Friday, December 21, 2012

Health and Immunization Information for Travelers to India



With a cultural history over 4,500 years old and the world’s second largest population, it’s no wonder that India has become an increasingly popular destination attracting travelers for both business and pleasure.  From the Taj Mahal to the Himalayas, there is much to see, do and learn.  But before you go, there are important health-protecting preparations to be made; travelers need travel immunization to India, procure prescriptions, and educate themselves about potential health risks.

With regard to vaccinations, the Center for Disease Control recommends that travelers to India receive the immunizations against hepatitis A and B and Typhoid.  Those travelers who expect to spend time in rural areas are also advised to get vaccinated against Japanese encephalitis and rabies.  Most people in the United States receive a measles or MMR vaccination as children, and while measles is no longer an active disease in the States, it is still prevalent in India and many other countries, so talk to your doctor about whether you’re up to date on this and all other routine vaccines; some recent cases of polio have been reported in India as well.  It is recommended that travelers are immunized four to six weeks before they leave, so plan ahead!

But essential travel health information isn’t just limited to vaccinations.  Travelers visiting nearly all areas of India, including urban areas like Delhi and Bombay, could be exposed to malaria, and so are advised to undergo an antimalarial prescription drug regimen before and during their time in India; note that Chloroquine is not effective against the strains of malaria present in India and some other South Asian countries, and should therefore not be used as an antimalarial treatment.  Again, most antimalarial drugs need to travel through the bloodstream for several weeks before they take effect, so visit your travel health provider early.  Travelers should talk with their physicians about their specific travel itinerary.It is important for travelers to purchase the antimalarial drugs they will need for their time away while they are still in the United States, as some drugs produced outside the US do not meet FDA standards and have adverse side-effects, contain contaminants, or are altogether ineffective.  The Center for Disease Control advises travelers against using risky antimalarial drugs, particularly Halfan, unless they have already contracted malaria and has no other available options.

The same rules apply for any other prescription medicines you may take on a daily basis; plan to bring enough for your entire trip, as you may not be able to refill your medication abroad.  It is also a good idea to pack your preferred over-the-counter drugs, such as anti-nausea, anti-inflammatory, allergy medication, sunscreen and insect repellent, since availability will vary, particularly in rural areas.

Other diseases widespread in India for which there are no vaccines available include dengue and avian flu.  The CDC recommends preventative measures (insect repellent and avoiding contact with local bird life, respectively) as the means of protecting oneself from these diseases.  The CDC also advises travelers to the South Asian region to be careful about their food and water intake to avoid food poisoning, and, if they do plan to visit those majestic Himalayas, to pay attention to signs of altitude sickness.  Symptoms include insomnia, nausea, headaches, fatigue, loss of appetite and confusion, and should be taken seriously; untreated altitude illness can be fatal.

As you can see, there’s a lot to think about when planning a trip, so it’s important to visit a certified travel health provider for treatment and advice before you go. Whether you need travel immunization to India or any other far-off destination, if you’re New York based check out the Travel Clinic of New York. At the Travel clinic NYC doctors specialize in travel consultations, vaccinations and prescription medications for travel, and offer flexible hours and treatments tailored to fit your specific itinerary.