Travel Health Advice, Vaccinations, Immunisation Clinic

Vaccination Information

Hepatitis A

Hepatitis A is an infection of the liver caused by a virus which is usually transmitted through contaminated food and water. It is easily spread from person to person via the faecal-oral route. It is one of the most common travel health diseases encountered by all types of travellers.

It is advisable to get vaccinated against Hepatitis A.  An initial injection will protect you for up to one year.  A second dose is recommended as early as from 6-12 months. Following this 2nd dose, most people will be protected for a further 20+ years.

Hepatitis A vaccine is suitable for travellers from the age of 1 year travelling to countries/areas of risk.

In addition to the vaccine you should practice stringent hand and food hygiene and avoid eating and drinking certain foods.

This very important advice will be discussed in more detail at your consultation and you will also receive written information to refer to.

Typhoid

Typhoid is a systemic infection caused by bacteria following ingestion of contaminated water and food. The risk of contracting typhoid is highest for travellers to countries of high endemicity. e.g. The Indian subcontinent. Paratyphoid fever is clinically similar to typhoid but usually less severe. There is NO vaccine available to prevent Paratyphoid infection thus the importance of stringent personal, food and water hygiene.

Immunisation against typhoid should be considered for individuals at risk.

A single vaccination is available for adults and children over the age of 2 years old. Maximum antibody response is achieved approximately one month after vaccination and lasts for three years. Re-vaccination is necessary after three years when re-visiting high risk countries.

Every traveller will be risk-assessed to see if the vaccine is required for their trip or not. We will discuss your trip so that you can make an informed choice. Written information will be available for you to follow the most up to date health guidelines.

Japanese Encephalitis

Japanese encephalitis is a a mosquito-borne viral encephalitis caused by a flavivirus. This disease is a risk to those travelling and residing in particularly rural areas of the Indian sub-continent, South East and East Asia and the Pacific.

Transmission of this disease is through the bite of infected Culex mosquitoes which breed in rice growing areas and where pig farming exists. Although highest transmission occurs during and just after the the wet seasons, transmission can vary year to year with seasonal patterns differing in individual countries.

Any travel to a country where Japanese encephalitis is endemic poses a potential risk though risk is greater in prolonged travel or when visiting an area during seasons of increased transmission.

Discuss with the nurse to help decide whether this vaccination may be necessary for your trip.

Vaccination consists of x2 doses given 28 days apart and is suitable for adults and infants from 2 months of age. * AN ACCELERATED COURSE IS NOW AVAILABLE FOR THOSE OVER 18 YEARS OF AGE consisting of x2 doses given at least 7+ days apart. 

Rabies

Rabies is a viral disease that is passed on to humans through the bite, scratch and sometimes even the lick of an infected animal. Rabies in animals occurs on all continents except Antarctica. Dogs, cats, monkeys and bats are the more commonly talked about culprits though any warm-blooded, fur-covered mammal is susceptible to the disease and can therefore pose a risk to travellers.

Once symptoms of the disease develop, Rabies is 99.9% fatal.

We offer a full course of pre-travel Rabies vaccinations. It is important to receive the recommended x3 shots of Rabies vaccine before you travel to areas of risk. Each individual shot costs £70 each and are usually administered on Day 0, 7 and 28. The 3rd dose can be brought forward to day 21 for travellers at risk and with limited time prior to travel.  Speak to the nurse to find out about the best schedule for you, the type of protection you can expect and further information about First Aid advice following an exposure and the need for booster jabs etc.

The course costs £210 though single shots are available for those needing a reinforcing dose or booster etc.

The vaccine is suitable for adults and children from birth. It is highly recommended for children who may be at risk as particularly small children do not see the dangers of touching animals and may often hide scratches for example in case of being told off.

Yellow Fever

Yellow Fever is a mosquito-borne virus spread by the infected Aedes aegypti mosquito. This disease occurs in tropical Africa and South America and is spread by day-time biting mosquitoes. The vaccine is recommended for adults and children from the age of 9 months who are travelling to areas of risk. In addition, some countries require proof of vaccination to enter the country. A Yellow Fever vaccine and certificate may only be issued by a designated Yellow Fever Vaccination Centre as established by International Health Regulations (IHR) (2005).

Generally, Yellow fever vaccine is well tolerated and offers a rapid immune response in 90% of individuals. It is important that a thorough individual travel health risk assessment is carried out prior to administration of the vaccine as there are some individuals who should not receive the vaccine. We are fully trained in Yellow Fever and we will help you to make an informed choice after receiving specialist advice to determine whether you should receive the vaccination or not.

Exemption certificates may be considered for some travellers who are transiting through airports in countries of risk but who are not visiting areas of risk and where vaccination is generally not a recommendation. All these issues and any concerns re side effects will be discussed fully at your appointment.

Meningococcal meningitis

Meningococcal  meningitis is a serious bacterial infection which causes a significant public health problem in parts of the world . We see outbreaks of this disease in sub-Saharan Africa and also in Saudi  Arabia around the time of the Haj and Umra religious pilgrimages where large crowds encourage easy spread of this disease. Infection is transmitted by infected individuals coughing and sneezing over one another and is therefore of increased risk to those in close proximity for extended lengths of time and if in confined spaces.

Vaccination is available for those at risk. Please speak to the nurse who will advise you further about this particular vaccine.

The cost of this vaccine is £70 and includes the certification required for those visiting the Haj in Saudia Arabia.

Hepatitis B

Hepatitis B is an infectious, viral blood-borne disease that affects the liver and can eventually lead to cirrhosis of the liver and liver cancer.  Hepatitis B is spread from person to person through contact with infected blood and bodily fluids.  Activities that increase the spread of Hepatitis  B infection include sexual intercourse, body piercing, tattoos, acupuncture, pedicures and medical, dental and surgical procedures. Carriage of the virus in the local population of certain countries is high and therefore many travellers may be at significant risk.

We offer a course of hepatitis B vaccinations to protect you against this viral disease for the purpose of travel and also for those requiring protection for occupational health risk.

A course of three vaccinations are recommended prior to travel in order to give sufficient protection.  There are different schedules depending on how long you have before you embark on your trip. For occupational risk, three vaccinations are also required.  This is often followed up by a blood test to check for adequate antibodies to guarantee long-term protection.

Speak to the nurse who will help you decide the best schedule tailored to your individual requirement.  Each vaccination costs £45.

Diphtheria tetanus and polio vaccination

The vaccination to protect against these three diseases are given as a combined injection. Most people who have lived and grown-up in the UK will have received five combined vaccinations by the time they reach their late teens. This is generally enough to protect them for life when living in the UK. When travelling to certain countries, it is recommended that if a 10 year gap has lapsed since your last vaccination, a booster dose should be considered.

The cost of the combined diphtheria tetanus and polio vaccination is £45.

Measles mumps and rubella

Measles mumps and rubella vaccination  is a combined vaccination which is usually received during childhood as part of the normal UK vaccination schedule.  For travel purposes and for occupational risk, it is important that one has received TWO  doses of EACH of these components to gain full protection.  Measles occurs worldwide, is common in developing countries and can lead to severe illness.

Speak to the nurse who will help you to decide whether you need this vaccination

The cost of the combined measles mumps and rubella vaccination is £60.

Tick-borne Encephalitis

Tick-borne Encephalitis is a viral disease transmitted to humans by the bite of an infected tick and less commonly through ingested unpasteurised milk from infected animals.

Those at risk will be travellers to parts of Europe and Asia engaging in outdoor activities such as camping, fishing, hiking and cycling or generally spending time in wooded or forested areas where the incidence of tick bites is high.

Spring and early summer are times of particular risk. TBE is on the increase and is a growing concern in Europe.  This infection can cause meningo-encephalitis, long-term neurological complications and can kill.

Vaccination is available for adults and children.  The standard schedule is a course of three injections although most travellers usually only have enough time for x2 prior to travel.   This x2 dose accelerated schedule offers approximately 90% of protection and may be highly recommended.  You will need to discuss this with the nurse to see what suits you best and what course gives you the best protection for your trip.

Vaccination is recommended in conjunction with bite prevention.  This will be discussed at your travel health consultation.

TBE injections cost £70 per jab.

Cholera

Cholera is an acute diarrhoeal infection caused by ingesting food or water that has been contaminated with bacterium called Vibrio cholerae.  Most travellers will be at low risk, though those visiting areas where outbreaks are common or current, or for those who are volunteering and working in areas of very poor sanitation, may need to consider vaccination.

The Cholera vaccination is an oral vaccine. Two doses are required, on an empty stomach at least one week apart and no longer than six weeks apart.  Please speak to the nurse who will advise you on the schedule.

The cost of this vaccine is £70 (£35 per dose).

Other vaccines

Go Global Vaccinations & Travel Health Clinic are happy to be able to provide other vaccinations  in addition to the mainstay travel vaccines.

These include:

  • Chickenpox (Varicella)
  • Shingles (Zoster)
  • Influenza

 

For a full list of our vaccination prices go to our 'Clinic Prices' page.

For any further information on the above diseases and countries at risk visit Fit For Travel website