Especially consider choosing active immunization for persons planning to reside for a long period or for persons who take frequent short-term trips to risk areas. The importance of protection against hepatitis A increases as length of stay increases. Need for vaccination is more important if potential exposure is in rural areas and if adequate postexposure care is not readily available. Vaccination should be considered for persons staying longer than 3 weeks, adventurous eaters, and those who will venture off the usual tourist routes into small cities, villages and rural areas. Importance of vaccination increases as access to reasonable medical care becomes limited.
Contraindications depend on vaccine type.
Diseases such as measles and diphtheria are commonly reported. Influenza risk extends throughout the year. Uninsured travelers who require medical care overseas may face extreme difficulties. Please check with your own insurance company to confirm whether your policy applies overseas, including provision for medical evacuation. Please ascertain whether payment will be made to the overseas hospital or doctor or whether you will be reimbursed later for the expenses that you incur.