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Vaccines

Oxford, United...
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Vaccines

Which vaccines have people had for a trip to Kampala. I’m travelling with a 10 year old in February. Apart from the essentials of yellow fever & antimalarials, the nurse advice we received as others to think about having are Hepatitis B, Rabies & Meningitis ACWY. The advisory vaccines cost for us both is £654 on top of the £180-200 for the essentials. I’m shocked! I’d be interested in hearing from people who have been with kids. We are not going on safari but will visit villages.

4 replies to this topic
Seattle, Washington
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1. Re: Vaccines

The guidance on the NHS FitForTravel website and the US CDC website are similar, but not identical, regarding immunizations for travelers to Uganda.The NHS recommends meningitis immunization for "healthcare workers, those visiting friends and relatives, those who live or travel ‘rough’ such as backpackers, long-stay travelers who have close contact with the local population, and those with certain rare immune system problems." The CDC recommendation for meningitis vaccine applies "...if you plan to visit parts of Uganda located in the meningitis belt during the dry season (December–June), when the disease is most common." The meningitis belt is located in the Northern regions of Uganda.

NHS recommendations regarding rabies immunization apply to "those travelling to areas where access to post-exposure treatment and medical care is limited, those planning higher risk activities such as running or cycling., and long-stay travellers (more than one month). The US CDC recommendation is to immunize these groups as well as children, since they "...tend to play with animals, might not report bites, and are more likely to have animal bites on their head and neck".

Hepatits B recommendations are directed primarily at individuals who are likely to be exposed to contaminated body fluids through sex, needle sharing, or other activities including contact sports.

If you are uncertain about the advice given by the nurse, I suggest that you review the NHS and CDC information and then ask the nurse or your doctor to help you decide, rather than rely on the anecdotal experience of anonymous posters on this travel forum.

Edited: 03 August 2018, 06:33
muscat
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2. Re: Vaccines

Just yellow fever vaccination is enough

Isle of Man, United...
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3. Re: Vaccines

A Travel forum is not the place to seek such advice as this. Your GP is the person to consult.

However the 'nurse' 's advice is ultra cautious.

You and your child should already have 'normal' immunisation against Tetanus, Diphtheria, MMR and Polio etc., if not boosters are a good idea.

Oddly the fact that you are heading into 'villages' puts you and your child at higher risk than going on safari.

Consider Typhoid, HepA as hygiene in villages is often lacking.

Rabies is not needed unless you are more than 24 hours from help. Hep B is a 'lifestyle' disease and easily avoided.

Consider spending US$50 on a subscription to AMREF "Flying Doctor" service which provides free medivac if needed.

YF s not enough other than to satisfy entry requirements.

Edited: 25 August 2018, 15:46
Seattle, Washington
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4. Re: Vaccines

“Oddly the fact that you are heading into 'villages' puts you and your child at higher risk than going on safari.”

Not odd at all when you consider that most human infections are transmitted either directly or indirectly from one person to another and that the people who accompany you on safari are less likely to be unimmunised or live in poor hygienic conditions than rural villagers.

Edited: 26 August 2018, 19:21
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