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  • MMR – Must have had at least 2 doses=> THIS IS IMPORTANT!

  • Tetanus – If you have not had a Td in the past 5 years and have never had a TDaP, please do so before we leave.

  • Polio – Must have the 4 dose series.

  • Hepatitis A (food borne) – You should have the 2 vaccine series – first one gives some immunity; second one 6 months later. It’s ok if the series is not complete before travel.

  • Hepatitis B (blood and body fluids borne) – Must have 3 vaccine series – one now, one in a month, the last in 6 months. It’s ok if the series is not complete before travel.



  • Typhoid (water-borne)



  • Malaria (mosquito-borne)

    • Chloroquine – 500 mg. One pill by mouth weekly starting one week before and continuing for 4 weeks after travel. Take on a full stomach. (Total 6 pills for one week trip /7 for 2 weeks)

    • – Or –

    • Doxycycline – 100mg, One pill by mouth daily starting 1-2 days before travel.



Insect repellant – 30-50% DEET – The higher strength lasts longer between applications, but is no more effective. (see below for more on mosquitos)


The vaccines above can be obtained from a travel clinic or pharmacy; not just your doctor. If you need a prescription for the chloroquine, Jennifer or Teresa can provide this.

Call with questions at 206-200-2418. 


Note:  The CDC website ( has a complete list of required vaccinations.

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