Travel Immunizations


Traveling to Asia comes with some health considerations for an American living in Norway.

Over the Christmas holiday, I went to a U.S. company called Passport Health, as well as used the Norwegian and United Kingdom websites to check their recommendations. I found the Norwegian site to be an easy to use summary for regions, while the UK site had more details per country.

It’s been a while (unclear) amount since I had any vaccines or boosters, even for those things recommended for anyone regardless of travel (such as tetanus). For everyone, always, the recommendation seems to be:

  • Tetanus, Diphtheria, and Pertussis (Whooping Cough)
  • Polio

For India, China, and most of Southeast Asia, the basic/strongest recommendations seem to be:

  • Hepatitis A
  • Typhoid

And the following to be considered:

  • Cholera
  • Hepatitis B
  • Japanese Encephalitis
  • Tick-borne Encephalitis
  • Rabies

Also, there’s Malaria. No vaccine, but drugs to take.

Interestingly, some vaccines recommended by Norway and the UK are unapproved in the states, such as Tick-borne encephalitis and Cholera. Yellow Fever appears to be the only vaccine which some countries demand proof of immunization from when entering the country, but only from areas where there is a real risk which doesn’t include my current itinerary.

I decided on the following:

  • Get up to date on Tetanus, Diphtheria, Pertussis, and Polio (DtaP-IPV)
  • This year’s flu
  • Hepatitis A (already have Hepatitis B)
  • Typhoid
  • Japanese Encephalitis
  • Rabies (if something happens,  the consequences are pretty bad)

My malaria treatment (doxycycline, once a day while I am at risk) will also help with cholera.

It all costs a bit of money! I think about $700 USD total. Interestingly, the rabies vaccine is available in the states for about $900 alone, so getting it in Norway will save a bundle… but I am having problems finding it. I am left wondering if the market is working correctly. :)


    • Hi! I actually just used my normal fastlege. They didn’t have rabies, and in fact I never did find it, but they had Japanese Encephalitis in stock. I also got some in America at Passport Health. But I guess I would try your normal doctor first!

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