Adult Tetanus with Diphtheria and Pertussis (Tdap)

We strongly recommend this vaccine for anyone who has not had a Tetanus shot in the past 10 years.

Flu Vaccine
We carry the best flu vaccine available- the Quadrivalent flu vaccine. Recommended for all  travelers. It is definitely recommended for cruise travelers. We carry the injectable type and the nasal type.

Hepatitis A
This vaccine is strongly recommended for all travelers. It comes in several forms- Pediatric, Adult, and a Combination of Hepatitis A and Hepatitis B known as Twinrix. Hepatitis A is a 2 shot series- after the first shot, the second is recommended 6 to 12 months later. Twinrix is a 3 shot series – first one, second shot 1 month later, third shot 6 months later.

Hepatitis B
This vaccine comes in several forms- Pediatric, Adult, and a Combination of Hepatitis A and Hepatitis B known as Twinrix. Hepatitis B  is a 3 shot series-  first one, second shot 1 month later, third shot 6 months later.-. Twinrix is also a 3 shot series – first one, second shot 1 month later, third shot 6 months later.

Measles, mumps, and rubella (MMR)
Children should get 2 doses of MMR vaccine: 3 The first at 12-15 months of age 3. The second at 4-6 years of age. These are the recommended ages. But children can get the second dose at any age, as long as it is at least 28 days after the first dose. Some adults should also get MMR vaccine: Generally, anyone 18 years of age or older, who was born after 1956, should get at least one dose of MMR vaccine, unless they can show that they have had either the vaccines or the diseases.

Polio
Travelers going to certain parts of Africa and Asia may be at risk for polio. Everyone should be up-to-date with their routine polio vaccination. Adults who received the polio series when they were children should still receive a one-time polio vaccine if traveling to countries with active polio still present. A one-time adult polio booster vaccine is recommended for travelers to the following countries where polio is still a risk: Afghanistan, Algeria, Benin, Burkina Faso, Cameroon, Central African Republic, Chad, China (Xinjiang Province), Djibouti, Ethiopia, India, Iran, Kenya, Libya, Mali, Niger, Nigeria, Pakistan, Somalia, South Sudan, Sudan, Tajikistan, Tanzania, Turkmenistan, Uganda, and Uzbekistan.

Rabies
People at high risk of exposure to rabies, such as  veterinarians, animal handlers, rabies laboratory workers, spelunkers, and rabies biologics production workers should be offered rabies vaccine.  The vaccine should also be considered for:

 – People whose activities bring them into frequent contact  with rabies virus or with possibly rabid animals.

 – International travelers who are likely to come in contact with animals in parts of the world where rabies is common.

The pre-exposure schedule for rabies vaccination is 3 doses, given at the following times:

Dose 1: As appropriate
Dose 2: 7 days after Dose 1
Dose 3: 21 days or 28 days after Dose 1

Vaccination After an Exposure Anyone who has been bitten by an animal, or who otherwise may have been exposed to rabies, should clean the wound and see a doctor immediately. The doctor will determine if they need to be vaccinated. A person who is exposed and has never been vaccinated against rabies should get 4 doses of rabies vaccine – one dose right away, and additional doses on the 3rd, 7th, and 14th days. They should also get another shot called Rabies Immune Globulin at the same time as the first dose. A person who has been previously vaccinated should get 2 doses of rabies vaccine – one right away and another on the 3rd day. Rabies Immune Globulin is not needed.

Typhoid Fever
Routine typhoid vaccination is not recommended in the United States, but typhoid vaccine is recommended for:

-Travelers to parts of the world where typhoid is common.
-People in close contact with a typhoid carrier.
-Laboratory workers who work with Salmonella typhi bacteria.
-Typhoid vaccine may be given at the same time as other vaccines.

Inactivated typhoid vaccine is administered as an injection (shot). It may be given to people 2 years and older. One dose is recommended at least 2 weeks before travel. Repeated doses are recommended every 2 years for people who remain at risk.

Live typhoid vaccine is administered orally (by mouth). It may be given to people 6 years and older. One capsule is taken every other day, for a total of 4 capsules. The last dose should be taken at least 1 week before travel. Each capsule should be swallowed whole (not chewed) about an hour before meals with cold or lukewarm water. A booster vaccine is needed every 5 years for people who remain at risk. Important: live typhoid vaccine capsules must be stored in a refrigerator (not frozen).

Yellow Fever

Persons 9 months of age or older traveling to or living in a country that requires yellow fever vaccination for certain travelers. This vaccine is required for certain countries and usually must be given at least 10 days prior to arrival. A special Yellow Fever Certificate is provided.