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Travel Clinic

If you are travelling abroad and are unsure whether you require any immunisations, please select the country of your destination.

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Immunisation Schedule

Disease	Description	Vaccination	Duration
Cholera	A diarrhoea illness caused by contamination from 'faecal-oral' route. Cholera is rare in travellers. Consider vaccination if at risk; eg: working in slum areas, refugee camps, disaster areas or areas where recent outbreaks have been reported.	An oral cholera vaccination is now available. Initial Dose: 2 doses with an interval of at lease one week between them. Booster Doses: 2 yearly intervals	2 yearly booster
Hepatitis A	A virus transmitted from contaminated food. 'faecal-oral' route is the common mode of spread. Often mild, leading to diarrhoea and vomiting. The liver is affected but resolves completely.	Single injection. Second injection within 1 year gives immunity for 10 years.	6 months to 1 year.
Hepatitis B	Spread through contaminated body fluids, ie. sexually, injections through broken skin, blood transfusions, dental treatment and tattoos can cause the spread of disease. Risk of liver failure in later life.	Three injections at intervals of 0, 1 and 6 month.	5 yearly booster
Japanese Encephalitis	A mosquito borne disease from India eastwards across Thailand, China to Korea and Japan, down to South-East Asia and Africa. The disease is rare in travellers. Increased risk for those staying in rural especially agricultural areas and more so in rice fields. Vaccine should be considered for those at this increased risk for at least a month.	Three doses: 0, 14 and 28 days, a fourth at 28 days if over 60 years.	1 year (for Korean Green Cross vaccine).
Meningitis	This can be viral or bacterial. In the UK most children are immunised with the C strain. Travellers to countries at risk should be immunised with Meningococcal A, C, W135 and Y. Proof of vaccination is required for visitors to Saudi Arabia for Hajj and Umrah.	Injection.	5 years
Polio	The Polio virus is ineffective through faeces or droplet spray from coughing. Travellers to epidemic or endemic areas should ensure they are immunised according to UK schedule.	Three doses at 8, 12 and 16 weeks of age, then 3-5 years and 15-18 years.	Total of 5 doses at appropriate intervals gives satisfactory long term protection.
Rabies	Commonly called hydrophobia (fear of water) caused by a virus present in the saliva of carnivorous mammals. Rabid dogs present the highest risk to humans.	Three injections at 0, 7 and 28 days.	Depending on doses given, between 6 months and 3 years.
Tetanus	An acute infection disease caused by a bacterium Clostridium Tetanus. Causes intermittent muscle spasm and the spasm of the jaw muscle gives rise to the name 'lock jaw'.	Travellers who have not had a tetanus booster in the last 10 years and are visiting areas where medical attention may not be accessible should receive a booster of diphtheria-tetanus-polio even if they have received 5 doses of tetanus previously.	10 years
Tick Borne Encephalitis	Caused by a bite from an infected tick. Caused by working, walking or camping in rural areas where ticks are prevalent; especially April to August.	Two injections at 0 and 4 week intervals.	1 year
Tuberculosis	A chest infection (other organs may also get affected) leading to weight loss and long term treatment with antibiotics. BCG immunisation is recommended for travellers proposing to stay longer than one month (or will be in close contact with the local population) in Asia, Africa, Central and South America.	Three months before departure.	Life-long
Typhoid	Spread from 'faecal-oral' route, usually a contaminated food source. For travellers where typhoid is endemic, vaccine is no substitute for personal precautions.	Single injection.	3 years
Yellow Fever	This is a serious illness from mosquito bites. Recommended for endemic zones of Africa and South America. Many countries require an International Certificate of vaccination from travellers arriving from, or who have been travelling through, endemic areas.	Single injection.	10 years
Malaria	Malaria is transmitted through mosquito bites. Personal protection against being bitten is very important: - Mosquito nets (most effective) - Coils and/or insecticides - Lotions, sprays or roll-on insect repellents PROPHYLAXIS: should be started generally 1 week before travel to an endemic area for the duration of the visit and should be continued for 4 weeks after leaving endemic area (except Malarone which is stopped 1 week after leaving) CHEMOPROPHYLAXIS: varies according to the country and region. Chemoprophylaxis should be started generally 1 week before travel (Mefloquine 2-3 weeks) to an endemic area for the duration of the visit.	Tablets	Before travel, during travel and on leaving endemic area.