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Panama - Central America and the Caribbean
Travelling to Panama on 6 months or longer recommend protection against the following infections:
| Recommended vaccinations | Starting |
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| | Diphtheria | | 1 day | | | Tuberkulosis | | 6 weeks | | | Yellow fever | | 10 days | | | Hepatitis A (infectious hepatitis) | | 1 week | | | Hepatitis B | | 3 - 4 weeks | | | Rabies | | 4 weeks | | | Tetanus | | 1 day | | | Typhoid | | 1 week | | | Malaria in Panama | | 1-7 days | |
| | | | | | When to start vaccinations before leaving: | |
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Read more about the single vaccinations below.
If you need more information, Ask the Doctor
Diphtheria
Diphtheria is a serious throat infection, which infects from person-to-person through the air. The vaccination should be less than 10 years old otherwise a booster is needed.
Tuberkulosis
The vaccine against tuberculosis, BCG, is recommended to people stationed in high-risk areas for more than 6 months, who have not been vaccinated previously. The vaccine contains live bacteria which produces a small wound, as well as scar after healing. The whole process takes 4 to 8 weeks.
Yellow fever
Yellow fever is a serious virus infection, which cause a serious hepatitis. The vaccine provides protection for 10 years after a single injection. Countries where yellow fever is present are entitled to request a valid certificate documenting a vaccination against yellow fever at least 10 days before entry. The certificate is a stamp in the WHO yellow book.
Hepatitis A (infectious hepatitis)
Infectious hepatitis infects through food and water. Vaccination consists of two injections about 12 months apart, which protects for up to 20 years. The first vaccination protects for 12 months. Gamma globulin consists of purified antibodies from people who have had hepatitis A, and protects for up to 5 months. The vaccination is preferred. The hepatitis A vaccine can be combined with the vaccine against hepatitis B.
Hepatitis B
Hepatitis B infects through blood, sexual ac-tivities and, in small children, through saliva. The vaccination consists of 2 vaccinations about 4 weeks apart and a third 6 months later. The protection is for at least 10 years. The hepatitis B vaccine can be combined with the vaccine against hepatitis A.
Rabies
The vaccination consists of 3 injections at day 0, 7 and 28 and must therefore start 4 weeks before departure. Vaccination protects for 5 years. If exposed to rabies, the "post-exposure" vaccinations are reduced from five to two.
Tetanus
Tetanus is a complication to wounds contaminated by soil. If there has been a vaccination within the past 10 years it is not necessary to give a booster in case of wounds and accidents. Tetanus is usually given in combination with diphtheria. If you are previously vaccinated, the vaccine can be given right up to departure.
Typhoid
Typhoid is the most serious of the Salmonella infections. There are two types of vaccine: 1. Vaccine for injection. 1 vaccination protect up to 3 years. 2. A live vaccine in capsules, which is swallowed. Three capsules are taken 2 days apart and provide protection for a year.
Typhoid
Typhoid is the most serious of the Salmonella infections. There are two types of vaccine: 1. Vaccine for injection. 1 vaccination protect up to 3 years. 2. A live vaccine in capsules, which is swallowed. Three capsules are taken 2 days apart and provide protection for a year.
Malaria in Panama
The risk of Malaria in Panama is low and limited to the provinces of Darién and San Blas (see map below). Resistance against Chloroquine has been found in these areas and the choice is between: Malarone, Lariam and Doxycycline. Protection against mosquito bites is sufficient in the rest of Panama.
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