Maintain viatic health attentively

Travel Guide - Beijing China

Scientific authority is exclusive and interesting the 51st period this period tell about the sense that maintains viatic health and accurate method

Maintain viatic health attentively

Specially invite honored guest: Fu Chenghua of researcher of bureau of wholesome quarantine of Chinese discrepancy condition

Issue date: 2010-09-10 origin: Healthy newspaper

　　

Deputy secretary-general of association of hygiene of travel of China International of expert archives Fu Chenghua, researcher of bureau of wholesome quarantine of condition of discrepancy of Ceng Ren China, " magazine of quarantine of Chinese territory sanitation " and " viatic medicine is scientific " assistant director of institute of microbiology of epidemiology of academy of medical sciences of precaution of magazine chief editor and editorial office director, China, international travel. Enjoy the State Council special allowance.









　　
Annual world each country leaves the country traveller frequency already exceeded whole world total population. 　　
The travel promoted economy and scientific development, developed the field of vision of people, also raised the living standard of people. In the meantime, traveler may be affected disease and suffer accident harm.
　　
The only strategy that maintains viatic health is precaution.

Seize the opportunity to travel fasten carelessnessAlthough air is medium,travel and photograph of trip of the boat that take a car are compared more safe, but if seize the opportunity for long,move in order to approach earthly rotation rate quickly, the physiology rule with many human body all can be disturbed, appear consequently easy exhaustion, easy difficulty of excited, Morpheus, memory drops, energy is not easy concentration, abdominal the symptom such as unwell, muscle and articulatory ache. But the healthy problem of the person that great majority seizes the opportunity not only slight, also can prevent, or adopt proper method but will all sorts of unwell fall lowermost limit. In seizing the opportunityFood1. eats. After taking food not only gastric bowel path produces gas much, and the liquid of generation is about double when the ground. After accordingly the plane takes off, do not take food immediately, and should taking off two hours resumptive eat a few containing a lot of fibrous is not fat with the food that produces gas not easily. 2. Drink. The eye that causes to because cabin is dry,prevent, skin, oral cavity is dry and the thrombus that causes because of dehydration, answer 3 hours every to drink a cup of water or fruit juice, but the drink that should avoid drinkable spirituosity and carbonic acid. Sitting position1. takes out the thing of the bag after trousers, lest oppress sciatic. 2. Put seat back of a chair, one pillow is put in the waist, fasten seat safety chalaza. 3. Raise lower limbs a little, build lower limbs go up at the article such as suitcase, handbag. Not double foot or double leg photograph tangle, the side after crus nevers mind rely on seat forward position, in case lower limbs dropsy, aching. Morpheus
A lot of people have in normal life " Morpheus deficit " , if have nightly flight, "Morpheus deficit " will increase further. Accordingly, proposal this kind of person: 1. The nap when days flies, nightly flight what is appropriate to the occasion sleeps as far as possible. 2. Hear music, shading lens and earplug, in cervical padding gas pillow all conduces to Morpheus. Dress1. is unfavorable wear tight underwear, stocking or shrink the mouth slants close anklet, affect circulation of lower limbs blood in case. The person that have varicosity can wear stretch sock. The foot is bloated person answer a foot is proper drive up. 2. Cabin is cooler the blanket on lid of what is appropriate to the occasion. 3. Eye allergy or glasses of the form that wear concealed person should lie between 1 ～ 2 hours to drip eyedrop. 4. Can aerate air conditioning the mouth is adjusted come to leave facial position or shut its. Notice to prevent the following disease even: Baric injuryOf engine room sealed can increase the negative pressure inside cabin, but the atmospheric pressure of the height of 2450m of nature of aeriform pressure short of inside air bus, right now the air inside body cavity goes up to increase about 25% , the gas experience that ear, paranasal sinus, enteron place contains discharges outer shroud condition. But there is inflammation in ear, paranasal sinus, enteron or be illogical below the circumstance of free, gas experience is jammed and cause baric injury. PreventiveDeglutition, masticatory motion is made when the plane takes off and descending, or hold nose and add up to the mouth to beat air outwards, in order to balance eardrum pressure. The person that ear, paranasal sinus, enteron has inflammation should have treatment actively before seize the opportunity. Dizzy use diseaseSome people can appear disgusting, vomiting, complexion is cadaverous, piece cold sweat is isoplanatic move a symptom. PreventivePress those who control artifice part with finger inside close acupuncture point, before seizing the opportunity 1 hour is taken by dizzy peace, dizzy Hai Ning, beauty its quick or armour Pai chlorpromazine fight the dizzy medicaments that use disease. Tourist class is asked for integratedlyBecause,be normally sedentary do not move bring about humoral from lower limbs blood-vessel is oozy and occurrence oedema, articulatory strut, thrombosis of vein of as a result, produce the lobar embolism of thrombus of lower limbs vein and in a extremely dangerous state even. PreventiveEvery rise 1 hour too activity or sitting to undertake systole, loosen lower limbs sarcous to move 5 ～ 10 minutes. The person that has tall lipemia or arteriosclerosis should take drug on time. Seize the opportunity to abstain from cardInclude all sorts of urgent disease, traumatic, be pregnant terminal pregnant woman. After arrivingAfter crossing time zone to fly, easy happening time difference is asked for integratedly, adjust and restore to need proper time. Adjust method to be: Do towards evening some loosen an activity. Do not drink inside before sleeping a few hours and coffee, but a few eating some of mug-up, in order to increase lubricious amine of hydroxide of generation cerebra 5- and a kind of hormone that make Morpheus. If insomnia, not impatient, can read a book, can use short effect hypnotic carefully when necessary. No matter slept how long, Morpheus quality how, must get up in fixed time the following day. Adjusting to do not take a nap before new schedule. Can use sunshine and man-made light to adjust physiology section law, restore time in order to shorten. 2. If be westerly flight, but at arriving that day outdoors lingers afternoon a few hours, activity of morrow morning outdoors 1 ～ 2 hours. If be travel of past Dong Fei, the first yield results in work outside answering in the morning is moved, but should avoid to go out towards evening. Fade black element can be taken appropriately before sleeping.

Guard against carefully arch-criminal: DiarrhoeaDiarrhoea: Chief risk elementThe element of chief health hazard that traveler diarrhoea is international travel. According to the discretion of traveler diarrhoea occurence rate, can be global cent 3 kinds of areas: 1. Tall danger area. Include the major nation of middle east, Africa, South America and Asia, incidence of a disease is 30% ～ 50% . 2. The area highs in. Include Eastern European country, south Africa and country of a few Caribbean, incidence of a disease is 8% ～ 20% . 3. Low danger area. Include the United States, Canada, Australia, New Zealand, Japan, north country of Ou Hexi Europe, incidence of a disease is 2% ～ 4% . Will tell commonly, if traveler keeps 1 ～ in tall danger area 2 weeks, have 30% ～ the person of 50% will produce traveler diarrhoea. Our country is 20% ～ to the diarrhoea occurence rate of the traveler of southeast Asia, Africa and South America 60% . To in Europe, meridional be in with traveler diarrhoea occurence rate of Australia 10% above. Mix in temperate zone area commonly the season with torrid weather, traveler diarrhoea occurence rate is higher. Although only the patient of 1% needs hospitalization, and very few and deadly, but still the patient that makes an appointment with 1/3 needs treatment of lie in bed, the patient of about 40% needs to change viatic plan. Understand the cause of disease
Serious precaution80% ～ the diarrhoea of the traveler of 85% by the bacterium (the commonnest is to produce noxiousness coliform organisms) infection is caused, helminth is occupied about 10% , virus is occupied about 5% . In addition, the element such as dietary change, excessive drinking and excessive exhaustion also can cause diarrhoea. Sample exoticism food is one of the travel serious content normally. And the dangerous likelihood that produces diarrhoea is potential among them, be in especially summer is dangerous the gender is bigger. Even if in repast of astral class guesthouse, if have salad kind cold drinks and snacks and hamburger, produce diarrhoea possibly also. And the bottled beverage with dry food and sealed and all ready, good brand is safety commonly. Expostulatory: 1. Do not eat raw fish, raw meat (give birth to seafood especially, be like oyster) , salad, cold conserve, sweetmeat or content of any wet cold drinks and snacks. Draft fruit must husk. 2. Diarrhoea symptom should not avoid to eat solid food and dairy produce before improvement, eat the food that contains a lot ofcarbohydrate gradually. 3. Undertake vaccinate. Right long-term traveler or for many times short-term traveler can adopt necessary vaccinate, if RBS/WC is choleraic,vaccine already got World Health Organization (WHO) recommend. 4. To Gao Wei danger zone is short-term (3 weeks of less than) the travel can choose medicaments to prevent cure. The antibiotic with the at present most effective diarrhoea of remedial bacterium sex is Nuo fluorine acid of Qin of acid of Pai of fluorine of third of Sha Xing, annulus, fluorine Ding acid, fluorine, TMZ/SMZ. The effect of diarrhoea of cure of element of homebred the rhizome of Chinese goldthread is very good also. But before using, should seek advice to the doctor, use according to doctor‘s advice. 　　 Substantival explanationThe definition of diarrhoeaHave 4 times at least inside 24 hours or of 4 above rare, or have 3 times at least inside 8 hours or of 3 above rare, accompany at least have following a kind of expression: Disgusting, vomiting, abdominal convulsion, calorific, have a bowel movement is rapid, in urgent hind heavy or blood, mucus.

Arch-criminal accomplice: Respiratory tract infectionRespiratory tract infection is the 2nd healthy and critical factor that is next to diarrhoea. From the point of the circumstance of world each district, rate of infection of traveler respiratory tract is 10% ～ 90% , developed country and the incidence of a disease is striking resemblance that developing country respiratory tract affects, and the microbial gene causing disease that causes respiratory tract infection is identical, for example bacterium of army group of lung of flu virus, be addicted to can cause disease of tourist group respiratory tract to break out. Because had contacted the patient that acute respiratory tract affects closely,its spread way basically is. Main disease plants and preventive is: ColdThe cold is the disease that be next to diarrhoea and is located in the 2nd. According to investigation, below popular without flu circumstance, the traveler of about 20% can suffer from head cold. The cold of 90% is 80% ～ virus (the virus that be like gland, deputy flu virus, respiratory tract adds up to afterbirth virus, ECHO virus, Coxsakie virus, nose virus, coronal shape virus to wait) infection be caused by. Also can feel pneumonic bear the infection such as former put oneself in another‘s position, streptococcic, pneumonic diplococcus. It is next in air temperature under 12 or be caused by of the catch cold catch cold below the environment with bigger difference in temperature of day and night. Function of hidebound, nerve function of disorder, immunity drops, abnormal reaction all may cause a cold. Be in usually, the cold won‘t produce popularity. Light person need not special treatment, but need to rest. Heighten of calorific, leucocyte and sinusitis of intercurrent the upper jaw person drop bazoo and applied antibiotic treat usable ephedrine. The person that have a headache can use aconite. FluAlmost each winter or early spring has local popularity, can affect each age paragraph person. The incidence of a disease of cheeper and elder and rate of die in one‘s bed are higher. Armour of flu virus cent, second, third 3 model, each model have again a certain number of inferior model. Craze is commonly by armour virus different inferior model cause, second virus causes local small popularity only, third virus is caused only send out case of illness. Flu is be restricted oneself sexual disease, light disease needs to rest only, need not special treatment. Fight virus cure to disable more. Can handle to disease, if antifebrile, solution is painful,can take Chinese traditional medicine cold medicine to be taken after being mixed with boiling water. Prevent measureIf 1. has flu popularity in the travel‘s end or road, the proposal undertakes this before the travel model flu vaccine prevents inject, or mix before set out amine of King Kong alkyl or King Kong ethylamine are taken to undertake precautionary in viatic road. 2. Cold febrifuge should be carried to taste when the travel reach desensitization drug. 　　 Army group bacterium is illThe bacteria often lives in water supply and air conditioning system progenitive, the transmission enraging mist of the gas collosol that can lend shower shower nozzle, faucet generation or cooling tower generation gives a person. The person that affect produces sex of great part of a historical period more pneumonic, expression is mixed for ache of abrupt high fever, shiver, muscle acuteness have a headache, and can accompany invigorative unbalanced, psychedelic with symptom of gastric bowel path. If have the proper treatment that fight bacterium not in time, rate of die in one‘s bed is as high as 20% . Prevent measureTraveler cannot foretell whether do living place water supply and air conditioning system have army group bacterium to exist, accordingly, if traveler is abrupt high fever, use erythromycin has best curative effect normally. 　　 TuberculosisTraveler may be contacted with tuberculosis patient of place, among them partial patient may be the person that individual plant of the bacterium that fight drug is affected. Prevent measureImplementation undertakes vaccinate. 　　 DiphtheriaA lot of adult dialogue larynx already lost distinctive immunity power, because this is right,diphtheria bacili feels easily. Prevent measureGo abroad or undertake vaccinate to the front of epidemic disease area. Once produce respiratory tract infection, should cure of as soon as possible, with decreasing complication is mixed recover at an early date.

Do not let a mosquito kiss youThe mosquito has more than kinds 3500 about, it is tellurian an everybody a group of things with common features, have a variety of 100 transmission agency that are pathogen among them. Anopheles can transmit malaria, filariasis. Library midge can transmit encephalitis and disease of other virus sex, filariasis. Yellow-fever mosquito can transmit the disease of other virus sex such as yellow fever, dengue and heat of the haemorrhage that enter remove from office, filariasis. Graceful midge can transmit filariasis to wait. The activity that the mosquito has bite is in the change inside a day is very big. The library midge that transmits Japanese encephalitis is in normally sunset time is the most active, the Egypt yellow-fever mosquito that transmits yellow fever and midge of silvan hasten blood like days activity, some midge are planted be in morning or crepuscular activity. 　　 Yellow feverMain show is albumen of high fever, icteric, make water and haemorrhage, rate of die in one‘s bed is high. Its are main fashionable district is South America and Africa. Prevent measure" international sanitation rules " the personnel that stipulates from blame popularity the area enters popular area must inject beforehand yellow fever is vaccinal. A few years detect the result makes clear, the traveler that goes to area of yellow fever popularity via preventing the our country of inject does not have the person that affect. 　　 Second headThe area of Russia far east from Asian north is the Malaysia to the south, southwest the India of the ministry, Pakistan, Nepalese, have this ill popularity. Prevent measureBeforehand vaccinal second head is vaccinal. 　　 MalariaBe in tropics and semi-tropical area wide popularity, area of partial temperate zone also has distributing. World Health Organization is announced have the state that has aguish danger and the malaria that have resistance to the action of a drug and area have 94. The whole world has the person of 40% to live in aguish popularity area about, every year 500 million person of 300 million ～ contracts malaria, 2.7 million person of 1.5 million ～ dies. In South America, latin america, Africa inferior area of subcontinent of area, India, southeast Asia, middle east mixes Sahalade Oceanian major area has malaria to travel. The mankind does not divide the age, sexual distinction and profession to feel easily generally to plasmodium, it is the number one killer that goes to traveler of aguish popularity area. Prevent measureHospital of the center of international travel hygiene that city of our country each provincial capital and port can reach before 1. traveler sets out, outpatient department, port undertakes advisory, can gain detailed information and precautionary knowledge not only, still can obtain the reliable medicaments that fight impaludism and information of drive midge agent. 2. Do good individual to defend. The body should be not exposed as far as possible when going out, spray repellent go up in lighter clothing. The skin exposes a part to also want to spray repellent. Effective repellent is to contain DEET (benzene armour acyl 2 ethylamine) repellent, DEET chroma is in the repellent effect between 30%~35% is very good, significant time can last 4 hours. In the Morpheus in the mosquito-curtain that has immersed with drive midge agent. If in aguish popularity retention period is in the area 3 months less than, can consider to use precaution of the medicaments that fight impaludism. But should going before epidemic disease area 1 ～ begins 2 weeks to take drug (doxycycline can begin 2 days to take drug in before setting out 1 ～ ) , whether did so that the doctor understands medicine before traveler leaves,content cause side effect. If retention period exceeds 3 months, unfavorable use precaution of the medicaments that fight impaludism. The drug fighting impaludism that buys efficient, low poison undertakes medicaments prevents. But must seek advice to viatic hygiene doctor. Whether does clear destination fight medical area for malign plasmodium, after using the drug that fight impaludism before, have wait without allergic reaction or other and harmful response. Once produce infection, the element of green Hao of the medicaments that fight impaludism that can use our country to develop and compound agent undertake preliminary ego is treated. After taking drug by oneself, still need to be treated to normal hospital as soon as possible. Special remind: Although took the medicaments that prevents malaria, also have the possibility that catchs malaria. 　　 Dengue feverThe infection of virus sex acute that transmits by yellow-fever mosquito. Since describing dengue fever first in Indonesia 1779, eye has 60 many countries and area to have dengue fever popularity on preexistence bound, basically be in area of and other places of southeast Asia, South Asia, Caribbean, latin america, the population of fashionable district is made an appointment with 1.5 billion, occupy the 1/4 of whole world population. Its popularity characteristic is it is certain to have seasonal (see Yugaowenduo more pluvial Xia Qiu is seasonal) , spread rapid, incidence of a disease rate of tall, die in one‘s bed is inferior. The person feels easily generally to dengue fever, still do not have vaccine at present. Its basically infect a source is the person that patient and concealed sex appeal are caught. The person that affect comes in before coming on 24 hours come on virus blood disease all can appear inside 10 days, participate in a person - midge circulates. Its are preclinical it is 5 ～ 8 days. Clinical feature is protuberant and calorific, systemic muscle, skeleton and joint are aching, exceeding and lack of power, appear rash, lymph node enlargement. Dengue fever is a kind to be restricted oneself sexual disease, prognostic and good, still do not have specific content up to now. The haemorrhage that enter remove from office is hotThe patient has typical dengue fever symptom not only, the haemorrhage appearance that at the same time path of reproduction of make water of apparent enteron, respiratory tract, secrete reachs central nervous system to wait for place. The patient that companion has shock produces an illness 7 days to worsen suddenly at the 3 ～ after disease commonly, occurrence loop fails. The prognosis with the hot haemorrhage that enter remove from office relatively dengue fever is poor, rate of die in one‘s bed is higher, still do not have specific content at present. Prevent measure1. prepares the equipment that prevent midge and drive to avoid medicaments. Install gauze door screen window for example, use mosquito-curtain, mosquito-repellent incense, the new-style, lasting effect that contains DEET, safe, facilitating daub, lasting effect drive that divides without fat feeling, Yi Xi is used when going out midge frost. 2. Come from or of area of popularity of dengue of by way of enter a country staff must write according to the facts enter a country quarantine declares card, accept necessary medical examination and medical inquiry at the same time. Right the person that affect and doubtful the person that affect carries out segregation to treat or medicine observes.

Be far from super cancerAccording to estimation, the whole world has 200 million population every year to affect a gender pestiferous (STD) , make an appointment with among them 80% happen in the developing country. The first discovers in the United States from 1981 up to now, the person that AIDS virus is affected already exceeded 100 million, the person that die is achieved 25 million, because this is called contemporary " super cancer " . Brigade exercise person has more to affect the opportunity of STD. Great majority STD happens at average traveler, they are in abroad more the sexual activity that apt takes a risk to attend to be thought that they cannot be accepted in mainland. In the foreign country, traveler can be by the side of red-light district, bar, nightclub, driveway, go up in the train and car even, often encounter mixed pornographic place and street walker. And the STD pathogen such as AIDS virus of the street walker is carried rate be as high as 70% above. Once affect STD, although general won‘t deadly, but the harm that causes to the body, especially psychological scar is to be in hard short-term inside eliminate. The psychological shadow that contracts AIDS can be enveloped all one‘s life even. Prevent measure1. abstinency or make love with associate of infallible the sex that do not have disease only. 2. Use the safety with good quality of a material correctly to cover. 3. In case need a surgery or inject, want to select reliable large hospital; The person that need give aid and support should use course tightened inspection and the proof is the blood of absolute safety and haemal products.

The travel is a Shuang RenjianAs the development of international association and tourism, international travel already became a when current society lives serious content. According to statistic, annual world each country leaves the country traveller frequency already exceeded whole world total population. Be in our country, annual because trade activity, to apply for a job, attend school, learning communicates, visit one‘s family the traveler number that seeks friend and travel sightseeing already exceeded population number far. As a result of the happening of the popularity of disease of the travel‘s end, contingency, be in the area that lacks public safety especially, traveler may be affected disease and suffer accident harm.
Discrepancy condition examines quarantine system makes clear to giving the contagion that enters condition traveler to monitor, quite of the amount enter a country personnel contracted the infection such as disease of AIDS, syphilis, diarrhoea and malaria outside the condition. From 2002 the end of the year is not typical sex pneumonic (SARS) eruptive to on May 5, 2003, be in a few short inside the month, the whole world has case of occurrence SARS of 30 countries and area report. What SARS travel so is fast, can saying is the rapid transit tool that took modernization because of the person that SARS is affected. Diarrhoea disease also can bring great anguish to traveler. At present super bacterium NDM-1 already became popular topic. Already confirmed now, super bacteria already spread in many countries. A Belgian is accepted in disaster of foreign dispatch a vehicle super bacterium was affected when cure, return Belgian the back of a person to die. Additional know exactly about sth country (like France) appeared doubt seems infection case. The harm of body and mind that the travel is caused possibly still by special social environment element and property loss, endanger life even, exemple the incident that if bus of Hong Kong tourist is hijacked last month,is killed even. By go up visible, protective ride health is crucial.

Element of hazard of health of 3 big travelPeople normally the geography in surroundings, climate, as microbial as its sort, and certain factor is maintaining the society to balance position. However, traveler is counteracted in viatic road after reaching destination, environment of possible bring into contact with, biology and society endanger an element, smash the balance state between human body and environment thereby, ultimate effect traveler is healthy, endanger life even. Environmental risk elementDowny elementTo downy area traveller increasingly grow in quantity, but what among them some of person knows to downy special environment is very little. Actually, travel to highland very incidental highland is ill (the person that have death occasionally) . Biology elementBasically include to feed source sex and harm of fountainhead sex disease. For example choleraic, armour hepatitis, hook carries helicoid disease to wait is through getting contaminative food and water transmission, or was to contact the soil that is contaminated, sand and food, also can affect alvine path helminth. It is animal harm next. The animal avoids to be contacted with the mankind normally, but a few large carnivore and suffer from hydrophobic animal regular meeting to become have aggressiveness, even if in do not suffer stimulate the condition that cause to fall to also can launch attack to the person. Get when the mobile area of wild animal when the person‘s encroachment, wild animal has aggressiveness possibly also. To intertropical, semi-tropical the tourist that travel with desert area gets likely the assault of serpent, scorpion and spider, cause serious harm or deadly. Swim or diver may be bitten by aquatic. Social psychology endangers an elementBasically include contingency and violent incident. In a lot of countries, traffic accident and violent incident are main social harm factor. Traveler can retain the harm element that be in through knowing destination, adopt proper precautionary measures. Traveler attends project of the recreation in water to also often accident harm happens. In addition, traveler should the culture difference that special attention knows destination and special amorous feelings, cause contingency and violent incident from this in case.

You ask
I answerAsk go out how should traveler undertake vaccinate? AnswerIf traveler wants to accept vaccinate, but to establish the center of international travel hygiene in city of each provincial capital, open port to seek advice. About the no-no card of vaccinate, also should listen to viatic hygiene doctor carefully before have an inoculation remind. Traveler still should concern his the circumstance to tell viatic hygiene the doctor in detail, produce certain side effect in case. If need have an inoculation a variety of vaccine, answer reasonable arrangement program. Because the course requires after vaccination,proper time just can have protective effect. Ask what vaccinate traveler should accept? AnswerThe vaccinate that at present international defends code of carded sliver exemple and quarantine of sanitation of our country territory to decide can be divided kind. The first kindBe " international sanitation rules " with our country " law of territory sanitation quarantine " the vaccinate that the regulation must undertake. Yellow fever is only at present vaccinal a kind. The regulation makes clear a requirement, always arrive or the traveler of area of popularity of yellow fever of by way of must produce letter of vaccinate of yellow fever international. Namely so called yellow book, will forbid to enter a country otherwise. The traveler that from yellow fever popularity the area returns to also must produce this letter, or ward quarantine, observation taking test is kept apart at least 6 days in contagion, forbid to enter a country otherwise. The 2nd kindIt is some states requirement must vaccinal vaccine. For example during annual Mecca pilgrimage, the Saudi Arabia all asks encephalitis of traveler have an inoculation is vaccinal. Some countries ask have an inoculation is choleraic vaccine. If ignored the issue of vaccination, the likelihood causes viatic failure. The 3rd kindIt is the vaccinate that recommends to traveler. This kind of vaccine has 20 to plant. Basically be: 1. Armour liver is vaccinal. To Africa, Asia (divide Japan, Singapore beyond) , latin america and hamster are out-of-the-way area. 2. Second liver is vaccinal. The whole world has the person that virus of liver of more than 200000000 second is carried, the chance that contacts second liver virus is very much, virus of the liver that do not have second is affected history person liver of best and vaccinal second is vaccinal. 3. Hydrophobic vaccine. 150 many countries mix hydrophobic consist in area. To the long-term traveler of hydrophobic local fashionable district, or fieldwork personnel should vaccinal hydrophobic vaccine. 4. Flu vaccine. 5. Tetanus is vaccinal. 6. Diphtheria vaccine. 7. Pneumonic diplococcus is vaccinal. 8. Second head is vaccinal. 9. Meningitis diplococcus vaccine. 10. The plague vaccine. 11. Typhoid fever vaccine. 12. Children needs vaccinal vaccine to be: White 100 broken vaccine, poliomyelitis vaccine, leprosy cheek vaccine, flu vaccine, BCG vaccine.