What is Td ?
Td is a highly uncomfortable form of diarrhea
It is caused by various bacteria, parasites and viruses that are present in contaminated food and water
It is the most common illness that affects travellers
What are the symptoms?
Loose stools, abdominal pain, nausea, fever, dehydration and fluid and electrolyte imbalances
These complications can be very serious in children, the elderly and people with chronic diseases
How can I contract it?
Td can be contracted if you drink contaminated water or beverages containing contaminated ice cubes
Eat fruits and vegetables that have been washed in contaminated water
Eat undercooked food
Eat hot or cold food that has been stored or served at incorrect temperatures
Where can I contract travellers diarrhea?
Td is most prevalent in developing countries
The risk is highest in Africa, Latin America, Southeast Asia and the Middle East
Depending on the season when you travel, your probability of getting Td may be as high as 60%
What vaccines are available?
Dukoral® is an oral vaccine that is approximately 67% effective for preventing Td caused by E. coli.
It is not effective against other organisms or viruses that may cause Td
Dukoral® is also 85% effective in preventing cholera
How many doses will I need?
At least 1 week apart
Will I need a booster?
Dukoral works to prevent travellers diarrhea for 3 months
After that a booster dose is needed
If you took your last dose more than 5 years ago, you will need to repeat the full series
How can I prevent Td?
Drink bottled water when possible
Boil water, use filters or water purification drops
Watch what you eat
The rule of thumb is “boil it, peel it, cook it, or forget it!”
What is the treatment for Td?
Td normally resolves on its own within a few days
Drink plenty of fluids, but avoid alcohol, caffeine and dairy products
An oral rehydration solution (ORS) will help
Bismuth subsalicylate (eg. Pepto Bismol) or loperamide (eg. Imodium) can help to manage the symptoms of TD
You may need a 1-3 day course of antibiotics for severe symptoms