Indonesia is an archipelago of over 17,000 islands with a tropical climate and over 222 million people. Several infectious diseases that occur in Indonesia can be prevented through vaccinations including hepatitis A, hepatitis B, Japanese encephalitis, rabies, typhoid fever, and measles. Malaria is also present and chemoprophylaxis can help prevent it. Travelers should eat and drink safely, prevent bug bites, stay safe outdoors, avoid contact with animals, practice good hygiene, avoid sharing body fluids, know how to access medical care, and use safe transportation to help ensure a healthy trip.

1. Travel Advice: Indonesia
Fadel Muhammad Garishah, M.D.
Center for Tropical and Infectious Diseases
Semarang, Indonesia

2. 17,504 islands
Tropical Climate
222 M people
Rich of natural resources, culture, language, culinary etc
A Great Place to Travel!
THE UNITARIAN STATE REPUBLIC OF INDONESIA

3. Indonesia

4. Routine Vaccines
• Several infectious diseases occur in Indonesia
are vaccine-preventable
• They are including hepatitis A, hepatitis B,
Japanese Encephalitis, Rabies, Typhoid Fever,
Measles (new cases)
• Malaria can be prevented with
chemoprophylaxis

5. Hepatitis A
• Transmission following fecal-oral with person-
to-person contact
• Travelers with standard itineraries and
accommodations is advised to be vaccinate

6. Hepatitis B
• Travelers exposed with blood/other body
fluids/sexual
contacts/IVDU/tattoing/piercing/bekam-
treatment should be vaccinated

7. Japanese Encephalitis
• Long term traveler in endemic area during
transmission season
• Bite of infected mosquito

8. MAP3-8.DistributionofJapaneseencephalitis

9. Rabies
• Travelling outdoor, direct contact with dogs,
bats

11. Typhoid Fever
• Exposure to street foods

12. Measles
• Several new cases are reported to import
measles among travelers from Indonesia
• Infants 6-10 months 1 dose pre departure
• Preschool/school-age/adult 2 doses MMR
separated 28 days

13. Malaria
• Maluku, Nusa Tenggara, Sulawesi, Java,
Sumatera, and Borneo all are endemics
• Most pathogens: Plasmodium falciparum and
vivax
• Chloroquin-resistant exist
• Suggested chemoprophylaxis: Atovaquone-
proguanil, doxycycline, mefloquin

16. Eat and Drink Safely
• Avoid cooked food served in room
temperature
• Avoid raw food, even vegetables
• Drink only bottled/canned beverages
• Boiled/chlorinated water is safe
• Avoid ice, as sometimes made of unboiled
water

17. Prevent Bug Bites
• Cover exposed skin
• Use repellent
• Use permethrin-treated clothing
• Use bed net
• Insecticides

18. Stay Safe Outdoors
• Lightweight clothing in hot climates
• Warm layers in cold climate
• Stay hydrated
• Avoid sun exposure
• Safe-swimming practice

19. Keep Away From Animals
• No touching/petting/handling/feeding
unknown vaccine status/health animal
• Wash dog-bitten wound with soap and clean
water immadiately

20. Reduce Exposure to Germs
• Ill people should not travel
• Practice hand hygiene and sleeve
sneezing/coughing

21. Avoid Sharing Body Fluids
• Use latex condom whenever engage sex
• Do not use the same syringe for drug use
• Limit alcohol consumption
• Do not make tattoos, piercing, or other
needle-procedure (acupuncture, bekam)
unless using sterilized equipment
• Ensure dental/medical equipment use for your
treatment is sterilized/disinfected

22. Know how to get medical care while
traveling
• Pre-departure medical check ups
• Browse information where to find health
facility

23. Select Safe Transportation
• Choose safe vehicles, avoid motorcycles
• Wear seatbelt and helmet
• Do not drive after drinking alcohol
• Avoid driving at night because in some places
in Indonesian streets lack of lighting

24. Finally
• Prepare everything before departure
• Have a safe trip to Indonesia!