IMMUNIZATION

IN ADULT AND
TRAVELLER
TUTI PARWATI MERATI
2007

Travel Medicine
Travelers ? All people who make a travel
Travel medicine ? A new branch of med
sciences which interdisciplinary directly
study about the health to traveler,
regionally and internationally, emphasized
more on health promotion and disease
prevention

Why need vaccination?

To avoid disease (communicable and noncommunicable)
Disease (vaccine preventable disease and non
preventable dis.)
Aims to:
Prevent of getting infectious disease
Prevent of transmitting infectious dis.at the country of
destination
Prevent of bringing an infectious agent into the country
of origin

When do travellers need

immunization?

Asses history of basic immunization

Schedule of travel
Duration of travel
Occupation and possible risk of
occupation on health
Environmental health and possible contact
Epidemiology of infectious dis. At the
country destination
Vaccine effectiveness .

Cont
Vaccination side effect
Schedule of immunization and available
time prior to travel
Asses malaria prophylactic needed
Drugs vaccine Interaction
Medical condition of the traveler
Pregnancy
Financial support

International traveler immunization

Based on WHO Recommendation
International certificate of Vaccination (10 days
prior to travel valid for 10 yrs)
Travel to Indonesia : Hep A, Hep B, Tb, rabies,
JE plus mandatory yellow fever vaccination for
people from Africa Sub Sahara, South Africa,
West Africa and South Americas

Others recommendation
Vaccination against Meningococ
meningitis ( Quadrivalen immunization
A/C/Y/W-135) mandatory for
international travel to Arab Saudi and
Africa sub Sahara (Meningitis belt)
Routine vaccination
Selective Vaccination use to traveler
Mandatory vaccination : Yellow fever and
Meningococal dis. and polio vaccine