To be honest, most of us probably got them in the United States or what ever country they came from. We got the Hepatitis, flu and pneumonia and nothing else. We have been here 5 years and have not had any of the vaccinations you named. With the exception of a little Gripy (flu) once and awhile have never needed them. I have travelled all over Nicaragua and not just passing through. True we live in the tropics but diseases are not falling off the trees to get you in CA or South America. There are many FOUO ( Fever off Unknown Origin) here but they usually last a day or two and no more. Proper hygiene, food preparation and a little common sense will protect you against most.
I have never seen anyone asked for a shot record by anyone in Nicaragua. There is no prevention for Dengue fever, you can take pills to prevent malaria, get rabies treatment if you think you have been infected. MINSA (Nicaragua Health Dept.) usually has some vaccines and there are a couple of good hospitals in Managua that may have them.
You can check on line and see what each country you plan to visit requires in order to enter. What you are doing is prevention which is a good thing but if you are a healthy individual with exception of a couple you named I wouldn't worry about it.

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00abuse

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thank you for your answer

I realized my question was posted 3 times, sorry about that

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00abuse

Immunizations need to be received several weeks before travel in order for them to be effective.

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00abuse

I think it depends very much of the regions you will be visiting. It is not a bad idea to get preventive shots for Hepatite and Typhoide fever.

For Malaria it is better to take a standby medicament, because several prophylactic anti-Malaria medicaments have very severe side effects, and p.ex. Doxicyclin does not allow you to expose to the sun (sun allergy and danger of sunburn).

But if you stay out in the deep countryside for several days and fall seriously ill, some diseases may quickly become a big risk, if not treated immediately. I have a friend who had a Malaria attack after coming back from India, and he was lucky to have a very good doctor who stated at once that his "influenza" might rather be a Malaria and sent him to hospital for a blood check (which was positive - that means negative for him).

With a less attentive doctor, such a Malaria attack (if it is Malaria tropica - the most dangerous) this might have been lethal.

However I do not know if the tropica exists in Central America, it prevails in African countries and in India.

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00abuse

Anyone in the US should check the CDC website and then go to your local health department--Both! CDC is boiler print and your local health department my be geographically challenged, so extrapolate between the 2.

As I remember, typhoid was not recommended (9 years ago) because the vaccine was ineffective and had side effect problems.

hep a and b are great ideas, as is tetanus.

most adults are behind on their boosters for just about everything, including polio..

I don't remember Nic requiring anything to come from the US and they didn't require anything coming by land from Panama, but yellow fever vaccination should be required if you are coming from yellow fever countries.

Nobody gets rabies shots unless they are at special risk (research scientists, cavers, congenitally stupid)

Do not assume anything will be cheaper here than in the US, especially if you value your time or travel expenses.

Be advised that airlines can be Gods Apart and enforce anything they want.

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00abuse

I'd be concerned with the quality of the vaccine here as well. Needs to be stored properly. NOT saying you're not going to find what you need, but due diligence will be required.

If you have a medicare Advantage plan, they will pay the vaccinations with a small co-pay. You have to push the right buttons "I'm traveling to a country with active Hep A and B"

There is a combined shot, covers both A & B, with a booster six months out.

I don't think the six months is critical, but I'm not a doctor.

If you are any type of health worker like a nurse, etc, this is also free. It's kind of up to the person giving the shot - (who's going to be a public health service nurse if you didn't go the Medicare route)-- to qualify you,

Tetanus for sure, but if you have ANY health insurance, you just have to claim a recent laceration and they are eager to stick you.

There are pockets of yellow fever, but not that common any more.

Typhoid-typhus? Where are you going to be staying. Good hotels in major cities, or out in the country with the fleas and rats, and open latrines?

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00abuse

Thank you everyone for your answers!

I forgot to mention an important fact that we are traveling to Nicaragua for on week in February and 3 months after we will be traveling the world including South/Latin America and South East-Asia (India, Vietnam, Laos, Cambodge, Thailand) for few months.
So we wanted to take advantage of our quick trip to Nicaragua to do all our (world travel tour) vaccines there? it would be cheaper than in New York. They charge so much just for the consultation + vaccines, it's insane.

I was thinking maybe to go to the Vivian Pellas Metropolitan? anybody had vaccines there?

thanks again

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00abuse

We have travelled to all those places and did not get vaccinated. Take care and watch what you are doing. Most of the things that can really hurt a person cannot be vaccinated against. We were never asked for proof of vaccinations.

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00abuse

Some things are rare and the reaction to the vaccine can be severe. Yellow fever is an example, not much of it.

Hep A & B are both common, and I had no reaction whatsoever to the initial shot and booster.

There is quite a bit of Hep A in the US in certain areas. B can make you very sick, but it seems to be limited to specific demographics in the US. All US health professionals are inoculated against Hep A & B.

I would imagine your best chance of getting Hep B outside of the US would be during the course of seeking treatment for some other medical need.

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00abuse

hotel maids in the US are vaccinated for hep b in case they get poked with needles than druggies leave under the mattress to hide them.

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00abuse