Pre-travel plans: Vaccinations

 found this useful:

New Hanover County Foreign Travel Appointment line:
(910) 798-6611
http://www.nhcgov.com/Health/clinics-health-svc/Pages/international-travel.aspx

located at 2029 S 17th St.
  Note: only open Monday. Tuesday, Wednesday, seen by appointment only.

must fill out and bring questionaire:

http://www.nhcgov.com/Health/clinics-health-svc/Documents/TRAVELPatient%20Questionnaire.pdf

More information:

http://www.mdtravelhealth.com/destinations/africa/south_africa.php

http://wwwnc.cdc.gov/travel/destinations/south-africa.htm

Vaccine recommendations are based on the best available risk information. Please note that the level of risk for vaccine-preventable diseases can change at any time.

Vaccination or Disease	Recommendations or Requirements for Vaccine-Preventable Diseases
Routine	Recommended if you are not up-to-date with routine shots, such as measles/mumps/rubella (MMR) vaccine, diphtheria/pertussis/tetanus (DPT) vaccine, poliovirus vaccine, etc.
Hepatitis A or immune globulin (IG)	Recommended for all unvaccinated people traveling to or working in countries with an intermediate or high level of hepatitis A virus infection (see map) where exposure might occur through food or water. Cases of travel-related hepatitis A can also occur in travelers to developing countries with "standard" tourist itineraries, accommodations, and food consumption behaviors.
Hepatitis B	Recommended for all unvaccinated persons traveling to or working in countries with intermediate to high levels of endemic HBV transmission (see map), especially those who might be exposed to blood or body fluids, have sexual contact with the local population, or be exposed through medical treatment (e.g., for an accident).
Typhoid	Recommended for all unvaccinated people traveling to or working in Southern Africa, especially if staying with friends or relatives or visiting smaller cities, villages, or rural areas where exposure might occur through food or water.
Rabies	Recommended for travelers spending a lot of time outdoors, especially in rural areas, involved in activities such as bicycling, camping, or hiking. Also recommended for travelers with significant occupational risks (such as veterinarians), for long-term travelers and expatriates living in areas with a significant risk of exposure, and for travelers involved in any activities that might bring them into direct contact with bats, carnivores, and other mammals. Children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites.

Items to Bring With You Medicines you may need: The prescription medicines you take every day. Make sure you have enough to last during your trip. Keep them in their original prescription bottles and always in your carry-on luggage. Be sure to follow security guidelines, if the medicines are liquids. Antimalarial drugs, if traveling to a malaria-risk area in South Africa and prescribed by your doctor. Medicine for diarrhea, usually over-the-counter. Note: Some drugs available by prescription in the US are illegal in other countries. Check the US Department of State Consular Information Sheets for the country(s) you intend to visit or the embassy or consulate for that country(s). If your medication is not allowed in the country you will be visiting, ask your health-care provider to write a letter on office stationery stating the medication has been prescribed for you. Other items you may need: Iodine tablets and portable water filters to purify water if bottled water is not available. See A Guide to Water Filters, A Guide to Commercially-Bottled Water and Other Beverages, and Safe Food and Water for more detailed information. Sunblock and sunglasses for protection from harmful effects of UV sun rays. See Basic Information about Skin Cancer for more information. Antibacterial hand wipes or alcohol-based hand sanitizer containing at least 60% alcohol. To prevent insect/mosquito bites, bring: Lightweight long-sleeved shirts, long pants, and a hat to wear outside, whenever possible. Flying-insect spray to help clear rooms of mosquitoes. The product should contain a pyrethroid insecticide; these insecticides quickly kill flying insects, including mosquitoes. Bed nets treated with permethrin, if you will not be sleeping in an air-conditioned or well-screened room and will be in malaria-risk areas. For use and purchasing information, see Insecticide Treated Bed Nets on the CDC malaria site. Overseas, permethrin or another insecticide, deltamethrin, may be purchased to treat bed nets and clothes. See other suggested over-the-counter medications and first aid items for a travelers' health kit. Note: Check the Air Travel section of the Transportation Security Administration website for the latest information about airport screening procedures and prohibited items.