Thailand - Fit for Travel (2024)

Advice for All Destinations Vaccinations Malaria Malaria Map Other Health Risks Alerts News

Vaccinations

• Confirm primary courses and boosters are up to date as recommended for life in Britain - including for example, seasonal flu vaccine (if indicated), MMR, vaccines required for occupational risk of exposure, lifestyle risks and underlying medical conditions.
• Courses or boosters usually advised: none.
• Other vaccines to consider: Diphtheria; Hepatitis A; Hepatitis B; Rabies; Tetanus; Typhoid.
• Selectively advised vaccines - only for those individuals at highest risk: Japanese Encephalitis.

• Yellow fever vaccination certificate required for travellers aged 9 months or over arriving from countries with risk of yellow fever transmissionand for travellers having transited more than 12 hours through an airport of a country with risk of yellow fever transmission.

Notes on the diseases mentioned above

• Diphtheria:&nbsp spread person to person through respiratory droplets. Risk is higher if mixing with locals in poor, overcrowded living conditions.
• Hepatitis A:&nbsp spread through consuming contaminated food and water or person to person through the faecal-oral route.

  Risk is higher where personal hygiene and sanitation is poor.

  Risk is highest for those with underlying medical conditions where there is increased risk of severe disease e.g. chronic liver/kidney disease; haemophiliacs; men who have sex with men; people who inject drugs.

• Hepatitis B:&nbsp spread through infected blood and blood products, contaminated needles and medical instruments and sexual intercourse.

  Risk is higher for long stays, frequent travel and for children (exposed through cuts and scratches), those who may require medical treatment during travel.

  Risk is highest for those with underlying medical conditions where there is increased risk of severe disease e.g. chronic liver/kidney disease; haemophiliacs; men who have sex with men; people who change partners frequently; people who inject drugs.

• Japanese Encephalitis:&nbsp spread through the bite of an infected mosquito. This mosquito breeds in rice paddies and mainly bites between dusk and dawn. Risk is highest for long stay travellers to rural areas, particularly if unable to avoid mosquito bites.
• Rabies:&nbsp spread through the saliva of infected animals (especially dogs, cats, bats and monkeys), usually through a bite, scratch or lick to broken skin. Risk is higher for those working or living in remote or rural areas (with no easy access to medical facilities), longer stay travellers, those planning on undertaking activities such as trekking, cycling or running in a 'high risk' country, those working with, or regularly handling animals or bats, as part of their job, and children.

  Urgent medical advice should be sought after any animal bite, scratch or lick to broken skin, or bat bite, even after receiving pre-travel rabies vaccine.

• Tetanus:&nbsp spread through contamination of cuts, burns and wounds with tetanus spores. Spores are found in soil worldwide. A total of 5 doses of tetanus vaccine are recommended for life in the UK. Boosters are usually recommended in a country or situation where the correct treatment of an injury may not be readily available.
• Typhoid:&nbsp spread mainly through consumption of contaminated food and drink. Risk is higher where access to adequate sanitation and safe water is limited.

Malaria

Malaria is a serious and sometimes fatal disease transmitted by mosquitoes.You cannot be vaccinated against malaria.

Malaria precautions

Malaria Map

• Malaria risk exists in the forested and hilly areas mainly towards the international borders, all year round. There is also a risk in inland areas of Surat Thani province and parts of the southern border with Malaysia. There is low to no risk in the cities of Bangkok, Chiang Mai, Chiang Rai, Mae Sot, Pattay and phu*ket, the islands of Ko Samui and Ko Chang and the River Quai bridge area.
• Malaria precautions are essential. Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
• Check with your doctor or nurse about suitable antimalarial tablets.
• See malaria map – additional information can be found by clicking on the Regional Information icon below the map.
• High risk areas:atovaquone/proguanil OR doxycycline is advised throughout the year.
• Low to no risk areas: antimalarials are not usually advised.
• If you have been travelling in a malarious area and develop a fever seek medical attention promptly. Remember malaria can develop even up to one year after exposure.
• If travelling to an arearemote from medical facilities, carrying standby emergency treatment formalariamay be considered.

Other Health Risks

Altitude and Travel

This country has either areas with high altitude (2400m or more) or/and areas with very high altitude (3658m or more). Travellers who may go into areas of high altitude should take care to avoid ill effects of being at altitude including Acute Mountain Sickness, a potentially life-threatening condition. For further information see Altitude and Travel.

Dengue Fever

A viral illness that is transmitted to humans by mosquito bites. The mosquito that spreads dengue bites during the day and is more common in urban areas. Symptoms include fever, headache, severe joint, bone and muscular pain - hence its other name 'breakbone fever'. There is no vaccine and prevention is through avoidance of mosquito bites. For further information see Dengue Fever.

Alerts

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