vaccinatons

vaccinatons

hello, im in bolivia right now. befor i left israel i did vaccinations in ¨lametayel¨, this is the place that ¨klalit¨sent me to. i chaked my international certificate of vaccionation lately and i found that i have only: hepatyrix and yellow fever. it can be that ¨klaliti ¨sent me without doing typhoid fever and more nececery vaccions?? (now im with diarias) should i do here missing vaccions? thanks gilad
 
Vaccinations

Hello, Gilad ! It's hard to hear that you are ill , I am really hope that this illnes doesn't have any major influence on your trip to South America, and that everything will be OK soon. As to the vaccinations, Hepatyrix vaccine includes 2 active ingredients: against Hepatitis A AND against Typhiod fever (in the same shot). This is the vaccine we also use, so I see no problems here. I cannot respond to the need of additional vaccinations (there are some) in your case, for I am not familiar with your previous medical and vaccinations history. Diarrhea is NOT a common sign of Typhoid fever, so I think that you have another cause of your illness which is called Travellers diarrhea. The best way to treat this condition is to drink a lot of fluids (pure of course), and if your condition is severe, a short course of antibiotics (like Ciprofloxacin or Azythromycin) for 3 days will probably help. Try to remain cool... Hope you will be OK soon With best regards and Happy Pesach Eugene Katchman, MD Infectious Diseases and Travellers Medicine Travellers Clinic Tel-Aviv Sourasky Medical Center ד"ר יבגני קצמן, מומחה למחלות זיהומיות היחידה למחלות זיהומיות השירות הרפואי לנוסע (שר"ל) , המרכז הרפואי ת"א, בי"ח איכילוב טל': 03-6973498 (שלוחה 2)
 
which vaccination are recomanded to bolivia?

thanks alot yavgeni. its not so bad... which vaccination are useally recomanded to bolivia?
 
Bolivia - vaccinations

Hi again the answer for the question you asked is- it depends... you may have needed to get diphteria-tetanus- if you haven't got one in the past 10 years (you get one in the army) measles-mumps-rubella: if you were born between the years 1957-1978 meningococcus- if your trip is for > 1 month and if you haven't got one in the past 5 years (you get one in the army) and the other vaccines you have already got also- take pills to prevent malaria if you are entering certain zones have fun
 
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