Allison Wendorf has done a lot of traveling these last three months celebrating the happy day with friends, many friends. She’s attended seven weddings in all, some overseas and is on her way to another one in a rather exotic place. I’m going to India for a wedding in a few weeks, and I’m really excited, but I need some immunizations before I can go. At Tufts Medical Center’s travel health clinic those going abroad for business or pleasure can get everything from necessary vaccinations to advice on how to prevent illness. Comprehensive evaluation is very individualized to a patient’s particular itinerary exactly where they’re going, the cities that they’re going to in each particular country What their activities are going to be are they gonna be camping are they just gonna be in a major hotel. The most common concern: traveler’s diarrhea Can occur in up to 60% of travellers. Symptoms may include multiple loose bowel movements, cramping, low-grade fever, vomiting. Most travelers diarrhea comes from food or water that has been contaminated by bacteria and symptoms may last for three to six days. It’s generally not life-threatening, but you’re there for a short period of time there for work or for the honeymoon Nobody wants to be stuck in their bathroom for most at that time. To avoid illness make sure foods are well cooked including vegetables. Use bottled water even when brushing your teeth and even if you’re staying in a nice hotel and remember ice is just frozen water. If you’re exploring new heights, you’ll want to think about how to avoid altitude sickness. a lot more people are going to A lot more people are going to think of trail and Peru or Kilimanjaro and taking medications to help their body adjust more quickly to the altitude it can be really helpful. Mosquitoes can be another hazard while traveling to certain parts of Africa, Asia and Central and South America. Day biting mosquitoes in these areas can carry viruses like Day biting mosquitoes in these areas can carry viruses like Dengue or Zika. There is no vaccines available for these infections in this country at this time so the only thing you can do is to avoid getting bitten, so using bug spray with either DEET or picker riding is another compound Long sleeves and long pants actually do decrease the risk of bites Night biting mosquitoes in some of these areas can carry malaria, which can be a very serious illness. Fortunately, there are medications that one can take before during and after travel that can prevent infection. Several other travel vaccinations are available and are recommended for certain destinations, some of which require multiple doses to complete. That’s why it’s important to schedule your appointment with a travel clinic about four weeks prior to your travel date people should remember to take all their People should remember to take all their baseline medications not forgetting those at home and one other thing I’ll mention is that if they’re traveling for a really long period of time they need to get a vacation override to make sure they have enough of a supply. Allison received an updated tetanus shot and vaccines for hepatitis A and typhoid. She also received anti-malaria medication and a prescription for an anti-diarrhea medication in the event she does get sick. Today’s visit helped Allison feel more at ease with her upcoming travel overseas I’m excited. I’m really excited and I feel better and knowing that I’m in good shape medical wise.