The US Centers for Disease Control maintains websites with recommendations for travelers. The East Asia page is at (and you can make your own links "hot" as well by clicking on the "link" image in the editing bar and typing the link in there):
http://www.cdc.gov/travel/eastasia.htm
CDC offers the following recommended vaccinations:
Hepatitis A (immune globulin)
This is the only vaccination I routinely get.
As warranted:
Hepatitis B
Japanese encephalitis
Malaria
Rabies
Typhoid
Tetanus-diptheria and measles booster
Given our itinerary, I think that you may wish to get a typhoid shot and to check on your tetanus-diptheria/measles status. If we were to stay longer and spend a lot of time in rural areas, I might also recommend Hepatitis B and encephalitis vaccinations, but we'll be on a fairly well-beaten path.
The page gives information on many other issues. Please visit it.
According to my notes, Clay mentioned getting the Hep. A vaccination. A colleague of mine was recently diagnosed with Hep. A and missed a week and a half of school. His doctor told him primarily it is contracted when visiting foreign countries, but that it can be contracted by eating food that wasn't prepared in a clean environment or by hands that were carrying germs, etc. Anyway, it struck me when he came back today and told me why he had been out for so long. He thought he just had an upset stomach and it turned out to be much worse. I know that I don't want my trip tarnished by any sort of illness so I am definately asking my doctor about preparing against this one!
I have decided to get only Hep. A. I believe Tracy has decided the same.
I checked with our insurance carrier to find out about coverage. TUSD is covered if it is an emergency, with a $100. copay. We have to pay all costs upfront, and then submit the bills to them and reimburse us. One good reason for carrying a credit card.
Hi Darlene and everyone,
I contacted my doctor's office today and was told they do not have the vaccines available. They referred me to the county health clinic but said patients have complained of long lines. They also recommended a place called Passport Health that happens to be in Tustin where I live. Their voice mail indicated that they were closed until Monday so I don't have the specifics yet. I will post it when I receive more info.
Darlene, I'm curious to know why you chose to get only the Hepatitis shot. Did you find out something or is it based on cost?
Curious,
Ana
The State Department's China travel guide has some info on medical insurance along with other advice:
http://travel.state.gov/travel/tips/regional/regional_1173.html
My doctor's office said he would order the Malayria, Typhoid and Hep A even if I decide I don't want them because it takes a while to get them and they rarely have them on hand. He was concerned about an updated Hep B and Tetanus (which I'm sure I spelled wrong but don't care to fix right now). So I updated those. I think I will go with the Hep A just because, as I said before, a friend got it right here in LA. But I'm going to bring the itinerary in on my next visit and he'll advise me on the others. I haven't had to pay anything other than my regular co-pay so maybe I'll luck out? (wouldn't that be nice
Knowing good health for you all -
Peace and Blessings.
-Kyle
I went to Kaiser and they recommend Hepatitus A and Thyphoid vaccinations (actually, the Thyphoid is a series of 4 pills taken over 8 days). They asked if we would be in off the beaten trail for malaria, and didn't advise it for city travel. I have my hepatitus B shots, but they didn't ask about Tetanus.
Courtney Lcokwood
Courtney thanks for sharing your info. After much thought, I have decided to get only the Hapatitus A shot. My doctor's office advised against the Hepatitus B. I already have the Tetanus shot from an earlier injury.
Ana
Several of you spoke about taking a vitamin, instead of coating ourselves with bug repellant. I believe the vitamin was B-12? How long before the trip should I begin taking it. I would like to go to Lindbergs tomorrow and pick some up.
I recall hearing 2 weeks of B-12. The latest Consumer Reports tested and rated insect repellents. Repellents with the most deet were the most effective. Off Deep Woods has the highest deet with 98% but the report indicated a negative odor and texture (probably greasy). It was the highest rated brand. Brands rated "good" had approximately 30% deet including 3M, Off Deep Woods (IV), Cutter, Ben's 30.
I had heard good things about Avon's Skin-So-Soft, but it was rated only as "fair". Looks like it doesn't contain deet and had zero effectiveness on one type of mosquito. The only non-deet product that rated "good" was Repel. It is a plant-based lemon Eucalyptus but testers disliked its odor. Botanical products were rated "poor".
It looks like deet is the way to go but it cannot be applied under clothing, in an open cut or with sunscreen.
Finally got to Lindberg's yesterday. Located someone who had heard about taking Vitamin B-2
instead of insect repellent. I will start it 2 weeks before we leave. It should do the trick.
I have shoes now, the Vitamin, still working on attire and luggage. The most reasonable I have found and the lightest with four wheels is American Tourister I-Lite, it has "spinners" on the bottom (wheels). Found it reasonable at LAX Luggage at Pico and Sepulveda, and have checked the Internet where I think I can get it even cheaper.
Have been knee deep in aligators with the STAR testing, ect., and have not done as much research as I would have liked to on my lesson plan. I am really beginning to panic about that. Will be gone 2 weekends between now and our trip and have 120 senior finals to hand grade. Ugh!
Nice to write to you all again. I went back in for another doctor's visit (I'm a little paranoid about getting the health stuff straightened out) and opted to have the Typhoid shot. Courtney you said something about pills, but my doctor gave me the shot. He said I didn't need anything else based on the itinerary (which he researched like a thorough doctor I didn't really think about it, just did it. I guess it's better safe than sorry.
I am also going to do the B-12 thing and the yogurt biz. I'm doing acupuncture right now to help with some back/foot pain that recently developed that I do not want to take with me; it's working out well. He is also working on my digestive system to insure that I am in the best health possible before I leave. After all that talk about bathroom rankings I've decided worrying about that is not something I want to deal with!
Kyle, I got the Hepatitus A shot only and was not planning on getting the typhoid. Ok, dumb question coming...is that for typhus? And, is that caused by drinking unsanitary water that contains bacteria? What did your doctor say?
Hi. Thanks for all of the advice on medical preparations. The people I spoke with say that the vaccine for encephalytis isn't needed unless you will be in rural areas for longer than 4 weeks. Did you all receive the same advice?
Also, the nurse said that anything with too much Deet is toxic for your skin. Has anyone else read anything that confirms her advice?
I know Deet is pretty serious stuff. That is why I am taking B-2, starting 2 weeks before we leave. I believe it obviates the need for "bug spray" and will probably be healthier for us.
I am only taking the Hepatitis A shot. You take the first one now, and the 2nd in 6 months.