I’m going to Thailand in June! Yey for me! But before I go there are a number of inoculations I need to get to ensure that my time there is spend in the most fun way possible… and not with my head down a toilet or foaming at the mouth. I’ve spent a lot of time reading about the different inoculations that I should require, the benefits, the costs and the side effects. And finally after consulting a nurse and my travel partners here’s the skinny:
Hep A / Hep B / Typhoid / Diphtheria / Tetanus / Rabies / Japanese Encephalitis / Malaria
Are all potential risks in Thailand.
Diphtheria – caught by contact or breathing in infected air (should have been administered three times in your life)
Tetanus – contracted through open wounds and found in soil (should have been administered three times in your life)
http://www.patient.co.uk/health/Tetanus-Immunisation.htm <– lists the times when you should have had these inoculations
Typhoid - caught by ingesting food or water contaminated with the faeces of an infected person. Yum.
Hep A – contaminated food or water or through direct contact with an infectious person.
These jabs are all currently free on the NHS 03/04/2011 so you’d be crazy not to. (but this may be set to change under the new government regime)
Hep B – exchange of bodily fluids. Nice little factoid about Hep B, it is 100 times more infectious than HIV
Luckily at my local GP Hep B is also free, but this is set to change very soon.
Now for the trickier ones!
Rabies – transmitted from animals, most commonly from bites. This is my own particular nightmare! And one I personally will be going for.
Japanese Encephalitis – main carriers are pigs and birds and transmitted through mosquito bites. My nurse suggested a risk assessment strategy for this, if I’m not planning on visiting the north (which I’m not) or going to rural areas (which I’m not) then the risk is significantly less. the JapE seasons are from May to October in Thailand so the chances increase, but it is generally only suggested for stays over 4 weeks.
Malaria – contracted through mosquito bites and only a major risk if you are travelling near the boarders of Laos, Cambodia and Burma. No jab available, only preventative tablets to be taken before, during and after visit.
So that’s the basic information down, now lets get to the important stuff. Where to get the jabs and how much will they cost. As I said The only two jabs I have to pay for at my clinic would be Rabies and JapE and I’d also have to pay for the Malaria tablets. As it stands, Malaria and JapE are low risks for me and So I wont be purchasing them. I visited my local GP Ellergreen Medical Centre in Liverpool and was given a prescription for the Rabies Vaccine and was encouraged to shop around for the best price. So far, Rowland’s have been the most expensive at around122 quid and Boots was around 36 quid per vial (3 vials) but the cheapest by far has been Superdrug at 86 quid for the course. However I’ll be calling the nurse I saw and asking where she recommends as she thought it would be closer to 50 quid. I suspect the JapE is a little more pricey from a pharmacy too, but I don’t know for sure.
The best advice I can give you from what I have gleaned is that Sandringham Medical Centre can provide a really good deal. I believe travel inoculations is something they specialise in and they off everything I have listed including the malaria tablets for the princely sum of around 110 pounds, British. An extremely fair price if you ask me for peace of mind and a safe trip.
This blog is not exhaustive and is merely information I have gathered after a lot of reading and discussion on the topic. At the very least it has helped me collect my thoughts and at the most it may save some eager traveller a bit of time and stress. When I know more, you’ll know more!
-Nicola, out.