ESTABLISHED NATIONAL PROVIDER OF VACCINATIONS

CityDoc has served over 250,000 clients since 2006. Our pre-travel consultations are with experienced staff who will assess the impact of any pre-existing medical conditions on your vaccine requirements. Our competitive pricing and easily accessible high street locations make us your first choice for all your travel needs.
We are more than travel health experts. CityDoc provides a range of speciality vaccines and private blood tests for personal and occupational health needs.

SPECIALITY SERVICES
Provided at CityDoc’s London Travel Clinic Network
TRAVEL HEALTH
Complete travel health service customised to your individual needs.
SPECIALITY VACCINES
MMR, Chickenpox, HPV Vaccine
PRIVATE BLOOD TESTS
Hepatitis B and C, Chickenpox, MMR

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Principles of Travel Vaccines

The most important initial step, prior to international travel, is seeing your health advisor for a travel risk assessment. Vaccinations, work by stimulating your immune system to produce antibodies without causing infection. Immunological memory, persists for life, therefore it is generally unnecessary to restart a vaccine course. However, the levels of antibody often wane with time depending on the vaccine, so boosters will often be required, to re-stimulate your immune memory.

Some vaccinations courses, for example rabies (3 doses -Day 0, 7, 21) require multiple doses separated over a number of weeks. It is therefore prudent to arrange your initial consultation 4-6 weeks prior to travel, especially if the trip is rural in nature or to a high risk region.

We have categorised our vaccines into Highly recommended and Sometimes Considered.

Our Highly Recommended Essential Travel Vaccine Package

General Pre-Travel Advice

Traveller’s Diarrhoea

Very common:20-60% incidence depending on destination (high risk regions include: Africa, Asia, Middle East and South America).

Causes:

A. Bacterial – Bacterial pathogens occur in 80-90% of cases. Common agents include E.coli, Campylobacter jejuni, Shigella spp and Salmonella spp.

B. Viruses – Norovirus, rotavirus are common causes.

C. Parasites-Giardia most common, others include Entamoeba.

Symptoms

Usually includes the sudden onset of diarrhoea (can be bloody), abdominal pain/cramps, fever, vomitingDuration typically 3-5 days in bacterial cases, 2-3 days in viral and can be weeks in untreated parasitic infections.

Treatment

A. Hydration -oral rehydration sachets/solutions

B. Antimotility drugs-provide symptomatic relief

C. Antibiotics-in moderate/severe cases have proven beneficial.

We advise to seek medical advice if not improving after 1-2 days, especially in the elderly/children or if symptoms of dysentery (bloody loose motions) are present.

Prevention

The cholera vaccine gives cross-protection against E. coli enterotoxin. Can be effective for traveller’s diarrhea.

Animal Bites Advice

• Avoid contact with animals especially dogs, monkeys and cats.
• If bitten wash wound thoroughly with soapy water for 10 minutes
• Do not suture or close wound
• Seek urgent medical advice
• Open water, soil and sand can harbour infection therefore

-avoid swimming in fresh water (risk schistosomiasis)

-avoid walking barefoot on sand/soil, which may be

contaminated with faeces (hookworm infection)

Insect Bite Avoidance

• Mandatory even if vaccinated or taking antimalarials
• Plan activities, so you can avoid insect/tick/mite infested areas and maximise preventive measures during peak hours to reduce exposure where possible
• Day biting mosquitoes-spread infections also including dengue and yellow fever
• Night biting mosquitoes- spread diseases including malaria and Japanese Encephalitis
• Sandflies-cause leishmaniasis and are active from dusk until dawn
• Tsetse fly-cause sleeping sickness and are found within vegetation and grasslands of Sub Saharan Africa, and exhibit day biting
• Ticks/mites-cause lyme’s disease and tick borne encephalitis, and are found meadows / woodlands / grasslands / forests
• Protective clothing-long sleeved shirts and pants, tucking in shirts / pants, closed shoes, can add permethrin to clothes for added protection
• Check skin regularly for ticks/mites during and following outdoor activities
• Apply insect repellants regularly to exposed areas

Sun Protection 

• Always wear sun protection, using a minimum of SPF 15+.
• Avoid sun bathing between 12-2pm
• Wear Sun glasses

Travel Safety

• Photocopy passport and any certificates
• Email details of bank, help numbers etc to yourself
• Email photocopies of certificates etc
• Know where to get help
• Obtain Comprehensive insurance including

-Covers for all activities

-Ensure Insurance company aware of any medical

problems (may not cover if decline recommended

vaccines).

Travel Risk Assessment

At CityDoc you will receive a travel risk assessment, which takes into account your specific itinerary, medical history and the type of activities you likely to undertake. Your health professional will use the evidenced based travel health resource-Travax to review the latest destination specific recommendations.

Our travel health consultations are Free at all our 100 + clinics nationwide. No hidden costs, you simply pay for your required vaccines and/or anti-malarials.

Full Range of Vaccinations

Our clinics stock an extensive range of vaccinations including less commonly administered vaccines such as Japanese Encephalitis, Meningitis ACYW Vax and Cholera.

Japanese Encephalitis

This is a viral infection, which causes inflammation of the brain. It is transmitted via bites from infected mosquitos. Initially the mosquitos acquire the virus from infected animals such as pigs and then pass it onto humans. The disease is not transmitted from person to person.

It is most commonly seen in South-East Asia and the Indian subcontinent. The specific type of mosquitos which transmit this virus tend to found within rice paddy fields where they breed.

The majority of infected individuals display no symptoms. Approximately thirty percent of infected individuals will die from the disease.

Cholera

Cholera is an acute severe illness characterized by very watery loose stool and vomiting. These symptoms can quickly result in dehydration and mortality can occur if rapid antibiotic treatment is not initiated.

It is caused by the bacterium Vibrio Cholerae and generally transmission is through drinking contaminated water.

Meningococcal Meningitis

Meningococcal meningitis refers to a bacterial inflammation of the lining of the brain and spinal cord. It caused by various subtypes of the bacterium Neisseria Meningitidis. It can cause severe brain damage if untreated. 6 Strains of the bacterium can lead to epidemics (A,B,C,Y,W). An area known as the meningitis belt of sub-Saharan Africa has the highest incidence.

The bacterium spreads directly from person-person through respiratory or throat secretions. Those at particular risk include those living in close proximity such as university students in dormitories. Transmission occurring commonly via kissing, sneezing and coughing.

We have two vaccines available against Meningoccal Meningitis-

1.Meningitis ACYW Vaccine

Protects against strains A,C,Y,W.

2. Meningitis Group B Vaccine

Protects against Group B.