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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 usually 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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Yellow Fever Vaccination

Yellow Fever is spread by mosquitoes and is found in tropical parts of Africa and South America. Some countries require proof of yellow fever vaccination in the form of an International Certificate of Vaccination before they allow a traveller to enter. Failure to provide a valid certificate can lead to a traveller being quarantined, immunised or denied entry.

Vaccination content

A LIVE attenuated (weakened) strain of Yellow Fever virus.

Who should be vaccinated?

Persons aged nine months or older who are travelling to countries that require an International Certificate of Vaccination for entry, or who are travelling to or living in infected areas or countries in the yellow fever endemic zone even if these countries do not require evidence of immunisation on entry. Additional vaccine information: Only a licenced Yellow Fever Centre can provide vaccination. Travellers will require an International Certificate of Vaccination prior to travel to countries where the disease is found. The certificate only becomes valid 10 days after injection. Travellers should factor this in to their plans.

Vaccine dose

A single injection.

When to get vaccinated

2 weeks before travel

Who should not be vaccinated?

General issues: There is a risk of a rare but serious adverse event, which particularly affects infants and older patients. Vaccination should only be provided after a careful assessment of health and travel plans by the clinic. Specific issues: HIV infected patients should not be vaccinated. Patients with thymus disease should not be vaccinated. Those who have received a live vaccination within the last 4 weeks eg MMR or BCG should delay Yellow Fever vaccination by one month. However live vaccines can be given together on the same day.

Pregnancy and breastfeeding

The vaccine may not be given to pregnant women. In breast feeding, there is no evidence of harm to the baby, but the need for vaccination requires careful assessment.

Duration of immunity

Life long

Side effects

Adverse reactions following yellow fever vaccine are typically mild and consist of headache, muscle pain, low grade fever and/or soreness at the injection site. This occurs in about 10 to 30% of recipients.

Price

£85 per dose

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Malaria Tablets

Book a consultation to discuss your malaria requirements with one of our travel nurses. Which malaria medicine is required depends on your risk assessment.

Malarone – £3.50 per tablet, Larium – £3.80 per tablet & Doxycycline – 50p per tablet.
Recommendations for Malaria tablets to prevent malaria differ by country of travel. No antimalarial drug is 100% protective and must be combined with the use of personal protective measures, (i.e., insect repellent, long sleeves, long pants, sleeping in a mosquito-free setting or using an insecticide-treated bednet).

Vaccination content

There are two types of vaccine available: an injectable and an oral variety. We recommend the use of the injectable variety.

Who should be vaccinated?

Travellers to countries where typhoid is common, especially if staying with or visiting the local population, or with frequent and/or prolonged exposure to conditions where sanitation and food hygiene are likely to be poor. Additional vaccine information: The vaccine is available in a combined preparation with Hepatitis A.

Vaccine dose

A single dose by 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: If you decide to have the oral preparation, you should discuss malaria treatment with the clinician

Pregnancy and breastfeeding

There is no data available about safety in pregnancy and breast feeding. So, subject to medical assessment, vaccine is not recommended for pregnant or breast feeding women.

Duration of immunity

3 years

Side effects

Very few. Temporary tenderness at the site of the injection. Some patients describe temporary headache and nausea.

Price

£56 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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Rabies Vaccination

Rabies is a viral infection usually spread by the saliva of infected animals. Human cases are usually due to dog bites but many animals can be infected, and a scratch or lick may be sufficient to transmite the disease. Rabies is fatal once symptoms begin.

Vaccination content

Inactivated rabies virus particles

Who should be vaccinated?

Travellers for more than one month to areas with rabies, unless there is reliable access to prompt, safe medical care, or who may be exposed to rabies because of their travel activities, or those who would have limited access to post-exposure medical care. Additional vaccine information: Even if vaccinated, travellers who have sustained an animal bite must obtain urgent medical advice.

Vaccine dose

Three doses at 0, 7 and 28 days.

When to get vaccinated

1 month before travel

Who should not be vaccinated?

General issues: The single site, intradermal 0.1ml pre-exposure vaccine regimen should not be used in those taking chloroquine for malaria prophylaxis, as this suppresses the response. Specific issues: A confirmed anaphylactic reaction to a previous dose of rabies vaccine, or a confirmed anaphylactic reaction to any component of the vaccine.

Pregnancy and breastfeeding

Pregnant women and breast-feeding mothers should only be given pre-exposure vaccination if the risk of exposure to rabies is high and rapid access to treatment would be limited.

Duration of immunity

10 years

Side effects

Rabies vaccine may cause local reactions such as redness, swelling or pain at the site of injection within 24 to 48 hours of administration. Reactions such as headache, fever, muscle aches, vomiting and nettlerash are rare.

Price

£87 per dose

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Typhoid Vaccination

Typhoid fever is a bacterial infection usually spread by contaminated food and water. It can cause a serious illness, but vaccines offer up to 80 % protection.

Vaccination content

There are two types of vaccine available: an injectable and an oral variety. We recommend the use of the injectable variety.

Who should be vaccinated?

Travellers to countries where typhoid is common, especially if staying with or visiting the local population, or with frequent and/or prolonged exposure to conditions where sanitation and food hygiene are likely to be poor. Additional vaccine information: The vaccine is available in a combined preparation with Hepatitis A.

Vaccine dose

A single dose by 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: If you decide to have the oral preparation, you should discuss malaria treatment with the clinician

Pregnancy and breastfeeding

There is no data available about safety in pregnancy and breast feeding. So, subject to medical assessment, vaccine is not recommended for pregnant or breast feeding women.

Duration of immunity

3 years

Side effects

Very few. Temporary tenderness at the site of the injection. Some patients describe temporary headache and nausea.

Price

£56 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

Brazil, Amazonas

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
Yellow Fever Vaccination 2 weeks before travel
Malaria Tablets
Hepatitis B Vaccination 2 months before travel
Rabies Vaccination 1 month before travel
Typhoid Vaccination 2 weeks 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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