Scrub typhus, also known as bush typhus, is a bacterial disease that is spread to people through bites of infected chiggers (larval mites). Common symptoms include fever, headache, body aches, and sometimes rash. It can usually be treated with antibiotics, however people with severe illness may develop organ failure and bleeding, which can be fatal if left untreated.
Travel Vaccinations for Indonesia
Vaccines To Consider When Visiting Indonesia
A consultation will be completed with one of our specialist travel health nurses to assess your individual travel plans and health background before making recommendations, which can then be administered during the same appointment.
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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.
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 accessories.
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.
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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