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Health


Suggestions for a first aid travel kit
Triangular scarf, clinical thermometer, elastic bandages, gauze bandages, gauze swab, plasters, tweezers, scissors
and safety pins;Laxatives,Antibiotic powder or ointment,Eye drops,Broad spectrum antibiotics,Antiseptic,Pills for diarrhea,
Pills for flu and cold,Medicine for sore throat.

Medicine for skin fungus,Medicine for tooth pain,Anti puristic and anti scabies agents,Mosquito repellent,Nose drops or spray,Sleeping pills, Pain killer,Contraceptives,
Vitamin pills and Blister ointment

It is recommended that you consult your doctor or health center for travel advice.
Small hint: If you cannot get to your main luggage - for example during flights – You should carry a small first aid kit in your hand luggage containing medication such as pain killers (toothache!), pills for diarrhea, eye drops and antibiotics.

Doctors and Hospitals
Doctors usually charge a consultation fee of about 2/300 Baht. Addresses of recommended hospitals and mostly bilingual doctors are listed at each destination under  »Addresses/Miscellaneous«.
Addresses of specialists can be obtained from the your country's embassy.
Communication
It is also useful to bring documents such as a blood group evidence or if you wear glasses an eye
prescription from your optician.

Medication
Numerous medicines are available in drugstores (pharmacies)and many without prescription.
Thai pharmaceutical products and products from international companies made in Thailand are much cheaper
than in western countries. Antibiotics, vitamin pills and contraceptive pills can be purchased cheaply.
Important for women
Tampons from well-known international brands are available in large cities and in tourist places.
If you plan a longer trip through the countryside then purchase a small supply in advance.

Water
Almost everywhere in Thailand drinking water in plastic bottles is available at low cost. However,
if you go trekking and you may have to drink water from rivers, lakes or ponds where you should either boil it for at least 15 minutes or purify it with a chemical disinfectant, for example with Micropur water purification tablets.
Vaccinations
Vaccinations can be obtained from a family doctor in most cases. Nevertheless you will receive a much better service at an institute for tropical medicine with up-to-date country specific information and the latest vaccines.
Vaccination certificate
Vaccinations are recorded on an international certificate of vaccination (ICV); these certificates are available at health centers, travel clinics and at the institute of tropical medicine.

Be aware that it is an important document and you should keep it together with your passport. Even though if it is not obligatory to show this certificate when entering the country, it does no harm to bring it with you.
Regulations can always be changed without prior notice.
Vaccination schedule
A personal vaccination schedule can be obtained from the vaccinating physician.
Depending on the amount of prevention you should start at least six weeks prior to your departure.

Recommendations for Thailand
At the present time there are no compulsory vaccinations needed for Thailand. If you travel to certain rural areas, malaria prophylaxis is recommended. According to the institute for tropical medicine malaria prophylaxis is not necessary in places such as Bangkok, Pattaya, Chiang Mai and cities in the south of Thailand; but you are advised to use mosquito repellent.

Furthermore we recommend prevention for polio, tetanus and hepatitis A, and for some travelers also hepatitis B.
Hepatitis A: Injection. Two vaccines. The first dose at least two weeks prior to your departure and your protection will last about one year. A second injection 6 to 12 months after the first one provides immunity against hepatitis A for 10 years.
Hepatitis B: Injection. The vaccination consists of 2 vaccinations about 4 weeks apart and a third 6 months later. The protection is for at least 25 years and perhaps for life.
In tropical countries Hepatitis B is far more widely spread than people generally know.
Combination vaccine: In some countries there is a combination vaccine against hepatitis A and hepatitis B. This vaccine is given as a course of three injections; the second dose one month after the first, followed by a third dose after a further six months.

Malaria: Tablets: At the present time there are several options for malaria prophylaxis: Chloroquine alone, Chloroquine plus Proguanil (Paludrine), Mefloquine (Lariam), Doxycycline and Malarone. These have to be taken either weekly or daily. Detailed information as well as side effects
at: www.traveldoctor.co.uk/malaria.htm

If there is no medical help available, Lariam tablets can be taken by adults as an emergency self treatment: 3 tablets
(= 750 mg) first, after 6 to 8 hours another 2 tablets (=500 mg); if the body weight is more than 60 kg: another 1 tablet (=250 mg) after 6 to 8 hours.
Polio: Oral vaccination. Two vaccinations six weeks apart. Repeated vaccination one year later  (depending on vaccine).
Every 10 years a new vaccination is required. Polio is not only a childhood disease!

Tetanus: Injection. Protection lasts ten years. Two doses, the second one four weeks after the first one. Then a third
injection one year later.
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