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BANGKOK 20 March 2019 10:33
rooster59

Death of Canadian sickened in Thailand inspires daughter's vaccine crusade

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2 hours ago, Catoni said:

 

 IXIARO, JE-VAX, IMOJEV and one or two other JE vaccines

   The IXIARO requires two shots 28 days apart. 

   JE-VAX requires three shots. On day 0, 7, and 30.  

  Both are very effective.   I don’t know much about IMOJEV. 

   I think there is a one shot JE vaccine produced in China, and possibly France. 

   Not sure. Maybe someone here can fill us in. 

The one I got was IMOJEV, and that seems to be the version now advertised at all the clinics in Thailand.  It’s just a single shot.  This link says that protection in adults drops from 99% to 84% after 5 years, so maybe a booster shot is needed:

 

https://www.prnewswire.com/news-releases/sanofi-pasteur-launches-imojev-first-single-dose-vaccine-against-japanese-encephalitis-in-australia-182744251.html

 

I used CM MediClinic, where it cost me about $20 (and the British receptionist and English speaking doctor were fantastic).  While Googling I found another place in Bangkok that charges $16.

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2 hours ago, Christophers200 said:

Name this malaria vaccine and its manufacturer, please 

I think it's the same people that make the stupidity vaccine. It may also be in short supply. 

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2 hours ago, Christophers200 said:

Your funny spell was very unlikely to have been vaccine related - I guess it never occurred to you that it was more likely to be something else.

 

Buddy

I did not mention the 15 or more semi episodes, to not bore you. These included but were not limited to, dizziness, hot flashes, numbness of limbs, actually whole sides of your body, indigestion, nausea, basically the run up to tossing your cookies. And of course surge fever; as in your roll up to 102 in 30 minutes. As this has never happened to me like this before in my life. Maybe you experience these as a result of age, :thumbsup:  not there yet.      And the Doctor at BK concurred they were from the vaccine. Case closed. But as you are playing amateur Doctor you might consider these guidelines

 

Common side effects of Imovax Rabies Vaccine include:

injection site reactions (pain, swelling, itching, or redness),

headache,

dizziness,

muscle pain,

nausea, or

stomach pain.

 

Tell your doctor if you have a serious side effect of Imovax Rabies Vaccine including:

a fever above 104 degrees,

weakness or prickly feeling in your fingers or toes,

problems with balance or eye movement, or

trouble speaking or swallowing.

 

Remember if you have a fever of 102 – relax, calm done. If you have numbness of left arm, shoulder down your left leg, for hours, relax, it is not in the fingers or toes, so no need to get excited. If you toss your cookies, well, did you stop tossing, ok your fine. Note, these can happen days even a week after inoculations.

 

The real problem, you are STRENOUSLY advised to finish the serious of inoculations once you have started. Once you are in it, no going back. :biggrin: 

 

Edited by LomSak27
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5 hours ago, Christophers200 said:

This man was very unfortunate - JE is not widespread and is only found in rural pig raising areas. The average tourist does not need the vaccine.

My Thai doctor has a completely different view to what you have expressed and believes that non Thais here should have the vaccine as they are more at risk than from such diseases as Hep A and B.

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As others have said the vaccines in Thailand are really cheap compared to what you pay in the UK, I had my JE and 2 rabies shots done back in 2015 for about 2500baht in Thailand, amazing private hospital for tropical diseases near National Stadium.

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41 minutes ago, Christophers200 said:

How much were you charged for the Vaccine?  1) Please provide a link to a reputed travel vaccine site that recommends ALL none-Thai visitors, to be vaccinated against JE. 2) Please provide the numbers of visitors struck down by JE -- I can only remember one lady who was reported to have been affected whilst spending time in a very rural pig- raising area.

CDC:

"You may need this vaccine if your trip will last more than a month, depending on where you are going in Thailand and what time of year you are traveling. You should also consider this vaccine if you plan to visit rural areas in Thailand or will be spending a lot of time outdoors, even for trips shorter than a month."  https://wwwnc.cdc.gov/travel/destinations/traveler/none/thailand

 

"Endemic countrywide; seasonal epidemics in the northern provinces....Highest rates of human disease reported from the Chiang Mai Valley; several cases reported recently in travelers who visited resort or coastal areas of southern Thailand."

https://wwwnc.cdc.gov/travel/yellowbook/2018/infectious-diseases-related-to-travel/japanese-encephalitis#5200

 

JE is part of the standard Thai vaccine schedule, all Thais are vaccinated against it as children so cases in Thais are much fewer than in the past, last estimate I have seen is about 300 cases a year reported. 

 

The mortality rate is 20-30% and survivors can suffer permanent brain damage. An important vaccine to get.

 

https://www.ncbi.nlm.nih.gov/pubmed/20674433

 

 

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7 hours ago, Christophers200 said:

This man was very unfortunate - JE is not widespread and is only found in rural pig raising areas. The average tourist does not need the vaccine.

I asked my GP, in the UK, what shots I needed to travel to Thailand. He mentioned JE but informed me that if I wasn't going to spend a lot of time in rural areas, I didn't need it.

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7 hours ago, Lemonltr said:

I once read an article from mosquito experts saying that protective lotions should have a minimum content of 30% deet. I found a one with 25% deet and it was the cheapest. Blue bottle printed with a large number 15. I assume company name. 

However lately it has disappeared from all supermarket shelves ( chemists and 7/11 don't sell it) Now left with creams with 7% deet. 

I have Marmite with my breakfast every day. never get bitten.

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11 hours ago, Canuckabroad said:

The one I got was IMOJEV, and that seems to be the version now advertised at all the clinics in Thailand.  It’s just a single shot.  This link says that protection in adults drops from 99% to 84% after 5 years, so maybe a booster shot is needed:

 

https://www.prnewswire.com/news-releases/sanofi-pasteur-launches-imojev-first-single-dose-vaccine-against-japanese-encephalitis-in-australia-182744251.html

 

I used CM MediClinic, where it cost me about $20 (and the British receptionist and English speaking doctor were fantastic).  While Googling I found another place in Bangkok that charges $16.

In the list of vaccines against diseases, 84% protection five years after the shot is still very, very good. If you contracted the disease at that point anyways, that level of protection would probably mean you would have a much milder case of JE which would result in your chances of dying being almost zero. 

     Kind of like the Flu vaccine shot. Better chance of not getting the Flu. But if you get the Flu anyways, it still gives you some protection and your case of Flu won’t be near as bad. 

     I would get a vaccine shot even if it gave me only 50% protection. It’s better than nothing, and would lessen the severity of the disease in the event I caught the disease anyways. 

Edited by Catoni
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20 hours ago, mikebell said:

What about eradicating mosquito breeding grounds in Thailand?  Thai drainage systems comprise a series of pools of stagnant water which drain into the next down the line as the water level rises.  Perfect for the female to lay her 400 eggs.

This is what you're up against :

 

image.png.a99038b9157204020636dba56bee06fe.png

 

That's a regular plastic bottle top with plenty of larvae living in it, these hold just a few ml of water and that's plenty for them.

 

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Very commendable from the daughter and family. But, please, do not send money over here. 

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2 hours ago, Catoni said:

Please read more carefully. He didn’t mention eradicating Malaria. 

    He was talking about eradicating mosquitos. 

Yep, but the primary issue is malaria, currently killing more than a million worldwide p.a.

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On another note, just because you were vacinated as a child against measels, does not mean you cant get it or get it again.

Measels outbreaks in adults is increasing in Phuket, Phang Nha and Krabi.

Japan, Indonesia, Korea and Australia have a resurgrnce of Measels.

This is fact, as I contracted measels three weeks ago.

The itching in adults is severe and lasts almost 30 days.

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