Vaccines and treatments for Thailand
FR

Translated into English.

Original post
4E
Hi there,

I’ve already visited quite a few countries across several continents, but I’m pretty new to Asia.

I’m planning a trip to Thailand in October or November, and I wanted to check about health precautions: malaria treatment, vaccinations (hepatitis A or others...). I’ll mostly be in the northern region, around Chiang Mai, where I’ll spend a lot of time in nature and the mountains. Then I’ll head south to Phuket or Krabi and visit Khao Sok National Park. I’ll finish up in Bangkok, with a likely detour to Kanchanaburi.

From what I understand, for a stay of less than 60 days, I don’t need a visa (I’m a French national)? I just need to fill out the TDAC form 3 to 5 days before arrival?

Thanks for your advice! Fred
SO Songsam Veteran ·
Hi there,

I’m not a doctor. In 40+ trips there, I’ve never taken any health precautions like the ones you mentioned (I travel in cities, mountainous areas, and a lot in the countryside, including remote spots). For mosquitoes, you can buy the product in the photo below at any of the countless 7-Elevens—it’s very effective and cheap (around 2.50 € for the large size).

If I understood correctly, for a stay of less than 60 days, no visa is needed (I’m a French national)? You just need to fill out the TDAC form 3 or 5 days before arrival?

No visa is required for a tourist stay of up to 60 days/59 nights. The TDAC must be completed within 72 hours before arrival.

In October or November, I’m planning to go to Thailand (...) I’ll likely be (...) in the south, around Phuket or Krabi

I recommend reading the last part of Djalma’s reply today at 9:56 AM in this thread: https://voyageforum.com/v.f?post=10757780;page=last;#last

JO Jojoone1 Globetrotter ·
Officially, hepatitis and yellow fever vaccines are recommended. It’s also a matter of luck; some people have had nothing after 15 trips, while I know someone who got dengue—and badly—on their first trip.
JO Jojoone1 Globetrotter ·
My wife prefers the one that’s orange—it really does smell good...
SO Songsam Veteran ·
Version for Madame One:

4E 4ecofuel Regular ·
Thanks for the tips. I’ll still pop by the tropical medicine clinic near me to ask for advice. Fred
DJ Djalma Globetrotter ·
I’ll still go for a quick visit to the tropical medicine clinic near me to ask for advice.

Even though (in my opinion) health risks are limited in the tourist areas you’re visiting, I always recommend that those who ask medical questions on the forum first consult competent medical authorities (tropical disease specialists).
DJ Djalma Globetrotter ·
Officially, hepatitis and yellow fever vaccinations are recommended.

I’d really like to know who’s recommending that? Your doctor?!

Institut Pasteur: One of the major puzzles in the history of infectious diseases is the absence of yellow fever in Asia, even though the virus has historically been endemic in sub-Saharan Africa and South America.

I’m not a doctor, but yellow fever isn’t widespread in Asia. It’s only found in sub-Saharan Africa and South America.
CE Cerelinde Veteran ·
Hi,

It’s recommended to get at least the hepatitis A vaccine. This vaccine (in 2 doses) is usually valid for life, so even if Thailand isn’t the highest-risk country, at least you’ll be set and won’t have to worry about it for future trips to tropical destinations.
4E 4ecofuel Regular ·
Hi,

Is it for life? I thought it was only valid for 10 years. Back in 2009, I got the hepatitis A vaccine for a trip to Tanzania.
CE Cerelinde Veteran ·
Yeah, that’s what my doctor told me at the time. As long as you get the two doses. But definitely double-check with a specialist, of course.
TA Tatra Globetrotter ·
Hi Annabelle,

At least you’re at peace and don’t have to wonder about future trips to tropical zones anymore.

That’s exactly the flip side—the falsely reassuring aspect of these hepatitis vaccines. They often lead to "no longer questioning things," to eating stuff that wisdom or common sense would’ve otherwise made you think twice about. I think we shouldn’t see these vaccines as immunity totems; we should assess what kind of traveler and consumer we are, etc. You can also get a serology test done—hepatitis A is common, often goes unnoticed, especially in childhood. A good portion of people born before the 1970s are actually immune for life.

Yes, the protection is considered lifelong, whether through natural immunity or vaccination. That said, you’ll always find someone who wants to protect you even more.

Michel
CE Cerelinde Veteran ·
Hi Tatra,

There’s a big misunderstanding—I didn’t mean it that way at all. What I meant was that once you’ve gotten the vaccine, you don’t have to worry about it again for future destinations. I’m *super* anxious about health stuff, and believe me, I never skip basic health precautions when I travel, even in Europe (where I never drink tap water, for example). 😉
DJ Djalma Globetrotter ·
Tap water is safe to drink throughout Europe and is often of better quality than bottled water (plastic or glass), plus it’s 100 times cheaper. 😏 Personally, I’ve drunk tap water everywhere—in all the countries in Asia, Africa, and Latin America. I even drank water from the Niger River… I was a bit unsettled, but that was about it.
DE Delrome Regular ·
Hello, we went to Thailand last year with our 3 young daughters. We’re both doctors. We stayed in the south and central regions. I pretty much agree with what was said below. I recommend the hepatitis A vaccine since it’ll be useful for many destinations, same for typhoid. For malaria, there’s no point—you’d be taking more risk with potential side effects. Note that we were hardly bothered by mosquitoes (less than in France...), but the small bottles in the photos are very effective (the pink one comes as a lotion, very pleasant and easy to find in 7/11s). I suggest taking the photo with you to show at the checkout if you can’t find it on the shelves—it’ll be easier than miming a mosquito. Of course, food hygiene precautions will be your best guarantee. However, watch out for monkeys, especially if you’ve never been to Asia before. They’re cute but only in photos. Lopburi is particularly overrun because the monkeys there are protected. Never eat in front of a monkey or even in a place where they might be around. A monkey jumped on my backpack when I didn’t have anything in my hands. The risk of rabies is real—if you’re bitten, you must go to the nearest hospital for post-exposure prophylaxis, which is effective if done early. Don’t forget there’s no treatment for rabies.

Here’s the link to our wonderful trip: https://www.voyagesetenfants.com/thailande-centrale-en-famille-et-koh-chang/

Wishing you a great trip! Thailand is a great choice for your first time in Asia! Happy to help
4E 4ecofuel Regular ·
Hi, Thanks for your advice. I was mainly wondering about Hepatitis A. And I thought the vaccine was only effective for 10 years, but it’s actually for life. I got vaccinated in 2009 during a trip to Tanzania. Fred
JO Jojoone1 Globetrotter ·
Of course, now’s a good time to remind everyone that I made a tutorial about these mosquito repellent products: https://voyageforum.com/v.f?post=9714220;search_string=moustique%20jOJOONE
DJ Djalma Globetrotter ·
Mosquito repellents don’t really exist—or at least, they only offer limited protection that lasts at most half an hour.
CE Cerelinde Veteran ·
I can't comment on the products mentioned above since I’ve never tried them, but the ones in the Insect Ecran Tropics range work really well and last longer than half an hour. You need to reapply at least twice a day for maximum effectiveness. Tested on the whole family—result: only a few bites, usually on "forgotten" spots or when we’ve been a bit lazy about reapplying. The downside: the smell is pretty strong and can be uncomfortable. And the feeling of "eating it" when sweat makes the "delicious" 🏴‍☠️ product run toward your mouth. But hey... you’ve got to make choices, especially in countries where dengue is still very common.
JO Jojoone1 Globetrotter ·
Mosquito repellents don’t really exist—or at least, they only have a relative effectiveness that lasts at most half an hour.

You should check out the tutorial...

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