Vaccines (Vaccinations) for Those Studying or Traveling in "Eastern Europe"
Target Regions
Ukraine, Croatia, Bulgaria, Czechia, Romania, Lithuania, etc.
In Eastern Europe, the basic vaccines are recommended, but few special additional vaccines are required.
Some areas have relatively poor sanitary conditions, and for long-term stays the hepatitis A vaccine is recommended.
In recent years, measles outbreaks have been reported in some areas, and vaccination is recommended.
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Note that the prices indicated in this page are all inclusive of tax.
Recommended Vaccines
| Vaccine | Level of recommendation | Vaccines available | Number of doses | Price (JPY) |
|---|---|---|---|---|
| measles | ◎ | MMR (Priorix or MMRⅡ) | 1 to 2 doses | 10,000 |
| rubella | ||||
| tetanus*1 | ◎ | tetanus toxoid | 1 or 3 doses★ | 4,000 |
| influenza | ✓ recommended during the epidemic season | influenza HA vaccine | 1 dose as a rule | 4,000 |
| hepatitis A*2 | ✓ (recommended for long-term stays) | Aimmugen | 3 doses | 16,500 |
| Havisure | 2 doses | 13,000 | ||
| hepatitis B*2 | ✓ recommended for long-term stays | Bimmugen | 3 doses | 7,000 |
| rabies | ✓ recommended if you will be in contact with animals | ChiroRab | 3 doses | 13,000 |
| tick-borne encephalitis | △ consider for long-term stays | FSME-IMMUN | 3 doses | 12,000 |
★ 1 dose if the primary series was completed in childhood
*1 We also carry Tdap (tetanus, pertussis and diphtheria) at 9,000 JPY and DPT-IPV (tetanus, pertussis, diphtheria and polio) at 12,000 JPY.
*2 We also carry a hepatitis A and hepatitis B combination vaccine (Twinrix) at 13,000 JPY.
Diseases to watch out for at your destination are explained in detail on the page below.
Precautions During Your Stay
Preventing Infections from Food and Drink
In Eastern Europe, you may come across street stalls where hygiene is not well maintained.
We recommend eating cooked food at sanitary restaurants and similar establishments.
Water supply infrastructure is widespread, but in some places the pipes appear to have deteriorated with age.
For drinking, choose mineral water rather than tap water.
Because food hygiene standards differ from country to country, you need to take basic precautions such as avoiding raw foods.
Measures Against Tick-Borne Encephalitis
Tick-borne encephalitis is transmitted by tick bites in grasslands and forested areas.
Take insect-repellent measures, such as wearing long sleeves and long trousers, to avoid being bitten by ticks.
Risk of Contact with Wild Animals, Including Rabies
In places with many stray dogs, keep your distance.
Getting the rabies vaccine is also recommended.
Appointments
Vaccination is available without an appointment.
Because we give priority to those with appointments, please book below if your schedule is already package.
– Maternal and Child Health Handbook (a copy or a photo is also acceptable)
– Documents (if you would like a medical certificate or vaccination certificate issued in a specified format, please bring the documents)
For vaccines and vaccinations for other regions, please see this page.
[Dr. Satoshi Kutsuna]
Specialist in infectious disease internal medicine, PhD in medicine.
For about 10 years he was engaged in travel medicine and imported infectious disease care at the National Center for Global Health and Medicine Hospital (Shinjuku-ku, Tokyo), home to Japan's largest travel clinic, and he continues to be involved in activities including clinical practice and research today.
His other areas of specialty are emerging and re-emerging infectious diseases and COVID infection, and he works to raise awareness of infectious diseases through a variety of outlets including the media and the internet.
He also sees patients at our clinic as a part-time physician and supervises our Travel Medicine.
