VACCINATIONS
Travellers should be up to date with routinely recommended vaccinations according to the routine UK immunisation programme.
Typhoid
Vaccination could be considered for travellers whose activities put them at increased risk, including those visiting friends and relatives, and frequent or long-stay travellers to areas where sanitation and food hygiene are likely to be poor.
Hepatitis A
Vaccination recommended for all previously unvaccinated travellers. Hepatitis A vaccine is well tolerated and affords long-lasting protection.
Hepatitis B
Vaccination recommended for travellers whose activities or medical history put them at increased risk, including those who may have unprotected sex, those who may be exposed to contaminated needles (eg, through injecting drug use or receiving medical or dental care), those who may be exposed to blood or body fluids through their work (eg, health workers), long-stay travellers, those who are participating in contact sports and families adopting children from this country.
Rabies
Vaccination recommended for travellers who are at increased risk due to their work (eg, health workers or those working with animals).
Tetanus
Travellers should have completed a primary vaccination course according to the UK schedule. If travelling to a country where medical facilities may be limited, a booster dose of a tetanus-containing vaccine is recommended if the last dose was more than ten years ago even if five doses of vaccine have been given previously.
Further information
Abbreviated information provided by the National Travel Health Network and Centre (NaTHNaC). Refer to the American Samoa page on travelhealthpro.org.uk for full details.



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