| 
		
		 | 
		
			
		 | 
		
		
    
			
					 |  | Ask the Doctor |      
    
			| 
Free Medical Advice sponsored by
       |  
 |    | 
     
			 | 
			 | 
			
Got an ache or pain? Have a question about a prescription or over-the-counter drug? Looking for some FREE medical advice?
       | 
		 
 |  
    
			 | 
			
				
				
					| 
 Question:
					 | 
					 | 
				 
				 |  
				
					| What vaccinations are recommended for living in Russia? 
 | 
				 
				 |  
				
					| 
 Answer:
					 | 
					 | 
				 
			  |  
				
					| Thank you for your inquiry.  In general adults have different needs than children, recommendations may also differ (for certain vaccines) for those living in a large city with a good budget for food and accommodation compared to those living in smaller or rural areas.  Children's vaccination recommendations should be personalized - best see your paediatrician with your child. (A good rule is to do everything you do at home, plus what's needed additionally 'abroad').  The use / utility of vaccines for tick-borne encephalitis, and for tuberculosis (in smaller children) definitely need to be discussed on a case by case basis.  Please use this adult vaccine schedule as a GUIDELINE ONLY.  Before receiving any vaccine, always discuss with your doctor the indications, precautions, contra-indications, and ways to avoid exposure to these and other diseases.  HIGHLY RECOMMENDED Hepatitis B - For those at risk, primary series of 3 injections. Hemophilus Influenza B - For those younger than 5 years. Influenza Vaccine - For those 50 years and older and others at risk. Measles, Mumps, Rubella Primary series &single booster for anyone born after 1956. Pneumococcal Vaccine - For those 65 years and older and others at risk. Polio Vaccine - Primary series; one time adult booster for international travel. Tetanus, Diphtheria, - Primary series; booster every 5-10 years. Pertussis (DPT/Td)  OTHER IMMUNIZATIONS Hepatitis A Vaccine - One dose for those at risk. Booster in 6 to 12 months. Rabies Vaccine - For those at risk, pro-exposure prophylaxis in 3 doses. Typhoid Vaccine - One injection at least 2 weeks before expected exposure, may repeat every 2 years.  Evacuation insurance - One policy per individual or family, renewed yearly, for fullest range of services (just in case).  Hope this helps. Best regards
 | 
				 
				 
			 | 
		 
		 |  
		 
		 | 
		 | 
		
		
		 |