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Health and Medical Care

Health and Medical Care
Making Travel Safe
Food and Drink
Sun Exposure
Explanation of diseases
To get the most updated information about health and tropical diseases go to:
CDC Travelers Health
US Department of Health and Human Services
Pre-departure Planning
To stay healthy, do...
To avoid getting sick
What you need to bring with you
After you return home

Traveling in tropical countries always brings higher risks because bacteria can grow fast with this climate. Food and waterborne diseases are the number one cause of illness in travelers. Travelers' Diarrhea can be caused by viruses, bacteria, or parasites, which are found throughout the region and can contaminate food or water. Infections may cause diarrhea and vomiting (Escherichia coli O157-H7, Salmonella, Cholera, Diphtheria, Tetanus, and Pertussis), fever (Typhoid Fever and toxoplasmosis), or liver damage (Hepatitis, Viral, Type A, Type B). Make sure your food and drinking water are safe (Contaminated Food and Drink). Malaria is a preventable infection that can be fatal if left untreated. Prevent infection by taking prescription anti malarial drugs and protecting yourself against mosquito bites. Travelers to some areas in Southeast Asia may be at risk for malaria. Dengue Fever, Lymphatic Filariasis, Japanese Encephalitis, and Plague are diseases carried by insects that also occur in this region. Protecting yourself against insect bites will help to prevent these diseases.  are diseases carried by insects that also occur in this region. Protecting yourself against insect bites will help to prevent these diseases.

Pre-departure Planning

Prepare yourself well before you take off. Ask your doctor for the the International Certificate of Vaccination, which records all your vaccinations. If you take any medicines with you, ask your doctor to make a prescription so you will not get into trouble with the customs. Valid vaccination certificates of small-fox, cholera and yellow fever are required from those coming from infected areas. It is recommended to ask your doctor about an up to date status of necessary vaccinations because the medical advises will vary from country to country and are sometimes updated very rapid. 

Recommended vaccines (as appropriate for age):
See your doctor at least 4–6 weeks before your trip to allow time for shots to take effect.
Hepatitis A or immune globulin (IG). 
Hepatitis B if you might be exposed to blood (for example, health-care workers), have sexual contact with the local population, stay longer than 6 months in the region, or be exposed through medical treatment. 
Japanese encephalitis, only if you plan to visit rural areas for 4 weeks or more, except under special circumstances, such as a known outbreak of Japanese encephalitis. 
Rabies, if you might be exposed to wild or domestic animals through your recreation. 
Typhoid vaccination is particularly important because of the presence of S. typhi strains resistant to multiple antibiotics in this region. 
As needed, booster doses for tetanus-diphtheria and measles, and a one-time dose of polio for adults. Hepatitis B vaccine is now recommended for all infants and for children ages 11–12 years who did not complete the series as infants. 

To stay healthy, do...

Wash hands often with soap and water. 
Drink only bottled or boiled water, or carbonated (bubbly) drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes. If this is not possible, make water safer by BOTH filtering through an “absolute 1-micron or less” filter AND adding iodine tablets to the filtered water. “Absolute 1-micron filters” are found in camping/outdoor supply stores. 

Eat only thoroughly cooked food or fruits and vegetables you have peeled yourself. Remember: boil it, cook it, peel it, or forget it. 
If you visit an area where there is risk for malaria, take your malaria prevention medication before, during, and after travel, as directed. (See your doctor for a prescription.) Protect yourself from insects by remaining in well-screened areas, using repellents (applied sparingly at 4-hour intervals), and wearing long-sleeved shirts and long pants from dusk through dawn. 
To prevent fungal and parasitic infections, keep feet clean and dry, and do not go barefoot. 
Always use latex condoms to reduce the risk of HIV and other sexually transmitted diseases.

To avoid getting sick

Don’t eat food purchased from street vendors. 
Don’t drink beverages with ice. 
Don’t eat dairy products unless you know they have been pasteurized. 
Don’t share needles with anyone. 
Don’t handle animals (especially monkeys, dogs, and cats), to avoid bites and serious diseases (including rabies and plague). 
Don’t swim in fresh water. Salt water is usually safer.

What you need to bring with you

Long-sleeved shirt and long pants to wear while outside whenever possible, to prevent illnesses carried by insects (e.g., malaria, dengue, filariasis, and Japanese encephalitis). 
Insect repellent containing DEET (diethylmethyltoluamide), in 30%–35% strength for adults and 6%–10% for children. 
Over-the-counter antidiarrheal medicine to take if you have diarrhea. 
Iodine tablets and water filters to purify water if bottled water is not available. See Do’s above for more detailed information about water filters. 
Prescription medications: make sure you have enough to last during your trip, as well as a copy of the prescriptions.

Considering that Indonesia is a tropical resort, visitors should be aware of getting sunburn, so it is advisable to wear a hat as protection from the fierceness of midday sun. 

After you return home

If you have visited a malaria-risk area, continue taking your antimalarial drug for 4 weeks (chloroquine, Lariam®, doxycycline) or seven days (Malarone™) after leaving the risk area. Travelers who become ill with a fever or flu-like illness while traveling in a malaria-risk area and up to 1 year after returning home should seek prompt medical attention and should tell the physician their travel history.

This document is not a complete medical guide for travelers to this region. Consult with your doctor for specific information related to your needs and your medical history; recommendations may differ for pregnant women, young children, and persons who have chronic medical conditions.

 

 
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