Vaccines available include the following:

Hepatitis A Hepatitis B Immune Globulin Influenza Japanese Encephalitis Measles/Mumps/Rubella Meningococcal Pneumococcal Polio Human Papilloma Virus (HPV) (Gardasil)

Shingles (Zostavax) PPD Skin Testing (TB) Rabies Tetanus / Diphtheria Tetanus / Diphtheria / Pertussis Twinrix (Adult Hep A & B) Typhoid (oral or injectable) Yellow Fever Varicella (Chickenpox)

Vaccine Requirements Versus Recommendations

• Requirement:  A vaccine is required when you have to show proof of immunization for entry into a country. These vaccinations are generally required to keep you from bringing a disease into the country.
• Recommendation:  A vaccine recommendation is made when a disease exists in a country and there is a vaccine available for protection against that disease.

Quick Summary of Vaccines

• Hepatitis A: "Should NOT leave home without it" Hepatitis A is a viral disease transmitted via contaminated food and water. The Hepatitis A virus can be found worldwide, even in the United States. Countries with high or imminent risk are found in Asia, Africa, the Caribbean, Central and South America, and Eastern Europe.
• Typhoid (oral or injectable): Typhoid fever is a bacterial disease, also spread through contaminated food and water. Risk for exposure to typhoid often exists in the same locations as Hepatitis A.
• Hepatitis B: Hepatitis B is a virus transmitted through contact with blood and/or body fluids. Risk for exposure to Hepatitis B is worldwide.
• Twinrix (Adult Hepatitis A & B): Hepatitis A/B vaccine is a great way to get vaccinated for both Hepatitis A and Hepatitis B at the same time.
• Japanese Encephalitis (JAE): JAE is also a viral disease spread by mosquitos from infected animals (usually pigs and wading birds) to humans. Recommendations are made according to your itinerary.
• Meningococcal Meningitis: Bacterial Meningococcal disease enters the body through the upper respiratory tract. This disease frequently occurs in large epidemics in developing countries.
• Rabies: Many developing countries do not have animal vaccination programs and some do not have access to the treatment Rabies Immune Globulin that is needed when exposed. Therefore, rabies vaccine pre-exposure may be recommended.
• Immune Globulin (IG): IG is used for infants below the recommended minimum age for Hepatitis A vaccine.

The following vaccines are routine immunizations that everyone in the United States should get according to appropriate guidelines.

• Influenza
• Measles/Mumps/Rubella
• Pneumococcal
• Polio
• PPD Skin Testing (TB)
• Tetanus/Diphtheria
• Varicella (Chickenpox)
• Tetanus/Diphtalia/Pertussis

Please contact us if you need assistance or have any questions relating to travel health.