Trips to Bangladesh from the West Midlands are usually family visits rather than holidays — several weeks in Sylhet or Dhaka, time in the village, and food and water that your system is not used to. That length of stay and that kind of contact is precisely why the standard advice for Bangladesh leans harder than it would for a resort holiday.
Our travel clinic on Lyng Lane in West Bromwich sees this trip regularly. Here is what is usually advised and what actually depends on your plans.
Hepatitis A (£65, child £55) — food and water borne, and the single most worthwhile vaccine for this destination.
Typhoid (£35) — the Indian subcontinent carries the highest typhoid risk of anywhere travellers from the UK commonly visit. Strongly advised, especially for village stays.
Tetanus, diphtheria and polio (£35) — check the date of your last booster.
Rabies (£60 per dose) — worth real consideration for longer stays, rural districts and children, who are more likely to approach animals and less likely to report a lick or a scratch.
Hepatitis B (£55 per dose, child £40) — sensible for stays over a month or if medical or dental treatment is possible.
Japanese encephalitis (£95 per dose, two doses) — a rural and seasonal risk linked to rice paddies and pig farming, mainly relevant for stays of a month or more in the countryside during and just after the monsoon.
Malaria tablets (from £30) — Dhaka itself is low risk, but the Chittagong Hill Tracts carry genuine risk. If your route includes them, tablets are advised.
Travelling between June and October means flooding, standing water and a higher risk of both mosquito-borne illness and contaminated water. It does not change which vaccines exist, but it does change how strongly we push the food and water advice, and whether malaria tablets and Japanese encephalitis come up for your itinerary.
Japanese encephalitis needs two doses 28 days apart, so it has to be planned. Everything else can be arranged quickly. If time is tight, we prioritise hepatitis A and typhoid and get those in first.
1 Lyng Lane, West Bromwich B70 7RW · free consultation · 0121 500 5756
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