Been reading the news and thinking about whethervaccinations in thailand? I used to have such a question, but now my many years of wintering experience suggest you know what? None, except those that should be put on schedule vaccinations. But before I sat down to the article and set forth my own opinion on this matter, I once again looked at answer options in competent sources, starting with the Rospotrebnadzor, the Ministry of Health and the Ministry of Health, ending with private blogs and large communities on social networks. As a result, my opinion has not changed, and the answer to the question “whether vaccinations are needed before going to Thailand” will be the same - they are not needed. And that's why.
The content of the article
- 1 The main diseases of Thailand
- 2 How to escape?
The main diseases of Thailand
Do not forget that I am not a doctor, so not allmedical nuances I can sound correctly. My opinion is not based on global statistics and reference information, but on personal experience of traveling around Thailand, the experience of multiple winterings with family and constant communication with other wintering camps and expatriates. I will not rewrite all the symptoms and methods of infection for you (even if in a concise form) - there are specialized resources for this, and you will find them yourself if you decide to dive into the topic in a little more detail. The list of diseases will be enough, agree? So.
What scares doctors of the Russian Federation
According to the main medical sites of the Russian Federation, the main diseases in Thailand are:
- Intestinal diseases. Vaccination is not, but there are a number of measures and procedures to prevent infection.
- Hepatitis A and B. We are usually vaccinated from them.
- Tetanus. Already vaccinated, but the vaccine is put once every 10 years, and if you don’t remember the date of the injection, you will be given it after the injury (deep cuts and punctures with contamination of the wound with foreign bodies).
- Yellow fever. There is a vaccine, but the risk of yellow fever in Thailand is rather potential. That is - everyone knows, but no one is sick.
- Malaria. There is no vaccine.
- Dengue fever. There is a vaccine, but there are a lot of nuances, and there is no sense from it for those who arrived for a period of less than a year.
- Zeke fever. The vaccine was found, it is in preclinical testing and is expected to be widely available from 2019.
- Parasitic infections. Vaccinations are not set, you need to take care of yourself.
- Rabies. Injections put on the fact of the attack of the animal.
Than scare doctors Thailand
Unlike our doctors, Thai doctors are more precise.know the specifics of their region and constantly recommend vaccinations against hepatitis and Japanese encephalitis. Although I have repeatedly met people’s opinion that Thai physicians are ready to inject you at least all of the vaccines in the list from A to Z, if you agree to them, the medicine is paid. But the most honest doctors recommend these two, although Japanese encephalitis is extremely rare and is characteristic only for a number of provinces. It should be noted that the quality of vaccines in Thailand is better than Russian, and the price is not much different from, for example, Moscow ones.
Vaccination schedule in Thailand almost one to onecoincides with the schedule of vaccinations at home, so there is no need to worry that you are leaving for the winter with a baby who should have vaccination. In Russia, parents now try to avoid free vaccinations if possible, preferring imported ones to domestic vaccines, so there is no difference where you will pay for it. Price ranges between 500 and 1500 baht. In the clinics, larger and with a big name such as the Bangkok Hospital, prices will be driven up one and a half to two times, well, do not forget that to this cost will be added more bills for the services of a doctor and a hospital.
What really sick
And now get and sign for the real topdiseases and sores that can disable you during the winter or on vacation. I list them in descending order, that is, at the top of the list - the most popular.
- Sunburn The main problem of inexperienced people. Saving creams, shadow, long clothes.
- Food poisoning. Do not drink raw water, do not take drinks with ice from dumb places, constantly wash your hands, and other rules of normal hygiene.
- Colds. Ice drinks, air conditioners in the store, in the car and at home do their dirty work. Runny nose and sore throat are commonplace even for Thais.
- Fall from a scooter or an accident. There is no vaccine. Wear long, thick clothes and a helmet, wear your car, look in both and be careful. Feel insecure - take a taxi and transfers.
- Allergic rashes and skin problems. It is treated as prescribed by the doctor (note that in many insurances, skin diseases are not insured events).
- Hands, feet, mouth (Coxsackie virus). No vaccinations.
And then only Dengue fever, bitesinsects, hepatitis, jellyfish and sea urchins, and Japanese encephalitis and malaria in general at the end of the list of possible hazards for farang. I want to note - I am not saying that diseases from the list of doctors in the Russian Federation will not affect you, that would be too presumptuous. There are always chances, but these are the only ones - only the Buddha knows. And according to our everyday experience, we would not bother searching for exotic vaccines against exotic diseases. With the exception of one recommendation - measles vaccination. We need to know for sure whether they put it to you or the Internet, and when they put it. I remember the case when the media exaggerated the topic about how in Izhevsk a couple of dozen people in the infectious disease were under quarantine because of one tourist who brought measles from Thailand.
How to escape?
The most logical recommendation for a trip to Thailand- this is a good insurance. She relieves you of the headache of paying for very expensive medical services in case of need, and the top of these cases from my “life list” is covered by insurance, plus you can also treat Koksaki and Dengue different there without unnecessary financial losses. My opinion is that if you don’t intend to go to Thailand for years, don’t plan to wander through the jungle and hang out in disadvantaged areas, then there’s nothing stupid for you to inculcate. And before wintering, be sure to visit the dentist, so as not to search afterwards for the most hand-made Thai doctor according to the feedback from compatriots.
For the rest - do not forget about simple rules.hygiene. For example, carry with you wet wipes or a bottle of alcohol with a liquid from a pharmacy - a useful thing, especially for parents of babies. Make sure that the child does not sit for a long time in the open sand (do not abuse yourself either), do not pull in the mouth uplifted from the ground and do not eat sand on the beach. To drink only bottled water, teeth can also be cleaned and rinsed only with bottled water, but I ignore this rule. For housing, choose a resort with a normal administration, which spends money on the treatment of mosquitoes inland. Well, take all measures to scare mosquitoes - these bastards suffer, and Dengue, and Zeke, and malaria.
And to consolidate the material I repeat: The media is very fond of fried, especially if it does not happen in our country. Therefore, any hysteria about the epidemic or flood must be divided by sixteen. Yes, in Thailand, the climate is different from ours and here live diseases that seem eerie to us, but the key word “seem”. Always double-check information from the media, and then it will turn out like in the conversation that I spied on the Internet. There, one man to another seriously argued that in Thailand, in the sea there are some disputes that fall into the penis and germinate grass there. And that only Thai medicine can fight this, and the course of treatment for at least two weeks. You will fall ill once and then you will be constantly treated.
P.S. Another horror story about dangerous insects and animals - my opinion is here.
P.P.S. UPD by reader comments - Rotavirus vaccine.
I read about this vaccine, and that's what happenedunderstandably. Rotavirus on the recommendations of the WHO should be vaccinated in countries with an increased risk of morbidity, which includes the Southeast Asian region. There are only two vaccines: RV5 RotaTeq ™ and RV1 Rotarix ™. RotaTeq ™ is derived from a human strain, and Rotarix ™ is based on a human and bovine strain. In the Russian Federation, RotaTech is used. The first dose of vaccine should be administered to a child under 6 weeks of age. Vaccine RV1 is administered twice, RV5 - three times, orally, with an interval of at least four weeks. Moreover, RotaTek can be vaccinated one day with other vaccinations, in addition to oral live polio vaccine. Vaccination is valid for about 2 years. Vaccinations for children over two years old seem to make sense too, but it has been proven that the risk of getting a complication - intestinal obstruction - from Rotschild's vaccination is proved.
That is, in my opinion, it makes sense to instillchild under the age of 2 years, but not later. And then, provided that the child will always be in the epicenter of the children's party - nursery, gardens or clinics. If he spends most of his time at home, then the vaccine is not needed. And everyday experience shows that rotavirus in Thailand occurs about as often as other enteroviruses, such as the Astrovirus or Norovirus, the main problems of which are dehydration and (possibly) seizures due to high temperature. But any parent knows what to do at high temperatures and how to restore the body from dehydration. Therefore, I do not see much point in vaccinating a child from one of the possible variants of diseases, and even with such a side effect.
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