Recommended Vaccines for India:
Other vaccines to consider:
I am studying this vaccines and taking care to understand the risks prior to taking my toddler to India.
Hepatitis A is a mild, self limiting disease, resolving on its own with no treatment in 4-8 weeks.
This disease is so mild that 90% of kids who get hepatitis A never even know it.
Type A hepatitis disappears completely after acute infection, and does not contribute to chronic liver disease or to cirrhosis. It is important to note that after the patient recovers, he has lifetime immunity. True immunity.
hepatitis A is a disease seen in areas of poor hygiene and if you are staying in a four or five star hotel you would be very unlucky to be exposed to it. Even if you were, hepatitis A is a very much milder infection in children than in adults and although they would have a flu-like infection for a short while, they would then have life-long protective immunity for the future. Most travel clinics therefore do not recommend it.
75% of people affected with cholera will have no or mild symptoms and the illness is self limiting.
In healthy travellers, the illness is most likely to be mild.
More severe illness is more likely in those who live in poverty and are unable to access safe water and food.
More severe illness is more likely in those with underying health problems such as immunosuppression, liver disease or malnutrition.
In more severe disease, rapid onset of watery diarrhoea and vomiting can lead to extreme dehydration. For severe illness medical attention should be urgently as individuals can die quickly if they are not treated promptly with intravenous fluid replacement.
A vaccine is available to protect against cholera but as the risk to most travellers is very low, it is only recommended in the following circumstances:
Volunteers/aid workers/medical personnel in disaster relief situations where cholera outbreaks likely.
Those travelling to work in slums/refugee camps, areas affected by natural disasters, or countries experiencing cholera outbreaks and where care with food and water is difficult or not possible.
Most JE virus infections are mild or without apparent symptoms. However, one in 250 infections result in severe clinical illness, according to the World Health Organisation.