VACCINE INFORMATION Vaccines are currently available for many infectious diseases. The immunity from vaccines is never immediate nor 100%. It can take a few weeks to develop adequate protection. This may need several trips to the clinic. You are advised to plan your vaccinations WELL IN ADVANCE. (Make an appointment 6-8 weeks before your date of travel – Clinic phone no: 01452 522575). YELLOW FEVER The clinic is a registered Yellow Fever Centre. FOOD, DRINK and HYGIENE Many diseases are caught by consuming contaminated food or drink. These include Traveller's Diarrhoea, Hepatitis A, Salmonella and Typhoid. You can avoid catching them by paying strict attention to food, drink and hygiene. - Drinking water: boil or sterilise it before use. Use bottled water and check the seal is intact on purchase. Use for drinking, washing food and for cleaning your teeth. Boil it, Cook it, Peel it – or Forget it! - Avoid both ICE CUBES and ICE CREAM unless you are sure that they are made from clean water. - Avoid FOOD WHICH HAS BEEN reheated, kept warm or exposed to flies. - Avoid uncooked food unless you have prepared it YOURSELF. - Shellfish is particularly hazardous. - Remember that salads washed in untreated water will be unclean. - Avoid un-pasteurised milk or boil it before use. - Be careful not to ingest sea/swimming pool water. - Always wash hands before eating. TRAVELLERS DIARRHOEA (JIPPY TUMMY) DEHYDRATION Travellers diarrhoea can affect 1 in 2 tourists. Any bowel disturbance should be treated with liberal quantities of water. Sachets of rehydration salts or dioralyte are available without prescription and should always be carried when travelling with children. Seek medical advice if fever, or symptoms persist or blood is passed. SUNBURN Do not get burnt. Repeated sunburn can cause various skin diseases, including cancer. Use an EFFECTIVE SUNSCREEN and apply it OFTEN. Start with a high factor SPF 30 blocking UVA & B (NB water resistant). Reapply after swimming. Children need particular care. REMEMBER: S L I P on a shirt, S L O P on the sunscreen and S L A P on a hat ! ! ! SOME IDEAS FOR YOUR MEDICAL KIT Bandages-various sizes - Antiseptic lotion/cream - Plasters - Gauze Pain killers, eg Paracetamol (adult & child) - Antihistamine Travel sickness tablets, eg stugeron - Insect repellent containing DEET 50% - Scissors - Tweezers - Water purifying tablets – Dioralyte. Kits can be obtained from Cheltenham Road Surgery (CRS) Travel Clinic – Wednesday 6-7 pm (Phone first 01452 522709) TRAVELLER'S THROMBOSIS For long journeys, keep moving, keep well hydrated, avoid excessive alcohol, consider compression stockings. MALARIA Malaria is a blood disease, which is caught in the tropics from mosquito bites. 1500 - 2000 travellers return to the UK every year having caught malaria overseas and some die. The risk of catching malaria can be reduced by protecting yourself from the bites of mosquitoes and by taking anti-malarial drugs. If you get a fever within 3 months of visiting a malarious area, it is essential that you contact your doctor, as you may have malaria. Malaria can kill very quickly if not diagnosed in time. No anti-malarial tablet guarantees 100% protection, so it is important to avoid being bitten. The following precautions are important: 1 - Mosquitoes are more active between dusk and dawn, so keep arms and legs covered and use an insect repellent (containing DEET 50%) and sleep under a mosquito net (impregnated with insecticide, eg permethrin). Mosquito nets/insect repellents/clothing treatment/mosquito coils & plug in adaptors can be obtained from CRS Travel clinic on Wednesdays 6-7pm (Phone first 01452 522709) 2 - Start anti-malarials after food 2 days BEFORE entering a malarious area,(mefloquine 2-3 weeks before) continue DURING THE STAY and for FOUR WEEKS AFTER LEAVING. (Malarone 7 days after leaving) 3 - PREGNANCY - the risks of malaria are greater (to the mother and unborn child), and not all antimalarial tablets are safe in pregnancy. If you are pregnant or taking young children, attend the clinic. 4 - Different anti-malarial drugs are available for use in different circumstances. Make an appointment at the travel clinic for appropriate advice. 5 - Anti-malarial drugs need a private prescription HEPATITIS B and AIDS (HIV infection) Viruses are caught by contact with contaminated body fluids (blood, saliva, semen etc). These infections can be acquired worldwide. You will put yourself at risk through unprotected sex and drug abuse. Always use a condom and never share needles. You may also be at risk from poor standards of health care. If unsure, take a sterile medical kit with you, obtainable from CRS Travel Clinic Wednesdays 6-7pm (Phone first 01452 522709) BE SENSIBLE HOLIDAY THEY - PEOPLE WOULD DO NEVER THINGS DO AT ON HOME! SEXUALLY TRANSMITTED DISEASES Sexually transmitted diseases (STD) are one of the commonest infections caught on holiday. Always use a condom. If you think you may have an STD, advice is available from the GUM Clinic (Hope House) confidentiality assured and it’s free tel 08454 226470. XS Alcohol leads to XS Accidents Beware the 4 S’s – SEX, SUN, SWIMMING, SMASHES !!!!! The leaflet "HEALTH advice for travellers anywhere in the world" is available from Post Offices. DON'T FORGET! You are entitled to free medical treatment in the European Community if you carry a European Health Insurance Card (available from the Post Office), which has replaced the form E111. Make sure you have adequate Travel Insurance, which includes repatriation. Fit for Travel - Travel info for the general public June 2012