Rabies Vaccination

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Rabies Vaccination

Postby drbexl » Thu Jul 26, 2007 7:34 pm

OK, getting very confused about whether "need" rabies or not, although as have one person saying one thing, and others another, maybe this forum won't help!

I'm going on the Indochina Encompassed round SE Asia in October, and rejoining GAP in February for Southern Cross (Lima - Rio)... I've had a load of other things done, and just have to decide on this one. It's £125 for the course of 3 jabs, which I'd pay if I thought it was worth it.

The vaccination gives cover for a year (I think), with the cover giving an extra 24 hours to get to medical help (thinking the Inca Trail...), when another 2 doses would still be needed. If not taken, and need the treatment, need to get it ASAP and take all 5 injections over a specified spread of time...

The travel nurse said that if it was an organised tour, it probably wasn't needed, and just to avoid petting dogs. This seems to be popular advice online for short-term travellers. Do people reckon this is good advice? A lot of people seem to think so, - been on travelblog.org and bootsnall forums... where a lot of people have also had the jabs - several in Bangkok, but don't think the timings work for that!

Tried looking it up online too, mostly seem to be concentrated on Asia/Africa for people living long-term: http://www.nathnac.org/travel/news/rabies140307.htm indicates that there are recent problems in Peru.
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Postby autark » Thu Jul 26, 2007 9:14 pm

Also going to Asia in October/November and we received the same advice from the travel clinic. Not only is it pretty easy to remove yourself from situations where you might be exposed, the vaccine doesn't even keep you from seeking treatment, just gives you a bit of extra time, and a few less shots to get later.

Another factor for us was cost... our travel clinic in the US told us the cost was well over $1000/each for the 3 shots. Since it's considerably less for you in the UK maybe it's worth it for the extra time it might give you... but £125 certainly isn't cheap either.

Just remember, it's not only dogs, but monkeys, etc, anything with teeth and hair we were told (mammals basically).
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Postby janer » Thu Jul 26, 2007 9:47 pm

I had been on the Indochina encompassed last year and decided not to take my rabies shot. The international health clinic I went to recommended it to me, at about $300 dollars per shot (I think thats what they quoted me). I don't actually know a lot of travelers that took that shot.

Like autark said, it only buys you a little bit of time.
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Postby questlove » Thu Jul 26, 2007 10:15 pm

300 bones! Yikes, i hope they threw in the plane ticket with that =)
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Postby lost_pisces » Fri Jul 27, 2007 2:07 am

arnt shots free in canada cuz of health care?
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Innoculations cost...

Postby drbexl » Fri Jul 27, 2007 6:51 am

Got a couple more weeks to think about it now...

Had not thought about visa/innoculation costs - all a bit unexpected!

Visas not been too bad, only about £88 for 2 (Thailand (£33)/Vietnam (£55), both on Express/collect basis as don't have time/inclination to post passport off), rest seem to be free...

Innoculations, however...

Jap Enc £115ish
Hep B £105ish (or might be other way round)
Yellow Fever £40 (shop around for this on: http://www.nathnac.org/yellowfevercentr ... rom=travel, I was quoted over £60 some places, but found: http://www.nathnac.org/displayYFC.aspx?Id=1048)
Anti-malarials, over £100 + nets, sprays, etc...
Fortunately diptheria, tetanus, polio, Hep A & Typhoid boosters all free on NHS...

More of a big picture person, so have to keep asking friends who've been travelling what they recommend - couple of them are currently checking out my packing list...
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Vaccinations: Very Useful Site

Postby drbexl » Fri Jul 27, 2007 10:59 am

Just found probably about the clearest site on vaccinations so far:

http://www.traveldoctor.co.uk/vaccines.htm

Gives details on cover/time between shots/likely reactions/necessity spread by area, etc...
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Postby janer » Fri Jul 27, 2007 12:44 pm

lost_pisces wrote:arnt shots free in canada cuz of health care?


Not everything is covered. We get shots like tetanus, polio, Hep A/B/C in grade school. But stuff like rabies and Japanese Encephalitis (diseases that are more rare in Canada) aren't given.
Health care is free, until you want to travel out of the country and need certain vaccinations for those areas. We even have to pay $40 for our appointments for travel advice now :x
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Postby shire » Fri Jul 27, 2007 12:50 pm

Just got yellow fever - $100 in Ontario
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Re: Innoculations cost...

Postby autark » Fri Jul 27, 2007 4:36 pm

drbexl wrote:Innoculations, however...

Jap Enc £115ish
...
Yellow Fever £40 (shop around for this on: http://www.nathnac.org/yellowfevercentr ... rom=travel, I was quoted over £60 some places, but found: http://www.nathnac.org/displayYFC.aspx?Id=1048)
Anti-malarials, over £100 + nets, sprays, etc...


Japanese Encephalitis is such a serious disease with 1/3 fatality rate, and 1/3 rate of permanent brain damage if you do survive... yikes, the cost of the vaccine seemed to be well worth it.

Yellow Fever on the other hand, why are you looking at this vaccine for travel to Asia? It's only endemic to South America and Africa... save your pounds on this vaccine unless you are traveling onward to one of those continents after your travel to Asia...
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Postby Sierra_Travels » Fri Jul 27, 2007 4:59 pm

In talking with the doctor at Northwestern Mem'l Hospital's travel center, we discussed how 'at risk' she thought I might be, versus the cost of the immunization (ditto for the rabies shots).

Cost should certainly be a consideration, but you should talk with a doctor who's knowledgeable and up-to-date to find out the risks of *any* given immunization. If you're traveling in an incredibly low-risk/non-existant risk area, obviously save the money. :)
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Re: Innoculations cost...

Postby drbexl » Fri Jul 27, 2007 4:59 pm

autark wrote:
drbexl wrote:Innoculations, however...

Jap Enc £115ish
...
Yellow Fever £40 (shop around for this on: http://www.nathnac.org/yellowfevercentr ... rom=travel, I was quoted over £60 some places, but found: http://www.nathnac.org/displayYFC.aspx?Id=1048)
Anti-malarials, over £100 + nets, sprays, etc...


Japanese Encephalitis is such a serious disease with 1/3 fatality rate, and 1/3 rate of permanent brain damage if you do survive... yikes, the cost of the vaccine seemed to be well worth it.

Yellow Fever on the other hand, why are you looking at this vaccine for travel to Asia? It's only endemic to South America and Africa... save your pounds on this vaccine unless you are traveling onward to one of those continents after your travel to Asia...


They all sound nasty once you start looking at them... is Rabies can't decide over, had everything else...
Am going onto S.America... hence the YF...
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rabies

Postby rachfoster1988 » Thu Sep 06, 2007 5:33 am

Hey there,
I am doing the indochina encompassed in dec/jan 08 and have just got the course of rabies shots in AUS this cost $200 all up. The problem with the rabies is that apart from requiring the extra 5 shots if you haven't had the vaccine u also need the antibody within 24 hours which is impossible to get in some countries. By having the 3 shots before u go u only require 2 more and u have 48 hours to get to care. Its a personal choice I guess but I figured its much less hassle to get it done before!
I agree though visas and vaccinations cost more than the entire trip will!!!
hope u enjoy ur travels!
rach
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Postby drbexl » Fri Sep 07, 2007 9:18 am

Have just had injection No. 2! Still was undecided when went into Stanfords (nr Covent Garden, London, for those who fancy a MASSIVE travel bookshop) and picked up Lonely Planet guide to health - in my mind Lonely Planet sees itself as trying to save their buyers money and they had a whole page explaining why it was worth it, so I have! Only 3 weeks to go to the trip!
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Postby Myosotis » Tue Sep 25, 2007 11:53 pm

Don't take the rabbies injections. First of all, they are very expensive. Secondly, you don't need them, because if you get bitten by an infected animal , you have the possibility to get the shots within one year. Of course, it's better having the first ones within 72 hours after the bite, but it's not necessary... And in the case you are bitten, you will get them for free, back to Canada. I mean, they mix infected blood in the first shot, so... the less you are in contact with infected blood of someone else, the better it is for you, in my oppinion. :P
Especially because the probability to catch the rabbies is very low.
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