Travel to New Caledonia and Dependencies – general guide. Please, see your GP for an individual travel vaccination schedule.
Disease
Vaccine
Main constituents
Dose
Primary schedule
Booster recommendations
Recommended Vaccination to be taken
Influenza
Various
15 µg haemagglutinin of 2 current influenza A and 1 influenza B strains
0.5 mL
Single dose
As different strains circulate from year to year, annual vaccination with the current formulation is necessary.
Tetanus, diphtheria (dT)
- pertussis (dTpa)
ADT Booster
Boostrix
or
Adacel
≥20 IU tetanus toxoid, ≥2 IU diphtheria toxoid
≥20 IU tetanus toxoid, ≥2 IU diphtheria toxoid, purified antigens of B. pertussis
0.5 mL
0.5 mL
Provides protection for 10 years.
Providing pertussis (as well as tetanus and diphtheria) immunity is preferred.
Hepatitis A
Avaxim
Havrix 1440
VAQTA Adult
160 EIA U inactivated HAV antigen
1440 EIA U inactivated HAV antigen
50 U inactivated HAV antigen
0.5 mL
1 mL
1 mL
0, 6 to 12 months
0, 6 to 12 months
0, 6 to 18 months
All probably give life-long immunity.
Vaccination advised in Special Circumstances
Yellow fever
Stamaril
Live attenuated yellow fever virus
0.5 mL
Single dose
10-yearly boosters if at ongoing risk.
Hepatitis B
Engerix-B
H-B-VAX II
20 µg hepatitis B surface antigen protein
10 µg hepatitis B surface antigen protein
1 mL
1 mL
0, 1, 6 months, or
0, 1, 2, 12 months,or
† 0, 7, 21 days, and 12 months
0, 1, 6 months
A completed series probably gives life-long immunity.
Holiday in resorts or towns
Resort hotels will normally be regularly checked and monitored by managers and tour operators. But in recent years, there has been a marked change in the type of destination people are travelling to – with the week in the Costa Del Sol becoming a holiday in Goa or Pattaya. Low prices of flights and last-minute bargains have made far-flung destinations more accessible – but travellers are often under the impression that such places carry no more travel health risks than a week in the Med.
Late presentation
Travellers often sacrifice travel health preparation in the pursuit of last-minute bargains – and sometimes think there is no point consulting a travel clinic at all in such circumstances. But it is always worth seeing a doctor or nurse, even at short notice. There will be time to get malaria protection, although there may be insufficient time to have all the recommended vaccines – particularly if protection is needed against hepatitis B.
Sunburn
Sea, sun, beaches and swimming pools often feature high in travellers’ priorities. But there are real risks to over-exposure to the sun.
Reflection of ultraviolet radiation from water or sand increases the burning power of the sun.
It is risky to sunbathe at midday – when sunlight is most intense.
Tropical sun is more intense and has greater burning power than Mediterranean sun.
Winter holidays are particularly high-risk, since a skin’s natural tanning will be at its lowest, reducing its level of sun protection.
Unfamiliar destinations
Travellers often fail to adjust their behaviour to avoid risks.
Road traffic is often more dangerous and less regulated than in the UK
Unfamiliar customs may lead to anger and conflict.
Low-cost alcohol can encourage increased consumption – with all its attendant risks
Travellers may not always be aware of the risks of crime or personal injury.
Food and drink
Different diets and standards of food hygiene can pose problems.
Actions
The traveller should
take out comprehensive travel insurance covering all pre-existing conditions.
consult at a travel clinic for advice, especially for long haul-destinations and last minute bookings. Do not rely on recommendations listed in brochures.
respect the sun take time to acclimatise, get used to the surroundings, food and local customs
avoid driving until or unless they are comfortable with road conditions.
avoid excessive consumption of alcohol, especially if they are unwell or dehydrated.
