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It's vaccinations ...


Immunizations

The following are the recommended vaccinations for the Dominican Republic.

Hepatitis A vaccine is recommended for all travelers over one year of age. It should be given at least two weeks (preferably four weeks or more) before departure. A booster should be given 6-12 months later to confer long-term immunity. Two vaccines are currently available in the United States: VAQTA (Merck and Co., Inc.) (PDF) and Havrix (GlaxoSmithKline) (PDF). Both are well-tolerated. Side-effects, which are generally mild, may include soreness at the injection site, headache, and malaise.

Travelers who are less than one year of age, are pregnant, or have less than two weeks before departure should receive a single intramuscular dose of gammaglobulin (see hepatitis A for dosage) instead of vaccine.

Typhoid vaccine is recommended for travelers who may eat or drink away from the usual tourist destinations. It is generally given in an oral form (Vivotif Berna) consisting of four capsules taken on alternate days until completed. The capsules should be kept refrigerated and taken with cool liquid. Side-effects are uncommon and may include abdominal discomfort, nausea, rash or hives. The alternative is an injectable polysaccharide vaccine (Typhim Vi; Aventis Pasteur Inc.) (PDF), given as a single dose. Adverse reactions, which are uncommon, may include discomfort at the injection site, fever and headache. The oral vaccine is approved for travelers at least six years old, whereas the injectable vaccine is approved for those over age two. There are no data concerning the safety of typhoid vaccine during pregnancy. The injectable vaccine (Typhim Vi) is probably preferable to the oral vaccine in pregnant and immunocompromised travelers.

Hepatitis B vaccine is recommended for travelers who will have intimate contact with local residents or potentially need blood transfusions or injections while abroad, especially if visiting for more than six months. It is also recommended for all health care personnel. Two vaccines are currently licensed in the United States: Recombivax HB (Merck and Co., Inc.) (PDF) and Engerix-B (GlaxoSmithKline) (PDF). A full series consists of three intramuscular doses given at 0, 1 and 6 months. Engerix-B is also approved for administration at 0, 1, 2, and 12 months, which may be appropriate for travelers departing in less than 6 months. Side-effects are generally mild and may include discomfort at the injection site and low-grade fever. Severe allergic reactions (anaphylaxis) occur rarely.

Rabies vaccine is recommended only for those at high risk for animal bites, such as veterinarians and animal handlers, and for long-term travelers who may have contact with animals and may not have access to medical care. In the Dominican Republic, rabies occurs most often after contact with street dogs or wild animals, particularly the small Indian mongoose. A complete preexposure series consists of three doses of vaccine injected into the deltoid muscle on days 0, 7, and 21 or 28. Side-effects may include pain at the injection site, headache, nausea, abdominal pain, muscle aches, dizziness, or allergic reactions.

Any animal bite or scratch should be thoroughly cleaned with large amounts of soap and water and local health authorities should be contacted immediately for possible post-exposure treatment, whether or not the person has been immunized against rabies.

Tetanus-diphtheria vaccine is recommended for all travelers who have not received a tetanus-diphtheria immunization within the last 10 years.

Measles-mumps-rubella vaccine: two doses are recommended (if not previously given) for all travelers born after 1956, unless blood tests show immunity. Many adults born after 1956 and before 1970 received only one vaccination against measles, mumps, and rubella as children and should be given a second dose before travel. MMR vaccine should not be given to pregnant or severely immunocompromised individuals.

Polio vaccine is not recommended for any adult traveler who completed the recommended childhood immunizations. Polio has been eradicated from the Americas, except for a small outbreak of vaccine-related poliomyelitis in the Dominican Republic and Haiti in late 2000 (see "Recent outbreaks" below).

Cholera vaccine is not recommended. Cholera is not reported from the Dominican Republic.

Have a nice holiday.

2006-10-02 09:37:40 · answer #1 · answered by Part Time Cynic 7 · 0 0

I went there last year and as already mentioned by other people there are various vaccinations which are recommended but none are compulsory. Malaria tablets are also advised. Myself and my party of 12 that went last year, some had but most did not do any of the vaccinations.

Have a great holiday.

2006-10-02 11:00:16 · answer #2 · answered by Anonymous · 0 0

You know, it really would not hurt - not a joke - to have everything that is available. That way you are set to go anywhere.
You never can be sure who is handling your food and where they were yesterday or last week.... so better to be safe. We moved to Barbados from Canada 2 years ago and we had every shot available.

2006-10-02 11:25:17 · answer #3 · answered by Barbados Chick 4 · 0 0

Yes you do and you can get information from your travel company or Doctor. The following vaccines may be recommended for your travel to The Caribbean.

Hepatitis A or immune globulin (IG).Transmission of hepatitis A virus can occur through direct person-to-person contact; through exposure to contaminated water, ice, or shellfish harvested in contaminated water; or from fruits, vegetables, or other foods that are eaten uncooked and that were contaminated during harvesting or subsequent handling.
Hepatitis B, especially if you might be exposed to blood or body fluids (for example, health-care workers), have sexual contact with the local population, or be exposed through medical treatment. Hepatitis B vaccine is now recommended for all infants and for children ages 11–12 years who did not receive the series as infants.
Malaria: if you are traveling to a malaria-risk area in this region, see your health care provider for a prescription antimalarial drug. For details concerning risk and preventive medications, see Malaria Information for Travelers to the Caribbean.
Rabies, if you might have extensive unprotected outdoor exposure in rural areas, such as might occur during camping, hiking, or bicycling, or engaging in certain occupational activities.
Typhoid, particularly if you are visiting developing countries in this region. Typhoid fever can be contracted through contaminated drinking water or food, or by eating food or drinking beverages that have been handled by a person who is infected. Large outbreaks are most often related to fecal contamination of water supplies or foods sold by street vendors
Yellow fever, a viral disease that occurs primarily in sub-Saharan Africa and tropical South America, is transmitted to humans through the bite of infected mosquitoes. The virus is also present in Panama and Trinidad and Tobago. Yellow fever vaccination is recommended for travelers to endemic areas and may be required to cross certain international borders (For country specific requirements, see Yellow Fever Vaccine Requirements and Information on Malaria Risk and Prophylaxis, by Country.). Vaccination should be given 10 days before travel and at 10 year intervals if there is on-going risk.
As needed, booster doses for tetanus-diphtheria and measles.

2006-10-02 09:39:25 · answer #4 · answered by welsman1 2 · 0 0

Check with the CDC (Center for Disease Control). somewhere on there is a link to what you need for various places.

2006-10-02 09:34:44 · answer #5 · answered by MiMi 3 · 0 0

Depends where you are from, my parents did, check with your doctor.

2006-10-02 09:35:18 · answer #6 · answered by Anonymous · 0 0

yes, and Malaria pills.

2006-10-02 09:47:26 · answer #7 · answered by Anonymous · 0 0

i think so though consult your doctor he will have to administer them anyway.

2006-10-02 09:35:55 · answer #8 · answered by kristine w 1 · 0 0

Only if you are Haitian.

2006-10-02 09:40:55 · answer #9 · answered by Anonymous · 0 0

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