Dominican Republic

Malaria and travel vaccination advice for Dominican Republic.

MALARIA

1. All areas except Santiago & Santo Domingo:

There is a low risk of malaria. Advise mosquito bite avoidance.

2. Cities of Santiago & Santo Domingo:

There is no risk of malaria. Advise mosquito bite avoidance.

Special risk groups

In low risk areas, antimalarials may be considered in exceptional circumstances for travellers who are at higher risk of malaria (such as long term travellers visiting friends and relatives), or of severe complications from malaria (such as the elderly [>70 years], the immunosuppressed, those with complex co-morbidities, pregnant women, infants and young children).

Travellers with an absent or poorly functioning spleen should be dissuaded from travel to any area with risk of malaria, but where travel is essential awareness, rigorous bite avoidance and antimalarials should be advised.

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 whose activities put them at increased risk, including those at risk due to their work (eg, health workers or those working with animals), those travelling to areas where access to post-exposure treatment and medical care is limited, those planning higher risk activities such as running or cycling, and long-stay travellers.

Cholera
Vaccination recommended for travellers whose activities or medical history put them at increased risk, including aid workers and travellers those going to areas of cholera outbreaks who have limited access to safe water and medical care.

Tetanus
After a complete primary course of five doses, booster doses are only recommended for travellers whose last dose was more than 10 years ago, and who are travelling to countries where medical care may not be readily accessible.

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 Dominican Republic page on travelhealthpro for full details.


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