The risk of hepatitis A and hepatitis B to the traveller should not be underestimated. Travellers must take commonsense precautions to reduce the risk of hepatitis B, as outlined above. Great caution is required in any casual intimate or sexual contact, particularly with prostitutes and male homosexuals. All procedures involving penetration of the skin or mucous surfaces must be avoided if possible, including any injections, tattooing, ear and other body piercing, blood transfusion and medical and dental procedures carried out under questionable hygienic conditions.
Immunisation against hepatitis A and hepatitis B is strongly recommended for all travellers to hyperendemic areas, and it is a sensible precaution in case of accidents that require treatment. Combined hepatitis A and B vacines are available, are highly effective and are strongly recommended for all travellers.
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