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CDC Innoculation Guidelines: Travel to East Asia

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  • CDC Innoculation Guidelines: Travel to East Asia

    CDC recommendations for China at this time:

    Common illnesses:

    Travelers’ diarrhea, the number one illness in travelers, can be caused by viruses, bacteria, or parasites, which can contaminate food or water. Infections may cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites), fever (typhoid fever and toxoplasmosis), or liver damage (hepatitis). Make sure your food and drinking water are safe. (See below.)

    Malaria is a serious, but preventable infection that can be fatal. Prevent this deadly disease by seeing your health care provider for a prescription antimalarial drug and by protecting yourself against mosquito bites (see below). Travelers to some areas in China, Hong Kong S.A.R. (China), North Korea, and South Korea may be at risk for malaria. Travelers to malaria-risk areas in China, North Korea, and South Korea should take an antimalarial drug. The risk of malaria in Hong Kong S.A.R. is so limited that taking an antimalarial drug is not recommended. There is no risk of malaria in Japan, Taiwan, Macao S.A.R. (China), and Mongolia. For additional information on malaria in East Asia, malaria-risk area and antimalarial drugs


    See your doctor at least 4–6 weeks before your trip to allow time for shots to take effect.

    Hepatitis A or immune globulin (IG), except travelers to Japan.
    Hepatitis B, if you might be exposed to blood (for example, health-care workers), have sexual contact with the local population, stay longer than 6 months, or be exposed through medical treatment.
    Japanese encephalitis, only if you plan to visit rural areas for 4 weeks or more, except under special circumstances, such as a known outbreak of Japanese encephalitis.
    Rabies, if you might be exposed to wild or domestic animals through your work or recreation.
    Typhoid, particularly if you are visiting developing countries in this region.
    As needed, booster doses for tetanus-diphtheria and measles. Hepatitis B vaccine is now recommended for all infants and for children ages 11–12 years who did not receive the series as infants

    There is no longer a risk for Yellow Fever in East Asia. (If you're traveling from South America or sub-Saharan Africa, you might need pto have proof of Yellow Fever vaccination).

    Some CDC suggestions:

    Wash hands often with soap and water.
    Because motor vehicle crashes are a leading cause of injury among travelers, walk and drive defensively. Avoid travel at night if possible and always use seat belts.
    Always use latex condoms to reduce the risk of HIV and other sexually transmitted diseases.
    Don’t eat or drink dairy products unless you know they have been pasteurized.
    Don’t share needles with anyone.
    Eat only thoroughly cooked food or fruits and vegetables you have peeled yourself. Remember: boil it, cook it, peel it, or forget it.
    Never eat undercooked ground beef and poultry, raw eggs, and unpasteurized dairy products. Raw shellfish is particularly dangerous to persons who have liver disease or compromised immune systems.

    Drink only bottled or boiled water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes. If this is not possible, make water safer by BOTH filtering through an “absolute 1-micron or less” filter AND adding iodine tablets to the filtered water. “Absolute 1-micron filters” are found in camping/outdoor supply stores.
    If you visit an area where there is risk for malaria, take your malaria prevention medication before, during, and after travel, as directed. (See your doctor for a prescription.)
    Protect yourself from mosquito bites:
    Pay special attention to mosquito protection between dusk and dawn. This is when the type of mosquito whose bite transmits malaria is active.
    Wear long-sleeved shirts, long pants, and hats.
    Use insect repellents that contain DEET (diethylmethyltoluamide).
    Read and follow the directions and precautions on the product label.
    Apply insect repellent to exposed skin.
    Do not put repellent on wounds or broken skin.
    Do not breathe in, swallow, or get into the eyes (DEET is toxic if swallowed). If using a spray product, apply DEET to your face by spraying your hands and rubbing the product carefully over the face, avoiding eyes and mouth.
    Unless you are staying in air-conditioned or well-screened housing, purchase a bed net impregnated with the insecticide permethrin or deltamethrin. Or, spray the bed net with one of these insecticides if you are unable to find a pretreated bed net.
    DEET may be used on adults, children, and infants older than 2 months of age. Protect infants by using a carrier draped with mosquito netting with an elastic edge for a tight fit.
    Children under 10 years old should not apply insect repellent themselves. Do not apply to young children’s hands or around eyes and mouth.
    For details on how to protect yourself from insects and how to use repellents, see Protection against Mosquitoes and Other Arthropods.
    To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot.

    Don’t eat food purchased from street vendors.
    Don’t drink beverages with ice.
    Don’t handle animals (especially monkeys, dogs, and cats), to avoid bites and serious diseases (including rabies and plague). (For more information, please see Animal-Associated Hazards.)
    Don’t swim in fresh water (except for well-chlorinated swimming pools) in certain areas of China (southeast, east, and Yangtze River valley) to avoid infection with schistosomiasis. Salt water is usually safer. (For more information, please see Swimming and Recreational Water Precautions.)


    There are also some good recommendations from readers of this site, in the SITE CONTENT/SHAOLIN/JOURNALS /SURVIVAL RULES section that you'll find helpful.

    doc
    Experienced Community organizer. Yeah, let's choose him to run the free world. It will be historic. What could possibly go wrong...

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