connected Thailand | Melbourne City Travel Vaccine Clinic

Thailand

Pandemic Influenza

Influenza is a common infection in travellers. All travellers should be immunised against influenza provided there are no contra-indications. Please check prescribing guidelines.


Measles

Many measles outbreaks occur when travellers become infected while overseas and then spread the virus when they return to Australia. Travellers should know their measles immune-status. Unless there is a history of confirmed measles in the past, or documentary evidence of two measles vaccinations, then measles vaccination is recommended for all travellers, providing there are no contra-indications to having the vaccine.


Hepatitis A

Vaccination recommended for protection against disease.


Hepatitis B

Concerning hepatitis B vaccination: even if it is not included in the country recommendation below, certain activities (e.g. sexual contact, some sporting activities, tattoos, skin piercing, health care work and others) may place the traveller at risk of hepatitis B irrespective of the prevalence of hepatitis B in the countries to be visited, so an individual assessment of risk for all travellers should be undertaken.


Typhoid

Vaccination recommended for protection against disease.


Cholera

There may be a risk of cholera on your journey. Severe illness due to cholera is rare in travellers. For most traveller’s safe food and water precautions alone usually are enough to prevent cholera. The following are at higher risk of cholera and should consider cholera vaccination more strongly: health care and aid workers likely to have close contact with the local population; persons travelling or working in rural areas of a cholera endemic country who may be in a remote location away from reliable medical care; those more likely to acquire infection (e.g. achlorhydria); those with significant cardiovascular disease, poorly controlled or complicated diabetes, immunosuppression including HIV/AIDS, inflammatory bowel disease.


Japanese Encephalitis

Is seasonal.


Malaria

Chloroquine & Antifolate (eg Paludrine, Fansidar) resistant malaria.
Short stay prophylaxis - Doxycycline 100mg daily OR Mefloquine (Lariam) 250mg weekly OR Malarone 1 tablet daily.




Most tourist and urban areas (including Bangkok, Chiang Mai city, Chiang Rai, Kwai bridge, Pattaya, Phuket & Ko Samui) are free of malaria, however, travellers should be aware of possible small risk and take steps to avoid mosquito bites. Travellers are also advised that other islands and areas visited by tourists, despite being near well-developed tourist areas, may have significant malaria risk and antimalarials may be required (if in doubt, prophylactic antimalarials may be advisable for such areas). Be aware of potential malaria risk and seek medical advice if a high temperature (38C or greater) develops 7 or more days after arriving in possible risk areas. Otherwise, malaria risk occurs throughout the year in rural, especially forested & hilly areas of the whole country. There is a significant risk of drug resistant malaria on the border areas between Thailand, Cambodia and Myanmar (Burma), and the island of Ko Chang. Near the border with Myanmar, artemesinin resistant P.falciparum is reported. P.knowlesi ('monkey malaria') cases have been reported from Thailand. Prevention measures are the same as for P.falciparum.