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I will be traveling to Costa Rica and Chile over the next 6-12 months and spending 1-2 months in each country while I am there.

I checked the CDC website for Costa Rica and Chile, as well as the general vaccination guidelines page, and it recommends that I get vaccinated for Hepatitis A and B and Typhoid 3-4 weeks before I travel.

Is it necessary to wait, or can I get these vaccinations done now so that I have one more thing out of the way? Are travel vaccinations like "routine" vaccinations in that you just need to keep up on them every year or so, or do you really need to take them closer to when you travel?

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3 Answers 3

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The advice to get vaccinated 3-4 weeks prior to traveling should be read as "at least 3-4 weeks prior". Typically, it takes your body's immune system a little while to respond to the vaccine by creating antibodies. Thus, if you travel immediately after getting a vaccination, you may still be vulnerable to those infections.

In the case of hepatitis vaccine the protection it affords will last 10 years. So getting it a bit sooner than 4 weeks prior to travel is a non-issue. I've never heard of a vaccine that doesn't afford at least 3 years protection.

So, in summary, if it is more convenient to get your vaccinations 6 months prior to travel, then go right ahead. Just keep track of the duration of their effectiveness for future travels. You'll need to 'top them up' sooner then otherwise as a consequence.

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From the Costa Rica CDC page:

Even if you have less than 4 weeks before you leave, you should still see a health-care provider for needed vaccines, anti-malaria drugs and other medications and information about how to protect yourself from illness and injury while traveling.

Do you have to wait? Based on this statement: No you don't need to wait.

Should you wait? I would say yes. There are multiple issue with vaccines that could arise and it would be better to be in your own country if they do. Depending on which type of vaccine you have received like Attenuated one you still have a potential (however small) to develop a disease (typhoid is BTW one of them) or just have sideeffects which may look like a disease.

So unless your timeline is pressing I'd wait 4-6 weeks.

As far as "maintenance" is concerned I'd say you would need to talk to a doctor, preferably a specialist in this field.

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Thanks for the explanation. Do you recommend that I should wait until 4-6 weeks before I travel, or that I should get it done as soon as I can? –  todofixthis Apr 9 '12 at 19:01
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@Phoenix If you know that you will travel and dates too I'd say get it as soon as you can but at least 2-3 months before. –  Karlson Apr 9 '12 at 19:02
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I don't understand this answer. If you want to be in your country for residence should you suffer from any side effect, you should get the vaccine as soon as possible (i.e. not wait). Your comment clarifies it but your answer still implies otherwise. –  Relaxed May 23 at 9:35

Hep A vaccine is generally given as two shots at 0- and 6- months. Hep B vaccine is generally given as three shots, at 0-, 1-, and 6-months. The A/B combo vaccine Twinrix also follow the same schedule as the Hep B vaccine. You aren't fully covered for the normal vaccine duration unless you complete the schedule.

(There are accelerated dosage schedules if you have a real need for the vaccines, like working in a high risk area, but these are the normal schedules.)

So, you really have two options:

  1. Start the series more than 6 months before your travels, and have it all done in advance.
  2. Start the series at least one month before your travels, so you at least get the first and second Hep B shots.
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This is not entirely accurate. Getting the first Hep A shot will give you about 10 years of protection. Getting the follow-up shot, 6-12 months later, extends this to 21-27 years. As for the Hep B, it is not nearly as easy to contract it as Hep A and is generally only considered 'necessary' for travelers planning to stay a long time (over 6 months) or are considered 'at-risk' (likely to encounter blood, e.g. health professionals). The three dose shot you mention will however give lifetime protection so it is worth getting if you travel frequently to areas at risk for Hep B. –  Kris Apr 10 '12 at 15:52
    
@Kris, thanks for the additional detail. I wasn't aware the first Hep A shot gave such long protection since I missed my second shot and the doctor advised me that I needed to start over... clearly no urgency on that one! –  smackfu Apr 10 '12 at 15:54

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