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Travelling to Nepal brings its own adventures and challenges. There's lots to organise and think about particularly the shots for Nepal you might need. Nepal is a land of contrasts. It’s famous for its treks in the Himalayas but it’s also home to the beautiful lowland Terai region that spans from East to West along its southern border. It's this region that’s a haven for wildlife enthusiasts. The Terai region has the Chitwan and Bardia national parks where you can go on guided safaris to see the greater one-horned rhino, langurs or even the more elusive Bengal tiger. This diverse terrain and environment creates an extensive list of Nepal vaccine requirements. Of course, you may not take part in all the possible activities and so your risks may vary. Typhoid and hepatitis A are core vaccines needed for Nepal. You should also make sure that you are up to date with all your childhood vaccinations, such as your measles, mumps and Rubella vaccine (MMR vaccine) , tetanus, diphtheria and polio. It's likely you'll be going to more remote areas where there's little access to medical help. For this reason we may also recommend rabies, hepatitis B and cholera. Other possible injections needed for Nepal include Japanese encephalitis especially in the Terai region where it's more common. As we've already discussed, you may well be trekking to fairly remote areas where medical facilities might be quite limited, so it's probably a good idea to think about travellers' diarrhoea and how to manage it. We would recommend taking the following: 1. Oral rehydration salts (ORS) such as Dioralyte 2. Loperamide (Imodium) if you have severe diarrhoea and you need to slow things down for travelling 3. A reserve supply of antibiotics for travellers diarrhoea – we can advise and prescribe this for you Finally, you also need to know about altitude sickness and how to manage this (see our top tip below) So as you can see, what you need really depends on what you do and for how long you stay. To help you, we have created a useful guide to give you an indication of the vaccines needed for Nepal in the table below.
What travel vaccinations do I need for Nepal?
Dr Ravi Gowda, Consultant in Infectious Diseases or one of his highly trained clinical colleagues will be looking after your vaccine requirements. Find out more about the Health Klinix team.
Who will be providing your travel injections for Nepal?
"Nepal is a trekker's paradise and it's renowned for its high altitude destinations, such as Everest base camp (5,554m) and the Annapurna circuit (5,416 m). So although your vaccines for Nepal are important, you do need to take acute mountain sickness seriously.
You can develop altitude sickness from a height of 2,800 metres above sea level, so there is definitely a risk in Nepal. Make sure you acclimatise slowly and consider altitude sickness tablets, which we can provide. If you’re not sure what to do, please ask us for advice."
Dr Gowda's top tip for travel to Nepal
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Frequently asked questions
Typhoid lasts 3 years but Hepatitis A will last for 25 years after the primary course of two doses. If you decide to have a course of rabies vaccination, the manufacturer recommends a booster every 3-5 years.
Please note: you will need to book a travel consultation before we can administer travel vaccinations and this costs £30 (1 person).
You should start getting your vaccinations 4 - 6 weeks before you leave but if you've left it late then it’s still worth having last minute vaccines.
Most of the vaccines are well tolerated. Any side effects (like injection sites soreness) are usually mild and get better within a day or two.
Most inactivated travel vaccinations can be given in pregnancy but you will need a specialist travel health assessment by an expert
Yes, most vaccines can be given but some will require reduced doses.
Yes, definitely. In fact you should make sure you’re fully vaccinated according to recommendations as you are more likely to have severe infections.
You’re generally at low risk of malaria in Nepal and we would usually only recommend bite avoidance. However, you may belong to a vulnerable group (elderly, have underlying health problems, etc) or be staying for long periods in rural areas and therefore in some cases we may still recommend you take malaria tablets. For specialist travel health advice call Health Klinix.
Recommended malaria tablets for Nepal
If you’re in a high risk health category, you might need malaria tablets, so we’ve created a helpful table as a guide below. Although you may not need malaria tablets in Nepal, it’s still important that you are aware of the risk of malaria and make sure you avoid mosquito bites by using insect repellent and sleeping under mosquito nets.
Malaria risk map for Nepal
Travelhealthpro.co.uk
Thankfully you’re not at risk of Thankfully you’re not at risk of yellow fever in Nepal as transmission only occurs in two continents; ie Central and South America, and parts of Africa. Take a look at these yellow fever risk areas for more details.
and incredible mountain landscapes. As the home of Mount Everest, the world's highest peak, it’s a popular destination for adventurous travellers seeking to explore around the Himalayas. Two popular hikes are the Everest Base Camp at an altitude of 5,554 metres and the Annapurna circuit. The Annapurna circuit is a 190 kilometre trek around the Annapurna range of mountains and peaks on the Thorong La pass at an altitude of 5,416 metres. Travellers to Nepal can look forward to a range of other activities, including mountaineering, wildlife watching, and cultural tours. The country is home to numerous national parks and nature reserves, which offer opportunities to see rare and exotic wildlife, such as tigers, rhinos, and snow leopards. Nepal is also a diverse and multicultural country, with a rich history and vibrant traditions that are reflected in its art, music, and cuisine. One thing is for sure, whatever you do, it’s important that you travel safely and so we recommend you contact us for advice on all your Nepal vaccine requirements.
All about Nepal
Additional health advice and risks for Nepal
You may also be at risk of the following diseases:
Although there is no risk of yellow fever in Nepal, there may still be a vaccine certificate requirement. For yellow fever vaccine certificate requirements for Nepal we recommend visiting the World Health Organization.
Nepal vaccine certificate requirements
Authors:
Dr Ravi Gowda, Consultant in Infectious Diseases and Travel Medicine
MBBS, MRCP(UK), DTM&H, MRCGP, DCH, DRCOG, DFFP
Caitlin Lancaster, BSc
Resources: