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Bangkok, Chiang Mai, Phuket and Krabi - Vaccines Needed?

Bangkok, Chiang Mai, Phuket and Krabi - Vaccines Needed?

Feb 23rd, 2010, 02:56 PM
Original Poster
Join Date: Feb 2003
Posts: 31
Bangkok, Chiang Mai, Phuket and Krabi - Vaccines Needed?

My husband and I will be traveling here soon, and I'm wondering if we need vaccines or anti-malarials for these areas? The CDC in the US recommends Hep A and B, and standard vacs up to date, which we already have. But they also mention possibly needing Typhoid, Japanese Encephalitis, and anti-Malaria drugs in Thailand in general. Does anyone know if you really need them in these areas, or if those vacs are for more rural areas than this?
jetskreemr is offline  
Feb 23rd, 2010, 06:36 PM
Join Date: Jan 2003
Posts: 28,925
i would get all that your dr and the CDC suggest---why wouldn't you?
rhkkmk is offline  
Feb 23rd, 2010, 06:52 PM
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Take a good look at the cdc website. JE is not recommended for your trip (only for stays in rural areas exceeding 6 weeks), nor are anti-malarials (only the border areas with Burma, Cambodia and Laos).

You would certainly be wise to have routine immunizations up to date, plus Hep A (which you should have even if you aren't leaving your own country), Hep B is also a good idea in general, and typhoid is recommended.
Kathie is offline  
Feb 24th, 2010, 10:17 AM
Original Poster
Join Date: Feb 2003
Posts: 31
Yes, we have all our others up-to-date, as well as Hep A and B, but I was specifically wondering if anyone thinks we really need to do Typhoid (or anti-malarials or JE for that matter)?

The CDC site also says you need Typhoid if you go to Mexico, but I have been there 3 times with no vaccine and no problems. If we just stick to hotel food and restaurants in cities, would we most likely be OK without Typhoid?

I am trying to stay away from other vaccines due to some heath reasons.
jetskreemr is offline  
Feb 24th, 2010, 05:58 PM
Join Date: Jan 2005
Posts: 275
the fact that you have been to mexico and had no problems is great, but no reason not to get vaccinated! would you say you had been on several car rides and had no accidents so you do not need to wear a seat belt? no!
if you are worried about vaccines because you have "health reasons", then you certainly do not want to contract an infectious disease such as typhus on top of other medical problems!

the people at cdc are smart, as are travel medicine doctors, and they sure know a lot more about medicine than most of the people on this board. ask the people here about hotels, itineraries etc- they are the specialists! but for your health, do not play games or take chances- usually you win, but if you lose it can be very serious.
4bams is offline  
Feb 24th, 2010, 07:03 PM
Join Date: Jan 2003
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Typhoid is a risk in tropical climes. It is contracted though contaminated food and water (something you have no control over even in hotels and restaurants). In SE Asia there is antibiotic-resistant typhoid, so I would consider it a sensible precaution.

I agree with the cdc that JE is not needed for your itinerary, or, for that matter for most vacation travelers. JE is a disease of pigs and ducks, spread via mosquitos. It is only recommend for those staying in rural areas for 6 weeks or more.

As I mentioned previously, you are not traveling to malarial risk areas. Again, the only areas of Thailand that are considered malarial risk are the border ares with Burma, Laos and Cambodia. If you were traveling to and staying in the Golden Triangle area, for instance, it would be a wise precaution.

Do consult with your own physician about this. Take along a print out of the cdc recommendations.
Kathie is offline  
Feb 26th, 2010, 10:57 AM
Join Date: Feb 2007
Posts: 133
You should 100% contact a travel doctor or clinic.

My husband and I are doing a similar trip and we got the typhoid vaccine (we have Hep A and B and are up to date otherwise). Better to be safe than...

We are going to Angkar Wat in Cambodia and malaria pills were recommended. Also, we were told that depending on where we go in northern thailand, malaria pills may be recommended.
rsn is offline  

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