1. + Let’s take a vacation!!! By: Michelle Sousa SNC-4M1

2. +  Indonesia  Thailand  Laos  Cambodia  Burma  Vietnam Vacation Destination: East Asia

3. + Travel vaccination coverage & cost’s  unfortunately travel insurance is NOT covered in Canada by OHIP (The Ontario health insurance plan) so you will need to pay additional costs (between 15-50$) in order to receive vaccines before vacationing to your destination.  Vaccinations should be provided 3-10 weeks before your vacation  vaccines that are recommended by health physicians before going on vacation.  thyroid  Polio  yellow fever  hepatitis A+B  Rabies  MMR  Tetanus-Diphtheria

4. + Laos VaccineRecommendations Hepatitis AEvery travelers is recommended to get this. TyphoidFor travelers eating/drinking in restaurants outside the resorts. Yellow-feverFor travellers arriving from yellow fever affected areas i.e. Africa or America. Not recommended otherwise. Japanese encephalitisTravelers who spend more than a month in rural areas, or short stay but, a lot of time spent outdoors. Hepatitis BRecommended to all travelers. RabiesTravelers who spend a lot of time outdoors, or a high risk of animal bites. Measles, mumps, rubella (MMR)Two doses recommended. Tetanus-DiphtheriaVaccination recommended ever 10 years.

5. + Cambodia VaccineRecommendations Hepatitis A+BEvery travelers is recommended to get this. TyphoidFor travelers eating/drinking in restaurants outside the resorts. Yellow-feverFor travellers arriving from yellow fever affected areas i.e. Africa or America. Not recommended otherwise. Japanese encephalitisTravelers who spend more than a month in rural areas, or short stay but, a lot of time spent outdoors. PolioOne-time booster. RabiesTravelers who spend a lot of time outdoors, or a high risk of animal bites. Measles, mumps, rubella (MMR)Two doses recommended. Tetanus-DiphtheriaVaccination recommended ever 10 years.

6. + Poliomyelitis “polio” Poliomyelitis is a viral disease that can affect nerves and can lead to partial or full paralysis. Poliomyelitis is a disease caused by infection with the poliovirus. The virus spreads by:  Direct person-to-person contact  Contact with infected mucus or phlegm from the nose or mouth  Contact with infected feces The virus enters through the mouth and nose, multiplies in the throat and intestinal tract, and then is absorbed and spread through the blood and lymph system. The time from being infected with the virus to developing symptoms of disease (incubation) ranges from 5 - 35 days (average 7 - 14 days). Symptoms  headache  red throat  fever  sore throat  vomiting  general uneasiness  polio is given in a shot formation in the upper arm rather than the drops they use to have. First two does 1-2 months apart, 3 rd dose 6-12 months apart.paralysis.

7. + Yellow-fever “yellow jack” Yellow fever is a disease caused by a virus that is transmitted by the bite of an infected mosquito. It gets its name from the yellowing of the skin and eyes (jaundice) that occurs when the virus attacks the liver. Yellow fever can be prevented by a vaccine. Many yellow fever infections are mild, but the disease can cause severe, life-threatening illness. Symptoms of severe infection are high fever, chills, headache, muscle aches, vomiting, and backache. After a brief recovery period, the infection can lead to shock, bleeding, and kidney and liver failure. Liver failure causes jaundice (yellowing of the skin and the whites of the eyes), which gives yellow fever its name. This vaccine is covered by OHIP (Ontario health insurance plan)

8. + japanese encephalitis- Japanese encephalitis is a viral disease spread by mosquitoes from infected animals (usually pigs and wading birds) to humans. Since the mosquito that carries the virus breeds in flooded rice fields and pools of water, most human infections occur in rural, agricultural areas in Asia (although occasional cases have been reported from urban locations). About 50,000 cases are reported each year in Asia. However, only a small number of cases have occurred in travelers.  Not covered by OHIP (Ontario health insurance plan)  Mild infections occur without apparent symptoms other than fever with headache. More severe infection is marked by quick onset, headache, high fever, neck stiffness, stupor, disorientation, coma, tremors, occasional convulsions (especially in infants) and spastic (but rarely flaccid) paralysis  Vaccine doses- You pick first dose 2 nd dose 28 days after the first dose

9. + Rabies: is a deadly viral infection that is mainly spread by infected animals. Rabies is spread by infected saliva that enters the body through a bite or broken skin. The virus travels from the wound to the brain, where it causes swelling, or inflammation. This inflammation leads to symptoms of the disease. Most rabies deaths occur in children. Symptoms:  Anxiety, stress, tension  drooling  fever  Pain around the bite  loss of muscle function  seizures  excitability  Vaccine NOT covered by OHIP (Ontario health insurance plan  Dose 1: As appropriate Dose 2: 7 days after Dose 1 Dose 3: 21 days or 28 days after Dose 1

10. + Measles, Mumps, Rubella (MMR): The MMR vaccine is a three-in-one needle that protects against measles, mumps and rubella (German measles). It should be given to children soon after their first birthday and again (or second dose) at 18 months of age. Vaccination against measles, mumps and rubella is required by law for all children attending school in Ontario (unless exempted) This vaccine should also be given to adults who are not protected against measles, mumps or rubella. Pregnant women who have been told that they are not protected against rubella, should receive MMR vaccine as soon as they are no longer pregnant  Covered by OHIP

11. + Typhoid : Typhoid fever, also known as Typhoid, is a common worldwide bacterial disease, transmitted by the ingestion of food or water contaminated with the feces of an infected person, which contains the bacteria salmonella. Symptoms:  no appetite  abdominal pain  fever 104 degrees  intestine bleeding  sweating  Vaccine is not covered by OHIP.

12. + Tetanus-Diphtheria: Tetanus or lockjaw is a serious disease that can happen if dirt with the tetanus germ gets into a cut in the skin. Tetanus germs are found everywhere, usually in soil, dust and manure. It does not spread from person to person. Tetanus causes cramping of the muscles in the neck, arms, leg and stomach, and painful convulsions which can be severe enough to break bones. What is diphtheria: Diphtheria is a serious disease of the nose, throat and skin. It causes sore throat, fever and chills. It can be complicated by breathing problems, heart failure and nerve damage. Diphtheria kills about one out of every 10 people who get the disease. It is most often passed to others through andsneezing.  Symptoms: Hives, swelling of the face, trouble trouble breathing  Not covered by OHIP