Vaccination and endemic disease preparation in India — Dengue, malaria, typhoid fever prevention, mosquito measures

To conclude, if you enter the country by direct flight from Korea,In principle, there are no mandatory vaccinations required by law when entering India.. The only exception is yellow fever. Travelers aged 9 months or older who depart from countries with yellow fever risk, such as Africa, Central and South America, or who stay or transit for more than 12 hours in such countries, must present a valid, internationally recognized yellow fever vaccination certificate (ICVP, 10 days after vaccination) when entering India. Failure to submit one may result in quarantine for up to 6 days. However, ‘not required’ and ‘not necessary’ are completely different things. If you are staying for a long time, it is safe to take the vaccines below in the recommended order.

Where and when should I get it right?

• During the vaccineSomething that needs to be administered multiple timesTherefore, start planning your vaccination at least 4 to 6 weeks before departure.
• Vaccination is available at public health centers and general hospital travel medicine clinics (international travel clinics). Organizations handling each item can be found on the Korea Disease Control and Prevention Agency website.
• After vaccinationEnglish vaccination certificatePlease have it issued together. This is useful when vaccination records are requested for medical treatment at Indian hospitals or for international school admission documents.

By far the endemic disease with the greatest perceived risk in Delhi NCR isdengue feverno see. dengueAedes mosquitoes and Aedes mosquitoes that are active during the dayIt is carried by mosquitoes, and these mosquitoes live in areas such as flower pot holders or water tanks even in urban apartment complexes.stagnant waterIt breeds in. The season is approx.From the second half of the monsoon to immediately after (July to November), the peak occurs in October to November (in many years, November is the peak depending on the year).During this period, the number of dengue patients and quarantine news appear almost every day in the Delhi area news.

If you have these symptoms, suspect dengue.

• suddenHigh fever of 38 to 40 degrees
• severe headache andpain behind the eye
• Muscle pain and joint pain that can be described as ‘feeling like a broken bone’
• Rash that starts on the torso and spreads
• in blood testsDecreased platelet count

There is no special medicine for dengue, so the basic treatment isHydration and restno see. Antipyretics are a mustParacetamol (acetaminophen)It should only be used,Aspirin and ibuprofen should be avoided as they may increase the risk of bleeding. Most people recover within 1 to 2 weeks, but soon after the fever subsidesSevere abdominal pain, persistent vomiting, gum and nose bleedingIf the same warning signs appear, it may progress to severe dengue, so immediatelyLarge private hospital emergency roomYou have to go to . There are many different serotypes of dengue, so getting sick once does not provide complete immunity.Re-infection can make things more seriousPlease also remember that: Although the dengue vaccine is approved in some countries, it is not yet universally administered in India, so if you are interested, please check official channels and local hospitals for the latest information.

MalariaIsSpotted wing mosquito (Anopheles) active at nightmoves. The risk of malaria in urban areas of Delhi NCR is relatively low compared to rural and eastern parts of India, but the story is different during the monsoon season or when frequent business trips or travel to regional areas are observed.Antimalarial drugs (antimalarial drugs)is a prescription drug, and the appropriate drug varies depending on the region, period, and health condition of your stay, so if you are planning a long-term business trip to a rural area, consult with a travel medicine specialist before leaving the country. repeated periodicallyChills → high fever → sweatingIt is characterized by a pattern, and can be confirmed using a blood smear test or rapid diagnostic kit in hospitals and diagnostic labs. It is a highly treatable disease if diagnosed early, so the key is not to delay testing when there are suspicious symptoms.

Chikungunyais a disease transmitted by Aedes mosquitoes, like dengue, and its season overlaps with dengue. with high feverPain in joints, such as wrists and ankles, is particularly severe and lasts a long time.This is a characteristic, and joint pain may persist for several weeks even after the fever subsides. Treatment, like dengue, is based on symptomatic therapy.

All three diseases are difficult to distinguish from 'severe body aches' in the early stages, so if you have a fever during the season, a blood test is more important than self-diagnosis.

Along with mosquito-borne diseases, two of the biggest challenges of life in India areWater-borne and food-borne diseasesno see. The representative one isTyphoidandHepatitis ABoth are transmitted through contaminated water and food. Typhoid fever is different from colds.Fever continues to rise in steps over several daysIt is characterized by abdominal pain, headache, and loss of appetite. It is a disease that requires antibiotic treatment, so if you suspect it, you should get tested at a hospital. Buying antibiotics from a pharmacy on your own should be avoided due to the risk of resistance.

What's important isYou shouldn’t let down your guard just because you’ve been vaccinated.The point is. The preventive effect of the typhoid fever vaccine is not 100%, and the hygiene rules below are the basic line of defense regardless of vaccination.

• Drinking waterSealed bottled water or RO purified waterIt is safe to use only water and to brush your teeth with the same water.
• In restaurants where food stalls or hygiene is not checked,iceAvoid drinks containing this. Ice is often made with tap water.
• The fruit isSomething you can eat by peeling it yourselfIt is safer to choose and avoid pre-cut fruit and raw vegetable salads.
• The food isFully cooked and freshly cookedThe rule is to eat . Menu that is cooked to order is better than food that has been heated for a long time like at a buffet.
• Make it a habit to wash your hands and use portable hand sanitizer after going out and before eating.

These rules also overlap with the prevention of traveler's diarrhea, also known as 'Delhi Belly'. Even if the intestines adapt as the water change period passes, it is recommended to maintain the basic principles of water, ice, and raw vegetables.

The only way to prevent dengue and chikungunya without a vaccine is ultimatelyWhat doesn't biteno see. When you live in the area, you realize the saying that controlling mosquitoes is equal to managing your health. You can take care of everything by dividing the measures into three levels: inside the house, going out, and seasonal management.

Inside the house – blocking breeding grounds is half the problem

• From looking for a houseAre there mosquito screens on all windows?Check, and if not available, discuss with your landlord about installation before moving in. It is not difficult to call a local insect screen installation company.
• Flower pot holder, air cooler water tank, empty container on veranda, rooftop water tankEmpty or change the water accumulated in the back once a week. Aedes mosquitoes breed in very little water, and some local governments, such as Delhi, go out of their way to check mosquito breeding sites in homes during the monsoon season.
• Indoors, things like Good Knight and All OutLocal liquid electronic fumigatoris universal and readily available in supermarkets and online.
• In the bedroommosquito netThis is most definitely true. We recommend installation throughout the season, especially for children's beds.

Going Out — Times and Avoidance

• repellentDEET (approximately 20-50%) or picaridin ingredientThis is the standard. You can either bring it in advance from Korea, or get a popular repellent cream like Odomos from your local pharmacy. For children, the recommended concentration varies depending on age, so consult your pediatrician.
• Dengue mosquitoes are active during the day.Early morning and sunset outdoor activitiesBe especially careful during the season, and wear long sleeves and long pants in parks and gardens during the season.

Season — Post-monsoon is the real season

After the rain stops, stagnant water increases.From late monsoon to around NovemberThis is the peak of mosquito-borne diseases. Compared to the rainy season, the first halfmonsoon season in indiaPlease refer to it as it is summarized in the article.

The sense of fever in India must be different from that in Korea. This is because in Korea, you might pass it off as 'I'm just sick,' but in India during the heat season, you have to keep in mind the possibility of dengue, malaria, and typhoid fever. The response sequence shared by local Koreans is generally as follows.

1. First 24-48 hours— Reduce the fever with paracetamol, drink plenty of fluids, and monitor the patient’s progress. Because the possibility of dengue cannot be ruled out.Do not use aspirin or ibuprofenThis is safe.
2. If fever persists for more than 48 hours or is accompanied by pain behind the eyes, rash, or severe joint pain— Get a blood test done at a hospital outpatient clinic or diagnostic lab. In Indian hospitals and large diagnostic labs,CBC (blood count), dengue NS1 antigen test, malaria testIt is common to prescribe in bundles, and large labs also operate a home collection service where blood is collected at home.
3. When dengue is confirmed— Follow your doctor's instructions to track your platelet count regularly, and if warning signs such as severe abdominal pain, persistent vomiting, or bleeding appear, go to the emergency room immediately.

Large private hospitals such as Max, Fortis, Apollo, and Medanta have a lot of experience dealing with patients with fever during the season, so they are able to conduct tests and provide prompt treatment. Tips for choosing a hospital and using the emergency roomGuide to using hospitals in IndiaPreparation of over-the-counter medications such as paracetamol and oral rehydration salt (ORS)How to use Indian pharmaciesWe have summarized it in detail. If you have paracetamol, ORS, and a thermometer on hand in advance, the initial response to fever will be much calmer. Check before the season whether everyone in your family knows your company's group insurance card, policy number, and the location of the nearest hospital.