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Best source of vaccination/innoculation advice and jabs

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Best source of vaccination/innoculation advice and jabs

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Old 9th Sep 2005, 20:31
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Rainbow Chaser
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Cool Best source of vaccination/innoculation advice and jabs

In convo with some colleagues it occurred to me that it is at least 10 yrs since I had any form of jab. As a result I would like to know prooner recommendations for:

(1) who/where is the best source of advice on routine jabs (as well as those recommended for global travel) and

(2) where is the best place to get em done?

thanks in advance for replies!
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Old 10th Sep 2005, 08:12
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jabs

G'Day Bee! Your airline not on top of this?

Normal jabs to keep up to date are I think tetanus & yellow fever Ask your doc about hepatitis A and B but standard docs are not always that good except upon their own patch. For example mine told me schistosomiasis did not exist in Egypt purely because he was so out of date. He was unaware of polio problems there too for the same reason. Read "Rough Guide" and "Lonely Planet" and visit site http://www.cdc.gov/travel/

Beware Lyme's Disease everywhere and Ross River Fever if you go to Oz

If you are resident in London visit BA in Regent St. They certainly used to provide an excellent centre and I think even had a clinic. Probably been axed to save money.

Funnily enough if you search CIA and the name of the country up comes a reasonably good briefing sheet. Take jabs not just for where you are going but also where you might divert to. Diversions to Senegal are one thing, Monrovia (God Forbid!) another.

There is in the English Home Counties somewhere an International Study Centre in a former stately home and run by the C of E or a J Arthur Rank foundation. For the life of me I can't remember where!!! It is/was good for this kind of thing. It is/was used by big companies to brief would be expats.

Do not ever, ever, ever visit W or NW Scotland. I thought Trephena Gorge in the NT was bad but the Scottish Midge and the Highland Deer Tick take the biscuit every time.

Lastly of course the Men from the Ministry.
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Old 10th Sep 2005, 11:41
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Brockeeeeeeeeeeeeeeeeeeeeeeee!

Ten Years is far too long mate! Even your YF will have timed out never mind TET.

I take a 6-month check-up and keep my WHO immigration jabs religiously up-to-date.

PM me and I can direct you perhaps to a private clinic near the City if BA in Regent Street has packed up its bespoke service.

This is a serious issue so....

I would expect sensible standard precautions to include “jabs” (inoculation, vaccination or tablets) against smallpox, measles, mumps, rubella, tuberculosis, polio, tetanus. Excepting the last these were probably done in your early years but tetanus needs updating periodically. 2yrs I think. Do not confuse tetanus precautionary with anti-tetanus which is given you if there is a risk that you are not up-to-date. That horse serum can have nasty side effects. Otherwise none of these are hard to take except the TB jab. The polio one is a sugar lump job.

Travellers really need to be up-to-date with yellow fever so all-in-all it is worthwhile getting a Dr WHO card, the World Health Organisation immunisation card, that is the traveller’s requisite and not just for immigration authorities. Then you know when you need “doing”. Airlines and the Services make a good job of keeping you up-to-date. I think it is rotten that a tourist, short stay, may not be required to produce the WHO card but an expat on contract must. Who is then at more risk? Er, could be the tourist.

Advice you need that can come from your quack concerns the current strains of TB, what are the risks associated with Hepatitis A, B, C in the disease, its “prevention” and its “cure”. As with Hepatitis the same goes for Meningitis which can be viral or bacterial, the latter being much more serious.

With Hep the jabs are not without risk – which is true of many treatments – particularly if you have to have emergency treatment rather than the prophylactic one. In the latter case the jab is much the lesser of two evils but some people are left with debilitating arthritis. I am pretty sure a quack will need to make a proper risk assessment about the best plan for you. Full-blown protection for someone in a low risk category carries more side-effect risk. My personal choice would be to go private because when not actually ill acknowledge that the public medicos are overworked by those that are. There is a clinic near the City. Brocky, pm me.

With Meningitis this is often now sorted at school but I’d advise you to talk over what was actually done. If you were very small, was it MPSV4? Or was it MCV4? Or was it something else altogether? Jabs against meningitis are not 100% effective at prevention but they do mitigate the illness should you contract it. You have a higher risk back-packing and sleeping in dorms but if the hotel workers are a high risk category, so are you.

With malaria there is an unfortunate double-double-double standard. It could be eradicated with DDT but this is a no-no in many parts of the world and is only resorted to in desperation and the world keeps quiet about it. Double-double stigma by having a gross problem soluble only by gross, but effective tactics. DDT is not a degradable chemical and the well-to-do world does not want it entering crops, drinking water, foodstuffs etc. So the poorer nations that were on the verge of extinguishing it now have it in spades with mozzies that are resistant to everything but DDT. The next double standard is that there are two types of malaria – a form that is really serious and often fatal and the more common form that is debilitating and can prove fatal from complications. There are treatments for both long term and short term exposure because the side-effects can themselves be nasty and injurious to long term health. You need to talk this over realistically – six weeks, six months, six years exposure calls for different methodologies. The last double standard is loss of face – there are countries that will not be open willingly about the hazards! In one country I frequently travelled too the swishy capital was rife with the dangerous form and its second city in a much more monsoon type climate had the relatively more “benign” form. Your average doctor will not pick up on this and even the Foreign Office is a bit obscure. Private clinics can be streets ahead of public service but not always. The more advice you take the more nearly you approach the truth. Always try the Royal Institute of Tropical Medicine and Hygiene and its links. Also try a word search on TRAVAX (travel vaccinations) and see what happens.


Other Bad Things
Typhoid, Cholera, Rabies, Weil's Disease, Lyme's disease, Ross River Virus, Bilharzia.

Rabies is rarely fatal these days but your furry friends relish a challenge.

4-6 weeks before travel see what precautions you need to follow besides BCPF which stands for “Boil off, Cook off, Peel off or **** off”. Vaccines against cholera exist but they carry risks and are not 100% effective. Trusted known good bottled water to clean teeth, no ice and slice, no salad. Beware sub-Saharan Africa and the Indian sub-continent. If you do have typhoid jabs – Oooyah, but nothing like Yellow Fever which luckily is good for 5-10 years methinks.

Weil’s disease and Lyme’s disease can have nasty complications, minimised by BCPF but also resist the urge to walk in long grass, wet grass, bathe in streams. If you get ‘flu-like symptoms you need a doc who understands or there is a good chance of misdiagnosis. Ticks are very, very bad news. Any beasties matchstick-head size or like little tiny sooty marks burrowed into the skin, especially bare calves and ankles are BAD, repeat BAD news.

Bilharzia causes blood in the urine - the snails that carry it cannot live in rapidly flowing water. 'Nuff said.

Best Rgds

The E
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Old 13th Sep 2005, 11:14
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small update

Ask about cholera certificate requirements.

Because of TB developments - ASK

Hepatitis and Meningitis are special and specific to you and your needs. Not everyone needs the same. These are best arranged with the person who holds your medical records.

Go over your childhood and school jabs with the person who holds your medical records. Don't miss out.

I think cyclic jabs at 1GBP - 2.37 AUD are:

Yellow Fever - £40 - Mandatory in my opinion. One jab (OOOyah every ten years
Hepatitis A - £50 – One jab boosted after one year repeated every ten years
Hepatitis B - £35 – Three jabs each one month apart every five years
Hepatitis A and B combined - £65 – Three jabs, two months apart every five years
Meningitis - £25 – One jab every three years
Polio - £15 – One jab followed by oral booster every ten years
Tetanus - £15 – One every ten years
Typhoid - £30 – One jab every three years (can be combined with Hepatitis A)
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Old 13th Sep 2005, 11:31
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In UK, "Hep A" can be boosted any time up to 18 months. I'm having mine done Thursday at local GP - 20GBP

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