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We are just writing to you on return from our month in Pakistan to say what an absolutely unforgettable time we had.   As you know we had been seriously considering taking this trip for the pas...

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TravelPak Updates
Health

 

Although we have provided some general guidelines below, please consult the web-links below for more detailed and  up-to-date information. 

 

 

General Cautions

 

All travellers have a responsibility to themselves to ensure that they are in overall good health by undertaking regular medical and dental check-ups. Carry appropriate health and accident insurance documents and copies of any important medical records. It’s also a good idea to save a copy of these using internet based storage software like Dropbox. Even emailing them to yourselves is a good idea if you can have access to then via the internet.

 

Bring an adequate supply of all prescription and other medications as well as any necessary personal hygiene items, including a spare pair of eyeglasses or contact lenses if necessary.

 

Drink only bottled beverages (including water) or beverages made with boiled water. Do not use ice cubes or eat raw seafood, rare meat or dairy products. Be wary of any food that may have been prepared using local tap water such as salads. Eat well-cooked foods while they are still hot and fruits that can be peeled without contamination. Avoid roadside stands and street vendors, tempting though they may be! The only time when you may feel this can be lifted is when in the north of the country and the water is collected from springs. This is often the case when on treks.

 

Swim only in well-maintained, chlorinated pools or ocean/lake water known to be free from pollution. Wear clothing which reduces exposed skin and apply repellents containing a high DEET value to remaining areas. Sleep in well-screened accommodations. The risk of malaria is significantly reduced in the areas over 2000m. Carry anti-diarroheal medication such as Arret, Immodium or Lomotil for precautions. The sun can be fierce in the northern areas and being at a higher altitude can only increase the risk to your skin, including cancer. Use a sunscreen of at least factor 15 with factor 30+ for extremities such as your lips and nose, wear good quality sunglasses and invest in a wide brimmed hat. 

 

Immunisations

 

These recommendations are not absolute and should not be construed to apply to all travellers. A final decision regarding immunizations will be based on your medical history, proposed itinerary, and length of stay.

 

Hepatitis A

Consider active immunisation with hepatitis A vaccine or passive immunisation with immuno globulin (IG) for all susceptible travellers. Especially consider choosing active immunization if you’re planning to stay for a long period or for those of you who take frequent short-term trips to risk areas. The importance of protection against Hepatitis A, increases as length of stay increases. It is particularly important for those who will be living in or visiting rural areas, eating or drinking in settings of poor or uncertain sanitation, or who will have close contact with locals (especially young children) in settings with poor sanitary conditions.

 

Hepatitis B

Vaccination is advised for health care workers, those anticipating direct contact with blood, and those planning extended stays of 6 months or greater (especially those who anticipate using local health care facilities, staying in rural areas, or having intimate contact with the local population).

 

Japanese Encephalitis

Consider vaccination if you’re likely to stay a month or more in the central river deltas or areas near Karachi from June to January when transmission is presumed to occur, especially if travel includes rural areas. Also consider it if you’re staying less than 30 days during that period and at high risk (in case of epidemic outbreak or extensive outdoor exposure in rural areas).

 

Polio

A one-time booster dose is recommended for travellers who have previously completed a standard course of polio immunization. Pregnancy is a relative contraindication to vaccination; however, if protection is needed, either IPV or OPV may be used, depending on preference and time available.  

 

Rabies

Pre-exposure vaccination should be considered for persons staying longer than 30 days who are expected to be at risk to bites from domestic and/or wild animals (particularly dogs), or for persons engaged in high risk activities such as spelunking or animal handling. Need for vaccination is more important if potential exposure is in rural areas and if adequate post-exposure care is not readily available.

 

Typhoid

Vaccination should be considered for those staying longer than 3 weeks, adventurous eaters, and those who will venture off the usual tourist routes into small cities, villages and rural areas. The importance of vaccination increases as access to reasonable medical care becomes limited. Contraindications depend on the vaccine type.

 

Note: All routine vaccines should be kept up-to-date as a matter of good health practice and regardless of travel

 

 

 

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