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Amanda Caton
23rd August 2005, 02:05 AM
Could anyone advise me about which travel vaccinations are needed to travel to Kathmandu, Kumbu and Annapurna region. I am considering the rabies jab -is this needed? Many thanks........

Sharon
23rd August 2005, 08:50 AM
I have never bothered with the rabies. I do not approach dogs etc when I am there. This is my 5th trip coming up. I do get several others, that I can't remember all. You should be able to go to Public health in Canada or a travel doctor etc in your country, tell them your itinerary and they will advise what you need. Hepatitis A & B , tetnus, Cholera, typhoid, mengococcal etc...

Holy stRoller
23rd August 2005, 06:08 PM
Hi,
Having just gone through this process I can tell you what I decided on after considering the options.
I had the following innoculations:-

Tetanus, polio, diptheria ( a combined jab)
Typhoid
Hep A
Hep B

The recieved wisdom is that the cholera jab isn't really worth having done

Definitely get the hep a but hep b take a decision on with regard to how long you will be in Nepal and what your risk is. Hep b protects against hepetitis infection through blood products or sexual contact that kind of thing. So if you are in Nepal for a long time and think you might need a blood transfusion get it done.

Rabies in my opinion isn't worth bothering with because if you get bitten you still need injections even if you have been innoculated. So I agree with Sharon stay clear of dogs and monkeys.

Malaria prophylactics are not required if you are in the Kathmandu valley or above, which it looks as if you will be.

The other thing to consider is time scale, allow 3 months for the jabs before you go as hep b is administered in three jabs over this period. It is possible to get innoculated using a different form of innoculation but this is less than ideal as it uses blood products directly and will be more expensive.

Have fun.

Holy stRoller
1st September 2005, 02:50 PM
Hi found this today. It will be of interest to those of you intending to stay near the border, but looks unlikely to effect our main interest of treking.

BBC NEWS
Jab advice for tourists to India
By Ram Dutt Tripathi
BBC News, Lucknow

Doctors in the Indian state of Uttar Pradesh say tourists coming to areas affected by Japanese encephalitis should seek appropriate vaccination.

More than 300 people have so far died of the disease and nearly 400 others have been admitted to various government hospitals.

The disease has spread to several districts along the Nepal border and in northern Bihar state.

The affected areas include several Buddhist pilgrimage sites.

One of the five worst affected districts is Kushinagar in Uttar Pradesh, where at least 54 people have died.

Thousands of foreigners arrive in Kushinagar from Nepal via Sonauli.

Many of them come only for a short period but some stay in Kushinagar for a month or longer.

Prolonged contact

Professor KP Kushwaha of Gorakhpur Medical College said all tourists who plan to stay for more than 15 days in an affected area should seek vaccination before they arrive.

He said the infection was caused only after prolonged contact with mosquitoes.

Dr T N Dhole of the Sanjay Gandhi Post Graduate Medical Institute in Lucknow called on embassies to issue health advisories to foreign tourists.

The main tourist season for Buddhist pilgrims starts in October, but some from Sri Lanka, China, Thailand and Japan have already arrived in region.

The affected areas include the Buddhist pilgrimage sites of Shravasti, Kapilvastu, Lumbini and Kushinagar.
Story from BBC NEWS:
http://news.bbc.co.uk/go/pr/fr/-/1/hi/world/south_asia/4198170.stm

Published: 2005/08/30 14:56:34 GMT

BBC MMV