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A Guide to Travel Vaccines!

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This set of notes was designed as an educational tool and a reference point for common questions that revolves around travel vaccines, such as
safety in pregnancy, time taken for the vaccine to be effective after administration, and etc. All of the information below were drawn from both the
latest versions of the Australian Immunisation Handbook, and also the Australian Medicines Handbook. !
!
If there is a ?, it means that I could not find any information on it. However, if you manage to find something on it, do let me know what youve found
and also the source so that I can update these notes. Also, if you notice any errors, feel free to contact me as well so I can rectify it. !
!
Created by Kw!
Last updated: 18/02/2017!
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Common Travel Vaccines Minimum Age for Use Safety in Pregnancy Time Taken for the Vaccine Duration of Protection
to be Effective

Cholera (Oral)! Child >2 yo! Limited data! Complete course at least two Adults: 2 years!
[Inactivated Bacterial Vaccine] !
Note: Dose for children aged
Not routinely recommended weeks before potential
exposure
!
Child <6 yo: 6 months
2-6yo and >6 yo is different

Hepatitis A! Minimum age for use of the Limited data! 1) Hepatitis A Vaccine (Havrix The duration of immunity, and
[Inactivated Viral Vaccine] hepatitis A vaccine varies with Not routinely recommended! or VAQTA)! therefore protection is not
brands. Please check
manufacturers
Should only be given if the
person has no immunity to
!
Four weeks after a single
certain. However, vaccine-
induced anti-HAV probably
recommendations Hepatitis A and are at dose! persists for many years. There
increased risk of acquiring it !
2) Hepatitis A Vaccine
is no current evidence that
booster doses are required. In
(Avaxim)! healthy individuals, it is quite
! Two weeks after a single
possible that they will never be
required i.e. long lasting
dose! protection!
!!
Note: Most Australians would
have completed the primary
schedule at 6 months of age

Created by Kw @mypageyourhealth
Common Travel Vaccines Minimum Age for Use Safety in Pregnancy Time Taken for the Vaccine Duration of Protection
to be Effective

Hepatitis B! 1) Engerix B Paediatric; H-B- Limited data! ?! After completion of a primary


[Inactivated Viral Vaccine]
! Vax II Paediatric! Not routinely recommended! !
Should only be given if the Note: Most Australians would
course, booster doses are not
recommended for
From Birth! person has no immunity to have completed the primary immunocompetent persons
!
2) Engerix B Adult; H-B-Vax II
Hepatitis B and are at
increased risk of acquiring it
schedule at 18 months of age (children and adults). This is
because there is good
Adult! evidence that a completed
! Adult >20 yo
primary course of hepatitis B
vaccination provides long
lasting protection !

Influenza! Minimum age for use of the Safe to use! Full immunity is achieved One year
[Inactivated Vaccine] influenza vaccine varies with Recommended during around 1014days after
brands. Please check pregnancy vaccination
manufacturers
recommendations!
!
Note: Vaccination is best given
in Autumn in anticipation of
influenza outbreaks during
winter

Created by Kw @mypageyourhealth
Common Travel Vaccines Minimum Age for Use Safety in Pregnancy Time Taken for the Vaccine Duration of Protection
to be Effective

Japanese Encaphelitis (JE) 1) Inactivated Viral Vaccine 1) Inactivated Viral Vaccine 1) Inactivated Viral Vaccine 1) Inactivated Viral Vaccine
(Jespect)! (Jespect)! (Jespect)! (Jespect)!
! Child >2 months!
! Limited data!
! Last dose should be given
! Duration of immunity
!
Note: The dose for children <3
Not routinely recommended !
Should only be given if the
at least seven days before
potential exposure!
following the booster dose is
at least 12months!
yo is different to that of
children >3 yo!
risk of acquiring JE is high
because JE infection is
! 2) Live attenuated Viral
!!
!
2) Live attenuated Viral
associated with miscarriage!
!
If the risk of JE infection is
Vaccine (Imojev)! !
2) Live attenuated Viral
Vaccine (Imojev)! high, the person should be Adult: 28 days! Vaccine (Imojev)!
! Child >9 months
vaccinated with the
inactivated vaccine
! Children: 14 days!
! Five years following a
(Jespect) instead of the live single dose
attenuated vaccine (Imojev)!
!!
!
2) Live attenuated Viral
Vaccine (Imojev)!
Contraindicated as there is
a hypothetical risk of
acquiring the infection!
No data available!
Women of child-bearing age
should avoid pregnancy for
28 days after vaccination

Created by Kw @mypageyourhealth
Common Travel Vaccines Minimum Age for Use Safety in Pregnancy Time Taken for the Vaccine Duration of Protection
to be Effective

Meningococcal! Minimum age for use of the 1) Conjugate & 4vMenCV: 4 weeks! 1) 4vMenCV & 4vMenPV!
[Inactivated Bacterial Vaccine] maningococcal vaccine varies
with different forms. Please
Polysaccharide Forms
(4vMenCV & 4vMenPV &
!
4vMenPV: ?!
! Give a booster every five
check manufacturers
recommendations ! MenCCV)! !
MenCCV: ?! ! years!

Both conjugate and


polysaccharide versions
!
MenBV: ?
2) MenCCV!
!
have limited data! Booster requirements are
Not routinely recommended! currently unknown!
Can be given if clinically
indicated!
!
3) Meningococcal B Form
!
2) Meningococcal B Form
(MenBV)!
!
(MenBV)! Duration of protection is
! No data!
unknown

Unlikely to result in adverse


outcomes of the pregnancy.!
Not routinely recommended!
Can be given if clinically
indicated

Created by Kw @mypageyourhealth
Common Travel Vaccines Minimum Age for Use Safety in Pregnancy Time Taken for the Vaccine Duration of Protection
to be Effective

Rabies! From Infancy Limited data ! ? Long term immunity of at


[Inactivated Viral Vaccine] Not routinely recommended! least 10 years!
Unlikely to result in adverse Booster doses are not
outcomes of the pregnancy ! required for persons who
Should be given if there is are travelling to, or living in,
an increased risk of an area of high rabies risk
exposure or where there and who have completed a
has been a risk of potential primary course!
exposure Booster doses of rabies
vaccine are recommended
for immunised persons who
have ongoing occupational
exposure to lyssaviruses in
Australia or overseas. The
frequency of booster doses
may vary depending on a
couple of factors, such as
serology results

Created by Kw @mypageyourhealth
Common Travel Vaccines Minimum Age for Use Safety in Pregnancy Time Taken for the Vaccine Duration of Protection
to be Effective

Typhoid! 1) Typhoid Polysaccharide IM! 1) Typhoid Polysaccharide IM! 1) Typhoid Polysaccharide IM! 1) Typhoid Polysaccharide IM!
!
Polysaccharide IM: Inactivated
! Child >2 yo!
! No data!
! ! 3 years!
Bacterial Vaccine!
! !! Unlikely to result in adverse
outcomes of the pregnancy!
Give IM vaccine at least
14days before potential !!
exposure to S.typhi!
Oral: Live attenuated bacterial
vaccine
2) Oral Typhoid!
! Not routinely recommended!
Should only be given if
!
2) Oral Typhoid!
2) Oral Typhoid!
!
Child >6 yo travelling to endemic
countries where the
!
Ideally, complete the course
If the primary course
consisted of 3 doses, then
sanitisation and water of oral typhoid vaccine at the duration of protection is
quality is poor! 3 years!
!
2) Oral Typhoid!
least one week before
potential exposure to S. If the primary course
consisted of 4 doses, then
typhi!
Contraindicated! the duration of protection is
Typhoid polysaccharide IM 5 years
is preferred!
Limited data suggests that
there are no increased
occurrence of foetal
damage with oral live
attenuated vaccine!

Yellow Fever! 1) Yellow Fever ! Not recommended! Immunity is acquired Lifelong immunity after a
[Live attenuated Viral Vaccine] Child >9 months! If travel to endemic approximately 1428days single dose!
!
Note: It can be given from as
countries of yellow fever is
unavoidable, pregnant
after vaccination !
Note: Revaccination
young as six months but there women should be is required after 10 years
is an increased risk of adverse vaccinated! under International Health
effects. Therefore it is best to A large number of pregnant Regulations for a valid
only give this vaccine if the women have been given the International Certificate of
child is above nine months of vaccine with no adverse Vaccination or Prophylaxis
age outcomes (ICVP) against yellow fever

Created by Kw @mypageyourhealth

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