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Check the vaccines and medicines list and visit your doctor at least a month before your trip to get vaccines or medicines you may need. If you or your doctor need help finding a location that provides certain vaccines or medicines, visit the Find a Clinic page. Make sure you are up-to-date on all routine vaccines before every trip.

Some of these vaccines include. There has been evidence of chikungunya virus transmission in Paraguay within the last 5 years. Chikungunya vaccination may be considered for the following travelers:. Infants 6 to 11 months old should also be vaccinated against Hepatitis A. The dose does not count toward the routine 2-dose series. Travelers allergic to a vaccine component should receive a single dose of immune globulin, which provides effective protection for up to 2 months depending on dosage given.

Unvaccinated travelers who are over 40 years old, are immunocompromised, or have chronic medical conditions planning to depart to a risk area in less than 2 weeks should get the initial dose of vaccine and at the same appointment receive immune globulin. Dosing info - Hep A. Recommended for unvaccinated travelers younger than 60 years old traveling to Paraguay.

Unvaccinated travelers 60 years and older may get vaccinated before traveling to Paraguay. Dosing info - Hep B. Cases of measles are on the rise worldwide. Travelers are at risk of measles if they have not been fully vaccinated at least two weeks prior to departure, or have not had measles in the past, and travel internationally to areas where measles is spreading. Rabies pre-exposure vaccination considerations include whether travelers 1 will be performing occupational or recreational activities that increase risk for exposure to potentially rabid animals and 2 might have difficulty getting prompt access to safe post-exposure prophylaxis.