Your one stop destination for travel vaccination needs

Travel vaccination should always be the first step for any trip you plan! One often ignores the importance of visiting a travel health clinic before taking an international trip. The result is that most of times, your trip is ruined because you have contracted an infection, very serious in nature.

Travel vaccinations are important because it provides you complete protection from the health hazards that you may come across. It also ensures that you have a safe trip and come back healthy! Sounds important now, doesn,t it?

If you stay in or around Epsom or Kingston, then visiting Miles Pharmacy is very easy. We cater to your travel vaccination needs and assist you in your last minute flight plans too.

Complete Travel Clinic

Same day appointment for last minute travellers

Free Travel Consultation with an experienced practitioner

Full range of travel vaccines including Yellow Fever, Chicken Pox and Meningitis B

Yellow fever Vaccination including certificates

Anti-malarials dispensed on the same day

Information: Miles Pharmacy is now providing a brand new FULL TRAVEL CLINIC . Our competitive pricing and easily accessible location makes us your first choice for all your travel needs. Miles Pharmacy provides the travel through an established provider called Citydoc. For online bookings, please click here

TRAVEL HEALTH – Complete travel health service customised to your individual needs.

Specialist Vaccines – MMR, Chickenpox, Menigitis ACWY and Meningitis B, HPV Vaccine, including specialist vaccine

Travel Vaccine Schedules

Don’t travel abroad without ensuring you have had the right vaccines.

Miles Pharmacy providing easy access to expert travel advice. Our experienced pharmacists are trained to provide the latest information directly tailored to your individual travel needs.

Disease Name of Travel Vaccine Schedule Booster Diphtheria Tetanus, Polio Vaccine REVAXIS Single dose if vaccinated as a child. If never vaccinated 0,1 and 2 months 10 years Hepatitis A Vaccine AVAXIM 1 DOSE 2nd dose 6-12 months later will give 20 years immunity Typhoid vaccine TYPHIM Vi Single dose 3 years Yellow Fever Vaccine STAMARIL Single dose 10 years Hepatitis B vaccine ENERGIX B 0,7,21 days and 12 months 0,1,2, 12 months, 0,1, 6 months Single booster 5 years after primary immunization for those at high risk Rabies Vaccine RABIES BP/RABIPUR/VERORAB 0,7, 21/28 days 10 years Cholera vaccine DUKORAL 2 doses at 0 and 1-6 weeks 2 years Meningitis ACWY Vaccine ACWY VAX 1 dose 5 years (3 years Hajj) Japanese Encephalitis vaccine IXIARO 0, 28 days 2 years Hepatitis A/B Combined Travel vaccine TWINRIX 0,1,6 months 0,7,21 days and 12 months Booster of Hepatitis B 5 years Booster Hepatitis A at 6-12months lasts 20 years Typhoid/ Hepatitis A vaccinee VIATIM Single dose Booster of Hepatitis A 6-12 months Typhoid 3 years

Standard Travel Vaccine Recommendations

Our recommended vaccines for the most common travel destinations outside of Europe includes Hepatitis A, Typhoid and Diphtheria, Tetanus and Polio (DTP) vaccines.

For travellers who are visiting the developing world on a regular basis or for prolonged periods of time, we would recommend considering hepatitis B vaccine. Cholera is worth considering for travellers visiting rural areas of developing countries. The vaccine against cholera (Dukoral) also reduces the risk of the most common form of traveller’s diarrhoea caused by E coli. Dukoral is an oral vaccine given in two doses one week apart.

Cholera

Cholera is an acute diarrhoeal infection. It can kill healthy adults within hours.

The Illness

The disease is characterized in its most severe form by a sudden onset of acute watery diarrhoea that can lead to death by severe dehydration and kidney failure. The extremely short incubation period – two hours to five days – enhances the potentially explosive pattern of outbreaks, as the number of cases can rise very quickly. Cholera is an extremely virulent disease that affects both children and adults.

Treatment

Cholera is an easily treatable disease. The prompt administration of oral rehydration salts to replace lost fluids nearly always results in cure. In especially severe cases, intravenous administration of fluids may be required to save the patient’s life.

Recommended vaccination

Dukoral (Oral Cholera Vaccination)

Diphtheria / Tetanus / Polio

Diphtheria

Diphtheria is an acute respiratory infection caused by the diphtheria bacterium. This is a serious infection with a high mortality rate, even in Western Europe. The disease is mainly transmitted by droplets from the nose or throat being passed from person to person, e.g. by coughing or sneezing.

The Illness

The incubation period, from infection to symptoms, is usually two to five days. Diphtheria bacteria can destroy the mucous membrane, so that a thick coating is formed causing serious inflammation of the throat, sometimes causing asphyxiation. Local symptoms consist of a sore throat, coughing and breathing difficulties. Damage to the heart and nervous system occur in advanced stages. Death rates vary depending on country and treatment available (up to 40% in poorer countries).

Tetanus

Tetanus is a bacterial infection usually spread through skin wounds or cuts. The bacterium produces a neurotoxin which enters the blood stream and spreads rapidly throughout the body.

The illness

The incubation period varies between 3-21 days.

Tetanus initially causes spasm of the muscles nearest to the infected wound and as it spreads other symptoms start, usually in the face. The most common early sign is a spasm of the jaw muscles – known as lockjaw. Spasms can then occur in the throat muscles, making it difficult to swallow and can become serious with arching of the spine.

Polio

Poliomyelitis (polio) is a highly infectious viral disease, which mainly affects young children. The virus is transmitted through contaminated food and water, and multiplies in the intestine, from where it can invade the nervous system.

The illness

Initial symptoms of polio include fever, fatigue, headache, vomiting, stiffness in the neck, and pain in the limbs. In a small proportion of cases, the disease causes paralysis, which is often permanent. Among those paralysed, 5% to 10% die when their breathing muscles become immobilized.

Recommended vaccination

Revaxis vaccination – (Diphtheria, Tetanus and Polio vaccine)

Hepatitis A

Hepatitis A is an infection of the liver caused by the hepatitis A virus. It is spread through contaminated water and food, especially shellfish or through person to person contact where personal hygiene is poor.

Hepatitis A occurs worldwide, mostly in countries where sanitation is poor. It is now rare in Western Europe, Scandinavia, North America, Japan, New Zealand and Australia. Most cases imported into Britain have been contracted in the Indian sub-continent.

The Illness

The illness of all forms of hepatitis is similar. Symptoms include mild fever, gastro-intestinal upset, nausea/vomiting, diarrhoea and abdominal pain. Jaundice may also occur. Infection with hepatitis A results in lifelong immunity.

Recommended vaccination

Avaxim (Hep A) or Twinrix (Hep A & B) or Viatim ( Hep A & Typhoid)

Hepatitis B

Hepatitis B is an acute infection of the liver. It is usually spread through contaminated blood via sexual intercourse, needle sharing, blood transfusions and injections.The virus can also be passed from mother to baby. Tattooing, body piercing and acupunture are other ways in which the virus may be spread.

Hepatitis B occurs worldwide. Areas where there there is a higher risk of exposure to hepatitis B include Eastern Europe, Russia, India, China, South and Central America, Africa, South East Asia and many south pacific islands.

The Illness

The illness of all forms of hepatitis is similar however infection with hepatitis B is more serious than hepatitis A. Symptoms include mild fever, gastro-intestinal upset, nausea/vomiting, diarrhoea and abdominal pain. Jaundice may also occur.

The illness lasts for about six months. Occasionally, the virus can persist for more than six months in individuals who become chronically infected with hepatitis B. These individuals may be referred to as carriers. Up to a quarter of individuals who are carriers have progressive liver disease which can cause cirrhosis and cancers of the liver.

Recommended vaccination

Engerix B or HbvaxPRO

Japanese Encephalitis

It is a viral illness transmitted by mosquitoes. It can cause inflammation of the brain (encephalitis). It is found in most rural parts of Asian countries.

The Illness

It is a rare illness. Approximately 1 in 250 people became unwell after infection. Symptoms include high fever, convulsions, headache and neck stiffness.

1 in 300 people develop encephalitis. 20-30 % of severe cases are fatal.

Recommended vaccination

Ixiaro

Measles, Mumps, Rubella Vaccine

CityDoc-UK’s Premier Vaccine Specialists

CityDoc is a trusted provider of expert medical services at our clinics throughout the UK. Established in 2006 we have over 150 000 registered clients.

Measles

Measles a highly infectious viral illness, which spreads rapidly from person to person. It is one of the leading causes of death among young children, the majority occurring in developing countries where immunisation is patchy (WHO 2013).

The Illness

The initial symptoms are similar to the common cold with runny nose, cough, red and watery eyes and fever. This is followed by a rash, which spreads throughout the body.

Complications of measles tend to occur in children under 5 years or adults over 20 years and include encephalitis (infection of the brain) and pneumonia (infection of the lungs).

Treatment

There is no specific treatment for measles.

Mumps

Mumps is a viral infection mainly of childhood and affects the salivary glands.

The Illness

Symptoms appear 2 to 3 weeks after infection and include headache, fever, muscle ache and swelling of the salivary glands.

It tends to be mild in children, but in adults, can lead to complications such as meningitis, deafness and orchitis (infection of the testicles).

Treatment

There is no specific treatment available for mumps.

Rubella

Rubella is an acute viral illness that is spread easily from person to person by coughing or sneezing. It is mainly an infection of children and is generally mild in this group. However, rubella in pregnancy is a severe and potentially fatal illness for the unborn baby.

The Illness

Symptoms include rash and fever and usually occur 2 to 3 weeks after exposure. In adults, it can also cause painful joints and arthritis,

Treatment

There is no specific treatment available for mumps.

The MMR Vaccine

The vaccine is effective at preventing all three illnesses and can be given from 12 months of age. It is particularly important to check if you are vaccinated against MMR before travelling as infection is prevalent in Asia, Africa and South America.

Because the illness is easily transmitted through air, MMR immunity is necessary for certain jobs.

Book now at your local CityDoc clinic to get your MMR vaccination, whether for travel or occupational purposes.

Meningococcal Meningitis

Meningitis is an inflammation of the lining of the brain and spinal cord and can become very serious. Meningitis is often associated with septicaemia, otherwise known as blood poisoning, which can also be extremely serious.

It is spreads through the air by coughing sneezing or with direct contact of the respiratory secretions of an infected person.

Although most people recover from the disease, some are left deaf or blind, and in others it may prove fatal. One of the biggest problems with meningitis is that it can develop very quickly. A child (or adult) can seem perfectly well and then, just a few hours later, be extremely ill with the disease. Another problem is that the symptoms can be difficult to distinguish from other, less serious infections.

The Illness

Cold hands and feet, fever, headache, abnormal skin colour, leg pains, aching muscles/joints, stomach pain, pupuric purple red rash (which does not disappear if pressed with a glass tumbler)

Recommended vaccination

ACWY Vax or Menveo

Rabies

Rabies is an acute viral infection that causes inflammation of the spinal cord and the brain (encephomyelitis). It is usually spread through an infected bite or scratch from a rabid animal, most commonly through a dog bite. In other parts of the world other animals such as bats, monkeys and cats are a source of potential exposure to the disease.Rabies is found in all continents of the world except Antarctica. There are more human cases of the disease in Asia, Africa and South and Latin America.

The Illness

The incubation period for the disease is usually between 3 to 12 weeks but may range from 4 days to 19 years in some cases. The virus causes headache, fever, general weakness and numbness or tingling around the wound site. The disease progresses to muscle spasms, hydrophobia (fear of water) and convulsions. Death is the usual outcome if infected with the rabies virus.

There is no specific treatment available for rabies once symptoms develop.

Recommendations for Travellers

Pre-exposure treatment

Vaccination is recommended for all travellers who will be living or travelling in endemic areas and who maybe exposed to rabies because of their travel activities i.e. trekking, working or living in rural areas. Some individuals may require vaccination based upon their occupation. Such occupations include bat handlers, those working in animal quarantine centres and certain HM revenue and customs officers.

Post-exposure treatment

It is imperative to seek medical attention as soon as possible if a bite or scratch is sustained in any rabies endemic area even if pre-travel vaccination has been given. Saliva should be thoroughly washed with soap and water for 10 mins and the wound irrigated with iodine solution or alcohol. This is very effective in removing virus from the bite site, providing it is prompt and thorough. Suturing of the wound site should be avoided and tetanus vaccination should be considered.

Recommended vaccination

Rabies Vax or Rabipur

Typhoid

Typhoid is an infectious disease caused by Salmonella typhi which causes severe symptoms in the digestive system. It can be life-threatening, but if treated early antibiotics are effective.

The disease is transmitted from human to human via food or drinking water, and it is therefore mainly hygiene and sanitary conditions that determine its spread. It is primarily for this reason that it is mainly seen in areas with poor sanitation/living conditions.

The Illness

The incubation period is 10 to 20 days and depends on, among other things, how large a dose of bacteria has been taken in.

In the mild disease, the bacterium is eliminated very early in the course of the disease and there are perhaps only mild symptoms. It is possible to become a healthy carrier of infection.

A more serious case of typhoid may include high temperature, sweating, cough, headache, vomiting and constipation (diarrhoea in children).

Recommended vaccination

Typhim (Typhoid) or Viatim (Hep A and Typhoid)

Yellow Fever

With over 80+ clinics nationwide, CityDoc is your local leading provider of travel vaccinations.

Yellow fever is a serious viral infection, transmitted by mosquitoes in tropical regions.

In mild cases the symptoms are similar to influenza, but serious cases develop a high temperature and may have a series of after effects, such as internal bleeding, kidney failure and meningitis.

In the UK you can only obtain the yellow fever vaccination from a designated Yellow Fever Clinic.

The Illness

The incubation period from infection to developing yellow fever is 3 to 16 days.

Symptoms include: high fever, generalised symptoms like violent headache, muscular pain, upset stomach and loss of fluid.

The fever dies down after three to four days and the general condition improves. However, in about 15 per cent of cases the fever returns within 24 hours – various systems in the body are affected during this phase. Anaemia (lack of red blood cells) develops as well as liver inflammation, hepatitis and jaundice. The kidneys are also affected and bleeding from the mouth, nose and stomach may occur, which leads to blood in vomit and faeces. The majority of patients who experience bleeding die in a short space of time.

Recommended vaccination

Stamaril – yellow fever

Varicella (Chicken Pox)

CityDoc-UK’s Premier Vaccine Specialists

CityDoc is a trusted provider of expert medical services at our clinics throughout the UK. Established in 2006 we have over 150 000 registered clients

Chicken Pox is an acute illness caused by the virus, Varicella Zoster. It is mainly a common childhood illness, but can be acquired in adults, where the illness may be more severe.

The virus is easily transmitted from person to person by coughing or sneezing and is highly infectious, especially before the rash comes out when there may be no symptoms or mild symptoms only.

The illness

The classic symptom is a rash, which is very itchy and can be widespread affecting the face, chest, arms and legs. There is often fever and cold symptoms also. The symptoms tend to improve after 1 week.

The illness can vary from mild symptoms with a few spots to itchy rash covering the whole body, which can be very distressing, affecting sleep, school and work and causing scarring to the skin.

Adults who catch chicken pox tend to have more complicated illness.

Chicken Pox in Pregnancy is a serious disease for the mother and especially the baby. Therefore, it is important to know before trying for pregnancy whether you have immunity to this illness and if not, vaccination may be appropriate to protect you.

Treatment

There is no specific treatment for chicken pox as most children will recover spontaneously. It is important if you are working closely with children or in health care to check whether you have had chicken Pox, as there is vaccination is available to protect you.

The Vaccine

The Varicella vaccine can be given from 12 months of age and prevents against the infection. It may be appropriate to vaccinate if you have been exposed to chicken pox within the last five days and are not sure if you have had the illness during childhood.

So whether you would like to protect your child r yourself against chicken pox, visit your local CityDoc clinic today.

Recommended vaccination

Dukoral (Oral Cholera Vaccination)