Vaccines advised to ALL Pakistan visitors

Vaccines advised to SOME Pakistan 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 Pakistan. 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 Pakistan

The Islamic Republic of Pakistan, more commonly referred to as Pakistan, is in South Asia, and the sixth most populous country in the world. In recent years, political instability and risks of violence has meant that much of the country is not recommended for tourists, despite the bounty of attractions that Pakistan has to offer.

From natural beauty and stunning landscapes to significant historical sites, fascinating buildings and welcoming local people, there is plenty to discover here. Pakistan is one of only a few countries in the world with such a diverse landscape, including areas of sea, beach, desert, green mountains, dry mountains, ice-covered mountains, agricultural land, rivers, waterfalls and forests.

Learn More

Most visitors to the country stay within the Sindh region to the south, and the former capital city of Karachi, now the financial capital and largest city of Pakistan. The federal capital, Islamabad, is a much newer city towards the North, close to the Margalla Hills.

From trekking and hiking enthusiasts who head to the renowned mountainous regions of the North, to those more interested in the culture and cuisine of Pakistan who prefer to remain in the cities and towns, Pakistan is a diverse and fascinating country, offering something to satisfy every kind of traveller.

 

It has been found that some water companies were producing bottled water that was contaminated. In response, the government tasked the Pakistan Council of Research in Water Resources (PCRWR) with monitoring and improving the quality of bottled water.

The PCRWR has published findings of the January-March 2015, quarterly monitoring report.

  • Seven cities were targeted for montoring: Islamabad, Karachi, Lahore, Quetta, Rawalpindi, Siakot, Tando Jam.
  • 71 brands of bottled water were tested, of 63 were deemed overall safe to drink.
  • The following 8 brands were overall deemed unsafe to drink: Al-Haider, Aqua Safe, Al-Sana, Butt, Days Pure, Drop Ice, Effort and Noble.
  • 5 of the 8 were chemically unsafe due to Arsenic, Potassium, and Sodium: Al-Haider, Aqua Safe, Al-Sana, Days Pure and Noble.
  • 3 of the 8 brands were microbiologically unsafe: Butt, Drop Ice and Effort.

Advice for Travellers

Travellers to Pakistan are advised to maintain a high standard of food/water precautions and personal hygiene. Carbonated liquids are generally thought to be safe, however, travellers are advised  to inspect any bottles of water that are purchased, checking that seals are intact and that the water is visibly clean. Bottled water should be bought from a reliable source whenever possible and the unsafe brands in this report should be avoided.

Malaria and regions within country:

There is a high risk of P.Falciparum malaria in all parts of the country below 2000m, including Islamabad, Karachi and Hyderabad. (See map above).

Anti-malarial medication is not generally advised for low to no risk zones.

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 High Commission Islamabad
Diplomatic Enclave, Ramna 5,
P O Box 1122, Islamabad
Pakistan

Email: Islamabad-general.enquiries@fco.gov.uk

General telephone: +92 51 201 2000

Useful Vaccinations for Pakistan

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: 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 +

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