imunisation needed for phill " confused "

[imagine]

imunisation needed for phill,,, confused,
last week i asked my medical centre, nurse about imunisations needed for phill, she told me, typhoid and heptitus A which would be my second time so would be immune for 25 yrs, ok but she said that i need A with hep be icluded in the shot, this week i collected my prescription to find that besides the typhoid, i only got hep A , i phoned the surgery and reception looked into it for me getting back to me saying i dont need B,
what vaccines do anyone here get for long stay or permenant in phills,
im a bit confused now do i need B or not ?
thanks in anticpation

[Sim11UK]

Hep A, with a 6 month booster, Typhoid & Tetanus, if you're not up to date.
...Unless they are advising further immunisation?

[imagine]

Hep A, with a 6 month booster, Typhoid & Tetanus, if you're not up to date.
...Unless they are advising further immunisation?

thanks Sim, hep A im told as iv already had before,will now be a booster will cover me for 25 yrs Tetanus, im covered up to date, typhoid im getting,
so i dont need hep B

[Doc Alan]

Hepatitis A vaccine does require a booster after 6 months, and a second booster dose 20 years later if you're still at risk.
There are also vaccines combining hepatitis A and B , or hepatitis A and typhoid.
The risk of hepatitis B in the Philippines is low. ( Up to 1/10 of the population are carriers of hep B, however. At risk include healthcare workers, those having unprotected sex with strangers, needle sharing, or those requiring medical / dental treatment).
Usually a total of 5 doses of tetanus vaccine (probably received from school age onwards) is sufficient for long term protection.
Typhoid vaccination is recommended, especially if there's a chance of poor standards of food and water hygiene, or staying long-term.
A diphtheria-containing vaccine may be considered 10 years after the last dose. BCG for tuberculosis, rabies, and Japanese encephalitis vaccines are not normally recommended.
There is no polio or yellow fever in the Philippines.
There are no vaccines for malaria or dengue fever.

[imagine]

thank you doc

[somebody]

I have to confess I have never taken any Vaccines in all the trips to Phill yet get a Flu jab every year!!

Both Tetnaus, Typhoid would be advisable with food and drink not always prepared in A1 condtions and im sure Tetnaus is easy to come in to contact with .

Doc is there a Rabies vaccine? I think of all the vaccines I could think of that would be most useful as Wild dogs are every where in the typical Phill Street and Lot.

[Doc Alan]

Doc is there a Rabies vaccine?

There is a rabies vaccine - see "Rabies" in "Travel, Tips & Advice section of the forum . It's not recommended routinely to visitors to the Philippines, unless there's limited access to prompt medical care, especially if staying in such areas for over a month, or if exposed to unusual risk. For such "pre-exposure prophylaxis" the vaccine is given on days 0, 7 and 28 (again at 2-3 years if still at risk).
Avoid animal contact unless it's a vaccinated pet! If bitten, scatched, or licked ( cuts, mouth, eyes), wash with soapy water for 20 minutes and seek help. The biting animal may not die of rabies before the human does (for us incubation is 9-90 days). If previously immunised, 2 doses of vaccine ( days 0 and 3) are sufficient.
If not immunised, give vaccine on days 0, 3, 7, 14 and 30, with rabies immunoglobulin on day 0. It's still worthwhile starting the course even several weeks after exposure. It may cost at least P 24,000, but can always be discontinued if it's proved the individual was not at risk.
Rabies is virtually always fatal once symptoms start. These include headache,odd behaviour, agitation, fever, itch around the bite, then hydrophobia ( water-provoked muscle spasms) or paralysis of a bitten limb. If you only ever read one of my threads, please make it "Rabies" - it could save someone's life .

[somebody]

There is a rabies vaccine - see "Rabies" in "Travel, Tips & Advice section of the forum . It's not recommended routinely to visitors to the Philippines, unless there's limited access to prompt medical care, especially if staying in such areas for over a month, or if exposed to unusual risk. For such "pre-exposure prophylaxis" the vaccine is given on days 0, 7 and 28 (again at 2-3 years if still at risk).
Avoid animal contact unless it's a vaccinated pet! If bitten, scatched, or licked ( cuts, mouth, eyes), wash with soapy water for 20 minutes and seek help. The biting animal may not die of rabies before the human does (for us incubation is 9-90 days). If previously immunised, 2 doses of vaccine ( days 0 and 3) are sufficient.
If not immunised, give vaccine on days 0, 3, 7, 14 and 30, with rabies immunoglobulin on day 0. It's still worthwhile starting the course even several weeks after exposure. It may cost at least P 24,000, but can always be discontinued if it's proved the individual was not at risk.
Rabies is virtually always fatal once symptoms start. These include headache,odd behaviour, agitation, fever, itch around the bite, then hydrophobia ( water-provoked muscle spasms) or paralysis of a bitten limb. If you only ever read one of my threads, please make it "Rabies" - it could save someone's life .

Thanks Doc If I was Cautious I would think it a good idea. Especailly if living in a household where dogs are kept outside they are far from the loved pets and pampered pets in the UK in the vast majority of Phill households..

[gWaPito]

I have to confess I have never taken any Vaccines in all the trips to Phill yet get a Flu jab every year!!

Both Tetnaus, Typhoid would be advisable with food and drink not always prepared in A1 condtions and im sure Tetnaus is easy to come in to contact with .

Doc is there a Rabies vaccine? I think of all the vaccines I could think of that would be most useful as Wild dogs are every where in the typical Phill Street and Lot.

Im with you. Ive never bothered, like most who travel there.....obviously if going to rumble in the jungle, thats another matter.

No mention of hepatitis c?......thats the baby you gotta look out for........the silent killer......it also makes you infertile along with Chris Rea lurking in the shadows....its a minefield Imagine

Imagine, try not to get too immersed in this health stuff......it could ruin your holiday.....fortune favours the brave

[Doc Alan]

No mention of hepatitis c?......
Imagine, try not to get too immersed in this health stuff......it could ruin your holiday.....fortune favours the brave

Hepatitis C was not mentioned because Imagine's question was about immunisation and there is NO vaccine for hepatitis C, which is a serious worldwide liver disease.
Medical expenses may not be paid by insurance companies for claims resulting from a tropical or other disease where you have not had the recommended vaccinations and / or taken the recommended medication.
It's entirely up to members whether they bother with "this health stuff" or even insurance. They're free to make up their own minds.

[gWaPito]

Hepatitis C was not mentioned because Imagine's question was about immunisation and there is NO vaccine for hepatitis C, which is a serious worldwide liver disease.
Medical expenses may not be paid by insurance companies for claims resulting from a tropical or other disease where you have not had the recommended vaccinations and / or taken the recommended medication.
It's entirely up to members whether they bother with "this health stuff" or even insurance. They're free to make up their own minds.
Rather than personal criticism of me and implication that I'm just a "cyber doctor" , I suggest you add me to your "Ignore" list. I have never criticised another member, nor felt the need to ignore them. Just for the record, the "rabies" post took 2 hours of reading up to date texbooks, time which could have been spent doing les_taxi's quiz. I don't mind, because enough members ask for and even print out my advice - it's got to be accurate.

I was being lighthearted Alan!!

Im sorry, I dont take life quite as seriously. I wasn't being critical of you for one moment.

[Doc Alan]

I was being lighthearted Alan!!

Im sorry, I dont take life quite as seriously. I wasn't being critical of you for one moment.

Thanks gWaPito So I can't blame you for failing the quiz - 27 % At least I knew the medical question !

[imagine]

thank you all