Travelling to different countries and environments can expose you to disease and put your health at risk. To keep yourself safe and reduce the risks, it is essential to prepare well before you travel.

Vaccinations

Vaccinations recommended for travel include making sure that you are up-to-date with your routine immunisations, as well as some that are specific to the country of travel.

Boosters for routine immunisations are given free of charge; however, there may be a charge for other vaccinations. The charges may vary according to the service being provided. Please ask the practice nurse for details.

• Plan ahead! We advise you arrange to see the practice nurse at least 4 weeks before you plan to travel so that any appropriate vaccinations can be scheduled. This will also allow the vaccinations to take affect before you travel.

Examples of vaccinations which may be needed include:

Some vaccinations are not available through your GP but the practice nurse will be able to advise you on where to go in such cases.

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Preventing Malaria

Malaria is an infection spread by mosquito bites, and is widespread in sub-Saharan Africa and some parts of Asia. As there is no vaccination against this disease, medication can be taken to reduce the risk of infection, known as malarial prophylaxis. The exact medication given varies from country to country because of problems with resistance.

We advise you consult the practice nurse in advance of your travel to get advice and prescriptions for malarial prophylaxis. Prophylaxis needs to be started at least a week before travelling. In addition, precautions should be taken to reduce the risk of mosquito bites, for example:

• Avoid travelling at dusk and dawn when the risk of mosquito bites is highest
• Use mosquito nets and insect repellents
• Wear loose-fitting, long sleeved tops and long trousers, especially where the mosquitoes are most active

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Travel Tips

• Take out adequate travel insurance. You must inform the insurers of any pre-existing health problems. If you do not do this, you could lose your protection
• The European Health Insurance Card (EHIC) entitles you to free or reduced cost medical care in the European Union
• Check the expected climate in the travel destination and prepare appropriate clothing
• Find out local emergency service numbers and local hospitals

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Reducing the Risk of Thrombosis

• Wear comfortable, loose clothing whilst travelling
• Drink plenty of fluids and avoid alcohol
• Keep active. Walk around at regular intervals and perform stretching and bending exercises of the calf and ankle to help circulation
• You may be advised to wear special socks which reduce the risk of thrombosis. Speak to your GP, practice nurse or pharmacist for advice

Some people who are at increased risk of thrombosis may be prescribed additional medication to reduce the risk. Please consult with your GP if you have:

• A history of thrombosis or pulmonary embolism
• Are on an oral contraceptive or hormonal treatment
• Have recently had an operation
• Have a diagnosis of cancer
• Are pregnant or have recently given birth

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