There has been a small outbreak of Avian Influenza in China. The risk is low to UK travellers. The following control measures should reduce the risk:
1. Avoid contact with poultry or any wild birds and the locations where they are present e.g. commercial poultry farms, backyard poultry farms and live poultry markets. Avoid contact with surfaces that may be contaminated with poultry droppings
2. Careful and frequent hand washing. If soap & clean water are not available, alcohol hand rub can be used
3. Do not eat uncooked or undercooked poultry or poultry products including food with uncooked poultry blood. All poultry, including eggs must be thoroughly cooked
4. If unwell with a fever (temperature of 38° C or more), cough, difficulty with breathing, headache, sore throat, sore eyes or muscle aches, promptly seek out medical attention
5. Pay attention for the first 7 - 10 days following return to UK, if above symptoms occur contact own GP
|All travellers||Some travellers||When to get Vaccinated*|
|Hepatitis A||2 weeks before travel
|Cholera||6 weeks before travel
|Hepatitis B||3 weeks before travel
|Japanese Encephalitis||4 weeks before travel
|MMR||1 month before travel
|Rabies||4 weeks before travel
|Tetanus||Anytime before travel
|Tick Borne Encephalitis||3 months before travel
|Typhoid||2 weeks before travel
||10 days before travel
*Vaccination schedules are approximate and are calculated based on the first dose. Schedules are subject to change depending on your individual needs and will be discussed in your appointment. These are the minimum times required for full protection, you can start your course of treatment earlier.
**Vaccines work best if given time to become fully active. These vaccinations can be given up to the day before if needed and will provide some cover. Your Travel Nurse will discuss any health implications in your appointment.
There is no risk of Yellow Fever in China.
Yellow fever vaccination certificate is required for travellers over 9 months of age arriving from countries with risk of yellow fever transmission and for travellers having transited through the airport of a country with risk of yellow fever transmission.
Malaria is present in China.
There is no vaccination for Malaria, you may need to take Antimalarial tablets as it is a risk area. We recommend you have a consultation with our expert Travel Nurses to talk through your Antimalarial medication options.
There is a risk of Chikungunya virus in this country. Spread by mosquitos, Chikungunya virus is widespread across Africa, South-East Asia, the Indian sub-continent and the Philippines. Occasionally, the virus can be found in other countries where the mosquito that spreads Chikungunya can also be found. There is no vaccination against Chikungunya, it is important to protect yourself with bite avoidance products like DEET. For more information - click here.
There is a risk of Dengue Fever in this country. It is spread by a species of mosquito called Aedes aegypti, otherwise known as the ‘tiger mosquito’ which mainly bites during the day. The illness is widespread throughout the tropics and subtropics, affecting over 100 countries with approximately 50 million cases globally a year. Currently most infections occur in SE Asia, South and Central America, Mexico, Africa, Indian sub-continent, Hawaii and the Pacific. There is currently no vaccination against Dengue Fever, it is therefore important to protect yourself during the day with bite avoidance products like DEET. For more information - click here.
There are some high altitude areas in this country. Travellers should take care to avoid Acute Mountain Sickness (AMS) by taking time to acclimatise properly. AMS can affect anyone, regardless of age, gender, level of fitness or training. At high atlitude, extra precautions should be taken against the harsh conditions, which can cause damaging ultraviolet and cold exposure. All Nomad Travel Health Nurses are trained to advise on AMS, and it may be appropriate for you to take certain medications that may help with aclimitisation. Book an appointment to discuss health issues related to altitude, based on your specific itinerary. For more information - click here.
There is a risk of Schistosomiasis in this country. A parasitic infection (also known as bilharzia), Schistosomiasis is transmitted to humans through contact with fresh water, when the parasitic worm enters through the skin. Usually, no symptoms are felt until 2-4 weeks after exposure, when fever, diarrhoea, cough or a rash can occur as the parasites move around the body. Long term disease can lead to damage of the bladder, kidneys, bowel, liver and genital tract. Prevention is dependent on avoidance of swimming, bathing or paddling in fresh water lakes and streams.