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Northern Mariana Islands (Australasia)

Advice for All Destinations Immunisations Malaria Other Health Risks

Advice for All Destinations

If you're planning to travel outside the UK, your travel health needs will depend on your individual situation. You’ll have to consider:

  • your destination
  • how long you'll stay
  • what you’ll be doing
  • your general health.

Where possible you should consult with your travel healthcare practitioner 6-8 weeks in advance of travel. If your trip is sooner, contact them anyway, they may still be able to help. They will assess your particular health risks before giving preventative advice, recommending vaccines and /or antimalarial tablets.

Many of the health problems experienced by travellers cannot be prevented by vaccinations and other measures need to be taken. The consultation allows the  opportunity to discuss important travel health risks including safe food and water, accident prevention, sun exposure, insect bites and animal bites.

If you will be travelling with medication (including over the counter medication) you should check for any restrictions on medications before you travel, you can do this by contacting the embassy of the country you're visiting.

Ensure you have travel insurance and are fully covered for medical emergencies including repatriation. For Travel Safety Advice you should visit the UK Foreign and Commonwealth Office website.

A worldwide list of travel clinics, run by members of the International Society of Travel Medicine is available on their website

Immunisations

  • 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; Tetanus; Typhoid.
  • Selectively advised vaccines - only for those individuals at highest risk: none.
  • No yellow fever vaccination certificate required for this country.

Notes on the diseases mentioned above

  • Diphtheria spread person to person through respiratory droplets. Risk is higher if mixing with locals in poor, overcrowded living conditions.
  • Hepatitis A 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 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.

  • Tetanus 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 spread mainly through consumption of contaminated food and drink. Risk is higher where access to adequate sanitation and safe water is limited.

Malaria

  • Malaria not normally present unless the illness was contracted abroad.

Other Health Risks

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

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