We do not recommend prophylactic antibiotic use to prevent traveler's diarrhea. Other medications such as malaria prophylaxis and high altitude prophylaxis need to be determined based on the traveler's destinations. Each traveler should review their specific immunization requirements for their destinations. In general, tetanus, measles, rubella, hepatitis B, influenza and pneumococcal vaccinations may be recommended for healthy adults. Hepatitis B vaccination is a necessity for those traveler's involved with healthcare.
Some countries require yellow fever vaccination prior to entry.
Other immunizations including Hepatitis A, meningococcal, typhoid vaccine, polio, rabies and Japanese encephalitis may be required. Serum immune globulin may also be recommended. Local health departments also provide specific guidelines for international travel. Medical Providers From witch doctors to United States trained physicians, the spectrum of health providers in foreign countries is varied. A good source of information for reputable practitioners and hospitals is the local U.S. Embassy.