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Annapurna Everest Spectacular

Trip Overview

The "Annapurna Everest Spectacular" is a wonderful introduction to trekking, combining two of Nepal's finest mountainous regions in a delicious taster of the rich and varied scenery, wildlife and culture of this sacred Himalayan kingdom. Experience the majesty of the world's highest mountains and the intricacies of traditional lifestyles of villagers in the low foothills; the tranquil beauty of Pokhara and the vibrant bustle of Kathmandu and the mystical charms of some of South Asia's most revered Buddhist and Hindu temples all in a single trip.

The trip truly lives up to its name with close up views of both the iconic Macchapuchre (Fishtail) capturing the skyline amongst the Annapurnas and of course Sagarmartha, Mother Goddess of the Earth as she (Everest) is known to the Sherpa people of the Khumbu.

Whilst the trip offers an unparalleled breadth of colour and life the trekking days themselves are short and the accommodation luxurious allowing you time and space to savour the delights and relax into your holiday

Inspiration

Itinerary

Day 1: Kathmandu (4265 ft / 1300 m)

Day 2: Kathmandu – Pokhara (820 m) – Birethanti (1025 m) (B, L, D)

Day 3: Birethanti – Majgaon (1400 m) (B, L, D)

Day 4: Majgaon - Dhampus (1650 m) (B, L, D)

Day 5: Dhampus – Pokhara – Kathmandu (B)

Day 6: Kathmandu – Lukla (2850 m) – Phakding (2610 m) (B, L, D)

Day 7: Phakding – Monjo (2835 m) (B, L, D)

Day 8: Monjo – Namche (3440 m) (B, L, D)

Day 9: Namche (B, L, D)

Day 10: Namche – Monjo (B, L, D)

Day 11: Monjo – Lukla (B, L, D)

Day 12: Lukla – Kathmandu (B)

Day 13: Kathmandu (B)

Day 14: Depart Nepal

Day 1: Kathmandu (4265 ft / 1300 m)

Upon arrival you will be met and assisted by a Ker & Downey representative and transferred to the Gokarna Forest Resort. Gokarna Forest Resort is located inside the serene temperate Gokarna Forest, the former Royal hunting grounds of the Kings of Nepal. A winding road climbs through the forest, up to the main complex, comprising a mix of subtly majestic Malla period architecture, Rana period lodges, and sanctuaries harmoniously blending with nature. A quiet peaceful haven set between ancient towering trees with glimpses of the second fairway in the valley below make the perfect getaway for golf, enchanting forest walks, relaxation and rejuvenation at the Spa, as well as time close to nature.

Overnight at the Gokarna Forest Resort

Day 2: Kathmandu – Pokhara (820 m) – Birethanti (1025 m) (B, L, D)

After breakfast, we transfer to the domestic airport for your 25 minute flight to Pokhara. This spectacular flight offers views of the Langtang, Manaslu and Annapurna ranges. On arrival we are met by our guide and trekking crew and then drive to Nayapul, the road head. From here we have about half an hour's walk to Birethanti village and our lodge. Our walk will follow a ridgeline in the lower foothills of the Annapurnas with surrounding views of the Pokhara Valley. This route then drops to the Modi River Valley, where Ker & Downey's Sanctuary Lodge is located. The lodge has magnificent views of the sacred and unclimbed Fishtail Mountain, or Machhapuchhre as it is locally known. Lunch is at the lodge followed by an optional walk to the nearby village. You may choose to spend the afternoon exploring the surrounding river valley.

30 minutes walk Overnight at Ker & Downey's Sanctuary Lodge

Day 3:Birethanti – Majgaon (1400 m) (B, L, D)

Following a leisurely breakfast, we leave the Sanctuary lodge and trek to Ker & Downey's Gurung Lodge at 1450 meters. We cross the bridge nearby the lodge and start heading up the Modi River. This is a little used trail that starts off on a rocky path along the river bank and then meanders though a forested area. We then reach a winding stone stair case which we start to trek up. After about a 1/2 hour, we reach the level ground at a small farming hamlet. We then trek along this ridge to the village of Waday. From Waday there are far reaching views of the whole valley. Our trek then descends a short distance to a small but sturdy suspension bridge. After crossing this bridge, we have another uphill push, passing though the small villages of Patlekhet and Majgaun before arriving at the Gurung Lodge in time for lunch. Trek time 3-4 hours.

After lunch, you may chose to hike with your guide to the nearby village of Tanchok, where there is a traditional house now made into a museum. The contents of the house illustrate how the local people live, together with the tools and implements of day to day traditional village life. You may also choose to visit the local school. Trek time 1-2 hours.

Day 4: Majgaon - Dhampus (1650 m) (B, L, D)

This morning we start out trekking through the unspoilt village of Patlekhet. Our walk then takes us through sub-tropical forests that include tree orchids, rhododendrons and magnolias. Along the way, we will stop at the village of Pothana where many Tibetan traders live and sell their souvenirs.

The trail from Pothana to the lodge offers spectacular views of the Annapurna range. After lunch at the lodge there will be an optional walk through the old village of Dhampus. From the lodge, there are sweeping views of the entire Annapurna Range. Dinner is included.

4hrs walk Overnight at Ker & Downey's Basanta Lodge

Day 5: Dhampus – Pokhara – Kathmandu (B)

After breakfast, we depart along the ridge and descend through the wooded hillside and terraced farmland to the valley floor (3300ft/1000m). We meet our vehicles here for the short drive to Pokhara airport and our flight back to Kathmandu. Transfer to the Gokarna Forest Resort for some rest and relaxation

2hrs walk Overnight at Gokarna Forest Resort

Day 6: Kathmandu – Lukla (2850 m) – Phakding (2610 m) (B, L, D)

We make an early start to take a spectacular, short mountain flight to Lukla, the start point for our trek. Watch out for the Langtang and Jugal ranges then the Rolwaling Himal, Gaurisankar and Menlumtse before getting your first glimpse of Everest on the flight. Our trekking crew meets us at the Lukla airstrip and we'll spend a few minutes sorting out bags etc before setting off through this winding village to the trek start proper at the Khumbu 'gateway'. It's gently downhill on pitched stone trails through low rhododendron forest, small 'garden' farms and old and new hamlets to the banks of the foaming Dudh Koshi River. There will be plenty of short stops to meet the locals, take photographs and just soak up the scenery and the clear mountain air as we meander along, the undulating trail glimpsing views of 6000m snow-capped peaks high above. Passing the enormous mani stone at Thado Kosi we meander up through the many chortens and prayer wheels of Sano and along to our destination of YMH Phakding in time for a late lunch. The afternoon is free to rest in the riverside gardens or sun lounge. For those who wish to we'll make a short trip up to the higher village and delightful tiny gompa perched on the valley side. Gather again for pre-dinner drinks round the fire followed by evening meal.

3hrs walk Overnight at Yeti Mountain Home, Phakding

Day 7: Phakding – Monjo (2835 m) (B, L, D)

After breakfast we trek to the village of Monjo. The gently undulating trail follows the right bank of the Dudh Koshi through Phakding village before the first of several river crossings today on wire suspension bridges. Continuing through pine forest and small villages we come to a break in the trees to catch sight of the mighty Thamserku (6623m) towering way above. A couple more hours of woodland trails and swaying bridges brings us to the small village of Monjo. Our lodge for the night is located above the village with spectacular views of Thamserku and KusumKangri. After lunch at lodge there's an opportunity to explore the side valleys and villages with your guide. Dinner is also included.

3hrs walk Overnight at Yeti Mountain Home, Monjo

Day 8: Monjo – Namche (3440 m) (B, L, D)

A short walk from our lodge brings us to the gateway to the Sagamartha National Park. We stop to have a look at the interesting 3D map and information boards whilst our guide sorts out our permits and entry. From here we've another 40 minutes or so along the sides of the Dudh Khosi before crossing the Bhote Khosi, raging in form a side valley, and beginning our climb to the Sherpa capital of Namche Bazaar. The trail zig-zags up away from the river, gradually ascending to the tree line opening out into a high mountain bowl and the vibrant village of Namche. We pass through the many tiny shops and colourful stalls picking our way slowly up hand cut stone steps to our wonderful Yeti Mountain Home Lodge. This is our first night above 3000m so it's important to take it easy and let your body adjust. Relax with a tea or coffee and maybe even take a massage in our spa.

4 to 5hrs walk Overnight at Yeti Mountain Home, Namche

Day 9: Namche (B, L, D)

Today we'll take a gentle walk to gain a little height and then have the afternoon free to explore the shops and cafes of this delightful little town.

Your guide will take you to a couple of wonderful viewpoints to see the 'rockstars' of the mountain world spread out before you: Lhotse, Nuptse, Everest, Ama Dablam... they ring the deep valley sides in a magnificent arena. You should also be able to see the trails to Everest. If you're feeling energised we'll continue on to the delightful villages of Kumjung and Kunde with their health post and school both started by the Sir Edmund Hilary Fund.

After lunch you are free to head down to the Namche market to browse the shops, chat to the locals and maybe pick up a souvenir or two. You may also see the Tibetan traders who make a yearly journey over the high passes from the Tibetan plateau with their yaks laden with goods to sell at the markets. Late in the afternoonthere's an option to visit Namche Monastery. The monastery is about 80 years old and has beautiful Thanka paintings of Tibetan deities. You are most welcome to burn a butterlamp for your loved ones.

Overnight at Yeti Mountain Home, Namche

Day 10: Namche – Monjo (B, L, D)

After Breakfast, we descend back to Monjo. We will reach Monjo at lunch time. After lunch at lodge, you are free to relax your day.

4hrs walk Overnight at Yeti Mountain Home, Monjo

Day 11: Monjo – Lukla (B, L, D)

We retract back to Lukla after breakfast passing through Banker and Phakding and following the trail to Lukla. You spend your final night in the Everest region here. This is also a good time to give your gratitude to your porter and trekking crew for their wonderful support and to bid them farewell.

5 to 6hrs walk Overnight at Yeti Mountain Home, Lukla

Day 12: Lukla – Kathmandu (B)

After breakfast we take a short but spectacular flight back to Kathmandu. When the weather is clear, this short flight will be one of the magnificent highlight of your tour with amazing views of the surrounding mountains. After landing, you will be transferred to your hotel. You will have your free time to relax and enjoy spa after trek.

Overnight at the Gokarna Forest Resort

Day 13: Kathmandu (B)

After enjoying a leisurely breakfast at the hotel, we'll be met by our guide for our day trip to a few of the Kathmandu valley's most spectacular and important sights and some vibrant, colourful markets.

With a blend of three ancient capitals and their associated palaces, temples and markets of Kathmandu has a lot to offer culturally and historically. However, we're mindful not to overload you on your first day so will ensure the day has a good balance between sightseeing, exploring and relaxation time.

The exact itinerary may change depending on the local conditions but we shall most likely visit:

  • Pashupatinath, one of the most important temples in South Asia to the Hindu God, Lord Shiva;
  • One of the three Durbar (Palace) Squares , a complex of palaces and temples which was formally the social, religious and administrative focal point of the ancient city
  • Boudhnnanath Stupa, a wonderful Buddhist site centred on a huge Stupa topped with the all-seeing eyes. If possible we'll come here in the early evening to soak up the atmosphere of hundreds of Tibetan and Sherpa peoples walking their devotional khora

Overnight at the Gokarna Forest Resort

Day 14: Depart Nepal

Transfer to the Airport for your international Departure.(B)

Rates:

  • US$ 3855 per person on room sharing basis
  • Single Supplement US$ 1440

Includes

  • Airport/Hotel/Airport Transfers
  • 4 nights Hotel Gokarna Resort on BB Twin Room
  • Full day Kathmandu Sightseeing
  • 3 nights K&D Lodges as per program on FB
  • 6 nights YMH Lodges as per program on FB
  • National Park and TIMS Permit Fee
  • Flight: Ktm-Pokhara-Ktm with airport tax
  • Flight: Ktm-Lukla-Ktm with airport tax
  • 1 English Speaking Guide
  • 1 Sirdar, Sherpa helper and porters
  • All staffs daily wages/Insurance

Excludes

  • Lunch and Dinner during KTM stay
  • Personal equipment and Insurance
  • Alcoholic beverages and soft drinks
  • Expenses of personal nature.
  • Nepal Visa Fee US$ 40 Per person
  • Emergency rescue evacuation if needed
*BB = Bed and Breakfast
*FB = Breakfast/Lunch/Dinner

A Typical Day on the "Annapurna Everest Spectacular" Trek

Wake up to a hot drink brought to your room by our lovely Sherpa team. Pack your bags and get ready for the day then potter down to a leisurely breakfast. The porters will arrive as you're breakfasting to carry your trek bag up to our next overnight stop. We usually walk for an hour or so before taking a break and of course there are lots of wonderful views, people and interesting things and photo stops along the way too. We generally reach our next lodge in time for a late lunch then check into our rooms and relax for a while. In Namche and Lukla the masseur is on hand all afternoon for appointments: you may like to book in for a treatment. Or you might feel like exploring the local village and hills maybe with your guide or maybe by yourself. We re-group again for drinks around the fire. We finish the day with a three course meal – local style or Western there's plenty of variety and lots of taste! We tend to drift off to bed fairly early although a quick peak outside at the night sky, particularly higher up where the heavens are really ablaze with stars, can be a late night treat before sleep.

Useful information for your trek

Insurance:It is essential that you have appropriate travel insurance for this trip. Make sure your insurance includes helicopter rescue and evacuation. Previous clients have used the BMC (UK), Snowcard, WorldNomad and TravelEx.

Nepal country information and visas: for European, US, Canadian, Australian and New Zealand visitors you can either purchase a visa in advance from the Nepalese Embassy in your home country of buy one on arrival at Tribhuvan Airport, Kathmandu. A 30 day visa currently costs $40pp payable in USD or Nepali Rupees. You'll need a passport photograph.

In case of flight cancellation

Please be aware that flying into mountains with unpredictable weather conditions can sometimes lead to flight delays or changes. Our agents always endeavor to make sure you reach your destination on time and will re-arrange your ticket to the next available flight. When encountering severe delays this may mean changing the trek itinerary or your international flights.

If Kathmandu to Lukla flight is postponed: In case of flight delays to Lukla we will endeavour to accommodate you at the Gokarna Resort/other hotel based on their availability until we have a confirmed flight for you. We will adjust the itinerary to ensure you get as much time as possible in the mountains. This may mean reducing / removing the Kathmandu nights at the end of the trip.

If Lukla to Kathmandu flight is postponed: In case that the flight from Lukla to Kathmandu is cancelled you will be asked to cover the additional YMH lodge costs in Lukla.

If flights cannot operate due to extreme bad weather:In extreme conditions the regular flights cannot operate. In such cases, Yeti Mountain Home can assist you by providing a helicopter service. You will be asked to pay this extra cost (less the regular flight ticket price). You may wish to place a claim for this with your insurance company on return to your home country.

More detailed information on what to bring and wear on the trek and other practical tips along with country information is available in a separate sheet. Please download from our website www.yetimountainhome.com

Immunizations Recommended for Travel in Nepal

Name of vaccine Dosage Booster Comment
Hepatitis A – brand names (Havrix, Vaqta, Avaxim) or Twinrix (combined A&B) 0 and 6-12 months (2 doses)Twinrix- 0, 1 and 6 months Not recommended. No need to check Hepatitis A antibodies. Rapid schedule available with Twinrix, 0,7 and 21 days with booster at 1 year
Hepatitis B – Engerix, Recombivax or Twinrix (combined A&B) 0,1 and 6 months Not currently indicated Antibody levels do not need to be checked routinelyRapid schedule available
Japanese Encephalitis – Inactivated vaccine (Green Cross) or Live SA14-14-2 (Chengdu Institute)vero cell vaccine (Ixiaro) not available 0, 7 and 28 days or rapid schedule 0,7 and 14 daysSingle dose can protect for 5 years Every 3 years if risk persistsBooster in 5 years JE vaccine recommended in the months of August-October.
Excellent safety profile of live vaccine
Meningococcal meningitis A&C or Quadrivalent A,C,Y, W135 (Menomune) Single doseSingle dose Every 3-5 yearsEvery 5 years A & C adequate for NepalQuadrivalent vaccine needed for the Hajj and parts of Africa
Polio vaccine Primary series as child Single dose as adult Use only the injectable vaccine if not previously immunized
Rabies vaccine 0, 7 and 21 or 28 days Booster every 10 years if risk persists Recommended for all residents and travelers
Tetanus Toxoid (Td) Primary series as a child Every 10 years  
Typhoid Vaccine (Typhim Vi) Single dose Every 2 years Strongly recommended

Malaria prophylaxis for Nepal: Not recommended for Kathmandu, Pokhara and the trekking routes. Not recommended for short stays in Chitwan national park even in the hot months of June, July and August. Recommended for residence in the Terai. Continue personal protective measures against mosquito bites while traveling in malaria endemic zones. Deet 30% is available at the clinic if needed.

Animal bites (dog, monkey, rodents):Wash wound with soap and water immediately and apply antiseptic, then seek medical care. If pre-immunized, need 2 booster doses of the rabies vaccine and if not pre-immunized, need Human Rabies Immune Globulin (HRIG) and 5 doses of the rabies vaccine over a month.

Water safety: Assume all water to be contaminated. Drink boiled water or bottled water or use Iodine (Lugol`s solution 4-6 drops/liter for 30 minutes). Iodine will not kill a seasonal (May-Sept) parasite called Cyclospora, but boiling water will kill it.

Introduction Every decision to take a vaccine to prevent an illness is essentially a decision that the short term expense and slight discomfort (and slight risk) is worth the improved chance of avoiding an unpleasant or potentially fatal illness. The following recommendations are based on the advice of international agencies such as the World Health Organization and the Centers for Disease Control in the United States, coupled with our local experience. Vaccine recommendations occasionally vary from Europe to North America, usually in regard to the exact schedule of giving the vaccine. The results of vaccination can be the same with different schedules.The protection that can be gained from vaccines varies from 50% to almost 100%. So remember that even if you have taken a vaccine you might still get the disease, although you will have greatly reduced your chances of getting ill.

1. For the Prevention of Hepatitis A: Hepatitis A is a virus that infects the liver, causing a disease known as Viral Hepatitis. The disease is distinctly unpleasant, with profound nausea, loss of appetite, and weakness that can last for weeks. It can also be fatal on rare occasions. If you have had Hepatitis A in the past, you will be immune for life and do not need the vaccine. The virus is passed in human feces, and is acquired the same way that you acquire traveler`s diarrhea. Therefore, it is very easily avoided through safe eating habits.Hepatitis A Vaccine:This is a highly effective and safe vaccine. Some common brand names include "Havrix", "Vaqta" and "Avaxim". "Twinrix" is a combined Hepatitis A and B vaccine. All of these vaccines are equally safe, effective, and interchangeable and offer long lasting protection against Hepatitis A, making gamma globulin injections no longer necessary for people who take the Hepatitis A vaccine. Most of these vaccines are given as a series of 2 injections except for Twinrix, the combined vaccine which is given as a series of injections. Havrix which is given as a series of 2 injections, 1440 international units per injection of the vaccine is given on day 0, and then a booster is given from 6-12 months later, with adequate protection about 2 weeks after the first shot. Nepali adults who used to be almost always immune to Hepatitis A through clinical or silent infection in childhood may no longer be immune on account of improved levels of personal and household hygiene and sanitation. It therefore makes sense to give this vaccine to Nepali adults who are not immune to Hepatitis A. Antibody testing is available through the clinic.Gamma Globulin: This is rarely used nowadays as most travelers and almost all residents are getting immunized with the Hepatitis A vaccine. The vaccine offers protection even when given after exposure on account of the long incubation period of Hepatitis A eliminating the need for gamma globulin.

2. Prevention of Hepatitis B: Hepatitis B Vaccine: This is a well established vaccine with high safety and efficacy. Hepatitis B is spread through direct contact with infected blood or through sexual intercourse. Residents and long term travelers are recommended to take this vaccine. In addition, since there are no animal reservoirs of infection, an effort is being made to give hepatitis B vaccine to all humans, which would eventually eliminate the disease from the world, much as smallpox was eliminated by a vaccination campaign in the 1970`s. The regimen for Hepatitis B Vaccine is an initial injection followed by boosters at one month and six months. Rapid schedule is available for people with time constraints. Hepatitis B antibody levels do not need to be checked routinely for healthy adults. Health care workers and immuno-compromised persons can check levels 1- 2 months after the last dose of the Hepatitis B Vaccine. For persons with inadequate levels (

3. For the Prevention of Typhoid Fever: Typhoid Fever is a prolonged febrile illness caused by infection with Salmonella typhi bacteria. An almost identical illness, called Paratyphoid Fever, is produced by Salmonella paratyphi. The organisms are passed in human feces, and acquired by eating contaminated food or water. The disease is rarely fatal, and can be treated with antibiotics. However, it can make you very ill and complete recovery can take several weeks. Therefore, we recommend taking a vaccine to prevent Typhoid Fever, which is an extremely common illness in Nepal (about 1 in 300 unvaccinated travelers get the disease).Typhoid Vaccine: (Typhim Vi) There are currently two different Typhoid Vaccines on the market – an oral Typhoid Vaccine using live organisms, and a capsular polysaccharide injectable vaccine. It consists of a single injection of the vaccine with protective efficacy around 55- 75%, with boosters required every two years. This does not offer any protection against Paratyphoid Fever.

4. For the Prevention of Meningococcal Meningitis: Although many international agencies have stopped recommending this vaccine for travel to Nepal, we continue to offer it since there are outbreaks of undiagnosed severe febrile illnesses from time to time in Nepal. Meningococcal meningitis is a severe bacterial infection of the lining of the brain which is usually rapidly fatal without treatment. There was an epidemic of meningococcal meningitis in Nepal in 1983 with 6 foreign trekkers contracting the disease leading to the original recommendation for this vaccine for all travel to Nepal. Meningitis is spread through coughing or sneezing in a closed environment, with the bacteria entering your body through the nose and mouth.Meningococcal Meningitis Vaccine: The vaccine is safe, 90% effective, and protection from a single shot lasts three to five years in people over age five, and two years in children under five.

5. For the Prevention of Japanese Encephalitis: Japanese Encephalitis (JE) Vaccine: JE is caused by a virus carried by culex mosquitoes in rural areas of southern Nepal or the Terai. JE has also been found to exist in the Kathmandu valley since 1996. JE virus can cause a severe and often fatal infection of the brain. The actual risk of contracting JE by a traveler is probably extremely low. Visitors who will spend less than a month in Nepal are the lowest risk individuals and we are not recommending vaccine to this group. Visitors staying more than a month in Nepal particularly if visiting in the post-monsoon months of August-October and all residents of the Kathmandu valley are recommended to receive immunization against JE. We continue to strongly recommend the vaccine for persons living in the Terai and also to visitors who visit the Terai in the high risk transmission months of August- October. The full series of the inactivated vaccine (Green Cross) consists of 3 shots given on days 0, 7, and 28. If time is short, the 3 shots can be given one week apart. Booster shot is recommended every 3 years, if risk persists. Vero cell vaccine (Ixiaro) is available in the industrialized countries. Live vaccine of the SA14-14-2 strain made by Chengdu Institute in China has an excellent side effect profile and single shot is protective for 5 years.

6. For the Prevention of Rabies Encephalitis: Rabies Vaccine: Rabies virus is transmitted by the bite/scratch of infected animals or from saliva contact with mucous membranes. The disease is present throughout Nepal, India, and Tibet and dogs account for >96% of human cases. The rabies virus, once injected by a bite, travels slowly to the brain over a period of weeks to years, causing a fatal encephalitis. Because of the delay between the bite and clinical illness, rabies vaccine and immunoglobulin can be injected after a bite to prevent the person from developing a rabies infection. This post-exposure series offers essentially 100% protection but it does take a month to complete the five shots plus the initial injection of human rabies immune globulin (HRIG), is very expensive ($800 to $1200 depending on your body weight) and has been in short supply around the world lately. For this reason, long-term travelers or foreign residents often take a pre-exposure series, consisting of 3 shots on days 0, 7, and 28. These "pre-immunized" individuals require only two booster shots 3 days apart if they are bitten by an animal. The risk of being bitten by an animal in our recent study was 2 out of 1000 persons for one year of travel with three times the risk for an expatriate resident living mainly in Kathmandu. Trekking was not associated with increased risk of exposure. We highly recommend the pre-exposure series to everyone particularly children, who may not report to their parents every contact with a stray animal or someone`s pet. We recommend rabies vaccine booster every 10 years if persons continue living in Nepal.

7. For the Prevention of Tetanus: Tetanus Vaccine: Tetanus bacteria can infect small wounds and cause a fatal infection. The risk is the same throughout the world. For this reason, most people have received tetanus vaccine (usually mixed with diphtheria vaccine for greater effect), since early childhood. Boosters should be obtained every 10 years, and foreign travel is an opportunity to review one`s tetanus vaccine status.

8. For the Prevention of Polio: Polio Vaccine: Polio virus used to be endemic in Nepal and mass vaccinations of children under the age of 5 years against Polio have been completed by the WHO. In spite of several rounds of mass vaccinations of children against polio, Nepal is not yet declared polio free by the WHO on account of cases that have cropped up from time to time. Almost all tourist and foreign residents have been vaccinated against this disease in childhood. However, this initial immunity can decrease over the years, and one booster as an adult is recommended if you travel to developing countries. The booster can be oral or injectable if you have previously been immunized. If you have never been immunized against polio, you need to get the injectable inactivated vaccine.

9. For the Prevention of Cholera: Cholera Vaccine: The risk of cholera to the foreign traveler or resident in Nepal is close to zero. Cholera is mainly spread by heavily contaminated water, or by certain sea coast animals that concentrate the bacteria (such as oysters). If you are conscientious in not drinking untreated water (or milk, which is often contaminated with water), you will have almost no chance of getting cholera. We do not recommend routine cholera immunization.

10. For the Prevention of "The Flu." Influenza Vaccine: Influenza, or "the flu," is a viral illness that causes fever, muscle aches, cough, and misery for a number of days. The attack rate is high among travelers, who often are more vulnerable due to the stress of travel, and the congestion of many forms of public transport and restaurants. The vaccine consists of killed particles of three different strains of influenza, and can significantly cut your risk of getting sick with the flu. Although not routinely recommended to travelers, it is a safe vaccine that may save you a week of discomfort on your holiday, or prevent you from being ill during a brief working trip to Nepal or India. A single injection offers protection for about 6 months to one year.

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Ker & Downey Nepal

P.O. Box:20764 Bhattachan Complex

2nd Floor, Thirbam Street, Bhatbhateni

Kathmandu -03, Nepal

Telephone: +977 1 4435686 / 4435645

Fax: 977-1-437-7302

Email: info@keranddowneynepal.com

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