Sao Tome and Principe

Malaria and travel vaccination advice for Sao Tome and Principe.

MALARIA

There is a high risk of malaria.

Recommended adult regimen:

Mefloquine 250mg weekly. Begin 2-3 weeks before travel to affected area and continue for four weeks after leaving. 

or

Doxycycline 100mg daily. Begin one to two days before travel to affected area and continue for four weeks after leaving.

or

Atovaquone 250mg plus proguanil 100mg daily (Malarone). Begin one to two days before travel to affected area and continue for seven days after leaving.

Alternative regimen:

Healthcare professionals only may check with the National Travel Health Network and Centre (NaTHNaC) on 0845 6026712 (Mon, Fri, 9.00-11.00am & 1.00-2.00pm; Tue, Wed, Thur, 9.00-11.00am & 1.00-3.30pm; closed on Bank Holidays).

VACCINATIONS

Travellers should be up to date with routinely recommended vaccinations according to the routine UK immunisation programme.

Typhoid
Vaccination recommended for travellers whose activities put them at increased risk, including those visiting friends and relatives, those in contact with an infected person, young children, long-stay travellers, and those visiting areas of poor sanitation.

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).

Yellow fever
Vaccination is generally not recommended, but could be considered for a small subset of travellers (aged 9 months and older) who are at increased risk for exposure because of:

  • Prolonged travel
  • Heavy exposure to mosquito bites
  • Inability to avoid insect bites

International Certificate of Vaccination or Prophylaxis (ICVP) required if arriving from a country with a risk of yellow fever transmission or having transited through an airport of a risk country.

- applies to travellers from 12 months of age.

If a receiving country requires an ICVP as a condition of entry, and the individual should not receive the vaccine on medical grounds, a letter of medical exemption can be considered.

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.

Tuberculosis
Vaccination recommended for travellers at increased risk of developing severe disease and/or of exposure to TB, including unvaccinated children under 16 years of age who are going to live for more than 3 months in this country and unvaccinated, tuberculin skin test negative individuals under 35 years of age at risk because of their work (eg, healthcare workers, prison staff and vets).

FURTHER INFORMATION

Abbreviated information provided by the National Travel Health Network and Centre (NaTHNaC). Refer to the Sao Tome and Principe page on travelhealthpro.org.uk for full details.


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