Vaccines advised to ALL Indonesia visitors

Vaccines advised to SOME Indonesia visitors i The vaccines you need will depend on where in the country you are visiting, how long you will stay and what activities you will undertake during your trip. During your consultation our nurse will advise if you should consider any of the following vaccinations.

There is a risk of Malaria in Indonesia. London Travel Clinic offers a range of antimalarials to keep you protected

NOTE: British travellers should also ensure they have adequate protection from MEASLES, MUMPS and RUBELLA and TUBERCULOSIS, which are normally given as part of the childhood vaccination schedule.

Destination Information for Indonesia

Indonesia is an archipelago in South East Asia comprising of over 17,000 islands, over 300 languages and is known to have the world’s largest number of active volcanoes. This island is perfect for exploring. There are just two seasons in Indonesia: the dry season and the monsoon season. The monsoon season lasts from November until March where there’s rainfall every day, mainly towards the end of the day for a few hours. The dry season tends to get very busy with temperatures of 30 degrees and lasts from April until October.

One of the main things you could do while in Indonesia is to take boat trips to explore different islands. Tour operators offer a good selection of island hopping tours; this is a great opportunity to explore all the islands in and around this beautiful country.

Learn More

You will need to protect yourself from various possible illness and diseases.  You can do this by visiting London Travel Clinic where there is specialist nurses offering excellent information on the correct Indonesia Travel Vaccinations required.  We are also able to administer vaccinations and supply medication and various accessorie

Rabies (Human) in Indonesia (Bali)

Rabies virus infection is an ongoing problem in Bali, Indonesia. The media has reported that the Provincial Health Service in Bali has confirmed one further human death from rabies. This brings the total number of human rabies deaths thus far in 2015 to 9.

The latest case was a 15-year-old high school student who was bitten by a dog (no further information); the young person died in Sanglah hospital in Denpasar on 4th June 2015. The media report makes no mention of any rabies post-exposure prophylaxis (PEP) administered to the patient; previous media reports have highlighted a shortage of rabies PEP in Bali.

Advice for Travellers

The rabies situation has improved in Bali but remains an ongoing problem. The Badung regency includes the main tourist destinations of the island. Travellers should be aware of the risk in Bali and avoid animal contact and report any bites promptly. Pre-exposure vaccination should be considered for those at risk.

Malaria and regions within country:

There is a high risk of P.Falciparum malaria throughout Sumatra, Indonesian Borneo, West Timor, Flores and surrounding islands and coastal areas of New Guinea. The interior of Java, Lombok and the Gili islands are also high risk and anti-malarial medication is advised. There is a low to no risk in the coastal areas of Java, the interior of New Guinea and Bali where anti-malarial medication is not normally advised.

Malaria chemoprophylaxis for high risk zones:

Doxycycline OR Atovaquone/Proguanil OR Mefloquine

If all other anti-malarials are not deemed suitable, Chloroquine plus Proguanil can be used but it is less effective.

Useful Links

International travel clinic locator: www.istm.org

The Foreign and Commonwealth Office: www.fco.gov.uk

British Embassy

British Embassy Jakarta
Jl Patra Kuningan Raya Blok L5-6
Jakarta
12950
Indonesia

Email: Jakarta.mcs@fco.gov.uk
Telephone: (+62) (21) 2356 5200

Useful Vaccinations for Indonesia

Disease & Source
Vaccination Details
Course
Price
Disease: Hepatitis A
Source: Contaminated food and water
Vaccination Details

One of the following vaccination courses may be recommended:

  • A single course injection of Havrix Monodose to cover against Hepatitis A
  • A course of three injections of Twinrix to cover against Hepatitis A and Hepatitis B
  • A single dose of Hepatyrix to cover against Hepatitis A and Typhoid fever
Course
Varies
Price
Varies
Disease: Diphtheria
Source: Person to person
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£32.00
Disease: Tetanus
Source: Puncture wounds, burns and intravenous drug use
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£32.00
Disease: Polio
Source: Contaminated food and water
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£32.00
Disease: Typhoid
Source: Contaminated food and water
Vaccination Details

One of the following vaccination courses may be recommended:

  • Typhim Vi, single dose injection
  • Vivotif, 3 capsules
  • Viatim, single dose injection of Hepatitis A & Typhoid combined
Course
1 dose
Price
£50.00
Disease: Cholera
Source: Contaminated food and water
Vaccination Details

A course of two Dukoral tablets, which is administered orally.

Course
2 doses
Price
£32.50
Disease: Hepatitis B
Source: Infected blood and bodily fluids
Vaccination Details

One of the following vaccination courses may be recommended:

  • A course of three injections of Energix B to cover against Hepatitis B
  • A course of three injections of Twinrix to cover against Hepatitis A and Hepatitis B
Course
Varies
Price
Varies
Disease: Japanese Encephalitis
Source: Mosquitos
Vaccination Details

A course of two IXIARO injections over 28 days.

Course
2 doses
Price
£90.00
Disease: Rabies
Source: Animal to person
Vaccination Details

A course of three injections of the vaccine (Rabies BP or Rabipur) will cover against Rabies and is recommended. In the event of possible exposure to Rabies, urgent medical attention should be sought, even in those who have received pre-exposure vaccines.

Course
Price
Disease: Malaria
Source: Mosquitos
Vaccination Details

There are a range of different anti-malarial tablets that will be prescribed to travellers based on several factors, including: destination, medical history, family history, current medications, previous problems with anti-malarial tablets, age and pregnancy.

Course
1 dose
Price
£50.00

Non-Vaccinated Diseases

Disease
Source
Our Advice
Disease: Chikungunya
Source: Mosquitos
Our Advice: Use 50% Deet+ insect repellent
Disease: Dengue Fever
Source: Mosquitos
Our Advice: Use 50%+ Deet insect repellent
Disease: Filariasis
Source: Mosquitos
Our Advice: Use 50% Deet+ insect repellent
Disease: HIV/AIDS
Source: Bodily Fluids
Our Advice: Use a condom for sex and to never share needles or other injecting equipment (including syringes, spoons and swabs).
Disease: Leishmaniasis
Source: Sandfly
Our Advice: Use 50% Deet+ insect repellent
Disease: Schistosomiasis
Source: Parasitic Flatworms in fresh water ponds, lakes, rivers and canals
Our Advice: Avoid swimming or wading in freshwater. Drink safe water
Source: Contaminated food and water, person to person
Our Advice: Tummy kit and Tummy Kit +

Additional Health Risks Information for Indonesia

Most visits to Indonesia pass without incident, however travellers to the country should be aware that Indonesia, like many places in the world, is at an increased risk of terrorism. Be vigilant at all times, but especially if you are travelling to the country during holiday times. Non-terrorism related violence and crime is more common in certain areas, including Aceh, Central Sulawesi Province, Maluku Province, Papua and West Papua Province.

Due to Indonesia’s positioning along a seismic strip known as the “Ring of Fire”, the country is particularly prone to natural disasters including earthquakes, tsunamis, floods, forest fires and volcanic eruptions. If you are in the country when such an event occurs, you should follow local advice for staying safe. Check your specific destination before you travel to be aware of any disruption that may be caused by flooding, ash clouds or landslides. Local emergency services are often not-equipped to deal with such disasters to the same level of response as you would find in the UK.

Medical care in Indonesia can be hard to find and of a poor standard. Take particular care for your own health by being mindful of what you eat and drink, preventing insect bites and stings and carrying a basic first aid kit with you. Be particularly aware of avoiding animals as rabies is prevalent. Mosquito borne disease like, dengue fever and the Zika virus are present, use 50% deet over your sunscreen during the day to prevent mosquito bites. It is a Japanese encephalitis endemic area, discuss the option of vaccination with a travel clinic before you travel. If you are pregnant or planning to become pregnant you should not visit Indonesia.

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