Kenya

Immunisation, vaccine and travel advice for Kenya.

MALARIA

1. All areas except Nairobi & highlands above 2500m:

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).

2. Nairobi & higlands above 2500m:

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

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.Consider immunisation for travellers without access to safe food and water and those visiting friends and relatives, 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 put them at increased risk, including those who are staying with or visiting the local population, frequent and/or long-stay travellers to areas where sanitation and food hygiene are likely to be poor, those with existing medical conditions such as liver disease or haemophilia, men who have sex with men, people who inject drugs, those who may be exposed to the virus through their work, and those going to areas of hepatitis A outbreaks who have limited access to safe water and medical care.

Polio
All travellers should have completed a polio vaccination course according to the UK schedule. A booster dose of a polio-containing vaccine is recommended for those who have not received a dose within the previous 10 years.

Meningitis ACWY
Vaccination recommended for travellers whose activities or medical condition put them at increased risk, including healthcare workers, travellers visiting friends and relatives, those who live or travel ‘rough’ such as backpackers, long-stay travellers who have close contact with the local population, those with complement disorders and those who do not have a functioning spleen.

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.

Yellow fever
Vaccination is recommended for travellers aged 9 months and older (including those travelling to Tsavo East, Tsavo West, and Masai Mara game reserves, and Lake Nakuru national park), except as mentioned below.

Vaccination is generally not recommended for travel only to the entire North Eastern province, the states of Kilifi, Kwale, Lamu, Malindi and Tana river in Coastal province (including Shimba Hills national park), and the cities of Nairobi and Mombasa, but could be considered for a small subset of travellers to such areas 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.

- 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 Kenya page on travelhealthpro.org.uk for full details.


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