Travel Vaccines & Consultations                            

List of Travel Vaccines offered by Nomad Travel Health Clinics:

Polio
Part of most national childhood vaccine programmes. Boosters recommended every 10 years for travel to areas outside of Europe, Australasia or the Americas. When: Anytime before departure. 

Tetanus
A routine childhood vaccine. Boosters needed every ten years for travel to areas where immediate treatment may not be available, or after a cut or injury. When: Anytime before departure. 

Diphtheria
A routine childhood vaccine. A disease of close contact (transmitted through droplets in the air). Vaccine is recommended for those who will be in close contact with infected people in endemic areas (much of the developing world and the former states of the USSR) or for those requiring a tetanus booster, as they are available in a combined vaccine. Boost every 10 years. When: Anytime before departure. 

Hepatitis A
A disease transmitted through contaminated food or water, spread via the faecal/oral route. This disease occurs world-wide although there is a higher incidence in the developing world where hygiene may be poor. Vaccination protects initially for one year and then a further injection boosts immunity to 20 years, possibly life. When: Two to four weeks before travel.  

Typhoid
A disease transmitted through food or water contaminated with infected faeces. Vaccination provides approximately 80% protection for three years. Recommended for those travelling to areas with poor hygiene/ limited access to safe food and water in lower risk areas. Available as a single shot or as a combined vaccine with Hepatitis A. When: Two weeks before travel.  

Yellow Fever
This disease exists in tropical parts of Central Amercia (Panama), South America and Africa where vaccination is recommended on personal health grounds. For certain countries a certificate of vaccination against yellow fever is mandatory for entry. Immunisation lasts for 10 years. When: 10 days before travel.  

Hepatitis B
This infection is transmitted through sexual contact or contact with blood or blood products, and is reccommended for travellers. Vaccination is recommended for people spending periods of time in endemic areas. People with high-risk occupations working abroad should also be vaccinated (such as doctors, nurses, dentists, teachers etc). A course of vaccines is required - three injections over six months although more rapid schedules can be done for those leaving with less time available. When: Ideally six months before travel. 

Meningitis A, C W135 and Y vaccine
This vaccine is mandatory for pilgrims travelling to Saudi Arabia for either the Hajj or Umra. A disease transmitted by droplets in the air. Recommended for travellers who will be in close contact with local people in risk areas. Meningitis occurs in a belt across Africa during the dry season and periodic epidemics occur elsewhere. Vaccine covering four strains of Meningitis. When: Two to three weeks prior to travel.


Japanese Encephalitis
A mosquito-borne disease occurring in areas of the Indian Subcontinent and South East Asia. This vaccine is recommended for travellers spending long periods in rural areas ( four weeks) or making repeated visits to rural areas during the high-risk transmission season. A course of three vaccines. 
When: Six weeks prior to travel.

Rabies
A disease transmitted through the bite of an infected mammal. Occurs throughout much of the world. Travellers who are more than 24 hours away from medical facilities are recommended to be vaccinated or those in regular contact with animals. This is a course of vaccines over one month. Further treatment is still required after a bite but both reduces the amount of treatment needed and changes the treatment required. In some developing countries there are no guarantees as to the quality or availability of treatment. When: Four to six weeks before travel. 

Tick Borne Encephalitis
A disease transmitted by the bite of infected ticks. Occurs throughout Central and Eastern Europe during the summer months. Prevention is through avoiding tick bites. Vaccination is recommended for those who may be exposed to ticks such as walkers, forestry workers or people living in rural areas.
When: Six weeks prior to travel.

Cholera
Transmitted mainly in faecally contaminated water and food. Vaccine recommended during outbreaks or for aid workers, those working in poor conditions when unable to take effective precautions. Vaccine also provides some protection against ETEC - one of the bacterias known to cause travellers diarrhoea. A course of two oral vaccines. Gives 80% coverage for two years. When: Min three weeks prior to travel.