With my leave date fast approaching and my savings growing so slowly, I’ve been looking hard at my budget and trying to find any savings I can. I had $300 budgeted for vaccinations, but a little research suggested that it might be even more expensive that that. Recent posts on the Lonely Planet Forums lamented a $160 bill for a single typhoid vaccination and $120 for a yellow fever stab. Another poster reported a $500 quote for “meningitis, typhoid booster, yellow fever, hep A booster, polio booster, and malaria pills” from a clinic, while others ran as high as $800+.
My cheap-ass insurance covers very little in the way of travel immunizations, unless I’m traveling for work, so I was getting worried. Then I had a classic “Face, meet Palm” moment: if people travel to Thailand and other countries to get hips, knees, and naughty bits replaced, surely I can find safe, inexpensive shots there.
A little internet sleuthing led me to the Thai Red Cross Society where you can get inexpensive shots for tetanus, hepatitis A, hepatitis B, meningitis, encephalitis, cholera, polio, and typhoid. That $160 typhoid shot? Less than $10 from the Red Cross. The hep A is the most expensive, at nearly $23 — outrageous! The difference in cost of just two shots will pay for nearly a week’s travel. Numerous hospitals and clinics offer similar services.
Now, obviously, there are limitations and downsides to this idea and this will not work for many travelers. Many shots take a fair amount of time to become effective or even require boosters a month or two after the first shot. If I were only spending a few weeks in Thailand, this wouldn’t really do me much good at all. For the long-term traveler, however, it works quite well. I’ll be in Thailand for at least 2 months and will most likely pass back through Bangkok for an onward flight. I’ll have plenty opportunities for follow-up shots.
Sorry — doctor’s orders.
I will be somewhat vulnerable at first — the typhoid shot, for example, needs about 10 days to be effective. But as a typical male who eats day-old pizza rescued from the couch cushions, I’m not that worried — I’ll just need to watch my intake of raw sewage and avoid those who don’t. Rabies injections don’t seem to be much help until after the second injection, so you will all have to wait an extra month for my post on “How to Wrestle a Rabid Bear”. This is actually a good thing, as it gives me more time to get in shape and practice my moves. (Bears are suckers for a left hook — scientific fact)
I’ll post a followup once I’m there and let you know how things work out. If you’re heading out of country for some time, give it some thought, do a little research, and potentially save yourself a lot of cash.
UPDATE: I looked into getting my yellow fever vaccination here in Austin — with my insurance “discount”, it still would cost $135. Turns out that I don’t need it to enter Thailand (coming from the US), so I’ll get it from the Immigration Office in Bangkok for 550 Baht ($17 US).
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Hey — Great tips here.
Another thing I learned is that very few shots are required — most are recommended. Of course, if a shot is recommended, you should probably get it. But THINK before you get them. Hep B, for example, is sexually transmitted. I don’t sleep around during my travels, so I skipped that one. Only get the shots that make sense for you!
Just an FYI. Hep B is transmitted from exposure to infectious blood or body fluids containing blood. Meaning if you happened to come in contact with someone who was injured, or if you required hospitalization, you could be at risk.
Dustin Main´s last blog ..Photo of the Day – Side Streets of Hoi An
Thanks I live in Spain with one of the best public health care system.
That’s a really good idea. Dose up on your shots before heading out into more remote areas etc and your going to save a fortune. As you said its only going to work for travelers looking to stay more than a couple of weeks but all those others its a nice saving.
Very happy for you, Tremendo. Unfortunately, I don’t live in Spain. :(
Thx, Chris. Which of us is buying the first round? I forget….
Well mate since your saving all this money on your vaccinations I’d say it would have to be you :)
Chris – The Aussie Nomad´s last blog ..Travel Dilema
wow, I walked right into that one… :/
Yeah mate you left yourself wide open for that, it would have been wrong of me to not say it.
Chris – The Aussie Nomad´s last blog ..Travel Dilema
Thanks for the post! Wish I knew this before I spent hundreds of dollars in the States.
It makes perfect sense that if people go abroad for medical tourism to save on major surgery and dental work, simple vaccination shots should be cheaper too. Wonder if this applies for India, Costa Rica and other spots famed for inexpensive medical work.
Will retweet.
brian | No Debt World Travel´s last blog ..Best Travel News and Deals – January 19, 2010 – Haiti, Beat the Single Supplement, See Namibia, Frequent Flyer Miles, More Charges for Checked Bags
thanks, Brian, for the comments and the retweet. I imagine this would work in other countries as well — haven’t got around to researching it yet, though…
I’m actually thinking of making some money on this idea. Now I just need to travel to thailand, find an open transom, climb through, get all the typhoid remedy juice I can find, travel back to the states and make a mint. The capitalist system does work. Thanks for the idea wes!
See why I don’t take you anywhere, Leon?
Hi Wes, I’ve always wondered about this since the system here is so screwed up. I was repulsed at how much it was going to cost for shots.
We were seriously thinking of changing our RTW so that Thailand would be first and i think that thanks to this article we will definitely do that.
I hate how ridiculous things are here for medical costs so I honestly would love to spend the smaller amount of money elsewhere. I’m going to sign up for your RSS feed too – you are so funny!
thanks for the kudos, Bethany! Yeah, complete agree with you about the sad state of the health system here. Looks like I’ll save over $500 by having my shots done out of country. I’d understand if this was a cutting edge medical procedure, but that much money for hepatitis jabs? crazy…
Hmm, Brian brings up a really good point with Costa Rica. I have all my shots except for the dreaded Yellow Fever which is $150 in Canada plus probably a $80 consultation fee. As I’m traveling through Central America first I’m going to see if I can get it either in Mexico, or to Brian’s point, Costa Rica.
Do you know if the Red Cross will give it in other countries. I just wonder where I go in another country to ask about getting it.
Ayngelina´s last blog ..The 8 Weeks and Counting List
For Yellow Fever, I found that the Immigration Office in Bangkok offers it. Perhaps the Mexican version does the same? I’d search around the Lonely Planet forum — there are a lot of good leads there for such info.
Just got all of our vaccinations for our upcoming RTW trip. I’m not sure exactly what the costs were but the cost of these shots are definitely OUTRAGEOUS though… Luckily for us, our insurance (Harvard Pilgrim) covered us 100%.
Ryan´s last blog ..Flashbacks: Summer Fun – Boston, MA
Wow, that’s very cool that insurance covered them! More moeny for traveling :)
Watch out…sometimes the doctor won’t even recommend shots that you should get. For example, my husband and I got yellow fever shots before we left for West Africa, as recommended. He took malaria pills as well. Well…about a week after leaving Ghana, he got a high fever and chills, and it turned out he had Typhoid Fever! Since he works in the food industry, he couldn’t go back to work even when he felt better until his blood showed no signs of it. It would have been cheaper to get the shot, had we known. The bill (with insurance) for his treatment was over $800…and that number doesn’t include wages lost from missing work.
Very good point! It’s definitely worth your time to research before going. Sorry to hear about the typhoid fever — that doesn’t sound fun at all.
Great blog! Quick question that’s kinda related to this, but what malaria pills do you have if any? Are they easy to get a hold of in Thailand?
I’m not taking any. I took Larium years ago in India and it made me sicker than a dog. I just try to keep the repellent handy. As for finding anti-malarials in Thailand, I don’t think you’ll have any problems.