HEP A & Typhoid Combined Immunisation confusion

[Durio]

I will spend a month in December mostly in my gf's village in Issan and love to eat local food.  I am aware that Hep A and Typhoid are always a risk in such areas and wish to be protected.  

 

I am a little confused about whether or not I already have immunity due to my previous immunisations for these two diseases.  I know the obvious response should be to visit my family Dr and ask him but at $100 a visit I would prefer to get some feedback here from anyone who might be knowledgable on the subject.

 

On the 8/2008 I had combined Vivaxim injection and on the 04/11 I had the combined Havrix injection.  Does anyone know if this gives me 20 years immunity for these two diseases?  

[Sheryl]

Typhoid risk in Thailand is very, very low and the vaccines nto very effective anyhow. IMO no need for that vaccination.

 

Hep A:  Since you had the needed booster after the initial immunization you are protected for at least 10 years, probably 20.

 

You should however get the Hep B vaccine and also, as you will be in a rural area, Japanese B encephalitis.

[Durio]

Thankyou for your comment.  I was not sure if my second hepA shot was a booster or not.  I was wondering about a Jap enc shot but was not sure if they disease would be transmitted in December.  And I think it is a very expensive vaccine in Australia.

[Durio]

I have had the hep B shots and rabies shots when I have previously worked in rural Asian areas

 

[Sheryl]

3 hours ago, Durio said:

Thankyou for your comment.  I was not sure if my second hepA shot was a booster or not.  I was wondering about a Jap enc shot but was not sure if they disease would be transmitted in December.  And I think it is a very expensive vaccine in Australia.

The second shot, since given after the first, will have served as a booster.

 

Japanese B transmission is year round. The vaccine costs about 1000 baht at travel clinics in Thailand. 2 doses about 1 month apart.

[cooked]

I would be thinking about rabies and tetanus shots myself, but I haven't had booster shots on anything for 7 years.

[Sheryl]

Tetanus booster should be every 10 years.

 

Pre exposure rabies vaccine is not mandatory but advisable. However OP indicated he has slready had it.

 

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[Durio]

Yes I had the 3 pre-exposure rabies injection in 2008 and I also had tetanus shot within in the last 10 years.  I will get the JE injections in Thailand in 3-4 years time when I make the full-time move to rural Thailand.