Routine & Travel Immunizations
Capital Center for Travel and Tropical Medicine’s specially trained staff provide routine and travel vaccinations.
If a traveler is not up-to-date with routine immunizations, we may advise him or her to have them updated. The most commonly recommended shots are measles, mumps, and rubella; and tetanus/diphtheria/pertussis (Tdap).
For travel vaccinations, we will review the necessary interventions prior to your travel, as well as general health and safety guidelines pertinent to each country you are planning to visit.
Appropriate vaccinations and medication prescriptions are generally provided at the time of your initial consultation. Please plan at least several weeks prior to your trip for your consultation
These vaccines protect against the most common types of HPV (Human Papilloma Virus) responsible for cervical and anal carcinoma, as well as genital warts.
Currently, these are recommended for men and women from age 11-26 and are given as a series of injections over 6 months.
Hepatitis A can be transmitted through food sources from an infected food handler or less commonly through sexual contact. The hepatitis A vaccine is recommended for travelers going to countries where there is a high prevalence of Hepatitis A.
In fact, this disease is endemic in all parts of the world and we routinely recommend it for all our patients whether you are traveling abroad or not. It is a two dose vaccine with the second dose given 6-18 months after the first dose.
Hepatitis B is the most common form of Hepatitis in the world. It can be transmitted via sexual activity or through contaminated blood/improperly sterilized surgical instruments. This vaccine is a three dose series, with the second dose given one month after the first and the third dose given six months after the first injection. There is a rapid course of inoculation if there are time constraints to your travel.
The hepatitis B vaccine is recommended for all sexually active adults. For those planning to travel in countries with high incidence of Hepatitis B, vaccination is recommended. These areas include: sub-Saharan Africa, the Balkans, Southeast Asia, Korea, Indonesia, China, the Middle East, South Pacific Islands, central Brazil, the Dominican Republic and Haiti.
Hemophilus influenza type b is a bacterium responsible for severe pneumonia, meningitis and other invasive diseases that are transmitted through the respiratory tract from infected to susceptible individuals. The vaccine is now used in the routine immunization schedule.
It is recommended for unvaccinated children and adults with high-risk conditions such as sickle cell disease, HIV/AIDS, damaged or no spleen, bone marrow transplant and cancer treatment with chemotherapy medication.
The influenza vaccine is highly recommended for all persons over the age of 50, all pregnant women, persons with immune suppression or those with chronic health conditions. It is also recommended for all adults who want protection against influenza.
The vaccine is changed each year to accommodate for the particular strain responsible for infection during that year. The optimal time to receive the vaccine is from October to mid-November, although it is still effective after that date. It is also recommended for international travelers.
Japanese encephalitis is a mosquito-borne virus. Japanese encephalitis occurs throughout most of Asia and parts of the western Pacific.
The risk of infection varies to those traveling to Asia based on their destination, duration, season and activities. The primary vaccination is a series of 2 doses administered 28 days apart.
Adults born before 1957 are usually considered immune but proof of immunity may be considered necessary.
Adults born in 1957 or later need one dose of MMR vaccine if there is no proof of immunity or documentation of a dose of MMR. For adults in some high risk groups, a second dose may be necessary.
Meningococcal disease is a serious bacterial illness. It is the leading cause of bacterial meningitis, a rapidly fatal disease if not identified expeditiously. Meningitis is an infection of the fluid surrounding the brain and spinal cord.
The vaccine is recommended for travelers who visit areas recognized as having epidemic meningococcal disease, as well for all students who reside in dormitory dwellings. It is most prevalent in sub-Saharan Africa and is required for pilgrims to Mecca, and the annual Hajj in Saudi Arabia.
This vaccine protects against the 23 most common strains of pneumococcus, a bacteria that causes community acquired sinus, ear, throat, respiratory and skin infections.
The vaccine is recommended for healthy elderly people (more than 65 years of age), particularly those living in institutions, and patients suffering from chronic organ failure, diabetes or certain immunodeficiency’s (including all with HIV infection). A booster dose after five years is currently recommended for those patients in the high risk groups.
A one time booster dose of IPV (inactivated polio vaccine) is recommended for immunized adults who are at risk of exposure to wild-type polio viruses because of foreign travel.
Unimmunized adults who are at risk because of travel or occupation should receive a primary series of IPV.
Rabies is a big problem in many other countries, especially in Asia and Africa and post-exposure treatment for humans may be hard to obtain.
Vaccination may be recommended depending on your planned activities and length of stay. Contact with all animals, including dogs and cats, should be avoided when traveling abroad.
Adults should have received their three part primary immunization series as a child.
On June 30, 2005 the Advisory Committee on Immunization Practices (ACIP) voted to recommend the routine use of Tdap vaccines for adults 19-64 years of age to replace the next booster dose (given every 10 years) of tetanus and diphtheria toxoids vaccine (Td).
Typhoid fever is a life-threatening illness caused by the bacterium, Salmonella Typhi. You can get typhoid fever from foods and beverages contaminated with Salmonella. Typhoid fever is common in most parts of the developing world. The Typhoid vaccine comes in two forms.
The oral dose consists of 4 doses taken at two day intervals. It needs to be refrigerated. A booster is recommended every five years. The Typhoid Vi vaccine is a single injection. A booster is recommended every two years for the injectable vaccine.
Yellow Fever is a mosquito-borne viral disease. It occurs in sub-Saharan Africa (where it is endemic), countries in South America, Panama, Trinidad and Tobago. The Yellow fever vaccine is also recommended for travel outside the urban areas of countries which do not officially report the disease, but which lie in the Yellow Fever endemic zone. International regulations require proof of Yellow Fever vaccination for travel to and from certain countries.
For purposes of international travel, Yellow Fever vaccine must be approved by the WHO and administered by an approved Yellow Fever Vaccination Center. After receiving the Yellow Fever vaccine you will receive an International Certificate of Vaccination (ICV) completed, signed and validated with the official stamp. The certificate is valid for ten years. Booster doses are recommended every ten years. Because this is a live vaccination, it is contraindicated in some immune deficient conditions.
Herpes Zoster virus vaccine (Zostavax) is a vaccine used to prevent shingles in adults 60 years old and over. It is a single dose live vaccine.
It is not indicated for those who are immunocompromised or those with a recent history of shingles.
So, if you are asking yourself, “what vaccines will I need?” Call 202-450-5778