Travel Vaccination Recommendations

Travel consult: Nurse consult reviewed - Patient is traveling for a business conference. - Countries and regions to be visited: Japan, South Korea, and Thailand. - Duration of stay: Japan (1 week), South Korea (3 days), Thailand (2 weeks). - Nature of travel: Business and leisure. Medical History: - Past medical history: Hypertension, appendectomy in 2015. - Medications: Lisinopril 10mg daily, multivitamin. - Allergies: Penicillin. Vaccinations: - Current vaccinations: Influenza, Tetanus, Hepatitis B. NaThNaC / vaccine recommendations relevant to patient - Recommended vaccinations for travel destinations: Japanese Encephalitis, Typhoid, Hepatitis A. Malaria - Malarial recommendations for travel destinations: Malaria prophylaxis recommended for Thailand. - Malarial medications discussed: Atovaquone-proguanil, Doxycycline, Mefloquine. Yellow fever - Yellow fever vaccination risks, requirements and recommendations discussed at length. WHO UTD Country list reviewed (updated 3.1.23). - Yellow fever recommendations: Not required for the travel destinations. - Vaccination risks incl YF-AND and YF-AVD discussed incl age related incr risk. Risk of yellow fever infx and age related incr risk also discussed. NaThNac YF checklist completed with to pt. Travel Advice: - Advice on food and water safety: Avoid tap water, consume bottled water, avoid raw foods. - Precautions for insect-borne diseases: Use insect repellent, wear long sleeves and pants, use bed nets. - Other relevant travel health advice: Ensure travel insurance covers medical emergencies, carry a first aid kit. Plan: - Vaccines recommended: Japanese Encephalitis, Typhoid, Hepatitis A. - Prescribed medications for travel: Atovaquone-proguanil for malaria prophylaxis. - Over-the-counter medications recommended: Antidiarrheal medication, antihistamines. - Travel insurance: Advised to ensure comprehensive coverage. - Discussed mosquito avoidance, given advice on mosquito repellant, rabies prevention / mx and malarial risk regions briefly. - Discussed other health advice and to seek medical review prn. - Has been sent link for travel websites and show where to find routine travel advice and monitor for alerts / news. Follow-Up: - Follow-up appointment scheduled for 1 week before departure to review vaccination status and provide any additional advice.