PrEP is not mandatory for all travelers — it is a risk management tool.
Travel, pre-vaccination, and repeat exposures
Who should consider PrEP?
- Long stays in endemic areas (weeks to months)
- Remote travel where vaccine or immunoglobulin access may be delayed
- Animal work (vets, shelters), caving, wildlife work
- Children (higher likelihood of unreported bites)
What PrEP changes
- PEP after exposure is typically simplified (booster doses).
- Immunoglobulin is usually not required if previously vaccinated (per many protocols).
- You still need prompt wound care and medical review after exposure.
Practical advice for common tourist settings (e.g., Bali)
- Avoid touching or feeding stray animals, even “friendly” ones.
- Teach children: no contact with unknown dogs/cats/monkeys.
- Know where to get PEP at your destination before you need it.
- Consider PrEP if you will be far from major hospitals.
Destination risk can change; confirm with official travel health guidance.