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Travel Advice: Malaysia

From the highland forests of Borneo to bustling Kuala Lumpur, Malaysia is a vibrant blend of culture, cuisine, and biodiversity. But tropical travel also brings health risks—especially in rural or water-rich areas—so it’s important to prepare well.

At Walker Street Doctors, we offer evidence-based, compassionate travel advice to ensure you explore safely and confidently.


Vaccination Recommendations for Malaysia

We recommend the following vaccines for all durations of stay:

Routine Vaccines

  • Tetanus/Diphtheria (ADT booster): Every 10 years.
  • Polio: Ensure you're fully vaccinated—required for all travellers to Malaysia.
  • Influenza & Pneumococcal: Strongly advised for travellers over 65 or with chronic health conditions.
  • Measles/Mumps/Rubella (MMR): Vital, especially with increased measles cases in 2025.

Infants 6–11 months should receive an early MMR dose prior to travel.

Travel-Specific Vaccines

  • Hepatitis A: Spread through food and water—essential.
  • Hepatitis B: Recommended for all travellers, particularly if:
    • Staying >6 months
    • Receiving medical care abroad
    • Working in healthcare or having sexual contact with locals
  • Typhoid: Highly recommended due to antibiotic-resistant strains in the region.
  • Japanese Encephalitis: Consider if:
    • Staying >4 weeks in rural/agricultural areas
    • Visiting during monsoon season or known outbreaks
  • Rabies: Particularly if visiting Sarawak, or if you’ll be:
    • Working with animals
    • Cycling, trekking, or staying in remote areas
  • Cholera: Considered for travellers at higher risk (e.g., immunocompromised, with inflammatory bowel disease, HIV, or cardiac disease).

Even with rabies pre-exposure vaccination, post-exposure treatment is still required if bitten or scratched.


Insect-Borne Illnesses

Malaysia has several mosquito- and insect-borne diseases, especially in rural and coastal regions.

Dengue – High Risk (Jan 2024 Update)

  • Transmitted by day-biting mosquitoes
  • Common in both urban and rural areas

Chikungunya

  • Symptoms can overlap with dengue but may cause prolonged joint pain

Zika

  • Pregnant women should not travel to Malaysia due to risk of birth defects
  • Women trying to conceive should strictly follow mosquito precautions
  • Zika can also be sexually transmitted—condoms or abstinence are advised during and after travel

Japanese Encephalitis, Filariasis, Plague

  • Rare, but prevention is essential in rural and flood-prone areas

To prevent bites:

  • Use repellent with DEET or picaridin
  • Wear long, loose, light-coloured clothing
  • Sleep in screened or air-conditioned rooms
  • Use bed nets if required

Water & Food Safety

  • Schistosomiasis risk: Do not swim in freshwater lakes or rivers
  • Leptospirosis risk: Avoid kayaking or wading in flooded or muddy water
  • Drink only sealed bottled water
  • Brush teeth with bottled or boiled water
  • Avoid fountain drinks and ice unless known to be safe
  • Choose hot, well-cooked food; peel your own fruit and avoid raw seafood

Hand hygiene matters:

  • Wash hands before eating, after using the toilet, or caring for someone unwell
  • Carry alcohol-based hand sanitiser

Travel Safety

  • Motor vehicle accidents are a leading cause of injury
  • Always wear seatbelts, avoid nighttime driving, and be cautious on motorbikes

After You Return

If you develop fever, rash, joint pain, or flu-like symptoms in the weeks or months after returning:

  • Seek medical care promptly
  • Inform your doctor about your travel history, particularly if you visited malaria-risk or dengue-affected areas

Travel Health Services at Walker Street Doctors

We offer:

  • Personalised vaccine and medication planning
  • Insect bite prevention kits and water safety advice
  • Rabies and JE risk assessments based on your route
  • Letters for insurance, border entry, and medications
  • A calm, comprehensive appointment experience tailored to your itinerary

Book your appointment 2–4 weeks before departure for best protection.

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