Risk Free Travel Abroad

Transcription

1 Cutterguide: No Printing Process: Offset GD: SA Size: 210X297mm Pages: 2 Colors: C M Y K (4 Colors) Native File: Indesign CS5 Windows Generated in: Acrobat Distiller 9.0 Travel well Before you go anywhere, go for expert advice There is no such thing as risk free travel. To be prepared in case things go wrong, it is important to take a few simple precautions before you go and while you are there. Visit your GP surgery or travel health clinic/pharmacist 6-8 weeks before travelling for personal, up-to-date, expert advice. You may need a course of vaccinations and medications, which can take several weeks Millions of Britons travel abroad every year. Many trips pass without incident. However, you should not be complacent about the risks involved with travelling overseas. to complete to ensure that you have adequate protection. If you take any medicines regularly, make sure you have enough for your trip and check with your airline about what you can carry in your hand luggage. Be aware that some medicines may not be permitted in your destination country. Seek advice from your healthcare professional or the Foreign and Commonwealth Offi ce (FCO) website. Reduce the risk of accidents Avoid alcohol and eating before swimming Never dive into water where you are uncertain of the depth Swim safely, assess currents, risk of sharks and jellyfi sh etc Never drink and drive If you re hiring a vehicle, try to avoid motorcycles or mopeds Only use reliable taxi fi rms and identify the location of emergency facilities Take out insurance Take out medical insurance. Ensure it covers you for repatriation. Make sure you declare any existing health issues. If you are travelling within the EU, apply for a European Health Insurance Card (EHIC). This card may entitle you to free emergency medical care within any EU country. Now wash your hands! Contaminated food and drinking water are the most common source of illness abroad. 1 So always wash your hands before eating or preparing food. If you contract diarrhoea, drink plenty of fl uids to stay hydrated. There are medicines available for treating diarrhoea but you should seek medical advice before taking them. Reference: 1. World Health Organization. Preventing Travellers Diarrhoea: How to Make Drinking Water Safe. WHO/SDE/ WSH/ Geneva Available at: int/water_sanitation_health/hygiene/envsan/sdwtravel.pdf Last accessed March Rabies Rabies is still present in many parts of the world. If a person develops rabies, death is almost 100% certain. Protection against rabies Do not approach any animal, including cats and dogs If you are scratched or bitten by an animal, or licked on broken skin, wash the wound immediately and thoroughly with soap and running water for at least 5 minutes. Then apply an antiseptic solution Seek medical advice immediately, even if you have been previously vaccinated against rabies Reduce the risk of food-borne diseases What about water Diseases like hepatitis A, typhoid and cholera can be caught from contaminated water. Only eat well-cooked fresh food Avoid leftovers and reheated foods Ensure meat is thoroughly cooked Avoid salads Only eat fruit that needs to be peeled Avoid unpasteurised dairy products including ice-cream Avoid high-risk foods such as shellfi sh Don t consume food sold by street vendors Reduce the risk of water-borne diseases Unless you know a water supply is safe, only use bottled water, provided in sealed, tamper-proof containers and bottled by known brands; boiled or sterilised water (even for cleaning your teeth) Freezing does not sterilise water, so avoid drinks with ice cubes UK/TH/0091/ Date of preparation: August 2013 Vaccines_ GSKEDC-UK _D2.indd 1 8/5/2013 8:45:25 PM

2 Personal details Name Easiest contact telephone number E mail Dates of trip Date of departure Date of birth Male [ ] Female [ ] Return date or overall length of trip Details about destination(s) Country and location to be visited Length of stay Away from medical help at destination, if so, how remote? Do you plan to travel abroad again in the future? Please tick as appropriate below to best describe your trip 1. Type of trip Business Pleasure Other 2. Holiday type Package Self organised Backpacking Camping Cruise ship Trekking 3. Accommodation Hotel Relatives/family home Other 4. Travelling Alone With family/friend In a group 5. Staying in area which is Urban Rural Altitude 6. Planned activities Safari Adventure Other Personal medical history Do you have any recent or past medical history of note? (including diabetes, heart or lung conditions) List any current or repeat medications Do you have any allergies for example to eggs, antibiotics, nuts or latex? Have you ever had a serious reaction to a vaccine given to you before? Does having an injection make you feel faint? Do you or any close family members have epilepsy? Do you have any history or mental illness including depression or anxiety? Have you recently undergone radiotherapy, chemotherapy or steroid treatment? Women only: Are you pregnant or planning pregnancy or breastfeeding? Have you taken out travel insurance and if you have a medical condition, informed the insurance company about this? Please write below any further information which may be relevant Jane Chiodini GlaxoSmithKline Travel Health has funded the production of this item with no editorial input other than a check for medical accuracy. UK/MARK/0288/ Date of preparation: March 2011

3 Vaccination history Have you ever had any of the following vaccinations/malaria tablets and if so when? Tetanus Polio Diphtheria Typhoid Hepatitis A Hepatitis B Meningitis Yellow Fever Influenza Rabies Jap B Enceph Tick Borne Other Malaria Tablets For discussion when risk assessment is performed within your appointment: I have no reason to think that I might be pregnant. I have received information on the risks and benefits of the vaccines recommended and have had the opportunity to ask questions. I consent to the vaccines being given. Signed: Date: FOR OFFICIAL USE Patient Name: Travel risk assessment performed Yes [ ] No [ ] Travel vaccines recommended for this trip Disease protection Yes No Patient declined vaccine Vaccine name, dose & schedule for PSD Hepatitis A Hepatitis B Typhoid Cholera Tetanus Diphtheria Polio Meningitis ACWY Yellow Fever Rabies Japanese B Encephalitis Other Travel advice and leaflets given as per travel protocol Food, water and personal hygiene advice Travellers diarrhoea Blood and bodily fluid infection risks e.g. Hepatitis B Insect bite prevention Animal bites Accidents Insurance Air travel Sun and heat protection Websites SMS vaccines reminder service set up Travel record card supplied Other Malaria prevention advice and malaria chemoprophylaxis Chloroquine and proguanil Chloroquine Doxycycline Atovaquone + proguanil Mefloquine Malaria advice leaflet given Further information e.g. weight of child Authorisation for Patient Specific Direction (PSD) Use Name: Signature: Date: Jane Chiodini GlaxoSmithKline Travel Health has funded the production of this item with no editorial input other than a check for medical accuracy. UK/MARK/0288/ Date of preparation: March 2011

4 Reduce the risk of contracting Hepatitis B or HIV Hepatitis B and HIV are very serious illnesses. They are usually transmitted through contact with blood or bodily fl uids. Use of unclean medical equipment, sharing needles, and unprotected sex all increase the risk of contracting hepatitis B or HIV. To protect against blood-borne diseases: Take a sterile medical kit with you. It should include needles and syringes Avoid anything that will break the skin, e.g. ear and body piercing, tattooing and acupuncture Don t get bitten Insect bites can cause many different diseases, including dengue fever, and malaria. Malaria is a one of the most serious diseases travellers can be exposed to. A course of antimalarial tablets and employing a few basic protective measures can decrease your risk of contracting this potentially life threatening disease. Cover up and practice safe sun Overexposure to the sun ruins thousands of holidays every year. Sunburn and heatstroke can be very serious. Protection against the sun Avoid direct sunshine between 11am 3pm. This is when the sun is at its strongest Use high factor SPF sun cream Wear protective clothing. This is particularly important for children, those with pale skin and/or ginger hair Drink plenty of fl uids and be aware that alcohol can make you dehydrated The ABCD of malaria protection A. Be Aware of the risk, the incubation period and the main symptoms B. Avoid being Bitten by mosquitoes, especially between dusk and dawn C. Take antimalarial drugs (Chemoprophylaxis) to suppress infection where appropriate D. Immediately seek Diagnosis and treatment if a fever develops one week or more after entering an area where there is a malaria risk, and up to 1 year after departure Protection against insect bites Spray your clothes and exposed skin with insect repellent. A content of up to 50% DEET is recommended for tropical destinations Close room shutter screens early in the evening and spray rooms with insect repellent Always sleep under a mosquito net which has been impregnated with a suitable insecticide Don t camp near stagnant water. This is a common breeding area for mosquitoes Use electronic insecticide vaporisers. However, do be aware of the risk of power failures Take antimalarial tablets. It s essential that you complete the course to ensure maximum protection Useful websites for further information For more information and to apply for a European Health Insurance Card visit A useful website with more information on your destination provided by the Health Protection Agency (HPA). A useful website with more information on your destination provided by the NHS (Scotland). The Foreign and Commonwealth Offi ce website which provides up-todate information about destination countries. Essential advice for anyone travelling to malaria hotspots. (this is a GlaxoSmithKline website) Advice and protection about sunburn and skin cancer. A comprehensive, up-to-date and accurate source of information on vaccines, disease and immunisation. Travel-immunisation/Pages/ Introduction.aspx UK/TH/0091/ Date of preparation: August 2013 Vaccines_ GSKEDC-UK _D2.indd 2 8/5/2013 8:45:41 PM

5 TRAVEL VACCINATION CHARGES EFFECTIVE October 2013 Tetanus/Diphtheria & Polio (Revaxis) Cholera (Dukoral oral suspension) Hepatitis A (Epazal or Avaxim) Hepatitis A&B Combined Hepatitis A and Typhoid Combined Hepatitis B For special groups only Free of charge Free of charge Not available on NHS for travel per injection (Course of 3) but if requested there is a charge of: Children 25 per injection - (Course of 3) Japanese B Encephalitis per injection (Usually need a Course of 2 injections. Needs to be completed at least 10 days before travel) Meningitis ACWY Menveo Nimenrix Rabies Tick-bourne Encephalitis Typhoid each (Course of 3 injections) 45 per injection Course of 3 injections) Free of charge (unless requested by patient but not recommended for the country being visited 22.50) Yellow Fever (needs to be given at least 2 weeks before travel) Malaria prophylaxis including doxycycline Mefloquine and Malarone 15 (admin fee) for each private prescription Dr Cooper and Partners reserve the right to review the above charges periodically and vary the fees. Ref: Office/TravelVaccinations/CurrentChargesPatientCopy/May 14

6 Surgery Newbridge NEWBRIGE SURGERY - Travel Vaccinations Service Travel Vaccinations are part of an Additional Service that the surgery offers and has to be balanced against the Essential Service provided for those patients who are suffering from general illness, terminal illness or chronic disease. Some vaccinations are FREE, others are chargeable and details are attached What you need to do: Apply no later than 12 weeks before your departure date if you are a backpacker or are planning visits to multiple countries Apply no later than 6-8 weeks in advance for other travellers Help us by providing accurate and timely information Complete the attached Form and return it to the surgery, remembering to include all countries being visited, your contact details, and signature. Be ready to answer questions arising from the information you provide about you or your family, if the Travel Nurse telephones you. Pay for any chargeable vaccinations promptly by CASH or CHEQUE supported by a cheque guarantee card, after you have received a telephone call from one of our staff. Arrange a 1st appointment when you have made payment and follow up appointments where you need a course of treatment If you need to cancel your appointment, please inform us as soon as possible What we will do: Provide application forms and details of current charges, which we reserve the right to amend from time to time Offer a trained travel nurse to assess the vaccinations you require based on the information you provide and your medical record. Advise you by telephone of any charges before you make payment and book an appointment Decline requests for appointments where payment has not been received Decline applications where you offer payment by CREDIT CARD Provide travel advice and administer vaccinations at your booked appointment(s) Offer those vaccinations which are free under the NHS, at this surgery If you apply 12 weeks in advance of your departure date for backpackers/multiple country visits or 6-8 weeks in advance for other travellers, we shall aim to complete your vaccination schedule before your departure date. If we are unable to do this, we shall advise you of alternative arrangements with other Travel Clinics in the area. PLEASE HELP US TO HELP YOU COMPLETE YOUR VACCINATION SCHEDULE ON TIME Ref: Office/TravelVaccs/Frontletter June 12