Travel to and Accommodations at BMSM

Travel Instructions : Health Issues

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Health Issues

VACCINES

Required:

Malaria prophylaxis using Daraprim (see recommended medications)

Current tetanus vaccination

Current MMR

Strongly recommended:

Hepatitis A vaccination series

Oral typhoid vaccine (if currently available)

Hepatitis B vaccination series

Recommended:

Japanese encephalitis vaccine*

Not necessary:

Cholera

Yellow fever

CDC site for health issues on travel in South East Asia: http://www.cdc.gov/travel/seasia.htm

RECOMMENDED MEDICATIONS

Daraprim 25 mg once weekly, start 1 week before arrival in Kalimantan, take 8 weeks after leaving. (Don't forget, you must continue for 8 weeks after leaving to irradicate residual malaria in your blood.) Note: the CDC does not currently recommend daraprim as it is ineffective in most places. However, we have 40 years of experience in our setting, and have found that it is still quite effective.

Antidiarrheal medicine - loperamide 2 mg tabs, one every diarrheal episode up to 3 tabs in 24 hours. Available over the counter.

Ciprofloxacin 500 mg -32 doses. One tab 3 times daily for 3 days if you get "Montezuma's revenge".

Dramamine tabs: one as needed for nausea and vomiting.

Pain: Tylenol or Ibuprofen

* May 2006: We have received word of possibly several cases of Japanese encephalitis occurring in our province in the last few months. Due to this development, we are recommending this vaccine. Because of inadequate government reporting and testing facilities in our region, it is difficult for us to confirm the presence or absence of this disease, or to determine the extent of cases. However, we have no reason to believe that there is an epidemic outbreak or that there is undue danger at this time.

Bethesda Medical and Social Ministries	"to serve, not to be served" Mark 10:45
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