Travel Vaccines and Advice for South Africa

• Typhoid – Typhoid, caused by Salmonella Typhi, is primarily transmitted through tainted food and water. Protection against this disease involves vaccination combined with good hygiene and careful food consumption.
• Cholera – Cholera is an acute diarrheal illness caused by Vibrio cholerae bacteria. It primary spreads through contaminated food or water. The cholera vaccine provides effective protection against this potentially life-threatening disease. It is recommended for travelers to regions with poor water and sanitation or where cholera is present.
• Hepatitis A – Hepatitis A is a contagious liver infection caused by the hepatitis A virus, typically spread through ingestion of contaminated food or water, or close contact with an infected person. Symptoms include fatigue, stomach pain, and jaundice. The hepatitis A vaccine provides effective prevention against the virus. It is administered in a series of shots, usually starting in childhood, and is recommended for travel to areas with high infection rates.
• Chikungunya – Chikungunya is a viral disease transmitted by infected mosquitoes and can also spread through other means like blood transfusion. To prevent it, use mosquito repellents or wear protective clothing. Vaccination is available and considered the best form of protection.
• Rabies – Rabies, a deadly viral infection, spreads through the saliva of infected animals via bites or scratches. Timely vaccination is crucial to prevent the disease in humans. Pre-exposure vaccination is recommended for high-risk individuals, while post-exposure prophylaxis is essential after potential exposure.
• Hepatitis B – The hepatitis B vaccine is a vital tool in the prevention of this liver infection, recommended for all travelers and essential for healthcare workers and those at higher risk of exposure.
• Measles, Mumps, Rubella (MMR) – Measles, mumps, and rubella are contagious viral infections, causing various symptoms and complications. To prevent them, vaccination is key. The MMR vaccine, given in two doses, safeguards against all three diseases and helps establish herd immunity, reducing the risk of outbreaks.

Most of South Africa is low risk for malaria. But, the border areas near Mozambique and Zimbabwe are considered high risk for infection. This includes Kruger National Park, a very popular tourist destination.

Malaria in South Africa is chloroquine resistant, be sure to speak with a travel health specialist on which antimalarial is best for your trip.

Prevent bug bites by wearing long clothing and using EPA-registered insect repellents like DEET or picaridin. Be mindful of bug-prone hours and secure your sleeping space with nets and screens. If bitten, clean the affected area, avoid scratching, and consider over-the-counter treatments, while promptly seeking medical attention for severe symptoms.

When traveling, prioritize food safety with CDC’s advice: consume fully cooked foods, avoid raw seafood, and pick clean eateries. Opt for bottled drinks, exercise caution with ice, and practice responsible alcohol consumption. Prevent travelers’ diarrhea by maintaining good hand hygiene and avoiding street food in unsanitary conditions.

Altitude sickness, characterized by symptoms like headaches and fatigue, occurs at high elevations due to oxygen deficiency. To prevent it, ascend gradually, hydrate sufficiently, and consider medication. If symptoms emerge, promptly descend to lower altitudes for recovery.

• African Tick-Bite Fever – African Tick-Bite Fever (ATBF) spreads through tick bites. Protect yourself by wearing long clothing, applying insect repellent, and conducting thorough tick checks. Consult healthcare providers for options before traveling to affected areas.
• Avian/Bird Flu – Avian flu, a contagious virus affecting birds and humans, can be prevented through poultry vaccination, enhanced biosecurity on farms, proper poultry handling and cooking, vigilant outbreak surveillance, and public education on the virus and its transmission.
• Crimean-Congo Hemorrhagic Fever – Crimean-Congo Hemorrhagic Fever is transmitted by ticks and can also spread from person to person through contact with infected bodily fluids. Preventative measures include tick bite prevention, healthcare worker precautions, and research towards a potential vaccine.
• Rift Valley Fever – Rift Valley Fever (RVF) is a zoonotic virus transmitted by mosquitoes and contact with infected animals. Preventing RVF involves mosquito control, safe animal handling, and vaccination of livestock, along with public health education to raise awareness.
• Schistosomiasis – Schistosomiasis, caused by parasitic flatworms, is prevalent in areas with contaminated freshwater sources. Prevention involves staying out of potentially infected waters and using protective clothing. Recognizing symptoms such as fever and seeking medical help promptly is crucial for diagnosis and treatment.