Pharmacy Travel Clinic
As a population we are travelling more regularly and further afield, yet many are unaware of the health risks associated with such travel, particularly to Asia, Africa and South America.
Dears Pharmacy Travel Clinic serves to advise and support you with healthcare needs through vaccinations and travel aids.
We would not advise anyone to travel abroad without checking if they need a vaccination so:
- whether you’re filling a gap year or back-packing with friends
- off to an international conference
- or just a seasoned traveller please don’t travel without seeking advice first, ideally two months before you travel.
We provide a complete travel health service tailored to your individual needs.
Our trained pharmacists can provide pre-travel consultations, which allows them to advise on your immunisation needs and the potential risks in the country to which you are travelling to.
Our trained pharmacists will
- review your itinerary
- complete a full risk assessment
- plan immunisations, anti-malarials if required and health advice for your trip.
Vaccinations available include:
|Cholera||Dukoral||2 dose course given 7 days apart. Avoid food 1 hour pre and post vaccine.|
Immunity – 2 years.
|Diphtheria, Tetanus & Polio||Revaxis||1 dose course. Immunity – 10 years|
|Hepatitis A & B||Twinrix||3 dose course given at month 0, 1 and 6.|
Immunity Hep A – 20 years at least
Immunity Hep B – Check immunity levels within 5 years – may require a booster
|Hepatitis A & Typhoid – Adult Only||Viatim or Hepatyrix||1 dose course|
Immunity Typhoid – 3 years
Immunity Hep A – Booster required after 6 months to give 25 years protection
|Hepatitis A – Adult||Avaxim / Havrix||2 dose course with booster required after 6 months|
Immunity – 3 years ( 1 dose)
Immunity – At least 25 years ( after booster (2nd) dose)
|Hepatitis B||Energix B/VAQTA||3 dose course given at month 0, 1 and 6 (shorter schedule possible over 1 month if short on time)|
|Japanese Encephalitis – Adult Only||Ixiaro||2 dose course given 4 weeks apart – protection for 12 months at least|
|Meningitis||ACWY / Nimenrix||1 dose course|
Immunity ACWY – 5 years
|Rabies||RABIES Vaccine||3 dose course given on day 1, 7 and 21|
Immunity – Booster in 2 – 5 years if at continuing risk
|Tick Borne Encephalitis||Ticovac||3 dose course given in months 0 (1st Dose), 1-3 (2nd Dose) and 6-12 (3rd dose) Immunity Ticovac – Booster every 3-5 years if at continuing risk|
|Typhoid||Typhim||1 dose course|
Immunity Typhim – 3 years
Further vaccinations available on request. Deviations from these schedules are possible in certain situations.
What we Vaccinate Against:
Cholera: Usually transmitted by water contaminated by faeces, shellfish and contaminated food. There is an incubation period of 1-5 days and then onset of rapid diarrhoea, extreme vomiting and dehydration can occur. Travellers living in poor sanitary conditions should avoid using tap water under any circumstances and ensure all food is well cooked and eaten piping hot.
Diptheria, Tetanus and Polio: Tetanus spores are present in soil contaminated with bird, animal or human faeces and are widely distributed in the environment. Infection is a result of the spores entering a wound at the time of injury. The incubation period is 4-21 days and symptoms include general rigidity and spasms of the skeletal muscles which can be fatal. Polio is contracted from person to person contact through the faecal-oral route (contaminated food and water). Incubation is 7-14 days and with symptoms including fever and mild illness, such as headache and sore throat to flaccid paralysis in rare cases. Minor illness can be followed by remission and severe illness. Diphtheria is contracted though respiratory contact of items soiled by an infected person. Incubation is 2-5 days and it causes a characteristic acute infection of the tonsils, pharynx, larynx or nose.
Hepatitis A: Transmitted by contaminated water and food, particularly shellfish and person to person contact where hygiene is poor, Incubation is 2-6 weeks with no symptoms and then a sudden onset of mild fever, upset stomach, rash, nausea, vomiting followed by jaundice, at which stage patients begin to feel better.
Hepatitis B: Transmitted from person to person by exposure to bodily fluids (e.g. via occupational exposure, open wounds, sexual contact and newborn infant from mother, contaminated medical, dental and acupuncture instruments, sharing used intra-venous needles, body piercing and tattoo instruments). Infection can be more severe and results in symptoms similar to Hepatitis A with jaundice and hepatitis resulting from liver cell destruction.
Japanese Encephalitis: It is transmitted to man by the bite of an infected mosquito that normally breeds in rice paddies. The illness causes a fever, headache, convulsions, encephalitis and meningitis and especially cranial nerve paralysis. Prolonged recovery and post viral debility are common. Many who recover are left with disabilities. There is no effective anti-viral therapy and treatment is symptomatic.
Meningococcal Meningitis: Transmitted by person to person via airborne particles. Incubation is 2-10 days with symptoms including a sudden onset of fever, intense nausea, headache, sensitivity to light and vomiting. Other symptoms include a stiff neck and a non-blanching rash.
Rabies: The disease is transmitted by saliva from a rabid animal through a bite or scratch. Incubation is usually from 5-60 days, but can take much longer. Symptoms include fever, headache, malaise and fatigue. Anxiety depression, agitation and insomnia may also be reported which can develop into hyperactivity, disorientation, hallucination, seizures and bizarre behaviour.
Tick-borne Encephalitis: Transmitted by the bite of an infected ixodes tick or less commonly, spread by the ingestion of unpasteurised milk for infected animals such as goats. Incubation is 3-14 days. Symptoms can include a flu-like illness that resolves within a few days in the western subtype. The Eastern subtype symptoms includes sudden onset of sever illness including sudden onset of severe headache, fever, nausea and photophobia.
Typhoid: Transmitted by contaminated water and food, where hygiene is poor and food and drink may be contaminated with human faces or urine. Symptoms include fever, headache, confusion, vague abdominal pain and constipation with red spots occurring on body.
We work closely with GP surgeries, so can also assess the impact of any pre-existing chronic medical conditions.
Dears Pharmacy can also support in administering the meningococcal (ACWY) vaccination, which supports travellers going to Hajj or Umrah.
We also help order supplies for your trip, such as anti-malarial tablets, jet lag tablets, altitude sickness tablets or mosquito nets, as well as a range of travel medicines and vaccines at more competitive rates than High Street outlets.
If it is possible, we would suggest that you seek travel health advice between four to eight weeks prior to your trip.
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