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Hepatitis A Vaccination

Hepatitis A is a viral infection which can cause severe liver disease. The viral infection is usually spread by contaminated food and water.

Vaccination content

Travellers will receive an active vaccine. This is a purified, inactivated preparation of hepatitis A virus.

Who should be vaccinated?

Those travelling to or who will be residing in areas where the disease is common, particularly if sanitation and food hygiene is likely to be poor. Additional vaccine information: The vaccine is also available combined with hepatitis B or typhoid.

Vaccine dose

A single injection 2 weeks prior to travel. Then a reinforcing dose 6-12 months later.

When to get vaccinated

2 weeks before travel

Who should not be vaccinated?

General issues: Patients who have had a serious reaction (”anaphylaxis”) to a previous dose of this vaccine or its constituents. Specific issues: One brand of vaccine ”Epaxal” should not be given to those who have had anaphylaxis to hens’ eggs.

Pregnancy and breastfeeding

There is no evidence of risk.

Duration of immunity

25 years

Side effects

Very few. Temporary tenderness at the site of the injection.

Price

£82 per dose

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Combined Diptheria, Tetanus & Polio Vaccination

Diphtheria is uasually spread by close contact with infected persons. In the UK, the combined Diptheria/Tetanus/Polio vaccine is recommended when diphtheria boosters are indicated for adults. A diphtheria booster lasts 10 years. Tetanus is a serious infection, usually contracted following contamination of wounds. In the UK, after 5 doses of vaccine, tetanus boosters are not routinely required unless travelling to areas with limited medical care. In the UK, the combined Diptheria/Tetanus/Polio vaccine is recommended when tetanus boosters are indicated. A tetanus booster lasts 10 years.

Vaccination content

Given as a combined vaccine with polio, tetanus and diphtheria.

Who should be vaccinated?

Those travelling to an area with poor access to medical attention who have not had a booster in the last 10 years. Additional vaccine information: If your childhood schedule was incomplete, seek guidance about additional doses. In the UK, tetanus vaccine is combined with polio and diphtheria.

Vaccine dose

A single injection.

When to get vaccinated

2 weeks before travel

Who should not be vaccinated?

General issues: Patients who have had a serious reaction (”anaphylaxis”) to a previous dose of this vaccine or its constituents. Specific issues: Unstable epilepsy.

Pregnancy and breastfeeding

There is no evidence of risk.

Duration of immunity

10 years

Side effects

Very few. Temporary tenderness at the site of the injection

Price

£50 per dose

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Hepatitis B Vaccination

Hepatitis B is a viral infection which can cause serious liver disease. It is usually spread sexually and by contact with infected blood or body fluids (e.g. puncture of the skin with contaminated needles). Vaccination is recommended for long-stay travellers, and those at risk due to their medical history, activities or work.

Vaccination content

Travellers to areas of high or intermediate prevalence who place themselves at risk when abroad should be offered immunisation. The behaviours that place them at risk will include sexual activity, injecting drug use, undertaking relief aid work and/or participating in contact sports. Travellers are also at risk of acquiring infection as a result of medical or dental procedures carried out in countries where unsafe therapeutic injections are a possibility.

Additional vaccine information: The vaccine is available combined with hepatitis A vaccine.

Who should be vaccinated

Those travelling to an area with poor access to medical attention who have not had a booster in the last 10 years. Additional vaccine information: If your childhood schedule was incomplete, seek guidance about additional doses. In the UK, tetanus vaccine is combined with polio and diphtheria.

Vaccine dose

There are several different schedules of vaccination. Usually we advise three doses at 0, 1 and 6 months.

When to get vaccinated

2 months before travel

Who should not be vaccinated?

General issues: Patients who have had a serious reaction (”anaphylaxis”) to a previous dose of this vaccine or its constituents. Specific issues: Vaccination should not replace other protective measures against infection, for example the use of condoms.

Pregnancy and breastfeeding

There is no evidence of risk.

Duration of immunity

Life cover after a full 3 dose course

Side effects

Very few. Temporary tenderness at the site of the injection

Price

£62 per dose

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Tick Borne Encephalitis Vaccination

Vaccination content

Inactivated tick borne encephalitis virus.

Who should be vaccinated?

Travellers particularly for spring and summer travel in warm, forested parts of the at risk areas. Individuals who hike, camp, hunt and undertake fieldwork in endemic forested areas should be vaccinated.

Vaccine dose

3 doses at 0, 1 and 6 months.

When to get vaccinated

3 months before travel

Who should not be vaccinated?

General issues: A confirmed anaphylactic reaction to a previous dose of TBE vaccine, one of the vaccine components or a confirmed anaphylactic reaction to egg ingestion.

Pregnancy and breastfeeding

There is no evidence of risk.

Duration of immunity

3 years

Side effects

Reported reactions to TBE vaccine are rare. Local reactions such as swelling, pain and redness at the injection site may occur.

Price

£70 per dose

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Tuberculosis (BCG) national shortage! Phone us to go on waiting list

Vaccination content

BCG is a Live safe attenuated (weakened form) of Tuberculosis (TB)

Who should be vaccinated?

BCG vaccination can be given safely to any person of any age, from new born through to old age. This is a once only vaccination in the UK and is highly recommended by the DH to specific groups at higher risk of exposure to TB

Vaccine dose

BCG is a single once only injection given by specially trained nurses where there is evidence of a negative tuberculin skin test (mantoux).

When to get vaccinated

3 months before travel

Who should not be vaccinated?

People who have had TB in the past and those with a positive mantoux skin test. This is a live vaccine therefore conditions such as HIV or cancer is contra-indicated. Many people with conditions however can successfully receive BCG with specific nurse management. Those who have received a live vaccination within the last 4 weeks eg MMR or Yellow Fever should delay BCG vaccination by one month. However live vaccines can be given together on the same day.

Pregnancy and breastfeeding

Although no adverse reports, it is best to avoid BCG in pregnancy. BCG is not contra-indicated in breast feeding therefore can be given after delivery.

Duration of immunity

25 years – life

Side effects

A mild local reaction at the BCG injection site is typical. A small blister like response and local reaction is to be expected and this is evidence that the vaccination has been successful, leaving a characteristic small scar.

Price

£70 per dose

Bosnia Herzegovina

Essential Optional
Vaccination All travellers When to get vaccinated
Hepatitis A Vaccination 2 weeks before travel
Combined Diptheria, Tetanus & Polio Vaccination 2 weeks before travel
Hepatitis B Vaccination 2 months before travel
Tick Borne Encephalitis Vaccination 3 months before travel
Tuberculosis (BCG) national shortage! Phone us to go on waiting list 3 months before travel
Please note the above is a guide only. Every journey is unique and should be fully checked with our qualified pharmacists, or healthcare team, before you travel overseas. Disease can vary across a single country and vaccination requirements may differ by local area. Book a consultation with us now to establish the recommended vaccinations and medication for your chosen destination(s)

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