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Travel Clinic

Due to the on-going demand for nursing appointments with clinical priorities, we are only able to offer one Travel Clinic per month with limited appointment spaces. These clinics take place on the first Wednesday of every month. Please book 2-3 months before your intended date of travel. If there are no appointments available there are a number of local, independent, private travel clinics to access, please ask at reception for details of these.

If there are no appointments available to book, any member of the reception team will be able to print the details of the vaccinations we have on record for you. There is a travel advice leaflet available at reception, detailing travel websites you can access, local independent travel clinics, information on vaccination and dates any boosters may be needed, pre exposure rabies vaccination and advice on malaria tablets and bite prevention. 

   

There is further information about countries and vaccinations required on the links below

Europe Europe & RussiaNorth America North America
Central America Central Americaindia South America
egypt Carribeanlithuania Africa
bulgaria Middle Eastpoland Central Asia
china East Asiachina Australasia and Pacific

 

It is important that you seek advice at least 2-3 months before you travel. Please note we do not offer Yellow Fever at Newtons Practice.

Some travel vaccines are ordered on a private prescription and these incur a charge over and above the normal prescription charge.  This is because not all travel vaccinations are included in the services provided by the NHS.

Hepatitis B (Course of 3 injections)         £150.00  (£50 per injection)

Anti-Malarials (Private Prescription)         Not free through the NHS - Please consult your local pharmacist

Payment has to be cash - or by cheque with bank card - Thank you.

Charges are reviewed annually in line with vaccine costs. 


Please complete the Travel Risk Assessment Form and return to the surgery prior to your appointment

Travel Risk Assessment Form

Mosquito Advice Sheet

You may want to get further information from:

www.fitfortravel.nhs.uk

www.nathnac.org

www.fco.gov.uk/travel

www.immunisations.nhs.uk


Patient Information Sheet

                                                                                  Know the A B C D of Malaria                              

Awareness of risk

Risk of Malaria is generally higher in rural areas and below 2,000m.

Optimum conditions are between 20-300C with high humidity.

Heavy rain fall can trigger epidemics by providing fertile breeding grounds for mosquitoes.

Any immunity gained by indigenous people is rapidly lost on leaving their home countries so people returning home VFR’s need anti-malaria prophylactics.

Bite Prevention

This is the first line of defence and is vital.

DEET formulations still seen as the most effective repellents on the market. 50% DEET will last for 12 hours.

Choose loose fitting garments with long sleeves, long trousers and socks.

Compliance

Anti-malarial medication does not guarantee complete protection and must always be used in conjunction with bite avoidance strategies.

Do not buy medication abroad which may be fake or substandard.

Medication must be taken as recommended and for the period specified on return to the UK.

Prompt Diagnosis

Minimum incubation period is 6 to 7 days but the disease may arise up to 1 year after leaving a Malarial zone.

Symptoms:

Ø    Flu-like illness/High temperature,

Ø    Jaundice/Headache,

Ø    Diarrhoea/vomiting/malaise, if you are unwell after return from a malarial area please advise medical    

Ø    staff you have travelled abroad recently.

 


PRE EXPOSURE RABIES VACCINATION.

Overview

Rabies is a rare but serious infection of the brain and nerves and is almost always fatal once symptoms appear.

Rabies can be transmitted by the saliva of any warm blooded animal by a lick, scratch or bite; or salivary exposures to mucous membranes such as eyes, nose and mouth. This includes most frequently dogs, but cats, rodents, bats, monkeys and foxes also pose a risk.

If you are travelling to a country with Rabies, Pre Exposure Rabies Vaccination is recommended especially if you are:-

  • in an area where access to appropriate medical care is unlikely to be quick,
  • if you are living or staying for more than one month
  • undertaking high risk activities such as cycling or running.

It is worth noting that there have been many reported cases of unprovoked bites, i.e. the animal comes to you, and that an animal with a normal appearance cannot be considered to be free of Rabies.

Pre Exposure Vaccination before travel.

Consists of 3 injections given into the upper arm over a period of 4 weeks. Needs to start at least 1 month before travel. Available from private travel clinics, not on the NHS.

First aid if bitten.

As soon as possible after the incident the wound should be cleaned by thorough flushing under a running tap for several minutes then washed thoroughly with soap and running water.

If possible a suitable disinfectant should be applied either 40 to 70% alcohol or tincture or aqueous solution of “povidone-iodine”.

Wound to be covered with a simple dressing if possible.

Salivary exposure to mucous membranes such as eyes, nose or mouth should be washed thoroughly with clean water as soon as possible. (Green Book, Chapter 27, Rabies, https://www.gov.uk/government/collections/immunisation-against-infectious-disease-the-green-book#the-green-book).

If you have accessed pre exposure vaccination you should seek medical help ASAP as you will need some further post exposure vaccination.

If you have not accessed pre exposure vaccination it is vital that you access medical help without delay. You will need a rapid risk assessment by a medical professional. It is possible that you will need to be given something called “immunoglobulin”, which will give you an immediate but short term protection while you start a course of vaccination that will allow you to develop your own immunity to Rabies.

PLEASE NOTE THE “IMMUNOGLOBULIN” IF NEEDED WILL BE GIVEN INTO AND AROUND THE BITE ANY LOCAL ANAESTHETIC OR SUTURING NEEDED MUST BE DELAYED UNTIL AFTER THIS HAS BEEN DONE.


 

TRAVEL ADVICE.

General Information

As there are no appointments available to book before your date of intended travel these are the details of the vaccinations we have on record for you.

Unfortunately our Receptionists are not qualified to give travel advice.

We have prepared some travel advice leaflets, detailing travel websites you can access, information on vaccinations and dates any boosters may be needed, pre exposure rabies vaccination and bite prevention.

Please note malaria tablets are not available on the NHS. Your Pharmacist will be able to advise you.

It is possible that the vaccinations you need for the country you intend to travel to are in date and you may not need any boosters. By accessing the travel websites online you can see what is needed for your upcoming holiday.

Vaccine Efficiency

    1. Diphtheria/Tetanus/Polio     Protection lasts for 10 years
  • Hepatitis A                               2 vaccinations in a 12 month period

will give you a 25 year cover.

  1. Injectable Typhoid                 Protection lasts for 3 years.

 

Private Travel Clinic

The nearest Private Travel Clinic to Newtons Surgery is:

 

Citydoc Lindfield

83, High Street

Lindfield

RH16 2HN

Tel: 0808 274 9806

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