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Old 18.04.2008, 12:19
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Check to ensure you are vaccinated

http://newsvote.bbc.co.uk/2/hi/health/7352490.stm
a timely warning I saw on the BBC..............................
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Old 18.04.2008, 12:28
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Re: Check to ensure you are vaccinated

While we are on the subject of vaccinations......


Ticks seem to be next on the cards for western europe.


I had a map showing the affected areas (giant red blobs from russia and spreading fast) but alas i cannot find it anymore.
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Old 18.04.2008, 12:43
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Re: Check to ensure you are vaccinated

Hi

This web site with a map shows the areas of high risk of ticks in switzerland.

www.zecken.ch

If you are going to get vaccinated then start now as it is a 3 month process to get the set of 3 vaccines required.
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Old 15.05.2008, 21:59
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Re: Check to ensure you are vaccinated

Two weeks ago while biking I got bitten by a tick, and didn't notice it until two days latter. After doing some research, if you are likely to be exposed to ticks, I think it is a good idea to get vaccinated.

There is a lot of good information available here:
http://www.ispm-unibasel.ch/uploads/news/ticks_climate%20change.pdf [1].

Quick summary based on link above: Ticks can carry a viral infection; tick borne encephalitis (TBE), and a bacterial infection; Lyme Borreliosis.

TBE: "The Federal Office of Public Health reported a risk of TBE-infection after a tick bite in an endemic area of 1:1000 [1]". See [1] above for information on endemic areas (or the link posted by CK7).

Lymes: "The Federal Office of Public Health (BAG) reports a risk of Lyme Borreliosis after a tick bite of about 1:100 [1]".

The bacterial infection isn't too bad (provided it's noticed early on) because generally it is easily identifiable by a rash and can be treated with antibiotics. It's the viral infection that you need to be careful of, as it can led to permanent disability or even death (TBM has a 1% death rate) and there is no specific treatment. Prevention is the key - hence vaccination.

After being in the forest, or in rural areas examine for ticks. They can be found either visually or you can feel for them using your finger tips. My one was about the size of a small pea, head buried, dark black body sticking out and legs wiggling - lovely.

If you find one I would suggest going to the doctors where they can remove them using special tweezers, and examine the bite site. A nurse mentioned to me: "what you don't want to do is squeeze the blood back in". If you have been bitten don't worry too much as the risk of infection is relatively low and the doctor can give you good advice.

Interestingly, in Switzerland Tick bites are also covered under unfallversicherung (accident insurance).

Disclaimer: I'm not a doctor, just someone that got bitten by one of these nasty little animals.
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Old 15.05.2008, 22:17
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Re: Check to ensure you are vaccinated

My family have all been vaccinated against ticks because we go to the forest alot, you need to have 3 jabs the after the first 1 jab, you have to wait 1 month then have the second 1, then wait 10 months for the 3rd jab then you are protected for 10 years. I would just like to say it is worth to get the jabs to protect yourselfs against the ticks, but your arm can be painful the next day, and you cannot move your arm, i did not know this when i had my jabs so i just wanted to warn you, i hope this does not put people off from having the jabs
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Old 15.05.2008, 22:38
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Re: Check to ensure you are vaccinated

Just to help those who are planning to have their children done, You can ask for a Emla (?spelling) patch which will numb the area so it does not hurt. Pick it up from the doctor, get them to explain where it needs to be stuck on and put on 1 hour before the injection is due. The area will be numb and the injection pain free. It helps with the children as they will remember for the 2nd and 3rd injection what it felt like. Just a side note, the gule that is used to stick the patch on is very sticky, so I cut off as much area as I could and used a piece of normal skin tape to hold it in place. It may seem like a lot of hassle, but in my experience worth it.
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Old 16.05.2008, 14:54
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Re: Check to ensure you are vaccinated

We need to get ourselves vaccinated against TBE - although Vaud is relatively safe, we're likely to be doing lots of orienteering in "problem" areas. Is it simple to get this done? We're not yet registered with a doctor, hence my confusion. And any ideas how much it may cost?
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Old 16.05.2008, 15:03
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Re: Check to ensure you are vaccinated

As a nurse, I am PRO medicine. I get vaccinations (except the flu one) and fully support most things.

That said, I think that the article was published just to scare people into getting vaccinated. Like the article states, they have a goal of 2010 to reach. We used tactics like this all the time in Chicago at the public health center. Run an article on TB, and boom, everyone is popping up to get tested. Just the outcome we wanted.


Again, love the vaccine, not saying you shouldn't get it. Just making an observation that the article was a bit over the top in making it out to be a potential epidemic. Which, in an open air setting, in the wrong season for measles, it is not.

Now, I was unaware of a shot for lyme disease......cool.
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Old 16.05.2008, 15:12
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Re: Check to ensure you are vaccinated

Im getting my 1st ticks vaccination this afternoon as well as a tetanus jab. Lucky the doctor is walking distance from me so that i wont have to drive with one arm. I cant wait for my dead arm .
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Old 16.05.2008, 17:33
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Re: Check to ensure you are vaccinated

Just got back, im not sure what all the fuss is about, i had a jab in each arm and feel fine.
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Old 16.05.2008, 17:37
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Re: Check to ensure you are vaccinated

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As a nurse, I am PRO medicine. I get vaccinations (except the flu one) and fully support most things.
I'm planning a trip to Kerala, India in November. What sorts of vaccinations would you suggest I get?
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Old 16.05.2008, 17:42
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Re: Check to ensure you are vaccinated

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Just to help those who are planning to have their children done, You can ask for a Emla (?spelling) patch which will numb the area so it does not hurt. Pick it up from the doctor, get them to explain where it needs to be stuck on and put on 1 hour before the injection is due. The area will be numb and the injection pain free. It helps with the children as they will remember for the 2nd and 3rd injection what it felt like. Just a side note, the gule that is used to stick the patch on is very sticky, so I cut off as much area as I could and used a piece of normal skin tape to hold it in place. It may seem like a lot of hassle, but in my experience worth it.
The injection itself does not hurt, it could hurt the next day everybody as a different reaction e.g after our 1st injection our arms did not hurt the day after, after the 2nd and 3rd injections our arms did hurt the day after, a friend of ours had the opposite.
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Old 16.05.2008, 17:51
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Re: Check to ensure you are vaccinated

not sure what the thread has to do with football/sports but anyway.. my cat keeps coming in with ticks on it - can they jump off and attack me when i least expect it?
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Old 16.05.2008, 17:58
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Re: Check to ensure you are vaccinated

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not sure what the thread has to do with football/sports but anyway.. my cat keeps coming in with ticks on it - can they jump off and attack me when i least expect it?
I don`t think so, i would remove them from your cats with twizzers though
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Old 16.05.2008, 17:59
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Re: Check to ensure you are vaccinated

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As a nurse, I am PRO medicine. I get vaccinations (except the flu one) and fully support most things.

That said, I think that the article was published just to scare people into getting vaccinated. Like the article states, they have a goal of 2010 to reach. We used tactics like this all the time in Chicago at the public health center. Run an article on TB, and boom, everyone is popping up to get tested. Just the outcome we wanted.


Again, love the vaccine, not saying you shouldn't get it. Just making an observation that the article was a bit over the top in making it out to be a potential epidemic. Which, in an open air setting, in the wrong season for measles, it is not.

Now, I was unaware of a shot for lyme disease......cool.
According to www.zecken.ch there is no vaccination against Lyme disease in Switzerland only against Frühsommer-Meningoenzephalitis Virus (Tick-borne encephalitis, or TBE). Both my children have had the tick vaccination as they both spend a lot of time out in the woods. I haven't had it yet but after my son came home with a tick, I considering it.
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Old 16.05.2008, 18:01
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Re: Check to ensure you are vaccinated

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I'm planning a trip to Kerala, India in November. What sorts of vaccinations would you suggest I get?
Go to the doctors asap, and tell them, because you cannot have all the injections together, and tell them where you are going, and they will give you the right injections at the right time, some injections need to be taken a certain amount of time before you go to the country you are going to.

Have a good trip, and come back safe
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Old 16.05.2008, 18:02
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Re: Check to ensure you are vaccinated

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You can ask for a Emla (?spelling) patch which will numb the area so it does not hurt.
It also comes in a cream form that I find a little easier to use.
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Old 16.05.2008, 18:16
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Re: Check to ensure you are vaccinated

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I'm planning a trip to Kerala, India in November. What sorts of vaccinations would you suggest I get?
Sutter nailed it. Go now. FYI, Malaria is HUGE there. And I don't know about CH, but I know that in the US you need to be able to show documentation of certain vaccinations upon re entry from certain countries if asked. ( I know of this only happening once btw). It may be a good idea to carry the documents out and back in with you once you get them. Generally, you get a card.

For recomended vaccinations, CDC
Sorry it not the WHO, I'm not quite up to par with western European medicine yet. (It's totally different, but this is not the thread for that.) But it's the basic idea.
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Old 16.05.2008, 18:19
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Re: Check to ensure you are vaccinated

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Go to the doctors asap, and tell them, because you cannot have all the injections together, and tell them where you are going, and they will give you the right injections at the right time, some injections need to be taken a certain amount of time before you go to the country you are going to.

Have a good trip, and come back safe
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Sutter nailed it. Go now.

Thanky ou so much! I'm so glad you told me. I will make an appointment ASAP.
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Old 16.05.2008, 20:23
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Re: Check to ensure you are vaccinated

Avoid Lariam (anti-malaria) if you can, especially if you are a woman. The men in our group seemed to get nice dreams, the women horrible nightmares.

Lariam is known to cause psychological issues like hallucinations, depression and worse. Hence I am posting as there should be alternatives.
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