[the_ad id=”567″]Individuals should review of their immunization records with their physicians or medical providers as the first agenda item in travel preparation. Routine immunization should be evaluated, including Tetanus, Diphtheria, pertussis/Tetanus and Diphtheria (Tdap, Td), Measles, Mumps, and Rubella (MMR); Polio; Varicella; Haemophilus Influenza Type B (HIB); Hepatitis A and Hepatitis B.
Due to wild-type polio virus since 1991, there have been no cases of polio in the western hemisphere. However a recent outbreak of poliomyelitis was noted in May 2013 in Somalia.
All persons traveling to countries where polio has not been eradicated should receive a primary series (at least 3 doses) of either IPV ( inactivated polio vaccine ) or oral polio vaccine.
Polio vaccination and Pregnancy
In general, it’s advisable to avoid polio vaccination in pregnant women unless immediate protection is required.
Polio Vaccination and Breast feeding
Breast feeding is not a contraindication in either mother or baby.
Because Varicella-zoster virus circulates worldwide and routine use of Varicella Vaccine is low outside the United States, the risk of travelers may be significant. In tropical regions, chicken-pox occurs later in childhood or in adolescence, but also adults at risk should be immunized regardless the travel plan.
All persons traveling abroad should have evidence that they are immune to varicella, given one of the following:
A personal history of varicella or shingles, based upon a healthcare provider’s diagnosis.
Laboratory evidence of immunity: serologic testing before vaccination may be cost effective.
Proof of receiving 1 dose ( if less than school age ) or 2 doses ( if school aged or older ) of varicella vaccine, each given no earlier than 12 months of age and no sooner than 28 days apart.
Birth in United States before 1980
Those persons should not be vaccinated:
Persons with severe allergy to gelatin or neomycin, women known to be pregnant and persons with immunosuppressive disorders.
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