Travel Vaccines and Advice for Eritrea

• Typhoid – Typhoid, a bacterial infection, is primarily transmitted through contaminated food, water, or direct contact with infected people. Vaccination is a key preventive measure, recommended for travelers to endemic regions and those at risk due to occupation.
• Hepatitis A – Hepatitis A spreads through contaminated food, water, and close contact. Protect yourself by getting vaccinated with the hepatitis A vaccine and maintaining proper hygiene. Vaccination is a critical step in preventing this contagious liver infection, according to health authorities.
• Yellow Fever – Yellow fever, a viral illness transmitted by infected mosquitoes, can be effectively prevented through vaccination. The yellow fever vaccine offers robust and long-lasting protection for individuals traveling to regions at risk.
• Chikungunya – Chikungunya, transmitted via mosquito bites, poses a health threat. Prevention involves mosquito bite avoidance and vaccination against the disease.
• Rabies – Rabies is a deadly viral illness transmitted mainly through animal bites. Vaccination is pivotal, with pre-exposure and post-exposure options available to protect against this potentially fatal disease.
• Hepatitis B – Hepatitis B, a liver infection spread via infected fluids, can be prevented through safe practices and vaccination. The vaccine stimulates the immune system to produce antibodies, offering strong and enduring immunity against the virus.
• Meningitis – Meningitis is an inflammation of the membranes covering the brain and spinal cord, caused by viruses, bacteria, or other microorganisms. Symptoms include headache, fever, and stiff neck. The meningitis vaccine protects against various bacterial forms of the disease. Administered through injection, it is crucial for prevention in high-risk groups.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are viral infections that can spread through close contact and respiratory droplets. Vaccination is the most effective way to halt their transmission. The MMR vaccine, given in two doses, strengthens immunity, reducing the chances of contracting and spreading these diseases.

Malaria is widespread in Eritrea in regions under 7,200 feet elevation. Transmission in Asmara has not been reported. Antimalarials are recommended for all travelers to the country. Atovaquone, doxycycline, mefloquine and tafenoquine are often given to travelers to Eritrea. Malaria parasite are resistant to chloroquine in the region. Be sure to consult with a travel health specialist on which antimalarials are best for your itinerary and health situation.

In case of bug bites, cleanse the area, use anti-itch treatments, and resist scratching to prevent infection. Seek medical help for severe reactions or if symptoms of vector-borne diseases emerge post-bite.

Safeguard your health while abroad by researching local cuisine, avoiding tap water, and practicing hand hygiene. Choose reputable eateries, be cautious with ice, and drink in moderation. A travelers’ diarrhea kit is recommended for travel to all regions throughout the world.

At high altitudes, altitude sickness can strike, manifesting as headaches, dizziness, and nausea due to oxygen deprivation. Preventive measures include gradual ascent, hydration, and medication like acetazolamide. If symptoms develop, immediate descent to lower altitudes is essential, along with rest and medical evaluation if symptoms persist.

• African Tick-Bite Fever – African Tick-Bite Fever (ATBF) is caused by tick bites in sub-Saharan Africa. To prevent infection, wear long sleeves, use DEET-based repellents, and check for ticks regularly. Consult healthcare experts for advice if traveling to endemic regions.
• Dengue – The CDC describes dengue fever as a viral disease transmitted by mosquitoes, presenting symptoms such as rash and joint pain. Prevention strategies focus on reducing mosquito exposure and breeding grounds. Treatment is supportive, emphasizing the importance of mosquito bite prevention.
• Leishmaniasis – Sand fly bites are the main mode of leishmaniasis transmission, but it can spread through other means. Prevention measures include using insect repellents, wearing long clothing, and minimizing outdoor activities during times when sand fly are most active.
• Schistosomiasis – Schistosomiasis, a widespread parasitic disease transmitted through freshwater snails, requires awareness and precautionary actions. Prevention involves refraining from activities in contaminated water and wearing protective clothing. Early recognition of symptoms like fever and seeking medical attention are paramount for timely diagnosis and intervention, minimizing the severity of schistosomiasis-related complications and improving health outcomes.