[How to plan travel vaccinations when they are numerous or the traveler is pressed for time?]

Deciding on the best immunizations and their best sequence of administration for some travellers may be wavering. Numerous resources documents and tools are available to help the travel medicine expert in his or her decision making process. Still, many factors are to be considered and weighed. These include time, money, uncertain itinerary, health status, fears and beliefs of the traveller and the number of available injection sites. The specific needs of the traveller should be assessed with minutia. The evaluation will look at the type of accommodation planed, the purpose of the travel, the distance covered, the mode of transportation, and previous travel experience. Inevitably, some travellers will leave the country without receiving all recommended immunizations. They should be part of the decision process when some are to be sacrificed. Information is essential for an enlightened choice, and it is the responsibility of the travel medicine expert to provide it.