What immunizations should I get for India and South East Asia?

I’m leaving for India in about a month and then headed to Thailand and probably Indonesia. What immunizations should I get, and which ones did you get for these areas. The CDC says Hepatitis A and Typhoid for most and long list for some travelers. I’m also considering a Malaria prevention pill. I will be in India for 10 days and Thailand and Indonesia for about a month.

Any information regarding what other nomads have or have experience with would be greatly appreciated.

Hepatitis A and Typhoid are the the ones I’m getting. I am heading to Bali for two monthes in March and will probably carry on to Thailand after.

Malaria prevention probably isn’t required unless you’re specifically going somewhere where it is known to be rampant.


I considered Typhoid but I read on cdc’s website that it isn’t 100%, so I’m not sure if I want to bother.

If it’s in the “most travelers” category, I’d get it unless I had a concrete reason why it wasn’t necessary. Most CDC-suggested vaccines are fairly inexpensive (my insurance didn’t cover travel vaccinations, and Hep A was like $80?) and protect you from awful diseases.

Skip the malaria prevention. The side effects can be brutal and it only partially protects you.

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For malaria there are 4 different pills I think and one with little or no side effects but you have to take it every day. I’m not too sure about that though. I probably won’t, I’ll be visiting in the lower mosquito season also.

I know that in the US getting a vaccination for Hep A and Typhoid would be as difficult as handing cash over at a clinic, but I’m in Germany so I have to figure out how it works here. One of my friends here is going to Brazil and she is getting a lot but she also says that I need a vaccine card to get any vaccines. I read that it’s harmless to get a vaccine twice if you already have it so I’m not why they would need a record. I know what I want. We’ll see. If anybody has experience with this in Germany and feedback would be appreciated.

After further research I don’t think I’m going to get the Typhoid vaccine. May just wing it. Megadose on Vitamin C.

Here are some efficacy studies (The injectable is pretty good): http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001261.pub3/abstract;jsessionid=8CCFAEE4DD77EF12CBBDF621FC261DCB.f01t03

The studies aren’t terrible, what made you change your mind? I’m going in for vaccination in a couple days. In Germany it’s no problem at all, they just make you pay a couple Euro for a “pass” that shows what vaccines you’ve had.

For anyone who is in Germany just do a search for your cities name and “Tropenmedizin”. That should give you the correct place to go to for travel vaccinations.

I know, pretty effective!

I actually looked into the diseases and didn’t realise that Typhoid is bacterial. Bacteria is a lot easier to filter out of water, as opposed to viruses.

Dengue is prevalent in south east asia - no immunization for that but wouldn’t hurt to use lots of mosquito repellent

This is what I got:

  • Yellow fever. DE: Gelbfieber. FR: fièvre jaune.
  • Hepatities A. DE: Hepatities A. FR: Hépatite A.
  • Hepatitis B. FR: Hépatite B. DE: Hepatitis B.
  • Rabies. FR: Rage. DE: Tolwut.
  • Polio, stands for Poliomyelitis. DE: Poliomyelitis. FR: Poliomyélite.
  • DTP, stands for Diphterie Tetanos Pertussis. DE: Diphtherie Tetanus Keuchhusten (Pertussis). FR: diphtérie tétanos coqueluche.
  • MMR vaccines, stands for Measles Mumbs Rubella. DE: Masern Mumps Röteln. FR: Rougeole Rubéole Oreillon.
  • Typhoid

Finally, I wanted to get Meningitis (FR: Méningite, DE: Meningitis) but this is a virus that is not in Asia so it was not recommended by my Doctor.

p.s. I also put the name of the vaccins in French & German as you might need that if you get your vaccins while traveling :wink:

Depends a lot on whether you are going to leave the cities or not. I got some of these because my employer required them, but they required booster shots some time later and I wasn’t working for them any longer. Six months in BKK long after boosters were required and not sick. YMMV.

Regardless of whether you are getting shots or not, drink water from sealed bottles and think twice about drinks with ice in them. If you are not sure, look at what others around you are doing. If there’s a drink vendor with their shop welded to a moped and nobody is in line, it might be because they aren’t reputable – and might not be there next week. If you are in the same neighborhoods for any length of time, figuring out who the regulars are goes a long way to staying healthy. Many of those carts have decades of history and have been on TV and in newspapers. Such food vendors focus on sustainability and service when they get popular, not getting a bigger restaurant with higher costs. But also note that some vendors are at the same spot only on certain days of the week. It’s much harder to figure out without a grasp of the local language.

I know that seems a little OT, but the reality is shots are often hard on the body and a little common sense can avoid the need for many of them. If you plan on swimming in the Ganges or spending weeks in inland Thailand, it’s a different situation than if you are just city hopping, which can also be great!

Get the recommended ones hep and typhoid. They’re useful world wide and last a long time after the boosters As someone else pointed out typhoid is a risk from swimming in lakes, waterfalls, pools, etc… Odds are that’ll come up on a trip through SEA.

Don’t bother with the malaria previcentive unless your going to be specifically placeswhere it is in its endemic and you can’t avoid being bitten (countryside/jungle unprotected by house or net at night). Otherwise plan on just using mosquito repellent when you need it since you don’t want dengue either.

What about the HPV vaccine?

Does depend on where you’re going. Quite honestly, I wouldn’t eat anything from the restaurants or the street either, especially seafood. Sticking to hotel food. I ate at a perfectly good restaurant while in Delhi, but had a very bad stomach bug, so much that it caused me to have jaundice on my forehead and nearly hospitalised me because of dehydration. Someone I went with had been before, and he simply stayed in his hotel room and ate crisps for the whole trip because he was ill last time.

That sounds depressing as hell. What’s the point of travelling if you’re going to sit in your room eating crisps.

I have a pretty weak stomach but I find that good street food is best. You can watch them cook it. up fresh At a restaurant or hotel, you don’t know if the food has been sitting in a warmer for ages.

I got the feeling that it’s the water food is washed with that caused my problem. It seemed to hit me a lot harder than others, so not sure if it’s something to do with me, but I’m generally pretty healthy. I guess some handle it better than others. I think I would go back and eat the food now, because after the experience I had - nothing can put me down!!!

I’ve gotten it In past

Ull know when u have it, the ull get to a doc shoot 3 shots each one a day and Gatorade urself and ur done

Hepatitis - we got the bad one vaccinated at school

Malaria - prevention is worse then the disease itself I guess

And bottom line - the more u vaccinate the more the diseases adapt

Think large - and watch wher u put urself and what u put into u

If u have a delicate stomach don’t eat raw

Never drink tap

What else?
Perhaps a rabies and the basic “blood poisoning” vaccine ( sorry no idea how it’s Calle din English, the one u get from rusty iron cuts)

More Is a waste of money and time imho