Vaccin ou pas contre la rage au Sri Lanka?
by Fegasju
This discussion is in French, the community’s main language.
Original post
Bonjour,
Nous partons en juillet pour 3 semaines avec nos trois enfants (3, 6 et 10 ans). Notre parcours devrait inclure le nord et l'est du Sri Lanka... Le toubib de la consultation voyageur nous a conseillé le vaccin contre la rage pour les enfants. Je sais que le sujet des vaccins est vaste, il y a ceux qui sont contre, ceux qui sont pour... Je ne suis pas sûre que celui-ci soit nécessaire mais, forcément, comme il s'agit des enfants... J'aurais besoin de vos expériences : vaccin ou pas pour les enfants ? Le risque est-il important ? Nous voyagerons en train et/ou bus, GH petit budget.
Merci d'avance !
Bonjour,
Résident au Sri Lanka, je n'ai jamais entendu parler de rage, même s'il y a beaucoup de chiens errants. A titre personnel, nous ne sommes pas vacciné contre la rage, Je pense que le vaccin serait à faire en cas de morsure, par précaution. D'une façon générale il n'y a pas de problème de santé particulier au Sri Lanka, excepté les moustiques. Pour ces derniers prévoir répulsif, manches longues le soir et toujours bien fermer sa moustiquaire avant de dormir. En cas de problèmes, les services de santé sont disponibles et efficaces, soit gratuit pour les services publiques (même avec les étrangers) soit très peu cher dans le domaine libéral (une consultation environ 1000 Rs). Amicales salutations
Résident au Sri Lanka, je n'ai jamais entendu parler de rage, même s'il y a beaucoup de chiens errants. A titre personnel, nous ne sommes pas vacciné contre la rage, Je pense que le vaccin serait à faire en cas de morsure, par précaution. D'une façon générale il n'y a pas de problème de santé particulier au Sri Lanka, excepté les moustiques. Pour ces derniers prévoir répulsif, manches longues le soir et toujours bien fermer sa moustiquaire avant de dormir. En cas de problèmes, les services de santé sont disponibles et efficaces, soit gratuit pour les services publiques (même avec les étrangers) soit très peu cher dans le domaine libéral (une consultation environ 1000 Rs). Amicales salutations
Un vaccin contre la rage ne sert pas à grand chose. D'une part le risque est faible. D'autre part en cas de morsure par un animal enragé il faudra quand même faire un traitement, le vaccin atténuant les risques, mais ne les supprimant pas.
Préoccupez vous plutôt de savoir si vos vaccinations de base sont à jour, et rajoutez y les hépatites. C'est certainement ce qu'il y a de plus utile quand on voyage.
Attention ! Un grand nombre de médecins généralistes ne connaissent rien à ce problème, et donc pour ne pas se mouiller vous recommandent tout et n'importe quoi.
Attention ! Un grand nombre de médecins généralistes ne connaissent rien à ce problème, et donc pour ne pas se mouiller vous recommandent tout et n'importe quoi.
Bonjour
Résident au Sri Lanka, je n'ai jamais entendu parler de rage
Les campagnes d'information du World Rabies Day n'ont pas eu l'effet escompté, alors.... http://www.news.lk/...y-for-rabies-control
La rage , c'est environ 50 morts par an au SL depuis 5 ans (400 en 1973) Beaucoup de chiens errants (avec mise en place de refuges), mais aussi de nombreux chiens domestiques non vaccinés, responsables de contaminations humaines. On y a vacciné aussi des éléphants 😉
Pour revenir aux humains: Nous parlons d'enfants: 3 (voire 6) ans, c'est l'âge le plus dangereux:
- risque de lésion contaminante passant inaperçue (léchage, écorchures, ...) surtout, et non signalée - pas de perception du risque des animaux - risque de blessures au visage si morsure ( plus grave sur le plan rage)
Pour un adulte ou un enfant de 10 ans, le problème est différent. A noter quand même que les immunoglobulines humaines semblent de disponibilté difficile.
Rappellons que la rage déclarée est constamment mortelle.
Résident au Sri Lanka, je n'ai jamais entendu parler de rage
Les campagnes d'information du World Rabies Day n'ont pas eu l'effet escompté, alors.... http://www.news.lk/...y-for-rabies-control
La rage , c'est environ 50 morts par an au SL depuis 5 ans (400 en 1973) Beaucoup de chiens errants (avec mise en place de refuges), mais aussi de nombreux chiens domestiques non vaccinés, responsables de contaminations humaines. On y a vacciné aussi des éléphants 😉
Pour revenir aux humains: Nous parlons d'enfants: 3 (voire 6) ans, c'est l'âge le plus dangereux:
- risque de lésion contaminante passant inaperçue (léchage, écorchures, ...) surtout, et non signalée - pas de perception du risque des animaux - risque de blessures au visage si morsure ( plus grave sur le plan rage)
Pour un adulte ou un enfant de 10 ans, le problème est différent. A noter quand même que les immunoglobulines humaines semblent de disponibilté difficile.
Rappellons que la rage déclarée est constamment mortelle.
Je trouve cette phrase irresponsable( le vaccin attenuant les risque mais ne les supprimant pas): le vaccin contre la rage est la SEULE protection contre la rage. Je pense que votre méprise vient du fait que si l'on se vaccine pour un voyage on fait les 3 premières doses et on complète la vaccination par 2 doses supplémentaires en cas de morsure.Cette première partie de vaccination permet de ne pas avoir besoin d'injecter du sérum anti rabique qui n'est de loin pas toujours disponible et pas toujours bien toléré, et permet d'être moins dans l'urgence de traitement que si l'on n'est pas vacciné. Le vaccin supprime TOTALEMENT le risque de développer la rage s'il est fait à temps, mais bien sur il ne supprime pas le risque d'être mordu
Je n'aurai pas le temps...
Sans vouloir créer de polémiques, au mois de Fevrier , j'ai rencontré deux personnes victimes de morsures de chiens errants après deux attaques sans motif .Un cas sur Haputale et l'autre à Tangalle sur la route qui longe la plage.
Bon d'un autre coté les Sl leur mènent la vie dure .
Les deux demoiselles en furent quitte pour une vaccination en rêgle avec les rappels.Les médecins consultés n'ont pas eu d'hésitation.
Cela reste deux cas en trois semaines , mais ne soyons pas naïfs ceux qui n'a pas eu un moment de doute devant un chien au Sl sont rare.
En cas de menace je ramasse une pierre et le chien comprend vite.
En tout cas j'ai vu plus de pauvres chiens couverts de galle que d'enragés....
Merci beaucoup de vos réponses ! Spontanément je dirai plutôt non à la vaccination, reste que pour les gamins la question reste posée. C'est sûr que face à un chien un tantinet agressif... A voir, on va discuter avec le médecin, même si je sais bien que le médecin préconisera la vaccination absolument.
Merci en tout cas, et je ferai un retour sur nos rencontres avec la race canine lorsque nous serons rentrés de voyage...
Bonsoir
Rien à rajouter:
Précisons que le "pas très bien toléré" du sérum antirabique concerne surtout le sérum d'origine équine (celui qui est le plus disponible au SL) que l'OMS conseille d'administrer dans un service de réanimation !!! (under adrenaline and antihistamine cover in an ICU setup ) , vu les risques allergiques....
Bonjour bonjour,
3 voyages au sri lanka et pas de vaccins anti-rabiques utilisés, je ne pense également pas que cela soit nécessaire. Après par précaution, il est préférable que les enfants ne tournent pas autour des chiens errants ou autres animaux :)
Bonne journée !
3 voyages au sri lanka et pas de vaccins anti-rabiques utilisés, je ne pense également pas que cela soit nécessaire. Après par précaution, il est préférable que les enfants ne tournent pas autour des chiens errants ou autres animaux :)
Bonne journée !
Tous mes conseils pour voyager au Sri Lanka sur mon blog Tongs et Sri Lanka !
Sur ce site d'aide aux voyageurs, il y a le détail des vaccinations nécessaires par continent ;)
Il faut bien revenir pour repartir!
Attention aux singes également qui peuvent être porteurs de microbes et dont le comportement est quelques fois incontrôlable.
À Annuradapura, Dambulla, Galle (en ville) ou d'autres sites encore, nous en avons vu par dizaines.
Bonjour,
Pour faire suite à la discussion que j'avais démarrée, et pour laquelle je vous remercie tous de vos messages, nous partons donc sans vaccin contre la rage. Le médecin de la consultation voyageur ne nous en a même pas parlé !
Nous avons fait les vaccins contre l'hépatite et la typhoïde + mise à jour des vaccins classiques.
Voilà ! Nous ferons attention aux chiens et aux singes (sans parler des moustiques !), mais de toute façon, vaccin ou pas, nous faisons toujours en sorte que les enfants ne s'approchent pas des animaux qui ne nous sont pas familiers.
Merci encore,
et bons voyages à tous !
Pour faire suite à l'appel à conseil que j'avais lancé en juin sur le vaccin contre la rage...
Nous sommes donc partis au Sri Lanka avec nos trois enfants, et sans vaccin antirabique. Tout s'est merveilleusement bien passé, nous avons rencontré vraiment beaucoup de chiens et de singes, mais pas d'agression (même si mon fiston s'est fait voler son sac de bananes par un signe gourmand qui en plus a dévoré toutes les bananes sous notre nez ! Super souvenir d'un grand éclat de rire après la première surprise passée).
Le type de voyage que nous avons fait (transport en commun et GH) ne comporte pas de risque (c'est sans doute autre chose quand on passe du temps dans les zones rurales et sur les routes en vélo ou à pied).
Merci en tout cas à tous ceux qui nous ont répondu, et bons voyages !
Si si il y a la rage, mais pour un court séjour, le vaccin n'est pas indispensable à mon sens car les cas ne sont pas nombreux, sauf si vous allez en milieu ultra rural ou que vous approchez tous les chiens sauvages qui passent ;-)
Bonne journée
Bonne journée
Tous mes conseils pour voyager au Sri Lanka sur mon blog Tongs et Sri Lanka !
Bonjour,
je confirme il y a la rage au Sri Lanka.
Je me suis fait lécher sur une plaie par un chien enragé dans l'Est du pays : expérience très angoissante.
Je conseille donc vivement à tous voyageur de se faire vacciner.
Les cas ne sont absolument pas rare, d'ailleurs la plus part des Sri Lankais sont vaccinés.
De plus les animaux qui ont la rage ne réagissent pas du tout de la même façon aux différentes menaces (bâtons, pierres...) Le chiens qui m'a mordu n'avait peur de rien, j'avais un bâton mais le chien était totalement irrationnel il ne réagissait pas du tout à la menace.
L'eau est parait-il efficace, il semblerait que les animaux contractant la rage soient hydrophobe.
J'espère que cela peut aider les personnes qui doutent.
Bonjour,
Je vais au Sri Lanka depuis 2008 et je n'ai jamais croisé de cas de rage (ni local, ni touriste). Cela existe il ne faut pas minimiser la maladie, mais elle ne court pas les rues.
Voilà ce que dit le site Conseil aux Voyageurs du Quai d'Orsay concernant les vaccinations :
VaccinationsIl est vivement recommandé ses vaccinations Diphtérie, Tétanos, Poliomyélite et Coqueluche.Il est également conseillé de se faire vacciner contre l’hépatite A et B ainsi que contre la fièvre typhoïde.Pour les séjours en zones rurales, la vaccination contre l’encéphalite japonaise et contre la rage peut être nécessaire.
Il est bien écrit "séjour dans les zones rurales".
Et ce que dit l'institut Pasteur :
Rage En cas de séjour prolongé, en situation d’isolement Enfants : dès qu’ils marchent.
Les informations sont claires et pas besoin de se faire vacciner à tout bout de champ (d'autant plus que c'est un vaccin douloureux, contraignant dans le temps et cher)
Bonne journée
Je vais au Sri Lanka depuis 2008 et je n'ai jamais croisé de cas de rage (ni local, ni touriste). Cela existe il ne faut pas minimiser la maladie, mais elle ne court pas les rues.
Voilà ce que dit le site Conseil aux Voyageurs du Quai d'Orsay concernant les vaccinations :
VaccinationsIl est vivement recommandé ses vaccinations Diphtérie, Tétanos, Poliomyélite et Coqueluche.Il est également conseillé de se faire vacciner contre l’hépatite A et B ainsi que contre la fièvre typhoïde.Pour les séjours en zones rurales, la vaccination contre l’encéphalite japonaise et contre la rage peut être nécessaire.
Il est bien écrit "séjour dans les zones rurales".
Et ce que dit l'institut Pasteur :
Rage En cas de séjour prolongé, en situation d’isolement Enfants : dès qu’ils marchent.
Les informations sont claires et pas besoin de se faire vacciner à tout bout de champ (d'autant plus que c'est un vaccin douloureux, contraignant dans le temps et cher)
Bonne journée
Tous mes conseils pour voyager au Sri Lanka sur mon blog Tongs et Sri Lanka !
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Thanks in advance, everyone.
Hi,
We’ve planned a 3-week trip to Bali this summer with our 7-year-old daughter. The itinerary includes Sanur, Nusa Lembongan, Sidemen, Amed, and Ubud. The more time passes, the more we read about people getting sick—some with mild to severe traveler’s diarrhea, and many ending up in the hospital. We, as parents, have been through it in Egypt with pretty bad cases, but we’d really like to avoid that for our daughter. Even though there’s no zero risk, and we’ll be careful, can any of you reassure me? Not everyone got sick, right? I’d love to hear positive feedback from parents, but not just them 😊. Thanks in advance!
Hi there...
I’m traveling with a friend for a month in November.
We booked our round-trip tickets from Paris to Phnom Penh, and yes, I know—it was a mistake. We should’ve flown out of Laos, but here we are.
But is it doable to backpack through both countries in a relaxed way?
I’ve seen that the transport takes a while...
Thanks so much for your replies.
Hi there,
I’ve started looking into getting dental implants, possibly in Costa Rica or Mexico.
Do you have any clinics to recommend or ones I should avoid?
For the next steps, I need to choose between Cuba Medika or Medigo—these are agencies that help with medical procedures. Do you have any info on either of them?
Thanks so much for your help!
Thanks so much for your help!
Hi everyone, a question for those who’ve been lucky enough to visit Raja Ampat—should you consider preventive malaria treatment given its proximity to Papua? And how was the food hygiene situation?
Thanks for your feedback! !
Hi there.
I’d like to know if all medications need to be declared at Uzbek customs.
E.g., antidepressants?
Thanks for your reply
For several years now, increased aggression has been observed in Cape fur seals.
At least 70 unprovoked attacks on humans.
It was recently confirmed that this is due to rabies.
The suspected origin is contamination in Namibia by jackals.
The contagion seems to be spreading.
Preventive vaccination (of the animals) is being considered.
Just a reminder:
Rabies affects all mammals.
Once symptoms appear—sometimes weeks or even months later—death is inevitable.
It’s the bite that transmits the disease.
There are so-called "furious" forms with aggression, but also forms without aggression.
In case of a bite, in addition to standard wound care, tetanus prevention… rabies prevention is essential.
Stay careful out there…
Seeing seals from a boat along the coast isn’t rare in these parts…
I need 2 dental implants and I'd like to get them done abroad (it's a question of price).
Thanks for helping me with my search (Turkey, Spain, Romania???)
Can you tell me if you're satisfied with the services provided by Dentist Miguel at Club Amigo in Holguin? I'd like to go there in mid-December. Is it worth the trip to get dental prosthetics done?
Thanks for getting back to me... Michelle from Quebec
Hello,
I’m looking for a dentist who can do a full lower-arch implant with a complete prosthesis. I’m in Quebec and available to travel to Cuba. Need full contact details. Thanks everyone!
Hi there,
My current plan is to get my teeth treated in Cuba, especially for dental implants. Has anyone here had experience and could refer me to a good, affordable dentist? I’d really appreciate it if you could give me an idea of the price for one implant, since I need at least 6 done. Thanks so much!
My current plan is to get my teeth treated in Cuba, especially for dental implants. Has anyone here had experience and could refer me to a good, affordable dentist? I’d really appreciate it if you could give me an idea of the price for one implant, since I need at least 6 done. Thanks so much!