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?
Two. At least 1 week apart
Will I need a booster?
Yes 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 3-5 day course of antibiotics for severe symptoms