• vaccinations for travel

Which Vaccinations Do You Really Need For Travel?

After planning your trip, telling your angry parents you’re leaving, and booking the flight, you might remember that you should check which vaccinations you need for where you’re going. Vaccinations for travel can be expensive and unnecessary so it’s important you do your research. I’ll help you.

I was vaccinated like crazy when I got into nursing school. I’ve been checked for TB like 50 times and I’m still always relieved when it’s negative. When I travel I disregard many recommendations, but I’m going to share the basic immunizations that I have, the ones I chose not to get, and why. This is not my nursing recommendation (which is get them all); this is my practical backpacking opinion

Travel vaccinations health paperwork

Vaccines you probably had as a child:

Hepatitis B

MMR

Polio

Varicella

Pneumococcal

Diphtheria-tetanus-pertussis

 

You should follow up with your doctor to make sure you don’t need boosters of these. I actually called my pediatrician’s office to get a copy of my records because I needed them for school. **For some countries booster timings are different, for example tetanus is 10 years in the US but here in India, for the same dosage, they say 3 years maximum.

best five star hotel in south goa alila diwa

Extra vaccines I got because I think they’re important:

Gardasil (against HPV)

Annual Flu shot (only while I was in the US)

Beyond those vaccinations, the only extra I’ve gotten for travel abroad:

Yellow Fever. You must have proof of this on your passport to get into Uganda. I really wanted to add information specific to countries that have special requirements for entry, but the list was entirely way too long. You need to look up that information from your countries equivalent of the U.S. State department, it’ll be the same place you go for travel advisories. In most instances, if you send off your passport to get a visa, and an extra vaccination is necessary, that will need to be included in your paperwork.

WHO, travel tips, tips, medical tips, vaccinations, travel vaccinations

they’ll stamp your needed vaccination right into your passport.

Others that are recommended for my travels so far I have not taken are:

Typhoid

Rabies

Malaria pills

Japanese encephalitis

Meningococcal

Hepatitis A

WHO, travel tips, tips, medical tips, vaccinations, travel vaccinations

From the World Health Organization, WHO, although a little outdated, it’s the most recent I could find and still serves it purposes.

Doctors are always really bummed/worried/confused when you don’t get these injections or prescriptions for preventative pills. You, as a responsible traveler, need to make the decision yourself. Some injections will cost you up to 800 bucks, no joke.

Other fun tips for your health:

  • Some illnesses you can’t get unless there is an active outbreak in the area. Read up and see if you need to vaccinate (for example Japanese Encephalitis) before departure.
  • In case I end up sick due to not listening to doctors, I am luckily a nurse, and like all of you I know how to look up tropical illnesses online (I still didn’t self diagnose when I had Dengue). There are not yet vaccinations for dengue, just use your bug spray to prevent mosquito bites. I pack a tiny little medical kit with me.

WHO, travel tips, tips, medical tips, vaccinations, travel vaccinations

  • As for Hepatitis A and Typhoid, I just wash fruit/veg with filtered water. The longer you are out of the country and immersed in another, your body will begin to adjust.
  • I brush my teeth with the water everywhere I’ve been, but it’s pretty much common sense where to use bottles water for drinking. Even my pup, Huckleberry, drinks bottled or filtered water.
  • If you do get food poisoning and have become severely dehydrated, don’t jump to the worst conclusion. Head to the clinic for a few hours of IV fluids and you’ll probably be fine!
  • I’ve discussed in another post that I don’t take medication for malaria prevention, and that’s another one you’ll have to make a decision on.
  • You have to decide what’s best for you and what’s in your budget. Even if I were a millionaire I don’t think I’d get any more vaccines unless the country forced me to.
  • Injections are much cheaper where I am now, India, so I can easily get more vaccinations if another country denies me entrance without a particular one.  So, on that note, remember when you travel it is an option to vaccinate in your destination at a less expensive cost.

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Pretty much off topic, I want to add this interesting fact: when you fly into India they spray you down on the plane so you don’t bring pesticides and viruses into their country. But, when I fly back into the States from India, nobody sprays me down. India wins that one! and the other 5 countries that require it.

PS: Coming to India and spending a week or more in Goa? I wrote a 170-page ebook the Insider’s Guide to Goa which you can buy with this link. It’s all my secrets to make sure you have the BEST time here, chill in the coolest places, and meet other travelers.

 

2017-08-17T15:05:52+00:00

About the Author:

Rachel Jones left a career in nursing and lived on the beaches of Goa, India for the five years. Now she lives in Mexico where she gives advice on the 40+ countries she’s visited in the last 10 years. She’s the author of two India travel e-books: Guide to India and Insider’s Guide to Goa. Her blog, Hippie in Heels, like its name, is a contradiction combining off-beat adventurous places with glamorous and bespoke travel. Hippie in Heels has been featured in ELLE, Marie Claire, Grazia, and Cosmopolitan magazines. She’s a writer for Bravo TV.

36 Comments

  1. Erin November 19, 2013 at 6:22 pm - Reply

    spray you down! what?? that did not happen to us flying into Delhi, thank god. i would have been like “uh….what do you think you’re doing? step back!”

  2. Hippie-inHeels November 20, 2013 at 5:18 am - Reply

    I know, i was shocked the first time! Other countries do it as well before landing by law. I’m surprised you didn’t get it in Delhi. Many of the countries that “don’t do it” actually are right before you get on the plane!

  3. Jamie December 4, 2013 at 11:24 pm - Reply

    So glad I saw this. I’ve been going back and forth about Hep A (leaning towards getting it), and Malaria pills (more than likely not getting) for an upcoming trip to Thailand. After hearing of friends who had digestive issues and even Hallucinations whilst taking the Malaria pills I think I’ll take my chances haha.

    • Rachel December 5, 2013 at 5:11 am - Reply

      Malaria pills are a tricky one! I won’t ever take them again and i live in a place where people get it aaaall the time, but i’d hate to tell someone not to take them and then they get really sick! *sigh, but i stand by what I’ve said and i’m just not for them!

  4. Kathi January 12, 2014 at 10:12 pm - Reply

    I am so glad I saw this post, I was reviewing your packing list for Goa (though I’m going to Kochi, Kerala). :) I have been trying to decide for the last few weeks about extra vaccines and had just about decided not to get anything additional. I will be in Kerala early February for about 10 days, so wasn’t sure it would be necessary. I found this helped finalize my decision! Thanks, much!

    • Rachel Jones January 13, 2014 at 6:07 am - Reply

      I’m glad it helped! I am still trying to get down to kerala, my boyfriend lived there a couple years and loved it- you’ll have so much fun! I’m sure you’ll end up doing the backwaters tour, so make sure to wear bugspray!!

  5. Alexia January 15, 2015 at 8:54 am - Reply

    Like the others, I’m on the fence about getting all these vaccines before I fly to India next week. I’ve spent almost a year in Vietnam, Thailand and Indonesia without an issue, vaccinated only with common sense! I was worried I was being a bit stubborn and ‘hippie-ish’ in my reluctance to get vaccinated. But how to tell a doctor that your instinct is telling you you don’t need all that medication?

    Sorry for the verbiage, it’s just nice to arrive at a decision. Thank you!

    • Rachel Jones January 15, 2015 at 2:18 pm - Reply

      Well, I didn’t even share with my doctor where I was going. I made an appointment once for the yellow fever one for Uganda and we didn’t really discuss anything. Actually, I think I only saw a nurse. Don’t worry about telling them anything :)

  6. Rambler Man March 3, 2015 at 2:19 pm - Reply

    Thanks for this. As many others I was on the fence about the shots. I got them when I travelled South America but that involved sometime spent in the jungle. I’m going to consider Goa an acceptable risk. And the problem where I’m from is mir the cost of the vaccination, it’s the cost of seeing a doctor for less than a minute for him to tell you what you already came for… You need a vaccination ! :)

  7. Kim Knightley March 8, 2015 at 5:46 am - Reply

    British Cabin crew are obliged to take the Malaria pills and they hate it because of the unpleasant side-effects, and the knowledge that the treatment is mandated by insurance companies despite the limited effectiveness. It’s a bean-counting exercise that takes no account of effective personal preventative behavioural measures and the impressive efficiency with which the Indian health system contains outbreaks. That said, if you choose not to take any of these shots/pills, you should check that you are not invalidating your travel insurance, which can be an hugely expensive mistake.

  8. Kim Knightley March 8, 2015 at 8:50 pm - Reply

    For the record, I haven’t had any shots or tropical disease medication since I was a child and haven’t lost a day to illness in India in more than a decade. So to those thinking of coming here, I’d say be diligent, but not afraid.

  9. venus john March 9, 2015 at 2:45 pm - Reply

    mineral water for dog..thats nice..

  10. Nimmi May 1, 2015 at 1:28 am - Reply

    About the spraying down – they might have changed not spraying or maybe it is just air india.
    I left Delhi April ’15 (last month) to Chicago on Air India and they sprayed the cabin on departure. (Direct Flight everyone, Star Alliance. ‘Free’ flight from United miles using the Chase Mileage Plus Award credit card.)
    It was annoying how many mosquitos came into the plane as we boarded and kept biting at me. But as soon as they came around spraying the cabin (this was the first time i was happy about it)(I covered my face) the mosquitos were gone. Must be pretty vicious spray :-).

  11. Nimmi May 1, 2015 at 1:41 am - Reply

    I’ve been to India 6 times (mostly eating at my destination only which caters to western needs; once traveling about for 2 months. During those two months i didn’t get sick perhaps mainly because I ate vegetarian food, and didn’t eat from street vendors other than chai and idly, or on the train.
    I went on the two month trip after reading a book a guy wrote about one’s mindset, and he just went and drank the water, ate the food etc. and was fine. I really loved the book, so i did the same. I was in Mysore eating mostly at the Green Hotel drinking the water for a month. Until someone arrived and with negative energy said “you are going to get ____”… with that strong seed sown in my mind, i knew i had better switch to bottled and boiled water :-D.
    The folks who got sick in Mysore at the time were not vegetarian and did not eat only at their hotel. Consider eating vegetarian if you are not at a venue which caters to Westerners/travelers.
    (I support travelers drinking bottled/boiled water – don’t let me corrupt that good habit.)

  12. Sןהשמ July 21, 2015 at 3:04 pm - Reply

    You didn’t really say WHY you chose not to get the extra vaccinations, typhoid etc. Was is a financial consideration? Or were there other concerns?

    Thanks!

    • Rachel Jones July 23, 2015 at 6:04 am - Reply

      Well money definitely played a factor although even now in India where they are affordable I haven’t done so. For some it was just too little chance to getting the virus, and for some like typhoid it’s also partially avoidable if you follow tips

  13. Safia Miletus August 6, 2015 at 9:14 am - Reply

    Rachel,

    I’m glad I stumbled upon your article! After seeing the ridiculously high cost of many of the vaccines here in Canada, I thought “meh, I’ll chance it”. I will have to check with my travel insurance to see if it would still be valid though…

    I’m pretty sure my travel insurance would find some way not to cover me, regardless of what happened. Isn’t that what insurance companies are so good at?

    -Vagabondesss

  14. going to goa blog February 23, 2016 at 10:29 am - Reply

    Thanks for a great article!
    I spent all of 2013 year in India (mostly in Goa) and did not have any shots and I did not come down with anything. Never really was much of a problem with mosquitos either. They mostly come out at dusk and dawn so you just stay inside during those times of the day or use bug spray and a lot of common sense. Also we landed in Delhi and I do not recall any spraying of us or the plane.

    I’m going back soon for 3 weeks and am planning to get a tetanus booster because I’ve found the beaches have more debris than I’m used to and animal dung. I don’t want to chance a cut on a foot then getting infected if I walk barefoot on the beach.

    Another tip– last time I was there I got an Executive Physical Exam which included everything from EKG, mammogram, sonogram, chest x ray, ears, eyes, nutrition plus bloodwork for approximately $100. Since I am uninsured this was an excellent choice. I plan to get it again this trip and as Rachel pointed out, I could get my tetanus shot there if I want to for a lot less money than it would cost here.

    Namaste,
    Katy

    • Rachel Jones February 23, 2016 at 11:26 am - Reply

      Katy, thanks for your tips! tetanus is bad here, so it’s smart to get a booster. Any scrape ups we have here, we go get a shot.

  15. Mara May 25, 2016 at 3:14 am - Reply

    Hi Rachel,
    I love your blog :)
    I was wondering if you could give me an insight into getting vaccinations in India? I am looking into Rabies and JE ( i really do not want to spend $1000 prior to leaving just on vaccines.. enough with the travel insurance cost), but i will be spending lots of time in rural india/SE and i dont want to take chances.
    Do you know of any place in Delhi where i could get vaccinations that are reliable? also, an idea on the cost? somewhere i could locate them/website?
    i cannot find anything online!! maybe you being there have a better idea on how it works!
    Thanks a bunch :) all the best,
    Mara

    • Rachel Jones May 25, 2016 at 12:57 pm - Reply

      Hi Mara,

      I don’t know of hospitals in Delhi, but you should be able to get these at any hospital without issues. Government ones are cheaper. You can ask your hotel to arrange! I can’t guess on the price… I think my rabies was around $10 per shot (it was a post vaccination series). JE isn’t prevalent in India so I have not gotten it.

  16. Maggi December 15, 2016 at 1:32 am - Reply

    Thank you for this! I am going to be in India for 10 months starting in July 2016 and I am going back and forth about vaccines. I had to get a booster of Tdap as well as a Hep A shot when I went to Haiti in 2014 so those are good and I also took malaria pills but that was for a 10 day trip…NOT 10 months. My insurance covered the pills for 10 days but I don’t think it will cover 10 months so I probably won’t get those. I always hear people say “discuss this with your doctor” but my issue is that whether it’s my PCP or the local travel health agency, they’re going to try to make me get EVERYTHING. I went to a Passport Health for info when preparing for Haiti and she was telling me to get Rabies shots. Those are 600 bucks! I didn’t get them. I went to Haiti and used common sense and didn’t pet random animals…much cheaper, LOL. I’m not sure about getting the Rabies shot for India. I’ll be in Chennai. It never occurred to be that I v=could get vaccinated in India at a lower cost.

    • Maggi December 15, 2016 at 1:33 am - Reply

      I meant July 2017 NOT 2016, lol

    • Rachel Jones December 15, 2016 at 3:43 pm - Reply

      I personally wouldn’t take malaria pills for 10 months. I don’t take them at all in India and the WHO says in Goa it’s not necessary. As for rabies you could get this in India. It’s a 1 month series though so you’ll have to go in 4-5 times to get all the injections.

  17. Christina January 9, 2017 at 11:03 pm - Reply

    Hey Rachel,
    I was wondering if you could recommend a clinic or hospital in Goa for doing the series of rabies vaccinations. I’m coming to the area soon and want to be protected, but can’t stomach the $1000 price tag from US pharmacies. Thanks very much!

    • Rachel Jones January 10, 2017 at 2:22 pm - Reply

      You can get these pretty much anywhere – the government hospital in Mapusa will be cheapest.

      • Christina January 11, 2017 at 6:47 pm - Reply

        Thanks, Rachel! Really appreciate it.

  18. Purplediva April 25, 2017 at 9:46 pm - Reply

    Excellent advice from you. We travelled India 2 Years ago and only needed malaria pills for 7 days but cost us £10 a pill from uk pharmacy so 2 of us £140. Good to know that we won’t need them for when we are in Goa

    • Rachel Jones April 25, 2017 at 11:47 pm - Reply

      Damn, that is so expensive! Yeah, the WHO says Goa it’s not necessary, but I think some other places in India they still recommend it. Luckily, malaria is very treatable, and it seems like the strains in India aren’t as strong as other places in the world.

  19. allison godkin September 18, 2017 at 9:09 pm - Reply

    im heading to india in nov 2017 for 28 days. im debating on getting hep A, hep B, and thyphoid .
    whats your take on this please

  20. Anya May 13, 2018 at 6:04 pm - Reply

    Hi Rachel,
    Loving your blog and articles, but don’t agree with this one. I am against vaccinations and traveling the world perfectly fine without any of them. I got only three vaccinations as a child and two of them didn’t work at all.
    I became very sick with two diseases later during my childhood. My parents decided not to vaccinate me any more and I have never gotten any other shots in my life.
    Yes, nowadays I can’t go to certain countries because of the yellow fever vaccine, but besides those a few countries there is still so much to explore. Even in South America, not every country requires you to have a proof of a vaccine. You just need to follow important rules and take care of your health and you will be totally fine.
    Also, I may understand why people get lifetime vaccinations against some diseases, but why do they get shots from flu just doesn’t make sense. There are hundreds of different viruses and getting a shot from one will not help your body fight another one. Instead, it will effect your immune system tremendously. I see people eating trashy foods and leading unhealthy lifestyle and then bombarding their bodies with extra stress as vaccines, and still getting sick.
    Just my modest opinion,
    Happy travels! ;)

    • Rachel Jones May 14, 2018 at 12:12 pm - Reply

      Everyone has a right to be for or against vaccines – I am a nurse and am 100% for vaccines, even then I still don’t get all that they say to get as you can see in the post. For me, my stance is that it’s irresponsible to tell people to travel without vaccinating against things that can save their lives. I mean, in India you get bit by a dog or you step on a nail … rabies and tetanus both kill but thankfully someone has created a way to prevent that with medicine :)

  21. John August 5, 2018 at 10:10 pm - Reply

    Don’t get Rabies Vaccine as a preventative. I’ve had many of the vaccines listed. Rabies, suggested by the doctor ($$$$$ maker) has put me in bed for 2 weeks now with a brutal headache, exhaustion, aches, and weakness. I did not finish the 3 shot course. It’s one of the most dangerous. I’m hoping to feel better soon, and the University Hospital Travel Clinic is just shrugging their arms.

    I hope this helps someone else. Only get what is necessary. The most important is hepatitis. I’ve been to 10 countries that require yellow fever and not one has asked for proof of it. Of course I have that. I think the above list of what the writer has done herself is pretty good. Forget the others.

  22. Zohar September 20, 2018 at 10:17 pm - Reply

    thamks for the great article, I am flying to the Philippines next month and will visit descent resorts. I will be in Bohol and Palawan which are major tourist destination. I did get tetanus about 6 years ago and while in the army (35 years ago) I was vaccinated with all types of things (don’t even remember which kinds :)) . what your recommendations when it comes to those areas? Thanks

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