify this with your pharmacist before leaving.
Travelers’ Diarrhea –
Travelers’ diarrhea is the most common illness that affects travelers. It can occur in any location, but is most common in Asia, Africa, Central and South America, Mexico and the Middle East.
The most common symptoms of travelers’ diarrhea are: passing three or more loose stools in a 24-hour period, an urgent need to defecate, abdominal (stomach) cramps, fever and/or vomiting.
Prevention is vital to avoid discomfort or worse while traveling. Be sure to:
- Follow strict food and water safety, like avoiding street food.
- Eat foods that are cooked well and served hot.
- Only drink bottled or purified water, even when brushing teeth.
- Wash your hands often.
- Talk with your travel health specialist about preventive medications or vaccinations.
Treatments vary based on location, but can include: non-antibiotic solutions, antibiotic treatments and symptom relievers.
Make sure to bring a travelers’ diarrhea kit with you, no matter the destination.
Travelers’ Diarrhea Preventions and Treatments
| Eat and Drink Safely
(safe or filtered water, hot foods)
| Traveler’s Diarrhea Kit
(convenient all-in-one package)
| Keep Your Hands Clean
(soap, water, sanitizers)
| Over-the-Counter Medications
(help treat symptoms)
| Preventive Medicine
| Fluid Replacement
(oral rehydration solution, clean water)
Entry and Exit Requirement for [COUNTRY]
A visa is required to enter Brazil for all U.S. citizens. There are several consulates in the country but it is necessary to apply to the consulate that covers your jurisdiction. Tourist visas last 90 days, but can be extended once for an extra 90 days. When entering the country, you must provide proof of a return ticket, or you may not be allowed entry.
Travelers’ Diarrhea Preventions and Treatments
|IS A…||A [COUNTRY] ENTRY REQUIREMENT?|
|Vaccinations|| Proof of yellow fever vaccination
may be required for entry.
Email email@example.com or call 1-844-366-VISA to have one of Passport Health’s in-house passport and visa experts help you get the documents you need for travel abroad.
Embassy Information for [COUNTRY]
All Americans visiting Brazil should register online with the U.S. Department of State’s STEP program before departure. This will inform the office of your travel plans within the country and will allow them to reach out in the case of an emergency or evacuation.
Once in Brazil, the information for the U.S. Embassy is:
U.S. Embassy Brasilia
SES 801- Avenida das Nacoes, Lote 03
70403-900 – Brasilia, DF Brazil
Emergency After-Hours Telephone: 011-55-61-3312-7400
Fax: (61) 3312-7651
Note: Many countries may also have consulates in major cities.
Health Alerts for Unknown Destination
|Measles – Worldwide|
Feb. ‘18 – Many countries throughout the world have reported measles outbreaks in the last twelve months. Vaccination is recommended for travel to any destination.
|Influenza – Worldwide|
Feb. ’18 – The 2017-2018 flu season has led to widespread cases in many countries throughout the world. Vaccination is highly recommended for travelers to any region.