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From £75 per dose < Back Rabies From £75 per dose Rabies Rabies is a viral disease transmitted to humans usually by a bite or scratch from an infected animal (usually a dog). The virus attacks the central nervous system causing, progressive damage to the brain and spinal cord. The incubation period for rabies is usually 3-12 weeks There is currently no test for rabies before symptoms show, but once symptoms are present, rabies is almost always fatal. Human rabies cases are often unreported, so providing reliable figures on the incidence worldwide is difficult. The disease is estimated to cause 59,000 human deaths annually. Rabies is rare in travellers with only 25 human deaths in the UK from imported rabies since 1946. Although rabies cases are rare in travellers, animal bites and scratches are common. Travellers visiting areas where rabies occurs must be aware of the risk and know what to do if they are bitten or scratched. The disease is preventable if the correct post-exposure treatment (PET) is provided quickly. PET can be expensive and difficult to obtain in some areas. What Vaccines are available? There are 2 types of rabies vaccine used in the UK. You can check the ingredients in the patient leaflet: Rabipur rabies vaccine patient leaflet (Electronic Medicines Compendium website) Verorab rabies vaccine patient leaflet (Electronic Medicines Compendium website) Vaccine Schedules Children and adults of all ages Standard schedule (VERORAB - 2 doses) Total Course Cost: £218 (£109 per dose) Dose 1: Day 0 Dose 2: Day 7 Conventional schedule (RABIPUR - 3 doses) Total Course Cost: £225 (£75 per dose) Dose 1: Day 0 Dose 2: Day 7 Dose 3: Day 21 or 28 Protection Duration: Booster is recommended every 2-5 years 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 Contact with wild or domestic animals during travel should be avoided. Travelers should also be advised: Not to approach animals. not to attempt to pick up an unusually tame animal or one that appears to be unwell. not to attract stray animals by offering food or by being careless with litter. be aware that certain activities may attract dogs (e.g. running, cycling). When should you seek medical attention? You cannot know if the animal is infected with the rabies virus therefore you must seek medical attention immediately if you have been bitten/scratched by an animal and it has broken the skin, as well as if you have been licked on a cut, or in your eye or mouth. What treatment is needed if you do not have pre-exposure vaccines? For medium or high-risk exposures, you may require a blood product called rabies immunoglobulin, ideally within 24 hours. This is a pooled blood product from immunized people that is injected near the wound to neutralize the rabies virus. Availability and quality of rabies immunoglobulin can vary widely, so you may need to travel to another country or consider alternative treatment options. Even if you receive rabies immunoglobulin, prompt vaccination is still essential. What treatment is needed if you have had the vaccines before traveling? If you have been bitten/scratched by an animal and you have had three pre-exposure vaccines, you need two doses of the rabies vaccine, given 2-3 days apart. This vaccine is readily available and will help your body quickly recognize and fight off the rabies virus. Is it worth having a single dose of rabies if you cannot complete the schedule before you travel? Yes, even a single dose of the rabies vaccine can provide some level of protection, especially if you're traveling to a high-risk area. While it's not as effective as the full schedule, it can help reduce your risk of rabies if you're exposed. 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.

£47 per dose < Back Hepatitis B Adult £47 per dose Hepatitis B Adult Hepatitis B is a viral infection of the liver spread by direct contact with the blood or body fluids of an infected person. It occurs worldwide with the highest rates reported in parts of East Asia and Sub-Saharan Africa. Higher rates of infection are also found in the Amazon, southern parts of Eastern and Central Europe, the Middle East, and the Indian subcontinent. In many cases, symptoms do not occur. Symptoms more commonly occur in adults than children and may include: jaundice (yellowing of the skin and eyes), loss of appetite, fever, and abdominal pain. Persistent hepatitis B infection develops in 80 to 90 percent of those infected in the first year of life and in only five percent of those infected in adult years. Persistent infection may lead to liver failure or liver cancer. What Vaccines are available? Several well-tolerated inactivated hepatitis B vaccines, including combined hepatitis A/B products, are available and vaccination is recommended for all travellers considered at risk. Vaccine Schedules Adults and children above 16 years Conventional schedule (Three doses) Dose 1: Day 0 Dose 2: Month 1 Dose 3: Month 6 Accelerated schedule (four doses) Dose 1: Day 0 Dose 2: Month 1 Dose 3: Month 2 Booster : Month 12 (for long term immunity) Adults above 18 years Very rapid schedule (four doses) Dose 1: Day 0 Dose 2: Day 7 Dose 3: Day 21 Booster : Month 12 (for long term immunity) Protection duration: 20-30 years. 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 hep B vaccine information/booking. Prevention All travellers should avoid contact with blood and bodily fluids by: avoiding unprotected sexual intercourse. using appropriate protective precautions where contact is unavoidable e.g. due to occupation. avoiding tattooing, piercing and acupuncture (unless sterile equipment is used) not sharing needles or other injection equipment. not sharing shaving equipment Any traveller can be at risk of an accident or require emergency treatment. Travellers should be aware that using precautions will also help protect against other blood and body fluid-borne viruses, such as HIV and hepatitis C, for which there are currently no vaccines. A sterile medical equipment kit may be helpful when travelling to resource poor areas. 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.

£65 per dose < Back Tick Encephalitis Junior £65 per dose Tick Encephalitis Junior 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 spread it 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 Children aged between 1 and 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 The second dose can be given 2 weeks after initial dose Protection Duration: the first booster should be given within 3 years of the 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.

£45 per dose < Back Hepatitis B Junior £45 per dose Hepatitis B Junior Hepatitis B is a viral infection of the liver spread by direct contact with the blood or body fluids of an infected person. It occurs worldwide with highest rates reported in parts of East Asia and Sub Saharan Africa. Higher rates of infection are also found in the Amazon, southern parts of Eastern and Central Europe, the Middle East and the Indian subcontinent. In many cases symptoms do not occur. Symptoms more commonly occur in adults than children and may include: jaundice (yellowing of the skin and eyes), loss of appetite, fever and abdominal pain. Persistent hepatitis B infection develops in 80 to 90 percent of those infected in the first year of life and in only five percent of those infected in adult years. Persistent infection may lead to liver failure or liver cancer. What Vaccines are available? Hepatitis B vaccine Several well-tolerated inactivated hepatitis B vaccines, including combined hepatitis A/B products, are available and vaccination is recommended for all travellers considered at risk. Vaccine Schedules Children up to 15 years Conventional schedule (three doses) DOSE 1: Day 0 DOSE 2: Month 1 DOSE 3: Month 6 Accelerated schedule (four doses) DOSE 1: Day 0 DOSE 2: Month 1 DOSE 3: Month 2 Booster : Month 12 (for long term immunity) Protection duration: 20-30 years. 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 hepB vaccine information/booking. Prevention All travellers should avoid contact with blood and bodily fluids by: avoiding unprotected sexual intercourse. using appropriate protective precautions where contact is unavoidable e.g. due to occupation avoiding tattooing, piercing and acupuncture (unless sterile equipment is used) not sharing needles or other injection equipment. not sharing shaving equipment Any traveller can be at risk of an accident or require emergency treatment. Travellers should be aware that using precautions will also help protect against other blood and body fluid-borne viruses, such as HIV and hepatitis C, for which there are currently no vaccines. A sterile medical equipment kit may be helpful when travelling to resource poor areas. 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.

£45 per dose < Back MMR (Measles Mumps and Rubella) £45 per dose MMR (Measles Mumps and Rubella) Measles usually starts with cold-like symptoms, followed by a rash a few days later. Some people may also get small spots in their mouth. The first symptoms of measles include: a high temperature a runny or blocked nose sneezing a cough red, sore, watery eyes Mumps is a contagious viral infection that used to be common in children before the introduction of the MMR vaccine. Mumps is most recognisable by the painful swellings in the side of the face under the ears (the parotid glands), giving a person with mumps a distinctive "hamster face" appearance. Other symptoms of mumps include headaches, joint pain, and a high temperature, which may develop a few days before the swelling of the parotid glands. Rubella (German measles) is a rare illness that causes a spotty rash. It usually gets better in about a week, but it can be serious if you get it when you're pregnant. The main symptom of rubella is a spotty rash that starts on the face or behind the ears and spreads to the neck and body. The rash takes 2 to 3 weeks to appear after getting rubella. What Vaccines are available? There are 2 different brands of MMR vaccine available in the UK. These are called Priorix and MMRVaxPro. The main ingredient of the MMR vaccine is a small number of weakened measles, mumps, and rubella viruses. The MMR vaccine does not contain mercury (thiomersal). MMRVaxPro contains porcine gelatine to ensure the vaccine remains safe and effective during storage. You can find a full list of ingredients in these patient information leaflets: Priorix patient information leaflet (PDF, 124KB) MMRVaxPro patient information leaflet (PDF, 104KB) Vaccine Schedules Infants under 11 months Require a single vaccine before travel, followed by two further doses at 12-13 months and 3 years 4 months to 5 years. Conventional children's schedule Dose 1: 12-13 months Dose 2: 3.5 to 5 years Adults who did not have child immunisation should be vaccinated before travel. Adults (not previously vaccinated) Dose 1: Day 0 Dose 2: Month 1 2 doses of MMR will cover you for life. Time Before Travel: The last dose up to a day before Prevention Measles/Rubella is spread when an infected person coughs or sneezes. There are things you can do to reduce the risk of spreading or catching it. Do wash your hands often with soap and warm water use tissues when you cough or sneeze throw used tissues in the bin Don’t do not share cutlery, cups, towels, clothes, or bedding Mumps , you can protect your child against mumps by making sure they're given the combined MMR vaccine for mumps, measles, and rubella. The MMR vaccine is part of the routine NHS childhood immunization schedule . Your child should be given 1 dose when they're around 12 to 13 months and a second booster dose at 3 years and 4 months. Once both doses are given, the vaccine provides around 88% protection against mumps. Anyone who did not have both doses of the MMR vaccine as a child can contact a GP to arrange to be vaccinated. 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.

£175 per dose < Back Human Papillomavirus (HPV) £175 per dose Human Papillomavirus (HPV) Human papillomavirus (HPV) is the name given to a very common group of viruses. There are many types of HPV, some of which are called "high risk" because they're linked to the development of cancers, such as cervical cancer, anal cancer, genital cancers, and cancers of the head and neck. Other types can cause conditions like warts or verrucas . High risk types of HPV can be found in more than 99% of cervical cancers. There is also a significant association between HPV and some of the anal and genital cancers, and cancers of the head and neck. HPV infections do not usually cause any symptoms, and most people will not know they're infected. What Vaccines are available? Gardasil has been the HPV vaccine used in the NHS vaccination programme since 2012. Sometime during the 2021 to 2022 academic year, the HPV vaccine used in the NHS programme has switched to Gardasil 9. Gardasil 9 protects against 9 types of HPV: 6, 11, 16, 18, 31, 33, 45, 52 and 58. Between them, types 16 and 18 are the cause of most cervical cancers in the UK (more than 80%). Types 31, 33, 45, 52 and 58 cause an additional 15% of cervical cancers. These types of HPV also cause most anal cancers, and some genital and head and neck cancers. HPV types 6 and 11 cause around 90% of genital warts, so using Gardasil 9 helps protect girls and boys against both cancer and genital warts. HPV vaccination does not protect against other infections spread during sex, such as chlamydia, and it will not stop girls getting pregnant, so it's still very important to practise safe sex. Vaccine Schedules Paediatric population (children <9 years of age) Not recommended Individuals 9 to and including 14 years of age at time of the first injection Dose 1: Day 0 Dose 2: Month 6 -12 OR Dose 1: Day 0 Dose 2: Month 2 Dose 3: Month 6 Individuals 15 years of age and older at time of the first injection Dose 1: Day 0 Dose 2: Month 2 Dose 3: Month 6 The need for a booster dose has not been established . Prevention You cannot fully protect yourself against HPV, but there are things that can help. Condoms can help protect you against HPV, but they do not cover all the skin around your genitals, so you're not fully protected. The HPV vaccine protects against the types of HPV that cause most cases of genital warts and cervical cancer, as well as some other cancers. It does not protect against all types of HPV. 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 Yellow Fever (with certificate) £75 per dose Yellow Fever (with certificate) Yellow fever is a serious infection spread by mosquitoes. It's found in certain areas of Africa and South and Central America. You should have a yellow fever vaccination if you're travelling to an area where there's a risk of getting it. You can get yellow fever if you're bitten by an infected mosquito. The mosquitoes that carry the yellow fever virus bite during the day. Yellow fever is very common in certain parts of the world, including: parts of sub-Saharan Africa (the area below the Sahara desert) parts of South America, including Trinidad and Tobago parts of Central America Yellow fever is not found in the UK, Europe, Asia, Australia, New Zealand or the Pacific Islands. Need a replacement Yellow Fever Certificate? Please click here to make an appointment. Are you exempt from having a Yellow Fever vaccine? Some medical conditions mean that you can be granted a medical letter of exemption, if you think this may apply to you please call on 01793 545041 or email info@epicarehealth.co.uk for more information. What Vaccines are available? A highly effective live YF vaccine is available and in general vaccination is recommended for all persons visiting countries where there is a risk of YF virus transmission. Very rarely yellow fever vaccination is associated with serious adverse reactions. Prior to vaccination a careful risk assessment is required that considers: risk of disease to the individual certificate requirements for vaccination according to International Health Regulations risk of complications following vaccination Vaccine Schedules Children and adults from 9 months Single dose How far in advance do I need to book my vaccine for my trip? Yellow fever certificate is not valid until 10 days after vaccination Prevention If you're traveling to an area where yellow fever is found, there are some things you can do to avoid being bitten by mosquitoes. Do: Wear long-sleeved clothing and trousers to cover your arms and legs, particularly during early morning and early evening. Use insect repellent on your skin (ideally one that contains the ingredient DEET) Close windows and doors whenever possible, or use blinds or screens. Sleep under a mosquito net treated with insecticide, including during the day. 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.

£100 per dose < Back Japanese Encephalitis £100 per dose Japanese Encephalitis Japanese encephalitis (JE) is a viral infection of the brain transmitted to humans by mosquitoes in parts of Asia and the Pacific Rim. The mosquitoes that transmit JE feed predominantly during the night, between dusk to dawn and are prolific in rural areas, where rice cultivation and pig farming are common. However, they have also been found in urban locations. The risk for most travellers to Asia is very low, especially for short-term travellers visiting urban areas. The overall incidence of JE among persons from non-affected countries travelling to Asia is estimated to be less than one case per 1 million travellers. Risk varies based on: destination, duration, season and activities. It increases for persons who intend to live or travel in risk areas for long periods and to rural areas. Certain activities, even during short trips, where there is significant rural, outdoor or nighttime exposure e.g. fieldwork or camping can increase the traveller’s risk. Most human infections with JE virus do not result in symptoms. When symptoms do occur, they include fever, headache and confusion. In symptomatic cases requiring hospitalisation death rates are high and neurological complications are common. What Vaccines are available? A licensed JE vaccine; IXIARO® is available and should be offered to those intending to stay for long periods in rural regions where JE occurs during the main transmission season or whose planned activities increase their risk. Vaccine Schedules Children and adults above 3 years (two doses) Conventional schedule Dose 1: Day 0 Dose 2: Day 28 Accelerated schedule Dose 1: Day 0 Dose 2: Day 7 Protection Duration: Booster can be given 12-24 months after the initial course, and again after 10 years. How far in advance do I need to book my vaccine for my trip? Ideally, start the course 4-6 weeks before travel, but you can have the vaccine last up to the day before traveling. Prevention The risk of acquiring JE can be reduced by insect bite avoidance, particularly between the hours of dusk and dawn, when Culex mosquitoes are most active. 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 Varicella (Chicken Pox) £75 per dose Varicella (Chicken Pox) Chickenpox is common and mostly affects children, but you can get it at any age. It usually gets better by itself after 1 to 2 weeks without needing to see a GP. An itchy, spotty rash is the main symptom of chickenpox. It can be anywhere on the body. Chickenpox happens in 3 stages. But new spots can appear while others are becoming blisters or forming a scab. Stage 1: small spots appear Stage 2: the spots become blisters Stage 3: the blisters become scabs Other symptoms Before or after the rash appears, you might also get: a high temperature aches and pains, and generally feeling unwell loss of appetite Chickenpox is very itchy and can make children feel miserable, even if they do not have many spots. The chickenpox spots look the same on children and adults. But adults usually have a high temperature for longer and more spots than children. It's possible to get chickenpox more than once, but it's unusual. What Vaccines are available? The vaccine is recommended for people who are not immune to chickenpox and are in close contact with people at risk of becoming seriously ill if they catch it. For example, if you're having chemotherapy, any children you're in close contact with who are not immune to chickenpox should be given the chickenpox vaccine. This can reduce the risk of them getting the infection and spreading it to you. The vaccine is also given to people who are not immune to chickenpox whose job puts them at risk of catching it. This includes: healthcare workers who are not immune to chickenpox and are in contact with patients (including cleaners, catering staff and receptionists) laboratory staff who are not immune to chickenpox and who may be exposed to chickenpox through their work The vaccine is not given to people with a weakened immune system as it contains a small amount of the live virus that causes chickenpox. The virus in the vaccine is weakened so it's safe for most people, but it could make you ill if you have a weakened immune system. Vaccine Schedules The vaccine is given as 2 separate injections. The second dose should generally be given 6 - 8 weeks after the first dose. Under no circumstances should the interval between the doses be less than 4 weeks. Prevention The best way to prevent chickenpox is to get the chickenpox vaccine. Everyone—including children, adolescents, and adults—should get two doses of chickenpox vaccine if they have never had chickenpox or were never vaccinated. 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.

£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.