Dengue vaccine for foreigners/travelers
in Thailand: Should I get it?
โ€ข A new type of dengue fever vaccine can be administered to both children and adults aged between 4 and 60 years.
โ€ข The vaccine prevents dengue fever from all serotypes at a rate of 80.2% and in preventing hospitalization at a rate of 90.4%.
โ€ข Simple and convenient to administer, requiring only 2 doses spaced 3 months apart. It can be given whether or not an individual has previously had dengue fever, eliminating the need for prior immunity screening.
โ€ข It is recommended that individuals who have recovered from dengue fever wait for a minimum of 6 months before receiving the dengue fever vaccine.
โ€ข The vaccine is safe, and the observed side effects are generally mild, such as localized pain at the injection site, headaches, and muscle pain. These side effects mostly resolve on their own within 1-3 days.
Reinfection can lead to more
severe symptoms
If a second infection with the dengue virus occurs from a serotype different from the first infection, it may increase the risk of experiencing more severe symptoms. This is because a second infection triggers an immune response to the previously encountered serotype, which is not effective at preventing the disease. This allows the dengue virus to spread more easily, leading to increased severity of symptoms, meaning a second infection is more likely to result in more severe symptoms than the initial infection.
Which groups are advised to receive
a dengue fever vaccine?
Dengue fever can infect individuals of all genders, ages, and backgrounds. It has been observed that children and adults are equally at risk of developing severe dengue fever. For anyone residing in a country with dengue fever outbreaks, receiving the vaccine is a recommended way to protect oneself from this disease.
Things to know before getting
the Dengue Fever vaccine
Avoid getting vaccinated while having a fever or feeling unwell. Avoid getting vaccinated during pregnancy or while breastfeeding. It is recommended to wait at least 4 weeks between getting the Dengue Fever vaccine and other vaccines. Common side effects include pain, redness, swelling, and itching at the injection site, muscle pain, headache, and low-grade fever.
Understanding Allergies
Allergies occur when your immune system reacts to a foreign substance, such as pollen, pet dander, or certain foods, that is typically harmless to most people. These substances are known as allergens. When exposed to an allergen, your immune system releases chemicals like histamines, leading to symptoms that can range from mild to severe.
What are the common symptoms of traveler's diarrhea?
โ€ข Sneezing
โ€ข Runny or stuffy nose
โ€ข Itchy or watery eyes
โ€ข Skin rashes or hives
โ€ข Shortness of breath
โ€ข Swelling of the lips, tongue, or throat
In some cases, allergies can trigger asthma or lead to a life-threatening reaction known as anaphylaxis, which requires immediate medical attention.
Comprehensive Allergy Investigation
At MHCP, we offer a thorough allergy investigation to accurately identify the allergens causing your symptoms. Our comprehensive approach includes:
1. Detailed Medical History and Physical Examination: We begin with a detailed medical history and physical examination to understand your symptoms, their frequency, and any potential triggers. This information helps us tailor the investigation to your specific needs.
2. Blood Tests: Blood tests, such as the Immuno CAP test, measure the levels of specific IgE antibodies in your blood. This test can identify a wide range of allergens and is particularly useful for patients with skin conditions that prevent skin testing. a
Personalized Allergy Treatment
Once we have identified the allergens affecting you, we develop a personalized treatment plan to manage and alleviate your symptoms. Our treatment options include:
1. Avoidance Strategies: The most effective way to manage allergies is to avoid exposure to known allergens. We provide practical advice on how to minimize exposure to allergens in your environment.
2. Medications: We may prescribe medications such as antihistamines, decongestants, or corticosteroids to relieve allergy symptoms. For asthma triggered by allergies, inhalers or other asthma medications may be necessary.
3. Emergency Action Plans: For patients at risk of severe allergic reactions, we provide emergency action plans and prescribe epinephrine auto-injectors to ensure prompt treatment in case of anaphylaxis.
Ongoing Support and Education
At MHCP , we believe in empowering our patients with the knowledge and tools they need to manage their allergies effectively. We offer ongoing support and education to help you understand your condition and make informed decisions about your health.
Contact Us
If you are experiencing allergy symptoms, donโ€™t let them disrupt your life. Contact MHCP today to schedule a comprehensive allergy investigation and start your journey towards better health and well-being. Our dedicated team is here to provide you with the expert care and personalized treatment you need to live allergy-free.
By focusing on your individual needs and using the latest diagnostic and treatment methods, MHCP is committed to helping you achieve lasting relief from allergies. Trust us to be your partner in health.
What causes travelers' diarrhea?
The most common cause of traveler's diarrhea is ingestion of contaminated food or water. This can happen when consuming raw or undercooked meat, seafood, fruits, or vegetables, or when drinking untreated water or beverages with ice made from contaminated water. Poor hygiene practices, such as inadequate handwashing, can also contribute to the spread of the infection.
The most common causative agent is enterotoxigenic Escherichia coli (ETEC). Other pathogens can cause travelers' diarrhea such as campylobacter, salmonella, shigella, vibrio spp., and many kinds of intestinal parasites.
What are the common symptoms of traveler's diarrhea?
The onset of travelers' diarrhea usually occurs within the first week of travel, but it may occur at any time while traveling. It also can occur shortly after you get home.
Symptoms of traveler's diarrhea can vary but typically include:
Frequent, loose, or watery stools
Abdominal cramps, Nausea and vomiting, Fever, Blood in the stool (less common)
Symptoms usually begin suddenly and can range from mild to severe, lasting anywhere from a few days to a week or more.
The most common causative agent is enterotoxigenic Escherichia coli (ETEC). Other pathogens can cause travelers' diarrhea such as campylobacter, salmonella, shigella, vibrio spp., and many kinds of intestinal parasites.
What is the natural course of disease?
Even without treatment, travelers' diarrhea usually subsides with in 2-5 days. Most cases are mind. Some cases may having dehydration, fatigue, and high grade fever, may required hospitalization. The primary treatment for traveler's diarrhea is oral rehydration therapy to replace lost fluids and electrolytes. Over-the-counter medications such as loperamide (Imodium) can help reduce the frequency of diarrhea but should be used with caution and never use these drugs if you have fever or mucous-bloody stool. Medical consultation is needed.
The most common causative agent is enterotoxigenic Escherichia coli (ETEC). Other pathogens can cause travelers' diarrhea such as campylobacter, salmonella, shigella, vibrio spp., and many kinds of intestinal parasites.
Prevention of Traveler's Diarrhea
Preventing traveler's diarrhea is possible by following these tips:
โ€ข Drink only bottled or boiled water, or water that has been treated with chlorine or iodine tablets.
โ€ข Avoid ice cubes and beverages made with tap water.
โ€ข Eat only thoroughly cooked foods and avoid raw or undercooked meat, seafood, fruits, and vegetables.
โ€ข Wash your hands frequently with soap and water, especially before eating or preparing food, and after using the bathroom.
When to Seek Medical Attention?
Most cases of traveler's diarrhea resolve on their own with rest and hydration. However, you should seek medical attention if you experience severe symptoms such as persistent vomiting, high fever, or bloody stools, as these could be signs of a more serious infection that requires medical treatment.
Common Marine Animals
That Cause Stings
Jellyfish:Jellyfish stings can vary in severity, depending on the type of jellyfish and the personโ€™s sensitivity to the venom. Symptoms may include pain, redness, itching, and swelling at the site of the sting.
Stingrays: Stingrays have a sharp, barbed stinger on their tails that can cause puncture wounds. Stingray stings can be extremely painful and may lead to swelling, bleeding, and infection.
Sea Urchins: Sea urchin spines can puncture the skin, leading to pain, swelling, and possibly infection. In some cases, fragments of the spine may remain embedded in the skin.
Fire Coral: Fire coral is a type of marine organism that can cause a burning sensation and rash upon contact with the skin.
Symptoms of a Marine Animal Sting
โ€ข Pain or burning sensation at the site of the sting
โ€ข Redness, swelling, and itching
โ€ข Rash or welts
โ€ข Nausea and vomiting
โ€ข Muscle cramps or spasms
โ€ข Difficulty breathing or swallowing (in severe cases)

In some cases, allergies can trigger asthma or lead to a life-threatening reaction known as anaphylaxis, which requires immediate medical attention.
Treatment for a Marine Animal Sting
If you are stung by a marine animal, follow these steps for treatment:
โ€ข Remove the Stinger: If there is a visible stinger, carefully remove it with tweezers or the edge of a credit card. Do not use your fingers, as this can push the stinger deeper into the skin.
โ€ข Clean the Wound: Wash the affected area with soap and water to remove any remaining venom or debris.
โ€ข Apply a Cold Pack: Apply a cold pack or a cloth soaked in cold water to reduce pain and swelling.
โ€ข Seek Medical Attention: If the pain is severe, the sting is from a dangerous marine animal (such as a box jellyfish or a Portuguese man oโ€™ war), or if you have symptoms of an allergic reaction (such as difficulty breathing), seek medical attention immediately.
Prevention of Traveler's Diarrhea
Preventing traveler's diarrhea is possible by following these tips:
โ€ข Drink only bottled or boiled water, or water that has been treated with chlorine or iodine tablets.
โ€ข Avoid ice cubes and beverages made with tap water.
โ€ข Eat only thoroughly cooked foods and avoid raw or undercooked meat, seafood, fruits, and vegetables.
โ€ข Wash your hands frequently with soap and water, especially before eating or preparing food, and after using the bathroom.
Prevention of Marine Animal Stings
To reduce the risk of being stung by a marine animal, follow these tips:
โ€ข Avoid swimming in areas where jellyfish or other stinging marine animals are known to be present.
โ€ข Wear protective footwear (such as water shoes) when walking on rocky shores or coral reefs.
โ€ข Be cautious when handling marine animals, and do not touch them unless you are familiar with the species and know it is safe to do so.
What causes travelers' diarrhea?
The most common cause of traveler's diarrhea is ingestion of contaminated food or water. This can happen when consuming raw or undercooked meat, seafood, fruits, or vegetables, or when drinking untreated water or beverages with ice made from contaminated water. Poor hygiene practices, such as inadequate handwashing, can also contribute to the spread of the infection.
The most common causative agent is enterotoxigenic Escherichia coli (ETEC). Other pathogens can cause travelers' diarrhea such as campylobacter, salmonella, shigella, vibrio spp., and many kinds of intestinal parasites.
What are the common symptoms of traveler's diarrhea?
The onset of travelers' diarrhea usually occurs within the first week of travel, but it may occur at any time while traveling. It also can occur shortly after you get home.
Symptoms of traveler's diarrhea can vary but typically include:
Frequent, loose, or watery stools
Abdominal cramps, Nausea and vomiting, Fever, Blood in the stool (less common)
Symptoms usually begin suddenly and can range from mild to severe, lasting anywhere from a few days to a week or more.
The most common causative agent is enterotoxigenic Escherichia coli (ETEC). Other pathogens can cause travelers' diarrhea such as campylobacter, salmonella, shigella, vibrio spp., and many kinds of intestinal parasites.
What is the natural course of disease?
Even without treatment, travelers' diarrhea usually subsides with in 2-5 days. Most cases are mind. Some cases may having dehydration, fatigue, and high grade fever, may required hospitalization. The primary treatment for traveler's diarrhea is oral rehydration therapy to replace lost fluids and electrolytes. Over-the-counter medications such as loperamide (Imodium) can help reduce the frequency of diarrhea but should be used with caution and never use these drugs if you have fever or mucous-bloody stool. Medical consultation is needed.
The most common causative agent is enterotoxigenic Escherichia coli (ETEC). Other pathogens can cause travelers' diarrhea such as campylobacter, salmonella, shigella, vibrio spp., and many kinds of intestinal parasites.
Prevention of Traveler's Diarrhea
Preventing traveler's diarrhea is possible by following these tips:
โ€ข Drink only bottled or boiled water, or water that has been treated with chlorine or iodine tablets.
โ€ข Avoid ice cubes and beverages made with tap water.
โ€ข Eat only thoroughly cooked foods and avoid raw or undercooked meat, seafood, fruits, and vegetables.
โ€ข Wash your hands frequently with soap and water, especially before eating or preparing food, and after using the bathroom.
When to Seek Medical Attention?
Most cases of traveler's diarrhea resolve on their own with rest and hydration. However, you should seek medical attention if you experience severe symptoms such as persistent vomiting, high fever, or bloody stools, as these could be signs of a more serious infection that requires medical treatment.
Common Marine Animals
That Cause Stings
Jellyfish: Jellyfish stings can vary in severity, depending on the type of jellyfish and the person's sensitivity to the venom. Symptoms may include pain, redness, itching, and swelling at the site of the sting.
Stingrays: Stingrays have a sharp, barbed stinger on their tails that can cause puncture wounds. Stingray stings can be extremely painful and may lead to swelling, bleeding, and infection.
Sea Urchins: Sea urchin spines can puncture the skin, leading to pain, swelling, and possibly infection. In some cases, fragments of the spine may remain embedded in the skin.
Fire Coral: Fire coral is a type of marine organism that can cause a burning sensation and rash upon contact with the skin.
Symptoms of a Marine Animal Sting
โ€ข Pain or burning sensation at the site of the sting
โ€ข Redness, swelling, and itching
โ€ข Rash or welts
โ€ข Nausea and vomiting
โ€ข Muscle cramps or spasms
โ€ข Difficulty breathing or swallowing (in severe cases)
In some cases, allergies can trigger asthma or lead to a life-threatening reaction known as anaphylaxis, which requires immediate medical attention.
Treatment for a Marine Animal Sting
If you are stung by a marine animal, follow these steps for treatment:
โ€ข Remove the Stinger: If there is a visible stinger, carefully remove it with tweezers or the edge of a credit card. Do not use your fingers, as this can push the stinger deeper into the skin.
โ€ข Clean the Wound: Wash the affected area with soap and water to remove any remaining venom or debris.
โ€ข Apply a Cold Pack: Apply a cold pack or a cloth soaked in cold water to reduce pain and swelling.
โ€ข Seek Medical Attention: If the pain is severe, the sting is from a dangerous marine animal (such as a box jellyfish or a Portuguese man o' war), or if you have symptoms of an allergic reaction (such as difficulty breathing), seek medical attention immediately.
Prevention of Marine Animal Stings
To reduce the risk of being stung by a marine animal, follow these tips:
โ€ข Avoid swimming in areas where jellyfish or other stinging marine animals are known to be present.
โ€ข Wear protective footwear (such as water shoes) when walking on rocky shores or coral reefs.
โ€ข Be cautious when handling marine animals, and do not touch them unless you are familiar with the species and know it is safe to do so.
Understanding Allergies
Allergies occur when your immune system reacts to a foreign substance, such as pollen, pet dander, or certain foods, that is typically harmless to most people. These substances are known as allergens. When exposed to an allergen, your immune system releases chemicals like histamines, leading to symptoms that can range from mild to severe.
What are the common symptoms of traveler's diarrhea?
โ€ข Sneezing
- Runny or stuffy nose
- Itchy or watery eyes
- Skin rashes or hives
- Shortness of breath
- Swelling of the lips, tongue, or throat
In some cases, allergies can trigger asthma or lead to a life-threatening reaction known as anaphylaxis, which requires immediate medical attention.
Comprehensive Allergy Investigation
At MHCP, we offer a thorough allergy investigation to accurately identify the allergens causing your symptoms. Our comprehensive approach includes:
1. Detailed Medical History and Physical Examination: We begin with a detailed medical history and physical examination to understand your symptoms, their frequency, and any potential triggers. This information helps us tailor the investigation to your specific needs.
2. Blood Tests: Blood tests, such as the Immuno CAP test, measure the levels of specific IgE antibodies in your blood. This test can identify a wide range of allergens and is particularly useful for patients with skin conditions that prevent skin testing.
Personalized Allergy Treatment
Once we have identified the allergens affecting you, we develop a personalized treatment plan to manage and alleviate your symptoms. Our treatment options include:
1. Avoidance Strategies: The most effective way to manage allergies is to avoid exposure to known allergens. We provide practical advice on how to minimize exposure to allergens in your environment.
2. Medications: We may prescribe medications such as antihistamines, decongestants, or corticosteroids to relieve allergy symptoms. For asthma triggered by allergies, inhalers or other asthma medications may be necessary.
3. Emergency Action Plans: For patients at risk of severe allergic reactions, we provide emergency action plans and prescribe epinephrine auto-injectors to ensure prompt treatment in case of anaphylaxis.
Ongoing Support and Education
At MHCP , we believe in empowering our patients with the knowledge and tools they need to manage their allergies effectively. We offer ongoing support and education to help you understand your condition and make informed decisions about your health.
Contact Us
If you are experiencing allergy symptoms, don't let them disrupt your life. Contact MHCP today to schedule a comprehensive allergy investigation and start your journey towards better health and well-being. Our dedicated team is here to provide you with the expert care and personalized treatment you need to live allergy-free.
By focusing on your individual needs and using the latest diagnostic and treatment methods, MHCP is committed to helping you achieve lasting relief from allergies. Trust us to be your partner in health.
Dengue vaccine for foreigners/travelers
in Thailand: Should I get it?
โ€ข A new type of dengue fever vaccine can be administered to both children and adults aged between 4 and 60 years.
โ€ข The vaccine prevents dengue fever from all serotypes at a rate of 80.2% and in preventing hospitalization at a rate of 90.4%.
โ€ข Simple and convenient to administer, requiring only 2 doses spaced 3 months apart. It can be given whether or not an individual has previously had dengue fever, eliminating the need for prior immunity screening.
โ€ข It is recommended that individuals who have recovered from dengue fever wait for a minimum of 6 months before receiving the dengue fever vaccine.
โ€ข The vaccine is safe, and the observed side effects are generally mild, such as localized pain at the injection site, headaches, and muscle pain. These side effects mostly resolve on their own within 1-3 days.
Reinfection can lead to more
severe symptoms
If a second infection with the dengue virus occurs from a serotype different from the first infection, it may increase the risk of experiencing more severe symptoms. This is because a second infection triggers an immune response to the previously encountered serotype, which is not effective at preventing the disease. This allows the dengue virus to spread more easily, leading to increased severity of symptoms, meaning a second infection is more likely to result in more severe symptoms than the initial infection.
Which groups are advised to receive
a dengue fever vaccine?
Dengue fever can infect individuals of all genders, ages, and backgrounds. It has been observed that children and adults are equally at risk of developing severe dengue fever. For anyone residing in a country with dengue fever outbreaks, receiving the vaccine is a recommended way to protect oneself from this disease.
Things to know before getting
the Dengue Fever vaccine
Avoid getting vaccinated while having a fever or feeling unwell. Avoid getting vaccinated during pregnancy or while breastfeeding. It is recommended to wait at least 4 weeks between getting the Dengue Fever vaccine and other vaccines. Common side effects include pain, redness, swelling, and itching at the injection site, muscle pain, headache, and low-grade fever.