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Preventable Travel Related Diseases

Yellow Fever
Some countries require proof of immunization even for travelers who are simply passing through. Currently 45 countries are considered to be at risk for yellow fever transmission. More than 100 countries around the world require evidence of vaccination if the individual is “coming from a country with risk of yellow fever transmission,” a rule that may apply to even a layover in a country with yellow fever transmission risk. For most up-to-date maps showing those countries visit the Centers for Disease Control and Prevention (CDC) Traveler’s Health Website: Yellow fever vaccine should be administered at least 10 days before your trip

Meningococcal Disease
Although N meningitides is found worldwide, the incidence on meningococcal disease is highest in the so-called “meningitis belt” of sub-Saharan Africa. Meningococcal vaccine is recommended for individuals traveling to or residing in countries where N meningitides is hyperendemic or epidemic, particularly if prolonged contact with the local population is expected. Saudi Arabia requires all person traveling to Mecca to have been immunized at least 10 days prior to – and within the last 3 years of –arrival.

Typhoid Fever
Vaccination is recommended for travelers to areas where recognized risk for typhoid fever exists, especially if prolonged exposure to potentially contaminated food and water is expected. The risk is greatest among travelers to South Asia. Travelers visiting friends and relatives in that region are particularly at risk. Other areas of risk include East and Southeast Asia, Africa, the Caribbean, and Central and South America. Travelers on cruise ships also may be at risk for contracting typhoid fever from infected food handlers.

In most cases, rabies vaccine is administered after a recognized exposure to the virus. However, pre-exposure prophylaxis is recommended for travelers visiting areas where canine or other animal rabies is prevalent and contact with animals is likely. Vaccination prior to travel is also crucial for trekkers, backpackers, those bound for India to visit friends and relatives, and other travelers who may be exposed to rabies in areas where immediate access to appropriate medical care might be limited.

Japanese Encephalitis
Japanese Encephalitis (JE) occurs throughout Asia and in parts of the western Pacific. In endemic areas, JE primarily affects children; however, travelers of all age are at risk. Several variables influence the level of JE risk, including destination, duration and season of travel, and planned activities.

*Information extracted from reference material provided by the Monthly Prescribing Reference, an education service by Sanofi Pasteur Inc. A full list of reference material may be provided upon request.