Travel Vaccines and Advice for Afghanistan

• Typhoid – Typhoid, caused by Salmonella Typhi, is primarily transmitted through tainted food and water. Protection against this disease involves vaccination combined with good hygiene and careful food consumption.
• Cholera – Cholera is a waterborne disease caused by Vibrio cholerae bacteria. It’s transmitted through contaminated water or food. Vaccination is the best form of protection.
• Hepatitis A – Be sure to protect yourself from hepatitis A, a contagious liver infection caused by HAV, through vaccination. The virus spreads through contaminated food, water, and close contact. Along with vaccination, maintaining proper hygiene and avoiding undercooked shellfish are essential for prevention.
• Polio – Polio is a crippling and potentially fatal infectious disease caused by the poliovirus. The polio vaccine effectively prevents this virus. It’s a critical component of routine childhood immunizations worldwide and has been instrumental in nearly eradicating polio globally.
• Rabies – The rabies virus is a deadly threat that spreads through bites and scratches from infected animals. Preventing rabies involves timely vaccination, avoiding contact with wildlife and seeking immediate medical attention if bitten. The rabies vaccine is instrumental in developing immunity and safeguarding against this fatal disease.
• Hepatitis B – Hepatitis B, a liver infection, is transmitted through contact with infected bodily fluids. Prevention includes practicing safe behaviors, but the cornerstone of protection is hepatitis B vaccination. This vaccine activates the immune system, generating antibodies that offer potent and enduring defense against the virus.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella (MMR) are viral infections with distinct symptoms. They spread through respiratory droplets and close contact. Vaccination is the most effective way to prevent MMR infections, with the MMR vaccine offering protection against all three diseases.

Malaria is present in all regions under 2,500 metres across Afghanistan from April to December. Travellers to those regions at these times should take antimalarials as a form of protection. Atovaquone, doxycycline, mefloquine and tafenoquine are recommended antimalarials for the region. The malaria parasite in Afghanistan is resistant to chloroquine. A travel health specialist will help identify which antimalarial is best for you and your trip.

Prevent bug bites by wearing long clothing and using EPA-registered insect repellents like DEET or picaridin. Be mindful of bug-prone hours and secure your sleeping space with nets and screens. If bitten, clean the affected area, avoid scratching, and consider over-the-counter treatments, while promptly seeking medical attention for severe symptoms.

Safeguard your health while abroad by researching local cuisine, avoiding tap water and practicing hand hygiene. Choose reputable eateries, be cautious with ice, and drink in moderation. A travellers’ diarrhea kit is recommended for travel to all regions throughout the world.

Altitude sickness, characterized by symptoms like headaches and fatigue, occurs at high elevations due to oxygen deficiency. To prevent it, ascend gradually, hydrate sufficiently, and consider medication. If symptoms emerge, promptly descend to lower altitudes for recovery.

• Crimean-Congo Hemorrhagic Fever – Crimean-Congo Hemorrhagic Fever, a severe viral illness, spreads through infected ticks and direct human contact with bodily fluids. Prevention includes tick avoidance, protective measures in healthcare settings, and the development of a potential vaccine to curb its transmission.
• Dengue – Dengue fever is a significant global health concern. Symptoms can escalate from mild fever to life-threatening conditions. Preventing mosquito bites is key to avoidance, with recommendations including repellent and netting use.
• Leishmaniasis – Sand fly bites are the main mode of leishmaniasis transmission, but it can spread through other means. Prevention measures include using insect repellents, wearing long clothing, and minimizing outdoor activities during times when sand fly are most active.