St Mary’s Medical Centre Wharf Road, Stamford, Lincolnshire, PE9 2DH 01780 764121 TRAVEL CLINIC
Clinic Times by appointment only Dear Holidaymaker
Thank you for choosing St Mary’s travel clinic. We hope you find the enclosed travel pack helpful and informative. Please find enclosed:
Questionnaire (please complete in advance and bring to your appointment)
Practice Nurses in the Travel Clinic are available to give advice, discuss possible travel risks and plan your vaccination schedule ahead of your travels. All vaccinations take a minimum of two weeks to give immunity and some take much longer so please plan ahead. Ensure the nurse is aware of your travel destination and full itinerary to enable her to give the most suitable advice for your travel arrangements. Completing the enclosed questionnaire prior to your appointment will make this process easier. If you are taking children with you, please inform the nurse particularly if they have not had their full course of childhood immunisations. At your travel appointment you will provided with:
Guidance information on your choice of destination
It is NHS policy to charge for certain anti-malarial treatments. Our nurses will advise you which regime is appropriate for the area you are to visit. Some vaccinations are available on the NHS whilst others may incur a charge. A list of current charges is enclosed.
We wish you a happy and safe holiday! www.stmarysmedicalcentre.org.uk St Mary’s Medical Centre Wharf Road, Stamford, Lincolnshire, PE9 2DH 01780 764121
Travel Advice Vaccination advice Whatever your travel destination, it is essential that all ‘routine vaccinations’ such as Diphtheria, Tetanus and Polio are up to date before you leave. Hepatitis A and Typhoid vaccinations may also be advised for some travel destinations or other vaccinations depending on your destinations and plans.
Malaria is the world’s most prevalent tropical parasitic disease killing more people than any other. It can be fatal within a few days, preventative anti-malarial tablets are important but they are never 100% effective so always seek prompt medical attention if you develop a fever. It only takes one bite from an infected mosquito to catch malaria. Information leaflets “Preventing Malaria” can be acce Malaria is one of several infections transmitted by mosquito bites; these include Malaria, Yellow Fever and Japanese encephalitis. Insect Bite Prevention
Use insect repellents containing at least 50% DEET on skin and clothing – see
Use screened accommodation and keep windows and doors closed Use a mosquito net, preferably impregnated with insecticide. Wear long sleeves and trousers between dusk and dawn. It may help to wear
Use a vaporising mat or coil to minimise mosquitoes indoors and air
Completing the Questionnaire will help the nurse assess whether you are travelling to a malarial destination. If this is the case, then anti-malarial medication and bite prevention is essential, as above. Anti-malarial medication required will vary according to destination. Side effects of these medications vary and can be discussed with the nurse in travel clinic. These side effects can be reduced if medication is taken after food and with plenty of water. Serious reactions rarely occur but these may include: severe anxiety, depression, hallucinations and palpitations. Stop medication and seek professional advice immediately if problems occur. It is also very important that you read and follow the instructions included with the medication and essential that the whole course is completed on return from your destination.
www.stmarysmedicalcentre.org.uk St Mary’s Medical Centre Wharf Road, Stamford, Lincolnshire, PE9 2DH 01780 764121 Recognising Malaria illness
If you become unwell with: flu type symptoms, fever, diarrhoea and joint pains after a week in a malarial region, or for up to a year after your return home you may require urgent medical attention and a blood test.
Travel Check List It is important to consider your health implications when travelling abroad by choosing your travel destination carefully when planning for a trip. With careful, forward planning you could be properly prepared and worry-free.
Travel Health Insurance
Remember to obtain a good travel health insurance policy that will pay for the cost of medical treatment that you might need abroad. It may be worth checking it covers on-going treatment in your chosen destination emergency repatriation, and the cost of being flown home by air ambulance. Make sure you tell them about any pre-existing medical conditions. If travelling within Europe, complete a form from the Post Office for a European health insurance card, this will allow you to get emergency treatment within the agreed countries.
Passports, Money, Traveler’s Cheques and Valuables
Remember to keep your passport, money and traveller’s cheques in a safe place. Money belts are easy to wear and can be bought at most airports. When you are staying in a hotel, it is advisable to keep your valuables in a safe deposit box within the hotel. If you are backpacking leave a photocopy of your documents with someone at home, in case of an emergency.
Travel with existing medical conditions
Ensure that you have sufficient medication for your journey collected in plenty of time, including oral contraception. If you need to carry needles or other drugs that could cause a problem at customs, please ask your GP to write a letter explaining their use. Please be aware of airline restrictions regarding liquid medications. Always carry medication in your hand luggage and keep a copy of your repeat prescription in case you get stopped at customs or need more medication whilst you are away.
www.stmarysmedicalcentre.org.uk St Mary’s Medical Centre Wharf Road, Stamford, Lincolnshire, PE9 2DH 01780 764121
Healthy Travel Tips
Hydration: In hot climates drink plenty, you may need more than you think. Avoid alcohol as it dehydrates your body and take extra salt with food or (very diluted) in your drinks. Good Sun Sense: Although sunbathing may be enjoyable it is advisable to avoid excessive sun exposure, due to hazards of UV radiation on the skin. Sunburn is more likely when UV is reflected off the water, white sand or snow. There is a greater risk at high altitudes and when on certain medications, in particular Tetracyclines (including Doxycycline) Oral Hypoglycaemic drugs and Diuretics. A high factor sun cream (SPF value 15 or above) is essential and should be applied every few hours and before and after swimming. Try to stay out of the sun between 11:00 and 15.00 hours when the sun is at its hottest. It is advisable to wear a broad brimmed hat, long sleeves and sunglasses. Any unusual skin lesions/moles should be reported to your doctor on your return. Drinking Water/Eating Abroad: In some countries Hepatitis A and Typhoid can be caught from contaminated food and water. It is a good idea to drink, wash and clean teeth in bottled, boiled or sterilised water. Avoid ice in drinks as this is often made with tap water. Where possible eat fresh food thoroughly cooked, avoid raw shellfish, salads and fruit that you have not peeled yourself. Also avoid buffet food that has been prepared for hours. Sexual Health: Hepatitis B and HIV can cause long term health complications, and other infections such as Gonorrhoea and Chlamydia can cause infertility. These infections are a risk in all parts of the world in varying degrees. Casual sexual relationships without use of a barrier method of contraception is particularly risky, infections may be transmitted unknowingly to subsequent partners and spouses. Consider taking a supply of condoms from a recognised brand for your trip. Remember they provide good, but not 100% protection. First Aid Kits: It may be a wise precaution to take a small first aid kit with you. A packet of plasters, insect repellent, antiseptic cream, painkillers, anti-diarrhoea medicine and water sterilisation tablets could be useful. For travellers of the beaten track a more comprehensive first aid kit may be beneficial, e.g. sterile needle pack Reducing the Risk of DVT’s During the Journey: Prolonged immobility on long journeys, whether by plane, train or car, can lead to ‘deep vein thrombosis’ (a blood clot in the leg). Move your feet around, or get up and walk around regularly if you can. Avoid dehydration – take regular non-alcoholic drinks. Speak to your doctor if you have had a previous blood clot and are taking Warfarin for this or if you have had an operation in the 3 months prior to travelling. www.stmarysmedicalcentre.org.uk St Mary’s Medical Centre Wharf Road, Stamford, Lincolnshire, PE9 2DH 01780 764121 SCHEDULE OF FEES Travel Vaccines/MedicationPatient Fee Including VAT @ 20%
Rabies Vaccination (course of 3 injections) per dose
Men ACWY (Menveo) – new vac (over 1 yr single dose)
Vaccinations covered by the NHS – Fee Exempt
Tetanus, Diphtheria and Polio Hep A (2 doses 6 / 12 months apart) Hep A Junior (2 doses 6 / 12 months apart) Hepatyrix (Hepatitis and Typhoid) Typhoid Administration Charges Holiday Cancellation Certificate (Patient incapacity to travel) *These fees are correct as at 1st March 2012 and will be subject to amendment www.stmarysmedicalcentre.org.uk
SUMMARY OF PRODUCT CHARACTERISTICS NAME OF THE MEDICINAL PRODUCT QUALITATIVE AND QUANTITATIVE COMPOSITION Each soft gelatin capsule contains 1mg phytomenadione. For a full list of excipients, see section 6.1. PHARMACEUTICAL FORM Capsule, soft The dark brown soft capsule contains a clear, odourless pale yellow liquid. CLINICAL PARTICULARS Therapeutic indications Neokay i
– Nephrologists– Surgeons– Pathologists– Tissue Typing– Consultants– Living Donor– Pre-Transplant– Post-Transplant– List maintenance• Administrator• Social Work• QA/PI• “Desensitization Team”– 4 Full-time transplant Nephrologists– 4 other Nephrologists participate in the care of transplant patients– 7 transplant surgeons, 5 also participate in Liver transpla
St Mary’s Medical Centre 
St Mary’s Medical Centre