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Dominican Republic - Central America and the Caribbean
Central America, Malaria

By a journey to Dominican Republic on 6 months or longer recommend protection against the following infections:



Diphtheria
Diphtheria is a serious throat infection, which infects from person-to-person through the air. The vaccination should be less than 10 years old otherwise a booster is needed.
Read more about diphteria here.

Tuberkulosis
The vaccine against tuberculosis, BCG, is recommended to people stationed in high-risk areas for more than 6 months, who have not been previously vaccinated. The vaccine contains live bacteria which produces a small wound, as well as scar after healing. The whole process takes 4 to 8 weeks.
Read more about tuberculosis here.

Hepatitis A (infectious hepatitis)
Infectious hepatitis infects through contaminated food and water. Vaccination consists of two injections about 12 months apart, which protects for up to 25 years. The first vaccination protects for 12 months. 
Read more about hepatitis A here.
The hepatitis A vaccine can be combined with the vaccine against hepatitis B

Hepatitis B
Hepatitis B infects through blood, sexual activities and, in small children, through saliva. The vaccination consists of 2 vaccinations about 4 weeks apart and a third 6 months later. The protection is for at least 25 years perhaps life long. 
Read more about hepatitis B here.
The hepatitis B vaccine can be combined with the vaccine against hepatitis A.

Rabies
The vaccination consists of 3 injections at day 0, 7 and 28 and must therefore start 4 weeks before departure. Vaccination protects for 5 years. If exposed to rabies, the "post-exposure" vaccinations are reduced from five to two if immunized before being bitten with 3 injections. 
Read more about rabies here.

Tetanus
Tetanus is a complication to wounds contaminated by soil. If there has been a vaccination within the past 10 years it is not necessary to give a booster in case of wounds and accidents. Tetanus vaccinations are usually given in combination with diphtheria vaccine. If you are previously vaccinated, the vaccine can be given right up to departure.

Typhoid
Typhoid is the most serious of the Salmonella infections. There are two types of vaccine: 
1. Vaccine for injection,  one  vaccination protect up to 3 years. 
2. A live vaccine in capsules, which is swallowed. Three capsules are taken 2 days apart and provide protection for a year.
Read more about typhoid here.
Read more about diarrhoea here.

Malaria
There is considerable risk of malaria and prophylaxis is recommended. Chloroquine alone is appropriate in this area. Protection against mosquito bites will reduce the risk further. The distribution of malaria can be seen at the map below.
Read more about malaria here.

The information on malaria risk in individual countries are based on the sources found here


Recommended vaccinationsStarting

Diphtheria1 day
Tuberkulosis6 weeks
Hepatitis A (infectious hepatitis)1 week
Hepatitis B3 - 4 weeks
Rabies4 weeks
Tetanus1 day
Typhoid1 week
Malaria7 days


V
6 weeks
When to start vaccinations before leaving::