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Travel Vaccinations

Travel Vaccinations

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Cholera Oral Vaccination

Cholera is a water-borne infection, common in the Middle East, South America, Africa and Asia, which causes severe diarrhoea. The vaccine is taken as a drink and is recommended for people travelling to areas with widespread cholera or where a recent outbreak has been reported.

Adults and children aged over 6 years take two doses of oral vaccine with a 1-6 week interval between doses. Cholera vaccine is given as a drink in two separate doses. Food and drink must be avoided 1 hour before and 1 hour after taking the vaccination. The vaccine can be given at the same time as other injected vaccines. 

Children aged 2-6 years need three doses of the vaccine with a 1-6 week interval between the doses. If more than 6 weeks elapse between doses then the whole course must be restarted.

Boosters

For continuous protection - additional doses are recommended.  Adults, and children aged over 6, can take a single booster dose up to two years after the original course. If more than two years has elapsed then the whole course must be repeated. Children aged 2-to-6 years can have a single dose booster after 6 months of the original course.

 

Service

Price

Cholera oral vaccination

£65*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Hepatitis A Vaccination

This viral liver infection is common in Africa and India and produces symptoms including nausea, fever, diarrhoea and muscles and joint pain. It’s recommended to have a vaccination for hepatitis A if you’re planning to travel anywhere where sanitation is poor.

The vaccine should be administered 2 to 4 weeks before travelling. Hepatitis A vaccine should provide protection for at least a year after the first dose. A booster should also be given up to 36 months following the initial dose. This should provided protection from the virus for at least 10 years.

Dose for children

The vaccine should be administered 2 to 4 weeks before travelling. The junior vaccine should provide protection for at least a year after the first dose.  A booster should also be given up to 36 months after the first dose and that should provided protection for at least 10 years.

 

Service

Price

Hepatitis A vaccination

£40 per dose*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Hepatitis A & Typhoid Vaccination

Hepatitis A is a viral liver infection common to Africa and India – it causes fever, sickness and diarrhoea and if not treated, it can lead to liver infection. Typhoid is a potentially fatal illness caused by salmonella food poisoning and is found in areas of the world where sanitation levels are poor. Both diseases are caused by ingesting food or water contaminated by faeces. This combined vaccination needs to be taken at least two weeks before travel.

The combined vaccination is suitable for people aged 16 years and over.

A single dose of should be given two weeks before travel, to allow protection to develop fully.

It should provide protection for up to 36 months from both Hepatitis A and Typhoid Fever.

We can offer single vaccinations for children the combined vaccination is only suitable for people of the age of 16 years of age.

 

Service

Price

Hepatitis A & Typhoid vaccination

£60*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Hepatitis B Vaccination

Hepatitis B is a viral liver infection which causes flu-like symptoms and in more severe causes symptoms include jaundice due to liver damage. Hepatitis B is passed through the body fluids or blood and is commonly passed through unprotected sex. There is a risk of contracting the disease if you travel to areas including Asia, sub-Saharan Africa, the Middle East and Southern and Eastern Europe.

You need three doses of the vaccine for full protection. The second dose is usually given one month after the first dose. The third dose is given five months after the second dose.

One to four months after the third dose you may need to have a blood test. You may need one if you are at risk of infection at work, especially as a healthcare or laboratory worker or if you have certain kidney diseases. Your doctor will be able to advise you if you need a blood test. This checks if you have made antibodies against the hepatitis B virus and are immune.

Hepatitis B vaccine can be given to people of all ages and duration of protection lasts for at least 20 years.

 

Service

Price

Hepatitis B vaccination

£35 per dose*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Hepatitis A and Hepatitis B Combined

Hepatitis is a disease which affects the liver, causing the organ to swell. In extreme cases hepatitis can cause liver cancer or scarring. If you are travelling to areas such as Africa, Central and South America, South East Asia, Russian Federation, Southern and Eastern Europe, it’s advisable to be vaccinated before you go.

This vaccine is given as a course of three injections; the second dose one month after the first, followed by a third dose after a further six months. The injections are administered into the muscle of the upper arm in adults, adolescents and older children, and the thigh in infants.

In exceptional circumstances in adults, for example if travel departure is within a month after starting the vaccination course and there is not enough time for the standard 0, 1, 6 month schedule to be completed, a quicker schedule of three injections at 0, 7 and  21 days may be used. If you are given this faster course, it is recommended that you then have a fourth dose 12 months after your first dose of the vaccine.

Some vaccines remain effective for a lifetime, while others have to be updated after a few years. This vaccine provides immunity against hepatitis A for 10 years and hepatitis B for 5 years. A 'booster' injection can be given 5 years after the first course to provide continued immunity against both viruses. Alternatively, booster vaccines can be given separately; hepatitis B after 5 years and hepatitis A after 10 years.

 

Service

Price

Hepatitis A and Hepatitis B combined vaccination

£60 per dose*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Rotavirus Vaccination

Sickness and diarrhoea can be very serious in babies as it can quickly lead to dehydration. This illness is often caused by rotavirus, a type of gastroenteritis which can be immunised against with the rotavirus vaccine. The vaccine is administered orally and is available to babies who are two and three months old.

Your child should receive the vaccine during the first year infancy.

The doses are recommended at these ages:

First Dose: 2 months of age

Second Dose: 4 months of age

Third Dose: 6 months of age (if needed)

The first dose may be given as early as 6 weeks of age, and should be given by age 14 weeks 6 days. The last dose should be given by 8 months of age.

Rotavirus vaccine may be given at the same time as other childhood vaccines.

 

Service

Price

Rotavirus vaccination

£90 per dose*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Japanese Encephalitis Vaccine

Japanese encephalitis is a viral disease which is passed from animals or birds to humans via mosquito bites. The disease is rare but travellers to China and South East Asia are advised to consider having the injection, especially if you are planning to travel in the rainy season (when mosquitos are more prevalent) or if you are going to be staying in rural areas.

This vaccine is given as a course of injections. Ideally, this should be completed at least one month before you travel. This gives enough time for your body to develop full resistance to the virus.
 
The vaccine is given as two injections, with the second dose given 28 days after the first. A booster dose is required after 12 months. This vaccine is suitable for people who are 18 years of age and over.
 
 

Service

Price

Japanese Encephalitis vaccination

£100 per dose*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Meningitis ACWY for Travellers

This vaccination can protect travellers against meningitis groups A, C, W and Y and is recommended for people visiting high risk areas including areas of Africa and the Middle East. Meningococcal disease occurs sporadically all over the world. You should be vaccinated against meningococcal meningitis with an ACWY vaccine (also known as the quadrivalent meningococcal meningitis vaccine) if you’re travelling to areas at risk and your planned activities put you at higher risk – for example if you're a healthcare worker, visiting friends and relatives, or a long-term traveller who has close contact with the local population.

All travelers to Saudi Arabia for the Hajj or Umrah pilgrimages are required to show proof of vaccination.

The meningococcal meningitis vaccination is given as a single injection.

For children from 12 months through to five years of age at continued high risk of meningococcal disease, a second dose may be administered two months after the first dose.

Strains of meningitis differ globally, with different countries being troubled by different types of the disease. It is important that travellers are aware of this in case they need to be vaccinated against certain strains before travelling.

Travellers are strongly advised to book an appointment with our GP three or more weeks before travel to allow sufficient time for it effective vaccination. If you are planning to take children under the age of two years, you should book about four months in advance.

It is important to emphasise that the meningitis vaccine your children will have had as part of their routine vaccinations (called Men C) will not give them the necessary protection for foreign travel.

People who remain at increased risk of invasive meningococcal disease may be revaccinated at intervals.

The duration of protection following immunisation is at least three years.

You have a choice of having a ten minute vaccination appointment for £25 or a £70 express appointment with a GP where the vaccination is explained in great detail and a full travel health consultation is given. If you require further vaccinations or advice then a 30-minute GP appointment may be required which costs £110. 

Rabies Vaccination

Cases of rabies are most commonly caused when a person who isn’t vaccinated against the disease is bitten by a rabid animal – usually a dog. Rabies is an extremely serious disease which is often fatal unless a person has been vaccinated or receives medical treatment in time. Vaccinating against rabies is recommended for anyone travelling to Africa or Asia, particularly if you’re likely to be interacting with animals.

Three injections are given at day 1, 7 and 28.  The third dose can be given at day 21 though.
A single reinforcing dose is then given, one year after the primary course has been completed, to those at regular and continued risk.
Further booster doses should be given at 3-5 yearly intervals thereafter to those at regular and continued risk.
 
Special information
The decision to vaccinate results from an individual risk assessment based on the duration of stay, the likelihood of engagement in at-risk activities, the age of the traveler, the rabies endemicity and access to appropriate medical care in the country of destination.

 

Service

Price

Rabies vaccination

£65 per dose*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Typhoid Vaccination

Typhoid occurs in Africa, Central and South America, the Middle East and India and causes a range of symptoms including a high fever, constipation and diarrhoea. The vaccination injection for typhoid should be taken at least a week before travel.

Children and younger adults are thought to be most at risk of developing typhoid fever. This may be because their immune system (the body’s natural defence against infection and illness) is still developing.

Typhoid fever is uncommon in England, with an estimated 350 cases occurring each year. Most of these people are thought to have developed the infection while visiting relatives in Bangladesh, India and Pakistan.

 

Service

Price

Typhoid vaccination

£25*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Typhoid Oral Vaccination

Typhoid fever is caused by salmonella food poisoning and causes a range of symptoms including stomach pain, fever and changes to bowel movements. Oral vaccination for typhoid should be taken a week before you travel and the dose is given in capsule form. Vaccination is recommended for anyone travelling to Africa, Central and South America, the Middle East and India.

Vivotif is a series of three tablets.  One tablet should be taken on alternate days, i.e. on day one, three and five. Each capsule should be swallowed whole, approximately one hour before a meal, with a cold or lukewarm (no warmer than body temperature) drink. The capsule should not be chewed and should be swallowed as soon as possible after placing in the mouth.

 

How long does it last?

Protection against typhoid fever starts at about 7 to 10 days after taking the course of three tablets. If you are repeatedly exposed to the bacteria,for example; by living in or travelling frequently to a high risk area, the vaccine provides immunity against typhoid fever for about three years. However, if you are only occasionally travelling to high risk areas then you’ll need a three-dose booster course on a yearly basis to provide continued protection against typhoid.

 

Service

Price

Typhoid oral vaccination

£40*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.

Yellow Fever

There are two phases to the yellow fever virus, the acute phase includes symptoms such as nausea, fever, aches and pains. Some people go on to develop the second ‘toxic’ phase where symptoms include kidney failure, jaundice and bleeding from bodily orifices. A vaccination will protect you for at least 10 years and you will need to have the vaccination at least 10 days before your trip.

Travellers over the age of 9 months travelling to countries where yellow fever is a risk.

Some countries require an International Certificate of Vaccination against yellow fever before they will let you into the country. Yellow fever is the only disease which routinely requires proof of immunisation. In some countries immunisation is compulsory for all incoming visitors and in some immunisation is only compulsory for those who have travelled from a ‘yellow fever’ area or country.

A booster dose (and a repeat certificate of immunisation) is recommended every 10 years if you are still at risk.

 

Service

Price

Yellow fever vaccination

£55*

* Additional £25 vaccination fee required for appointment to administer the vaccine. Multiple vaccinations can be administered wtihin one appointment. £25 vaccination fee required as pre-payment at the time of booking to secure the appointment.