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< Back Traveller's Diarrhoea Condition Explained Traveler's diarrhea is a digestive tract disorder that commonly causes loose stools and stomach cramps. It's caused by eating or drinking contaminated food and water. Fortunately, traveler's diarrhea usually isn't serious in most cases — it's just unpleasant. Symptoms Traveler's diarrhea may begin suddenly during your trip or shortly after you return home. Most people improve within 1 to 2 days without treatment and recover completely within a week. However, you can have multiple episodes of traveler's diarrhea during one trip. The most common symptoms of traveler's diarrhea are: Suddenly passing three or more looser watery stools a day. An urgent need to pass stool. Stomach cramps. Nausea. Vomiting. Fever. Sometimes, people experience moderate to severe dehydration, ongoing vomiting, a high fever, bloody stools, or severe pain in the belly or rectum. If you or your child experiences any of these symptoms or if the diarrhea lasts longer than a few days, it's time to see a healthcare professional. Treatments Medication: Azithromycin 500mg Tablets To treat and reduce the symptoms of travellers diarrhoea. Medication: Rifaximin 200mg tablets To treat and reduce symptoms of the gastro-intestinal tract infections that lead to diarrhoea in patients. Watch what you eat The general rule of thumb when traveling to another country is this: Boil it, cook it, peel it or forget it. But it's still possible to get sick even if you follow these rules. Other tips that may help decrease your risk of getting sick include: Don't consume food from street vendors. Don't consume unpasteurized milk and dairy products, including ice cream. Don't eat raw or undercooked meat, fish and shellfish. Don't eat moist food at room temperature, such as sauces and buffet offerings. Eat foods that are well cooked and served hot. Stick to fruits and vegetables that you can peel yourself, such as bananas, oranges and avocados. Stay away from salads and from fruits you can't peel, such as grapes and berries. Be aware that alcohol in a drink won't keep you safe from contaminated water or ice. Don't drink the water When visiting high-risk areas, keep the following tips in mind: Don't drink unsterilized water — from tap, well or stream. If you need to consume local water, boil it for three minutes. Let the water cool naturally and store it in a clean covered container. Don't use locally made ice cubes or drink mixed fruit juices made with tap water. Beware of sliced fruit that may have been washed in contaminated water. Use bottled or boiled water to mix baby formula. Order hot beverages, such as coffee or tea, and make sure they're steaming hot. Feel free to drink canned or bottled drinks in their original containers — including water, carbonated beverages, beer or wine — as long as you break the seals on the containers yourself. Wipe off any can or bottle before drinking or pouring. Use bottled water to brush your teeth. Don't swim in water that may be contaminated. Keep your mouth closed while showering. If it's not possible to buy bottled water or boil your water, bring some means to purify water. Consider a water-filter pump with a microstrainer filter that can filter out small microorganisms. You also can chemically disinfect water with iodine or chlorine. Iodine tends to be more effective, but is best reserved for short trips, as too much iodine can be harmful to your system. You can purchase water-disinfecting tablets containing chlorine, iodine tablets or crystals, or other disinfecting agents at camping stores and pharmacies. Be sure to follow the directions on the package.

£45 (three dose) < Back Typhoid Oral £45 (three dose) Typhoid Oral Typhoid fever is a bacterial infection that can spread throughout the body, affecting many organs. Without prompt treatment, it can cause serious complications and can be fatal. It's caused by a bacterium called Salmonella typhi, which is related to the bacteria that cause salmonella food poisoning . Typhoid fever is highly contagious. An infected person can pass the bacteria out of their body in their poo or, less commonly, in their pee. If someone else eats food or drinks water that's been contaminated with a small amount of infected poo or pee, they can become infected with the bacteria and develop typhoid fever. The main symptoms of typhoid fever are: a persistent high temperature that gradually increases each day headache general aches and pains extreme tiredness (fatigue) cough constipation As the infection progresses, you may lose your appetite, feel sick, and have a tummy ache and diarrhoea . Some people may develop a rash. If typhoid fever isn't treated, the symptoms will continue to get worse over the following weeks and the risk of developing potentially fatal complications will increase. What Vaccines are available? Vaccination is recommended for travellers whose planned activities put them at higher risk of typhoid infection in areas where sanitation and food hygiene are likely to be poor. Country-specific information on the risk of typhoid can be found in our Country Information pages . Vaccinations currently available only protect against typhoid and not paratyphoid infection. Both oral and injectable vaccines are available. Some vaccinations are combined with hepatitis A. Vaccine Schedules Children and adults from 5 years (three doses) Dose 1: Day 0 Dose 2: Day 2 Dose 3: Day 4 Protection duration: Booster should be given at 3 year intervals. How far in advance do I need to book my vaccine for my trip? Ideally, complete the course10 before but you can have the vaccine last up to the day before traveling. Prevention The risk of acquiring typhoid or paratyphoid can be reduced by ensuring good personal hygiene and following advice on the prevention of food and water-borne diseases. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£35 per dose < Back Diphtheria Tetanus Polio (DTP) £35 per dose Diphtheria Tetanus Polio (DTP) Diphtheria is a highly infectious bacterial infection that can affect the nose and throat (respiratory diphtheria), and sometimes the skin (cutaneous diphtheria). The bacterium can infect the nose and throat and release a toxin. The main symptoms are sore throat, difficulty and/or pain on swallowing, husky voice, fever, cough and headache. The toxin produced may affect other organs and it can be fatal. In countries where hygiene is poor, cutaneous diphtheria is the main source of infection causing painful, non-healing skin ulcers which often become infected with other bacteria. Severe illness is unusual. This type of diphtheria is spread by contact with discharge from contagious skin lesions. Tetanus is a vaccine-preventable disease caused by a toxin produced by bacteria called Clostridium tetani . Tetanus spores are found in soil throughout the world but is more common in resource-poor countries. The disease is acquired when material containing these spores, such as soil, contaminates a wound. The toxin released from the bacteria may then attack the nerves of the brain and spinal cord, the main symptom is lockjaw (trismus), characterised by uncontrollable spasms and possibly death. Poliomyelitis (polio) is a potentially paralysing, vaccine-preventable, viral infection. The virus is transmitted through food or water contaminated by infected human faeces or by direct contact with an infectious person. Polio is extremely rare in UK travellers, those at increased risk include travellers visiting friends and relatives, those in direct contact with an infected person, long-stay travellers, and those visiting areas of poor sanitation. Most individuals (about 95 percent) who acquire polio do not develop symptoms. When they do occur symptoms may range from a mild illness with fever, to symptoms of meningitis (inflammation of the lining of the brain) or paralysis. Although paralysis occurs in less than one percent of infections it is frequently long lasting. What Vaccines are available? DPT is a combination vaccine for diphtheria, tetanus, and polio. It is a single-dose vaccine that requires a booster after 10 years if at continued risk. Vaccine Schedules Adul ts and children above 10 years (single dose) Dose 1: Day 0 Protection Duration: A booster is recommended after 10 years when traveling to a high-risk country. How far in advance do I need to book my vaccine for my trip? You can have the vaccine last up to the day before traveling. Prevention Diphtheria Vaccination is the most effective way to prevent infection. Travellers should ensure they are up to date with their routine vaccines according to the NHS vaccination schedule . Some types of diphtheria bacteria can spread from animals to humans. Travellers should be advised not to consume raw dairy products, to avoid close contact with cattle/farm animals and to follow good personal hygiene rules to minimise risk of infection. Tetanus All travellers should be aware of the risk of accidents, thoroughly clean all wounds and seek appropriate medical attention. Further vaccines and/or immunoglobulin treatment may be recommended. Polio An effective vaccination against polio is available. In addition to vaccination travellers should ensure good personal hygiene and follow advice on prevention of food and water-borne diseases. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£89 per dose < Back Tick Encephalitis Adult £89 per dose Tick Encephalitis Adult Tick-borne encephalitis (TBE) is a viral infection spread by tick bites. Ticks infected with the virus are found in parts of Europe (including the UK) and Asia. In the UK the risk of getting tick-borne encephalitis is very low. Ticks that carry the virus can be found in: most of Europe – including the UK Russia parts of China and Japan Ticks live in woodlands and grassy areas, but they can also be found in some parks and gardens. In the UK, only a very small number of ticks carry the TBE virus. Even if you're bitten by a tick, the risk of getting seriously ill is very low. What Vaccines are available? TBE vaccine should be considered for: All persons living in TBE risk areas Those at occupational risk in risk areas: farmers, forestry workers, soldiers Travellers at risk of disease Laboratory workers who may be exposed to TBE Vaccine Schedules Adults above 16 years (three doses) Conventional schedule Dose 1: Day 0 Dose 2: Between month 1 and 3 Dose 3: 5-12 months after dose 2 Accelerated schedule Second dose can be given 2 weeks after initial dose Protection duration: first booster should be given within 3 years of initial course, after this booster can be given at 5 year intervals. How far in advance do I need to book my vaccine for my trip? Ideally 2 weeks before but you can have the vaccine last up to the day before traveling. Prevention Travelers should: Avoid known heavily tick-infested areas of forest and woodland during the spring, summer, and autumn where possible Use an insect repellent such as DEET on your skin – you can also get clothes that contain insect repellent Check the body for ticks regularly. The larval forms of Ixodes ticks are tiny and difficult to see Avoid consumption of unpasteurized dairy products in areas of risk (a potential route of transmission) Seek advice from a medical practitioner if any signs of illness occur within 28 days of a tick bite Walk on clearly defined paths to avoid brushing against plants that may have ticks on them Wear long trousers and long-sleeved tops so it's harder for ticks to bite you TBE vaccination is available for those travelers intending to visit rural risk areas, or whose occupation may put them at higher risk (see below). If you're bitten by a tick, try to remove it as soon as possible. To remove a tick safely: Use a pair of fine-tipped tweezers or a tick removal tool (you can buy these from some pharmacies, vets and pet shops). Grasp the tick as close to your skin as possible and pull upwards slowly and firmly, as mouthparts left in the skin can cause a skin infection. Take care not to squeeze or crush the tick. Dispose of it when you have removed it. Clean the bite with antiseptic or soap and water. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£119 per dose < Back Dengue Fever £119 per dose Dengue Fever Dengue Fever is very common in certain parts of the world and the infection is spread through mosquitos. Although a lot of dengue fever cases are self-limiting, a small number of cases can lead to a severe and life-threatening infection. You can become infected with Dengue Fever if you are bitten by an infected mosquito, these usually bite during the day. Symptoms of dengue include fever, headache, eye pain, and rash. 75% of cases are symptom-free however if you become infected for a second time Symptoms can be more serious and potentially fatal. Dengue Fever is very common in a lot of the tropics, affected areas include: Asia Africa Caribbean Central and South America Pacific Islands Although less common, locally acquired cases are beginning to be reported in Europe, including Croatia, France, and Maderia. What Vaccines are available? Qdenga vaccine can be given to adults and children from the age of 4 years old with confirmed dengue infection in the past who are: planning to travel to areas where there is a risk of dengue infection or areas with an ongoing outbreak of dengue or are exposed to dengue virus through their work, for example, laboratory staff working with the virus. The vaccine contains a weakened version of Dengue virus serotypes 1, 2, 3 and 4 which stimulates your body's immune system and protects you from the virus if you were to become exposed to it in the future. The vaccine is recommended for people traveling to countries where the virus is common. Vaccine Schedules Adults and children above age 4 with confirmed dengue infection in the past Dose 1: Day 0 Dose 2: Month 3 Protection Duration: U p to 4.5 years after the second dose . How far in advance do I need to book my vaccine for my trip? You can have the vaccine last up to the day before traveling. Prevention If yo u're traveling to an area where Dengue fever is found, there are some things you can do to avoid being bitten by mosquitoes. These mosquitos bite during the day, and at this time wear long loose clothing to protect yourself, especially at dawn and dusk. Use insect repellent and reapply as stated by the manufacturer (look for ingredient DEET). Sleep under a mosquito net. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* This vaccine is only suitable for individuals aged 4 years of age and older with confirmed dengue infection in the past . Your booking may be cancelled if this is not the case. Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£199 per dose < Back RSV (Respiratory Syncytial Virus) £199 per dose RSV (Respiratory Syncytial Virus) RSV is a common virus that can cause coughs, colds, and in some cases, more serious lung infections like pneumonia or bronchiolitis. While most people recover on their own, it can lead to serious breathing problems in babies and older adults, and may require hospital treatment. In people with conditions like chronic obstructive pulmonary disease (COPD), RSV can worsen symptoms. What Vaccines are available? The Abrysvo RSV (Respiratory Syncytial Virus) vaccine helps protect against a common virus that can cause serious illness in babies and older adults. It’s especially important for pregnant women and those aged 75 to 79, helping to reduce the risk of severe respiratory problems like pneumonia and bronchiolitis. The vaccine is safe and approved by health authorities. Studies show that it effectively prevents severe illness, and many pregnant women have safely received the vaccine. Vaccine Schedules Pregnant Women: Single dose between 28 and 36 weeks of pregnancy Adults aged 60-79 Single dose Prevention Wash Hands Regularly – Clean your hands with soap and water for at least 20 seconds. Avoid Close Contact – Stay away from sick people, especially during cold and flu season. Clean Surfaces Often – Disinfect frequently touched areas like phones and doorknobs. Cover Coughs and Sneezes – Use a tissue or your elbow to prevent the spread of germs. Stay Home If Sick – Rest at home if you have symptoms of a cold or respiratory illness. Limit Crowded Places – Avoid crowded spaces, especially in winter when RSV spreads more easily. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£50 per dose < Back Hepatitis A junior £50 per dose Hepatitis A junior Hepatitis A is a highly infectious virus that can cause inflammation of the liver. The virus is usually transmitted through food or water contaminated by human faeces or by direct contact with an infectious person. Hepatitis A is rare in the UK with most cases occurring in travellers who have recently visited countries where the disease is common. Areas with high levels of infection include low-income countries that may have relatively poor sanitary conditions and hygiene practices. These areas include: the Indian subcontinent, Sub-Saharan and North Africa, parts of the Far East, South and Central America, and the Middle East. Certain travellers are at increased risk of acquiring hepatitis A, including: Those who are staying with or visiting the local population Frequent and/or long-stay travellers to areas where sanitation and food hygiene are likely to be poor Those with existing medical conditions such as liver disease or haemophilia Men who have sex with men People who inject drugs Those who may be exposed to the virus through their work Those going to areas of hepatitis A outbreaks who have limited access to safe water and medical care Symptoms are often mild or absent in young children, but the disease becomes more serious with advancing age. Recovery can vary from weeks to months. Following hepatitis A illness, immunity is lifelong. Symptoms may include fever, loss of appetite, jaundice (yellowing of the eyes and skin), malaise and nausea. What Vaccines are available? Several effective inactivated hepatitis A vaccines are available for travellers intending to visit areas where hepatitis A is common. Some of these vaccines are combined with either hepatitis B or typhoid. Vaccine Schedules Children aged 1 - 15 years: (two doses) Dose 1: Day 0 Booster: Between 6 and 12 months Protection duration : A single dose offers short-term protection, booster will provide 25 years of protection. How far in advance do I need to book my vaccine for my trip? 2 weeks before is preferable, but you can have the vaccine last up to the day before traveling. Click here to view adult Hep A infomation/booking. Prevention The most common mode of infection in travelers is the consumption of contaminated food or water. The risk of acquiring hepatitis A can be reduced by ensuring good personal hygiene and following advice on the prevention of food and water-borne diseases. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£75 (two doses) < Back Cholera £75 (two doses) Cholera Cholera is a disease, characterised by profuse, watery diarrhoea, caused by certain toxin-producing forms of the bacteria called Vibrio cholera. Cholera is transmitted by ingesting (eating and drinking) contaminated water or food. It is common in many low-income countries and is largely linked to poverty, bad sanitation and poor access to clean drinking water. The risk of cholera for most travellers is extremely low. Activities that may increase risk include drinking untreated water or eating poorly cooked food (particularly seafood) in areas where outbreaks are occurring. Travellers living in unsanitary conditions, including humanitarian workers in disaster/refugee areas, are at a higher risk. Cholera can be mild or occur without symptoms in healthy individuals. Symptoms include sudden, profuse, watery diarrhoea with associated nausea and vomiting. If untreated, cholera can rapidly lead to serious dehydration and shock; fifty percent of those with serious complications, die. With quick and effective treatment, risk of dying is less than one percent. What Vaccines are available? In the United Kingdom (UK), an oral (drink), inactivated cholera vaccine called Dukoral® is available and protects against V. cholera serogroup O1. This vaccine is not needed by most travellers; it is recommended for those whose activities or medical history put them at increased risk, including: aid workers those going to areas of cholera outbreaks who have limited access to safe water and medical care. those for whom vaccination is considered potentially beneficial. (i.e. for those who do not fit into the above groups, but are still considered at higher risk). Vaxchora (a live, oral cholera vaccine for prevention of cholera disease in adults and children aged 2 years and older) was granted UK marketing authorisation (licensed) in 2020. The UK Joint Committee on Vaccination and Immunisation (JCVI) are in the process of reviewing the product information. Recommendations on the use of this vaccine will be published in due course. Vaccine Schedules Adults and children above 6 years (two doses) Dose 1: Day 0 Dose 2: After day 7 but less than 6 weeks Protection duration: 2 years from the date of vaccination Children aged between 2 and 6 years (three doses) Dose 1: Day 0 Dose 2: After day 7 but less than 6 weeks Dose 3: After day 7 but less than 6 weeks Protection duration: 6 months from the date of vaccination How far in advance do I need to book my vaccine for my trip? You can have the vaccine last up to the day before traveling. Prevention Travelers can reduce their risk of being ill from cholera by ensuring good personal hygiene and following advice on preventing food and water spread diseases . Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£50 per dose < Back Hepatitis A Adult £50 per dose Hepatitis A Adult Hepatitis A is a highly infectious virus that can cause inflammation of the liver. The virus is usually transmitted through food or water contaminated by human faeces or by direct contact with an infectious person. Hepatitis A is rare in the UK with most cases occurring in travellers who have recently visited countries where the disease is common. Areas with high levels of infection include low-income countries that may have relatively poor sanitary conditions and hygiene practices. These areas include the Indian subcontinent, Sub-Saharan and North Africa, parts of the Far East, South and Central America, and the Middle East. Certain travellers are at increased risk of acquiring hepatitis A, including: Those who are staying with or visiting the local population Frequent and/or long-stay travellers to areas where sanitation and food hygiene are likely to be poor Those with existing medical conditions such as liver disease or haemophilia Men who have sex with men People who inject drugs Those who may be exposed to the virus through their work Those going to areas of hepatitis A outbreaks who have limited access to safe water and medical care Symptoms are often mild or absent in young children, but the disease becomes more serious with advancing age. Recovery can vary from weeks to months. Following hepatitis A illness, immunity is lifelong. Symptoms may include fever, loss of appetite, jaundice (yellowing of the eyes and skin), malaise and nausea. What Vaccines are available? Several effective inactivated hepatitis A vaccines are available for travelers intending to visit areas where hepatitis A is common. Some of these vaccines are combined with either hepatitis B or typhoid. Vaccine Schedules Adults and children above 16 years: (two doses) Dose 1: Day 0 Booster: Between 6 and 12 months Protection duration: A single dose offers short-term protection, booster will provide 25 years of protection. How far in advance do I need to book my vaccine for my trip? 2 weeks before is preferable, but you can have the vaccine last up to the day before traveling. Click here to view junior HepA information/booking. Prevention As the most common mode of infection in travellers is consumption of contaminated food or water. The risk of acquiring hepatitis A can be reduced by ensuring good personal hygiene and following advice on the prevention of food and water-borne diseases. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£180 < Back Chikungunya £180 Chikungunya Chikungunya is a virus you get from mosquito bites , sort of like a flu. These mosquitoes are most active during the day , especially at dawn and dusk. They breed in standing water around your home, like in flowerpots or old tires, so keeping these areas clear helps prevent bites. First found in Tanzania in the 1950s, chikungunya is now common in tropical and warm areas globally , including parts of Europe and the USA. If an infected mosquito bites you, you'll usually start feeling sick about 4 to 8 days later , though some people might not have symptoms at all. While rarely deadly, it can make you feel quite unwell. Symptoms typically get better within a week or two, but the joint pain can be severe and might last for months or even years . In some cases, it can lead to eye, nerve, heart, or stomach problems. There's no specific cure for chikungunya. Treatment focuses on easing your symptoms with rest, plenty of fluids, and pain/fever medicines like ibuprofen or paracetamol. Common symptoms include: Sudden high fever Severe joint and muscle pains Headaches Sensitivity to light Skin rashes What Vaccines are available? The IXCHIQ vaccine teaches your immune system (your body's defense) to fight off the Chikungunya virus . It uses a weakened version of the virus that can't make you sick. When your immune system sees this weakened virus, it learns to recognize it and creates antibodies to attack it. This means if you later encounter the real Chikungunya virus, your immune system will quickly recognise it and be ready to defend your body, helping to protect you from getting sick. Vaccine Schedules VIMKUNYA Individuals aged 12 and over : Single dose Patient information leaflet: https://www.medicines.org.uk/emc/files/pil.100819.pdf IXCHIQ (live vaccine) Individuals aged 18 and over: Single dose Patient information leaflet: https://www.medicines.org.uk/emc/files/pil.100652.pdf Prevention Avoid mosquito bites , especially during the day. Use repellent and cover up with clothing. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£75 per dose < Back Whooping cough (Pertussis) £75 per dose Whooping cough (Pertussis) Whooping cough (pertussis) is a bacterial infection of the lungs and breathing tubes. It spreads very easily and can sometimes cause serious problems. It's important for babies and children to get vaccinated against it. The first signs of whooping cough are similar to a cold , such as a runny nose and sore throat (a high temperature is uncommon). After about a week, you or your child: will get coughing bouts that last for a few minutes and are worse at night may make a "whoop" sound – a gasp for breath between coughs (young babies and some adults may not "whoop") may have difficulty breathing after a coughing bout and may turn blue or grey (young infants) may bring up a thick mucus, which can make you vomit may become very red in the face (more common in adults) The cough may last for several weeks or months. What Vaccines are available? The vaccine used to protect against whooping cough (pertussis) is the DTaP combination vaccine, which also protects against diphtheria and tetanus. This is the standard vaccine used in the UK childhood immunisation schedule. The main aim of the UK vaccination schedule is to reduce the risk of severe pertussis in infancy. The primary UK vaccination course consists of three doses of an acellular pertussis-containing vaccine at eight, twelve and sixteen weeks of age. A reinforcing dose should be administered at around three years and four months. Pregnant women are advised to have a pertussis containing vaccine ideally between 20 and 32 weeks gestation (minimum 16 weeks gestation) to protect their baby from birth until they reach the age of routine immunisation against this disease. Neither the pertussis vaccination or the natural infection provide lifelong cover. There is evidence of waning protection 10 - 15 years after completing a primary vaccine course. However, pertussis vaccine prevents severe disease, so vaccinated individuals who subsequently develop pertussis are unlikely to be at risk of serious complications. Vaccine Schedules Single dose booster (DTaP combination) Prevention The best way to protect against pertussis is through vaccination. This is provided via the DTaP combination vaccine, which also covers diphtheria and tetanus . Pertussis vaccination is not routinely offered to adults and children over 10 years old (apart from pregnant women or as part of outbreak control). Travellers should always ensure they are up to date with their routine vaccines according to the NHS vaccination schedule. Good personal hygiene, including hand washing, and covering the mouth/nose when coughing or sneezing, can also help to minimise the risk of acquiring and spreading the infection. Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter af ter the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated.

£110 per dose < Back Meningitis B £110 per dose Meningitis B Meningococcal group B bacteria are a serious cause of life-threatening infections worldwide, including meningitis and sepsis . They're also the leading infectious killer of babies and young children in the UK. There are 12 known groups of meningococcal bacteria, and group B (MenB) is responsible for about 9 in every 10 meningococcal infections in the UK. Meningitis and sepsis caused by meningococcal group B bacteria can affect people of any age but are most common in babies and young children.While most young children recover from MenB, around 1 in 20 die from the infection. Many of those who survive have a permanent disability, such as brain damage, epilepsy , hearing loss , or the loss of limbs ( amputation ). What Vaccines are available? The MenB vaccine will protect your baby against infection by meningococcal group B bacteria. These bacteria are responsible for about 9 in every 10 meningococcal infections in young children. Meningococcal infections can be very serious, causing meningitis and sepsis . This can lead to severe brain damage, amputations and, sometimes, death. The UK was the first group of countries in the world to introduce a MenB vaccine into its national program using the Bexsero vaccine. Vaccine Schedules Bexsero: Infants 2 months to 5 months (four doses) Dose 1: Day 0 Dose 2: Month 1 Dose 2: Month 2 Booster: Between 12 and 15 months of age ( In case of delay, the booster should not be given later than 24 months of age) Alternative schedule for Infants 2 months to 5 months ( three doses ) Dose 1: Day 0 Dose 2: Month 2 Booster: Between 12 and 15 months of age ( In case of delay, the booster should not be given later than 24 months of age) Infants 6 months to 11 months (three doses) Dose 1: Day 0 Dose 2: Month 2 Booster: At 2 years of age Infants 12 months to 23 months (three doses) Dose 1: Day 0 Dose 2: Month 2 Booster: Between 1 to 2 years after the second dose Adults and children above 2 years (three doses) Dose 1: Day 0 Dose 2: Month 1 Booster: A booster dose should be considered in individuals at continued risk of exposure to meningococcal disease based on official recommendation Trumenba: Individuals 10 years and older (two doses) Dose 1: Day 0 Dose 2: Month 6 Alternative schedule for Individuals 10 years and older (three doses) Dose 1: Day 0 Dose 2: Month 1 Dose 3: 4 months after the second dose Prevention Individuals should seek advice about their risk of meningitis before travel. Meningococcal disease in travellers is primarily a risk for those visiting areas prone to outbreaks or an area where a known outbreak is occurring. Travellers visiting such locations who are at particular risk include: long-stay travellers who have close contact with the local population healthcare workers those visiting friends and relatives those travelling for Hajj and Umrah those who live or travel ‘rough’ such as backpackers individuals with no spleen or a poorly functioning spleen individuals with certain immune deficiencies Need other vaccines? Please click on the links below for travel vaccination requirements/ advice. For vaccine recommendations and information on conditions based on destinations: https://travelhealthpro.org.uk/countries For vaccine lifespan: https://www.nhs.uk/conditions/travel-vaccinations/jabs/ Antimalarials (Maloff Protect): For adults you can buy these over the counter after the consultation at £2 per tablet. For children please enquire. Need to book more than one vaccine? Please make a booking for a single vaccine and leave a note with the booking for the other vaccines you require. We will reserve the vaccines and call you if there are any issues. Note: We offer a 5% discount for cash payments. Please make sure you fill in the form in the appointment confirmation which you will recieve (as a link). This will allow us to do a risk assessement before your arrive and check all your travel requirements for a swift & safe appointment. *Note* Any cancellation, rescheduling, or missed appointment within 48 hours of the scheduled time will result in the loss of the £30 deposit. If you wish to reschedule, a new £30 deposit will be required to secure the new appointment. Vaccine prices may change due to supplier or manufacturer fluctuations. Prices are guaranteed only when the full course is paid in advance, and vaccines are allocated. There are issues with the stock at the moment and we are trying very hard to make this available. Please give us a call on 01793 535041 and pick option 3 to be added on the waiting list.