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Innoculations
Many foreign countries have no immunization requirements to obtain a visa. If you are flying in from Africa or South America, a yellow fever certificate is required to get into most countries. The following list is what the U.S. government recommends you be inoculated against when traveling to third world countries. Take this list to your doctor. He/she can advise you on which shots to get. You can also check with our staff to see which shots are necessary for the area you will travel in.

Tetanus/ Diphtheria- This vaccination is vital if you’ve not had one in the last ten years.
Infectious Hepatitis- Infectious hepatitis (or hepatitis A) is a disease of the liver that drains you of energy and can last from three weeks to a few months. It is spread by drinking infected water, and by using utensils or eating food that has been handled by an infected person. Havrix is a more expensive vaccine that is now offered. The full course (three injections) is given over a 6-month period, but protection lasts 10 years.
Meningitis- This inoculation is recommended for all of our trips. There have been some cases of this disease among Westerners in Nepal.
Typhoid- This is caught from contaminated food and water, and the inoculation is recommended for all travel.
Japanese Encephalitis- Recommended if trekking during the monsoon season (June – September).
Rabies- There is a minimal risk of being bitten by an animal carrying this often-fatal disease. If you are bitten, which means the skin was broken, seek medical help (THIS INOCULATION IS OPTIONAL).
Malaria- This mosquito-borne disease (which is debilitating, occasionally fatal and on the increase) only occurs during the monsoon, or at elevations below 3280 ft. If you are visiting a country during the monsoon or in a low land area, anti-malarial are required. Your doctor will give you instructions on doses (NOT NEEDED UNLESS YOU ARE TRAVELING TO THE CHITWAN JUNGLE DURING THE MONSOON).
Polio- A booster of either the oral or injected vaccine is required every 10 years to maintain your immunity from childhood vaccination. Polio is a very serious, easily transmitted disease, which is still prevalent in many developing countries.

Here are a few links that may be helpful when preparing for your international adventure.

Center for Disease Control
http://www.cdc.gov/

Nepal: CDC Health information
http://wwwn.cdc.gov/travel/destinationNepal.aspx

Nepal: CIWEC Clinic; Travel Medicine Clinic in Kathmandu
http://www.ciwec-clinic.com/

Kenya: CDC Health information
http://wwwn.cdc.gov/travel/destinationKenya.aspx

Tanzania: CDC Health information
http://wwwn.cdc.gov/travel/destinationTanzania.aspx

Costa Rica: CDC Health information
http://wwwn.cdc.gov/travel/destinationCostaRica.aspx