"I have travelled widely in my lifetime, having been struck by the virus at an early age and having, as yet, developed no antibodies to harden my resistance or immunity." -Caskie Stinnett, Grand and Private Pleasures.

Immunizations are absolutely crucial to travellers. We spent a lot of time in Doctor's office's, getting both shots and advice on how to stay healthy. This is a list of what we got:

Immunization Kelly Phillip
Tetanus-diphtheria X X
Hepatitis A X X
Hepatitis B X X
Polio X X
Measles X X
Typhoid X X
Yellow fever X X
Meningococcal X X
Japanese encephalitis X  
     

Also, we're both carrying prescription medications for:

Travelers’ diarrhea,  the number one illness in travelers, can be caused by viruses, bacteria, or parasites, which can contaminate food or water. Infections may cause diarrhea and vomiting (E. coli, Salmonella, cholera, and parasites), fever (typhoid fever and toxoplasmosis), or liver damage (hepatitis). Make sure your food and drinking water are safe. For this we're carrying Ciprofloxacin 500mg, this is coincidently the same drug that is currently being described for Athrax, which made it very hard for Phillip to get!

Malaria is a preventable infection that can be fatal if left untreated. Prevent infection by taking prescription antimalarial drugs and protecting yourself against mosquito bites. Travelers to some areas in China, Hong Kong S.A.R. (China), North Korea, and South Korea may be at risk for malaria. For additional information on malaria risk and prevention, see Malaria Information for Travelers to East Asia. The drug we're taking is Malerone:

Malarone™
Malarone is a new antimalarial drug in the United States. Malarone is a combination of two drugs (atovaquone and proguanil) and is an effective alternative for travelers who cannot or choose not to take doxycycline or mefloquine.

Directions for use

Malarone Side Effects and Warnings
Although side effects are rare, abdominal pain, nausea, vomiting, and headache can occur.

Malarone should not be taken by patients with severe renal impairment.
Pregnant women or women breast-feeding infants weighing less than 11 kg (24 lbs) should not take Malarone to prevent malaria.

Also, to help avoid those mosquito's we'll be using both skin repellant (REI slow release 20% DEET formula) and soaking our clothes in Permethrin to make us 'invisible to mosquito's' :)

Preventing Insect Bites
Protect yourself from mosquito bites. Prevent mosquito bites by wearing long-sleeved shirts and long pants; apply insect repellent to exposed skin. Mosquitoes that transmit malaria bite between dusk and dawn. Use insect repellents that contain DEET.

When using repellent with DEET, follow these precautions:

Travelers who will not be staying in well-screened or air-conditioned rooms should use a pyrethroid-containing flying-insect spray in living and sleeping areas during evening and nighttime hours. In addition, travelers should take additional precautions, including sleeping under mosquito netting (bed nets). Bed nets sprayed with the insecticide permethrin are more effective. In the United States, permethrin is available as a spray or liquid to treat clothes and bed nets. Bed nets may be purchased that have already been treated with permethrin. Permethrin or another insecticide, deltamethrin, may be purchased overseas to treat nets and clothes.

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