TRAVEL HEALTH ADVICE (click for general advice)

GUAM

• Confirm primary courses and boosters are up to date as recommended in the vaccination schedule - including vaccines given to special groups because of risk exposure or complications (e.g. hepatitis B for health care workers, influenza and pneumococcal vaccines for the elderly).
• Courses or boosters usually advised: tetanus; hepatitis A; typhoid.
• Vaccines sometimes advised: tuberculosis; hepatitis B; diphtheria; poliomyelitis.
• No vaccine certificate required.

Notes on the diseases mentioned above

• Tetanus is contracted through dirty cuts and scratches and poliomyelitis spread through contaminated food and water. They are serious infections of the nervous system.
• Typhoid and hepatitis A are spread through contaminated food and water. Typhoid causes septicaemia and hepatitis A causes liver inflammation and jaundice. In risk areas you should be immunised if good hygiene is impossible.
• Tuberculosis is most commonly transmitted via droplet infection. Those going to countries where it is common, especially those mixing closely with the local population and those at occupational risk, e.g. health care workers, should ensure that they have previously been immunised. Check with your doctor or nurse.
• Diphtheria is also spread by droplet infection through close personal contact. Vaccination is advised if close contact with locals in risk areas is likely.
• Hepatitis B is spread through infected blood, contaminated needles and sexual intercourse, It affects the liver, causes jaundice and occasionally liver failure. Vaccination is recommended for those at occupational risk (e.g. health care workers), for long stays or frequent travel to medium and high risk areas, for those more likely to be exposed such as children (from cuts and scratches) and those who may need surgical procedures.

Malaria - See Map

• Malaria - See Map not normally present unless the illness was contracted abroad.