Travel Advice and Vaccines for India

 TRAVEL ADVICE AND VACCINES FOR INDIA

Call 416-461-2419 Travel Vaccine Clinic

Going to INDIA?

You should be up to date on routine vaccinations while traveling to any destination.  Some vaccines may also be required for travel.

Vaccinations you might need:

Measles Mumps Rubela, (MMR),  diphteria-tetanus-ertussis,  varicella (chickenpox),  polio,  flu, Hepatitis A,  Typhoid, Cholera, Hepatitis B, Malaria Prevention, Japanese Encephalitis, Rabies, Yellow Fever.

During your consultation with our travel medicine expert we will confirm what vaccinations and medications you need.

 

What do In order to protect myself

Food:  High heat kills the germs that cause travelers’ diarrhea, so food that is cooked thoroughly is usually safe as long as it is served steaming hot. Be careful of food that is cooked and allowed to sit at warm or room temperatures, such as on a buffet. It could become contaminated again.  High heat kills the germs that cause travelers’ diarrhea, so food that is cooked thoroughly is usually safe as long as it is served steaming hot.  Be careful of food that is cooked and allowed to sit at warm or room temperatures, such as on a buffet. It could become contaminated again.Raw food should generally be avoided.  Raw fruits or vegetables may be safe if you can peel them yourself or wash them in safe (bottled or disinfected) water. Steer clear of platters of cut-up fruit or vegetables. (Did you see the hands that cut them? Can you be sure those hands were clean?) Salads are especially problematic because shredded or finely cut vegetables offer a lot of surface area for germs to grow on. Also avoid fresh salsas or other condiments made from raw fruits or vegetables. Raw meat or seafood may contain germs; this includes raw meat that is “cooked” with citrus juice, vinegar, or other acidic liquid (such as ceviche, a dish of raw seafood marinated in citrus juice).

Street vendors in developing countries may not be held to the same hygiene standards as restaurants (which may be low to begin with), so eat food from street vendors with caution. If you choose to eat street food, apply the same rules as to other food; for example, if you watch something come straight off the grill (cooked and steaming hot), it’s more likely to be safe.

Bushmeat

Bushmeat refers to local wild game, generally animals not typically eaten in the United States, such as bats, monkeys, or rodents. Bushmeat can be a source of animal-origin diseases, such as Ebola or SARS, and is best avoided.

Drinks

Hot coffee or tea should be safe if it is served steaming hot. It’s okay to let it cool before you drink it, but be wary of coffee or tea that is served only warm or at room temperature. Be careful about adding things that may be contaminated (cream, lemon) to your hot drinks (sugar should be fine; see “Dry food” above).

Milk

Pasteurized milk from a sealed bottle should be okay, but watch out for milk in open containers (such as pitchers) that may have been sitting at room temperature. This includes the cream you put in your coffee or tea. People who are pregnant or have weakened immune systems should stay away from unpasteurized milk or other dairy products (cheese, yogurt).

Alcohol

The alcohol content of most liquors is sufficient to kill germs; however, stick to the guidelines above when choosing mixers and avoid drinks “on the rocks” (see “Ice” below). The alcohol content of beer and wine is probably not high enough to kill germs, but if it came from a sealed bottle or can, it should be okay.

Can Be Risky

Tap water

 

In most developing countries, tap water should probably not be drunk, even in cities. This includes swallowing water when showering or brushing your teeth. In some areas, it may be advisable to brush your teeth with bottled water. Tap water can be disinfected by boiling, filtering, or chemically treating it, for example with chlorine.

Fountain drinks

Sodas from a fountain are made by carbonating water and mixing it with flavored syrup. Since the water most likely came from the tap, these sodas are best avoided. Similarly, juice from a fountain is most likely juice concentrate mixed with tap water and should be avoided.

Ice

Avoid ice in developing countries; it was likely made with tap water.

Freshly squeezed juice

If you washed the fruit in safe water and squeezed the juice yourself, drink up. Juice that was squeezed by unknown hands may be risky. The same goes for ice pops and other treats that are made from freshly squeezed juice.

The Measles Outbreak

What is the Measles?

In Canada, most people born before 1970 had measles as children. Measles s still a common disease in most of the world. Including comes parts of Europe. Common symptoms of measles include fever, runny nose, red eyes white spots on the inside lining of the mouth and a blotchy red rash.
In the past, measles was known as a common childhood disease. Unfortunately, measles is still common in other parts of the world, therefore it is still possible for cases to occur in Canada. Immunization reduces the risk of contracting the virus. It is crucial your child is given 2 doses of the vaccine in order to be protected. Vaccinating your child can protect their life.
Measles is one of the leading killers of children whose deaths could have been prevented by being vaccinated. There have been about 157,700 people who have died from measles in 2011, according to the World Health Organization.
Unfortunately, an estimated 3 to 4 million people got the measles each year in the United States, this was before the measles vaccination program started in 1963. Only 500,000 cases were reported to the CDC, almost 500 died, 48,000 were hospitalized. The measles vaccine has heightened the reduction of the infected by 99 percent compared to the pre-vaccine era.

The Shortage in Yellow Fever Vaccine

Unfortunately, there is a shortage of the yellow fever vaccine across the world. A shortage of the vaccine can affect those who are in need, that is why it’s important to know where to find a local designated yellow fever center before you travel to affected areas.

The manufacturer of yellow fever vaccine (YF-Vax), Sanofi Pasteur (Swiftwater, PA), has informed CDC that supplies of all preparations of YF-Vax are limited. Unfortunately, ordering restrictions have been implemented. Health care providers cannot place orders for yellow fever vaccine online.

A customer service representative will work with them to determine how many doses can be shipped and which vial sizes to shop. Yellow fever vaccine doses will be prioritized for patients who are traveling to the infected areas.

 

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