However, long-term immunity may be compromised if no further boosters are given. Use of influenza vaccine in travel Influenza transmission seasons vary over the globe. Large numbers of travellers are at risk for influenza. Repeat vaccination with northern trivalent may be appropriate. Rabies intradermal vaccination Many travellers baulk at the cost of rabies pre-exposure vaccination.
Antibodies are very important to protect against rabies.
The intradermal route can elicit excellent antibody responses. Dr. Theresa Tam presented the results of a recent survey conducted by Sharon Onno of Health Canada. Provincial and territorial concerns include lack of public funding for certain vaccines, HCW resistance, and considerations of mandatory immunization or exclusion policies. Provincial protocols require the facilities to develop policies to provide vaccine and to exclude unvaccinated HCWs during influenza outbreaks unless they are willing to take antiviral medication. Facilities were surveyed to identify factors leading to high vaccination rates.