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Medical Notes

Updated on 12.04.2013 [ ๑๒. ๐๔. ๒๕๕๖ ]

Vaccination
A valid yellow fever vaccination is required for entry from a yellow fever area, see www.who.int . Travel straight from your country, are no vaccination requirements.
recommends the standard immunizations according to current immunization schedule. To check and complete for children and adults for a trip. Also for adults include vaccinations against tetanus, Diphtheria, pertussis (whooping cough) and against polio (infantile paralysis), epidemic parotitis, measles, rubella (MMR) and influenza.
As a travel vaccination hepatitis A, for long-term stay or special exposure and hepatitis B, rabies, typhoid, Japanese encephalitis is recommended.

Dengue fever
Dengue fever is transmitted by the bite mainly diurnal, infected mosquitoes. Vaccination or chemoprophylaxis is not possible. Consistent barrier measures ( Protection against mosquito bites, etc. ) are the only possible protection measures. Dengue fever occurs frequently in Thailand. Mainly during the rainy season from May to October. Urban areas are often severely affected. With a risk of transmission is expected nationwide.

Malaria
Transmission occurs through the bite bloodsucking nocturnal Anopheles mosquitoes. If left untreated, particularly extending the dangerous malaria tropica, ( by Plasmodium falciparum ) in non-immune Europeans often fatal. Upon occurrence of fever, after a visit to Thailand, a quick introduction to a doctor, by referring to a recent visit to a malarial area, is necessary.
Malaria occurs in Thailand depending on region all year round. Approx. 42% of cases in the country are caused, the most dangerous form, Plasmodium falciparum. Approx. 50% by Plasmodium vivax ( rarely infections with Plasmodium knowlesii ).
Risk of malaria in the border areas of the north half, including the tourist areas in the Golden Triangle, and the southern half of the country (including coasts). At Khao Sok National Park and on most islands. For example Koh Chang, Koh Mak, Koh Phangan, Koh Phi Phi, Koh Tao.
As the malaria-free areas are central in the northern half of the country, Bangkok, Chanthaburi, Chiang Mai, Chiang Rai, Pattaya, Phuket and Koh Samui.

Addition to the ever necessary exposure prophylaxis can (protection from mosquito bites) depending on travel profile for the high-risk areas may be given chemoprophylaxis. The German Society for Tropical Medicine recommends that no more regularly. Rather the emergency self-treatment by taking along a new drug. The selection of drugs and their personal adjustment as well as side effects or incompatibilities with other drugs should be discussed essential before taking a tropical physician / travel physician.
Because of mosquito infection risks linked to all travelers are recommended:

  • to wear body-covering rather bright clothing (long pants, long-sleeved shirts)
  • during the day (Dengue!) and in the evenings and at night (Malaria!) insect repellent on all the free parts of the body repeatedly applied,
  • if necessary to sleep under a mosquito net.

HIV / AIDS
HIV / AIDS in the country, particularly in the high-risk groups, a big problem. Through sexual contact, from drug use (unclean syringes or cannulas) and blood transfusions generally are at high risk. Condom use is always, especially on occasion acquaintances, recommended.

Diarrheal disease and Cholera
Diarrheal diseases are very common in Thailand. Diarrheal diseases can be avoided by appropriate food and water hygiene.
If you do not endanger your well-being during your stay, then you observe the appropriate information sheets with the relevant behavioral and hygiene instructions.

Some Basic Rules
Only water with safe drinking origin! For example, bottled carbonated water. Never unboiled tap water! In an emergency, use filtered, disinfected and boiled water. When traveling, even for washing dishes and brushing teeth, use drinking water where possible.
Applies for foodstuffs:
Peel and cook by yourself. Please make absolutely sure to keep flies from your food away. Wash your hands as often as possible with soap hands. Always after using the toilet. Anyway before preparing food and before meals. Hand disinfection, where relevant, carry out. Use disposable towels.

The Influenza A/H1N1 2009 („Swine Flu“)
In Thailand there are since April 2009 proven infections with the H1N1 influenza. Since December 2009, the number of cases decreased significantly, and mingle with the incidence of seasonal influenza.

Seasonal Influenza
Die üblichen saisonalen Influenzaviren finden sich in Thailand mit leichtem Anstieg der Fallzahlen während und kurz nach den Regenzeiten. Insgesamt ist das Vorkommen aber wesentlich seltener als in europäischen Gebieten mit größerer Temperaturdifferenz, epidemische Verläufe sind nicht bekannt. Ein Impfschutz bei Risikogruppen empfiehlt sich vor der Regenzeit (April, Mai) mit dem jeweils aktuellen Impfstoff der Südhalbkugel.

Avian influenza ("bird flu")
For years, in Thailand, the highly pathogenic form of avian influenza ("bird flu") has occurred. In recent years, it has not come to human disease cases. Almost always, the transfer to humans through the narrow and direct contact with infected poultry.

Chikungunya-Fever
Chikungunya fever is analogous to a dengue transmitted by the bite of infected mosquitoes viral disease with fever and give priority to the portion of long-lasting joints. Since 2008, increasing numbers of patients in the southern provinces of Thailand, also listed in the tourist centers. Again, there is no vaccination. Only the avoidance of mosquito bites can help.
Further noteworthy are rabies infections. This occurs mainly in rural areas. Japanese encephalitis (seasonal and with decreasing numbers). As well as in rural areas leptospirosis.

Medical Care
The medical care in the country is particularly in Bangkok and also in the major cities of high quality in the country, however they may not meet European standards. Often missing there also European-trained, English or French speaking doctors. A sufficient, there a reliable and valid health insurance coverage travel health insurance are strongly recommended. An individual first aid kit should go and took the temperatures are adequately protected. Individual counseling is also this sense by a tropical doctor or travel medicine. Therefore, a consultation with an experienced tropical medicine should be done before the trip.
Please note our general disclaimer next to the following important note:
A liability for the accuracy and completeness of medical information as well as any liability for any damage or loss sustained can not be accepted. For your health, you are personally responsible.

All indications are:

  • a preformed intended for medical information. Do not replace a consultation with a doctor;
  • tailored to the direct entry from the home country in a travel destination, especially for longer stays locally. For shorter trips, arrivals from third countries and travel to other areas of the country variations may apply;
  • always of the individual circumstances of the traveler to see and dependent. A previous detailed medical advice by a physician / tropical disease specialist is recommended regularly in a given case;
  • despite the utmost efforts, only a consulting service. You can not cover all medical aspects, yet eliminate any doubts or favelas.

Disclaimer
A liability for the accuracy and completeness as well as any liability for any damage or loss sustained can not be accepted. Dangerous situations are often confusing and can change rapidly. The decision to carry out a trip is solely your own responsibility.

Baan Boon Houses strongly advises to follow the recommendations contained in the travel and safety information, appropriate insurance coverage, such as a foreign health insurance with repatriation to complete.

 
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