Children aged ≥2 years and adults travelling to typhoid-endemic regions are recommended to receive typhoid vaccine
Children aged ≥2 years and adults are recommended to receive typhoid vaccine if they are travelling to endemic regions:
- where food hygiene may be suboptimal and drinking water may not be properly treated
- to visit friends and relatives
Children aged ≥2 years and adults can receive 1 dose of parenteral typhoid vaccine.
Children ≥6 years of age and adults can receive 3 or 4 doses of oral typhoid vaccine. The 4th dose is an option. 4 doses may provide better protection than 3 doses.1,2
The vaccination schedule for oral typhoid vaccine consists of 1 capsule on days 1, 3 and 5 (and day 7 if following a 4-dose schedule) taken 1 hour before food.
Revaccination is recommended for those travelling for a long time or living in an endemic region. See Children and adults who have ongoing exposure to Salmonella Typhi, including those travelling for a long time or living in an endemic region, are recommended to be revaccinated.
Advise travellers about the importance of:
- personal hygiene
- food safety
- drinking boiled or bottled water only
Advise travellers that high-risk foods and drinks include:
- raw (or undercooked) shellfish
- cold meats
- untreated water and ice (in drinks)
Short (day) trips away from higher-quality accommodation can also be high risk.
The combination hepatitis A/typhoid vaccine is an option for people ≥16 years of age who are travelling to countries where there is an increased risk of both these diseases. See also Hepatitis A.