MD Travel Health - Nepal - vaccinations, malaria, safety, and other medical advice
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Hepatitis B risk in Nepal Hepatitis B is one of the most common vaccine preventable diseases and it affects the liver.
Hepatitis B can be passed on through contact of bodily fluids. That means if you are intending to get a tattoo or piercing, may have contact with needles in any way or may enter a new sexual relationship while in Nepal you should seriously consider the hepatitis B vaccine.
Vaccination advice for long-term travel or adventure travel Some vaccines are only recommended for travellers who will be staying a longer period in Nepal, or participating in certain activities. Even if you think you know what vaccines you need before travelling, it is important to tell the doctor about all of your travel plans to establish which vaccines are necessary and what any risks might be.
Vaccinations for Nepal
You should also discuss your general health and history and the purpose of your visit with the doctor to get the best advise tailored to you and your needs.
During certain times of the year, and depending how long you are going to spend in Nepal, you may also need the Japanese Encephalitis vaccine. This could be the case if you are visiting more rural or remote areas, and may depend on the rest of your travel plans too, but the Travel Vaccination Clinic doctor can advise you whether you need this vaccine and if needed can provide it Rabies: If you will be in Nepal for one month or longer, or are going to be doing outdoor activities such as hiking, camping, biking or other adventure travel, you may be advised to get the rabies vaccine before travelling to Nepal.
This is because bats, rats, dogs and other mammals may carry rabies in Nepal. There is no risk of yellow fever in Nepal, but the government may require proof of vaccination if you are arriving from an area where there is a risk of yellow fever. The vaccine is not advised for those travelling only to high-altitude areas. The series should be completed at least one week before travel.
Vaccinations for Nepal - Travel Vaccinations
The most common side effects are headaches, muscle aches, and pain and tenderness at the injection site.
Safety has not been established in pregnant women, nursing mothers, or children under the age of two months. Hepatitis B vaccine is recommended for all travelers if not previously vaccinated. Two vaccines are currently licensed in the United States: Recombivax HB Merck and Co. A full series consists of three intramuscular doses given at 0, 1 and 6 months.
Engerix-B is also approved for administration at 0, 1, 2, and 12 months, which may be appropriate for travelers departing in less than 6 months.
Increased immunization coverage addresses the equity gap in Nepal
Side-effects are generally mild and may include discomfort at the injection site and low-grade fever. Severe allergic reactions anaphylaxis occur rarely. Rabies vaccine is recommended for travelers spending a lot of time outdoors, for travelers at high risk for animal bites, such as veterinarians and animal handlers, for long-term travelers and expatriates, and for travelers involved in any activities that might bring them into direct contact with bats.
Children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites. The prevalence of rabies is high in Nepal.
The chief risk is from stray dogs, followed by monkeys especially at the Kathmandu monkey temple. Bites from cats and squirrels may also cause infection. A complete preexposure series consists of three doses of vaccine injected into the deltoid muscle on days 0, 7, and 21 or Side-effects may include pain at the injection site, headache, nausea, abdominal pain, muscle aches, dizziness, or allergic reactions.
Any animal bite or scratch should be thoroughly cleaned with large amounts of soap and water and local health authorities should be contacted immediately for possible post-exposure treatment, whether or not the person has been immunized against rabies. Tetanus - diphtheria vaccine is recommended for all travelers who have not received a tetanus-diphtheria immunization within the last 10 years. Measles - mumps - rubella vaccine: Many adults born after and before received only one vaccination against measles, mumps, and rubella as children and should be given a second dose before travel.
- Nepal Travel Health Information
- Increased immunization coverage addresses the equity gap in Nepal
MMR vaccine should not be given to pregnant or severely immunocompromised individuals. Meningococcal vaccine is recommended by the U. Department of Health for all visits longer than a few days, but is not recommended by the Centers for Disease Control or Health Canada.
Meningococcal vaccine has few side-effects. Mild redness at the injection site may occur. Young children may develop transient fever. Cholera vaccine is not generally recommended, even though cholera occurs in Nepal, because most travelers are at low risk for infection.
Two oral vaccines have recently been developed: