Four Wheels Around - A Road Trip from the UK to South Africa

In February 2009 we are setting off on the trip of a lifetime from Brighton, E-Sussex, UK to South Africa. Furthermore, we are raising money for the British Red Cross along the way. This blog will cover our preparation until we leave and our adventures whilst we are on the road.

Tuesday, 20 January 2009

Health...

A daunting aspect to a trip of this nature is the amount of vaccinations we need before we set off.
Country by Country here is a list of the immunisations and medications that are recommended for us.


From the http://www.fitfortravel.nhs.uk site:



Turkey: Recommended Vaccinations: hepatitis A; typhoid; diphtheria; tetanus.
Sometimes advised: hepatitis B; rabies.
Yellow fever: No vaccine certificate required.
Malaria: Risk is exclusively due to benign malaria and occurs from March to November, mainly in the south-eastern part of the country, the Syria and Iraq borders and in Amikova and Cukurova Plain. There is no malaria risk in the main tourist areas in the west and south-west of the country

Syria and Jordan: Recommended Vaccinations: tetanus; diphtheria; hepatitis A.
Sometimes advised: hepatitis B; rabies.
A yellow fever vaccination certificate is required from travellers over 1 year of age coming from areas with risk of yellow fever transmission.
Malaria:
Syria: Malaria precautions are essential in northern border areas from May to October.
Jordan: Not required.

Egypt: Recommended Vaccinations: diphtheria; tetanus; poliomyelitis; hepatitis A; typhoid.
Sometimes advised: rabies; hepatitis B.
Yellow fever certificate required if over 1 year old and entering from an infected area. Air passengers, without a certificate, and in transit from yellow fever infected countries will be detained in the precincts of the airport until their journey is resumed.
Malaria: Small risk of serious malaria in El Faiyum area (50 miles south of Cairo on west bank of the Nile) from June till October.

Sudan: Recommended Vaccinations: hepatitis A; typhoid; diphtheria; tetanus; poliomyelitis; yellow fever.
Sometimes advised: tuberculosis; meningococcal meningitis; hepatitis B; rabies; cholera.
Yellow fever certificate required if over 1 year old and entering from an area with risk of yellow fever transmission. A certificate may also be required for those leaving.
Malaria: Malaria precautions are essential in all areas (except in the far north and the Red Sea coast where the risk is very limited) all year round

Ethiopia: Recommended Vaccinations: diphtheria; tetanus; poliomyelitis; hepatitis A; typhoid; yellow fever.
Sometimes advised: tuberculosis; meningococcal meningitis; hepatitis B; rabies; cholera.
A yellow fever vaccination certificate is required from travellers over 1 year of age coming from areas with risk of yellow fever transmission.
Malaria: Malaria precautions are essential in all areas below 2000m, all year round. There is no risk in Addis Ababa.

Kenya: Recommended: diphtheria; tetanus; poliomyelitis; typhoid; hepatitis A; yellow fever.
Sometimes advised: meningococcal meningitis; hepatitis B; rabies; tuberculosis; cholera.
A yellow fever vaccination certificate is required from travellers over 1 year of age coming from areas with risk of yellow fever transmission.
Malaria: Risk present throughout the year in the whole country, but small in Nairobi and in the highlands (above 2500m) of Central, Eastern, Nyanza Rift Valley and Western Provinces

Uganda: Recommended Vaccinations: hepatitis A; typhoid; diphtheria; tetanus; yellow fever.
Sometimes advised: tuberculosis; hepatitis B; meningococcal meningitis; rabies; cholera
A yellow fever vaccination certificate is required from travellers over 1 year of age coming from areas with risk of yellow fever transmission
Malaria: Malaria precautions are essential in all areas, all year round

Tanzania: Recommended: diphtheria; tetanus; hepatitis A; typhoid; yellow fever.
Sometimes advised: tuberculosis; meningococcal meningitis; hepatitis B; rabies; cholera.
A yellow fever vaccination certificate is required from travellers over 1 year of age coming from areas with risk of yellow fever transmission.
Malaria: Malaria precautions are essential in all areas below 1800m, all year round

Malawi: Recommended: hepatitis A; typhoid; diphtheria; tetanus.
Sometimes advised: tuberculosis; hepatitis B; rabies; meningococcal meningitis; cholera.
Yellow fever vaccination certificate required from travellers coming from areas with risk of yellow fever transmission.
Malaria: Malaria precautions are essential in all areas, all year round

Mozambique: Recommended Vaccinations: hepatitis A; typhoid; diphtheria; tetanus.
Sometimes advised: hepatitis B; rabies; tuberculosis; meningococcal meningitis; cholera.
A yellow fever vaccination certificate is required from travellers over 1 year of age coming from areas with risk of yellow fever transmission.
Malaria: Malaria precautions are essential in all areas, all year round

Swaziland: Recommended Vaccinations: diphtheria; tetanus; hepatitis A; typhoid.
Sometimes recommended: tuberculosis; rabies; hepatitis B; cholera.
Yellow fever vaccination certificate required from travellers coming from areas with risk of yellow fever transmission.
Malaria: Malaria precautions are essential in low lying areas (mainly Big Bend, Mhuome, Simunye and Tshaneni) all year round

South Africa: Recommended: diphtheria; tetanus; hepatitis A.
Sometimes advised: tuberculosis; hepatitis B; rabies; cholera; typhoid.
A yellow fever vaccination certificate is required from travellers over 1 year of age coming from areas with risk of yellow fever transmission.
Malaria: The risk is high in the low altitude areas of Mpumalanga and Limpopo Provinces which border Zimbabwe and Mozambique. Includes Kruger National Park. Risk also in north-eastern KwaZulu-Natal as far south as Jozini. There is low to no risk in all other parts of the country including the tourist centre of Sun City and the Greater St Lucia Wetland Park. Anti-malarials not generally required. Low risk in most areas.

Our route is still subject to change, there are a number of countries that we are keen to visit but whether we can or not depends on our time and the political/health situation of the countries at the time we are passing. I have included the health status for these countries for our reference incase we should choose to visit them.


Zambia: Recommended Vaccinations: diphtheria; tetanus; hepatitis A; typhoid.
Sometimes advised: tuberculosis; hepatitis B; rabies; meningococcal meningitis; cholera; yellow fever.
Yellow fever: Not normally advised and no vaccination certificate required.
Malaria: Malaria precautions are essential in all areas, all year round

Botswana: Recommended: tetanus; hepatitis A; typhoid.
Sometimes advised: tuberculosis; hepatitis B; rabies; diphtheria; cholera.
Yellow fever certificate is required if over 1 year old and having passed through or entering from an area with risk of yellow fever transmission.
Malaria: Malaria precautions are essential. Risk is mainly from the malignant form and exists throughout the year but especially from November to June in the northern parts of the country including the regions along the Zimbabwean border, the Zambezi river and all the Game Parks to the north of the Kalahari desert.

Zimbabwe: Recommended Vaccinations: diphtheria; tetanus; hepatitis A; typhoid.
Sometimes advised: tuberculosis; hepatitis B; rabies; cholera.
Yellow fever vaccination certificate required from travellers coming from areas with risk of yellow fever transmission.
Malaria: Malaria precautions are essential in the Zambezi Valley (including the Victoria Falls) throughout the year, and in all other areas below 1200m from November to June. Risk is negligible in Harare and Bulawayo.

Namibia: Recommended Vaccinations: hepatitis A; typhoid, poliomyelitis; tetanus.
Sometimes advised: diphtheria; hepatitis B; rabies; tuberculosis; meningococcal meningitis.
Yellow fever certificate required if over 1 year and entering from an area with risk of yellow fever transmission. Travellers on scheduled flights originating outwith, but in transit through, the area with risk of yellow fever transmissions are NOT required to possess a certificate provided such travellers remained at the airport, or adjacent town, in transit. All travellers on unscheduled flights originating within area with risk of yellow fever transmissions or who have been in transit through these areas are required to possess a certificate. The certificate is not insisted upon in the case of children under 1 year of age, but such infants may be subject to surveillance.
Malaria: Malaria precautions are essential in the northern third of the country from November to June and along the Kavango and Kunene rivers throughout the year

After a visit to the nurse I needed to have a yellow fever vaccination, hepatitis a and typhoid, rabies (a course of 3 injections over 3 weeks) and meningitis MCWY. I have also been prescribed a course of doxycycline to protect against malaria. I am up-to-date with all the other necessary vaccinations.

I was shocked at the price of these vaccinations; the rabies injections broke the bank the most. I was given a private prescription at a cost of £10 and had to pay for the drug on top of that direct from the pharmacy. I shopped around a bit, being quoted as much as £138 for the 3 injections at one pharmacy and £86.60 at another. I finally went with Asda Pharmacy for this one. All the other injections (the Yellow Fever Vac and Meningitis MCWY) cost £40 and £45. Hep A and Typhoid in one injection was free. The malaria precautions were operated in the same way as the rabies vac for me, I was issued a private prescription and had to purchase the medication from my local pharmacy. Luckily for me, my Mum covered the cost of these vaccinations and medicines as a Christmas present! Happy Christmas Katie!

Below: Yellow Fever endemic zones in Africa: Courtesy of http://www.fitfortravel.nhs.uk


1 Comments:

Anonymous Harare Flights - Flights to Harare said...

Interesting post, i really enjoyed it alot..

6 January 2010 at 11:10  

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