connected Vietnam | Melbourne City Travel Vaccine Clinic

Vietnam

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.


Rabies

Long stay or high risk travellers.


Malaria

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




Antimalarial tablets are recommended for the whole country except: Urban centres, the Red River Delta, and the coast between Ho Chi Minh and Hanoi, and the Mekong River (including Mekong Delta area) until close to the Cambodian border. Travellers to these areas should be aware of the small risk and take steps to avoid mosquito bites. High risk areas are highland areas below 1500m South of 18 degrees North, particularly Dak Nong, (Central) Bin Phuoc province and the western parts of the coastal provinces Quang Tri, Quang Nam, Ninh Truan and Khanh Hoa. Antimalarial tablets are recommended for these areas. Mefloquine resistance has been reported in the southern part of the country in the provinces of Tay Ninh, Lam Dong, Dak Lak, Gia Lai and Kon Tum. In these areas either Doxycycline or Malarone is the antimalarial recommended for prevention.