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Vaccinations for United States

All Travellers

Tetanus
Tetanus is contracted through contaminated cuts, bites and breaks in the skin. The vaccination provides cover for approximately 10 years in the majority of patients. It is frequently combined with cover against other diseases such as Poliomyelitis, Diphtheria and/or Pertussis.

Optional

Hepatitis B
Hepatitis B is a viral disease which is usually transmitted in a very similar fashion to HIV/AIDS through contact with infected body fluids (eg blood exposure and sexually). This vaccine can be combined with cover against Hepatitis A. The standard schedule for Hepatitis B is to administer the vaccine on days 0, 28 and 180. A more rapid schedule can be used in cases where cover is needed more urgently and this is administered on days 0, 7, 21 to 28 and also 365. Following either course (and not before completion) a blood test can be taken to confirm sufficient antibody protection. Where the correct level of antibodies are showing (>100iu) the vaccination is recognised to provide cover for life.
Rabies
Rabies is a viral disease which is usually transmitted through the bite, the lick or the scratch of any infected warm blooded animal. The vaccine is usually administered on days 0, 7 and between 21 to 28. A final 4th vaccine is administered about 1 year later. Once a course is completed, the vaccination provides life long 'immune memory' in the majority of patients BUT after any possible exposure the individual always needs further vaccination to boost antibody production
Meningococcal Meningitis
Meningococcal Meningitis is a bacterial disease which is usually transmitted through the respiratory route. The vaccine is given on one occasion and provides cover against four of the main forms of this disease. Once a course is completed the vaccination provides for over 5 years in the majority of patients.
Measles / Mumps / Rubella
Measles / Mumps / Rubella are viral diseases transmitted mainly through coughs and sneezes (respiratory route). The vaccine is usually given during childhood schedules but coverage in adults can wane and so booster doses (on two occasions one month apart) can provide cover to approximately 95% receiving the vaccine.
Pertussis
Pertussis (Whooping Cough) is a viral disease transmitted mainly through coughs and sneezes (respiratory route). The vaccine is usually given during childhood schedules but coverage in adults can wane and so a booster dose is frequently recommended during pregnancy (to protect the unborn child) and also in those over 50 years of age.

Country Profile

Find out more about the health risks you should be aware of when travelling in United States by reading the DFA United States country information page
or the WHO United States country information page.