Vaccines advised to ALL Myanmar visitors

Vaccines advised to SOME Myanmar 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 Myanmar. 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 Myanmar

The Southeast Asian nation of Myanmar, formerly known as Burma, is bordered by India, Bangladesh, China, Laos and Thailand. It is home to more than 100 ethnic groups. There are a huge array of tourist sites to explore here, including beach resorts, jungles, native tribes, ancient ruins and vast cities. The culture is heavily influenced by Buddhism, although there is also evidence of Indian and Chinese influences in the architecture, food and traditions of the country.

There are many charming cities in Myanmar, including the historic city of Bago, near Yangon by the Gulf of Mottama, which hosts wonderful Buddhist sights. Yangon itself is the economic centre of Myanmar, with its iconic colonial architecture. Sadly, much of Myanmar is closed to foreign travellers, although many popular tourist destinations such as Yangon (Rangoon), Mandalay, Inle Lake and Bagan are open.

Learn More

For isolated beaches and peaceful spiritual sites, Myanmar is a challenging, yet unbeatable, destination. Much of the infrastructure of the country is still in the process of being built or developed, so you may find getting around rather difficult. Travel restrictions are in place in some areas, with permits required for others, so it is advised to do your research before visiting, and plan your trip meticulously.

Malaria and regions within country:

There is a high risk of P.Falciparum malaria throughout the country. The only areas with low to no risk are the cities of Mandalay and Yangon.

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 Rangoon
80 Strand Road
(Box No 638)
Rangoon
Burma

Telephone: (95) (1) 380322

Vaccine Information for Myanmar

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
£50.00
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
£50.00
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
£50.00
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
£60.00
Disease: Cholera
Source: Contaminated food and water
Vaccination Details

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

Course
2 doses
Price
£40.00
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
£99.00
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
3 doses
Price
Per Dose ££75.00
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: Leptospirosis
Source: Animals to humans
Our Advice: Avoid swallowing flood waters or water from lakes, rivers, and swamps. Avoid wading in flooded areas, especially if you have any cuts or abrasions
Source: Contaminated food and water, person to person
Our Advice: Tummy kit and Tummy Kit +

Additional Health Risks Information for Myanmar

The political situation in Myanmar is unstable, with protests, conflicts and the possibility of violence in certain areas. In general, crime against tourists is rare, but it is possible, so you should always take sensible precautions and look after your personal possessions properly. Areas surrounding the border with China are not advised for tourists to visit due to the likelihood of armed conflicts and ongoing military activity. Many destinations within Myanmar are subject to restrictions or limitations – check the information and recommendations for your specific area of travel before beginning your trip.

During the rainy season from May to October flooding is widespread and roads may become damaged or impassable. If you need medical treatment while in Myanmar, head to the cities of Rangoon or Mandalay, where you are most likely to receive advice and treatment of a reasonable standard. Outside of these areas, medical care may not be available. Hygiene standards are not the same as in the UK, so avoid any extensive treatment unless it is an emergency. Drink only bottled water and take care of what you choose to eat.

There are mosquitos in Myanmar, and reported cases of Japanese Encephalitis and dengue fever, which can be fatal, so consult a travel clinic to discuss vaccination for Japanese encephalitis before your trip. Take all possible precautions to avoid being bitten by mosquitos by using insect repellent with 50% deet.

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