Pavilion Publishing and Media Ltd
Blue Sky Offices Shoreham, 25 Cecil Pashley Way, Shoreham-by-Sea, West Sussex, BN43 5FF, UNITED KINGDOM
With holiday season fast approaching, the author looks at current thinking and practice around travel vaccinations
Dr Mike Townend MB, ChB(Hons), Dip Trav Med, FFTM RCPS(Glasg), Hon Fellow, BGTHA, Hon Clinical Senior Lecturer, University of Glasgow, Chairman, British Global and Travel Health Association
How important are travel vaccinations?
How do I know which vaccinations to give?
UK schedule vaccinations
Travellers to areas of poor food and water hygiene and sanitation
Travellers in close physical contact with local populations
Meningococcal infection
Tuberculosis
Hepatitis B
Other travel related vaccines
- Poliomyelitis
- Typhoid
- Hepatitis A
- Cholera.
These are vaccines against infectious diseases which the traveller could transmit to others on his/her return.
In the case of poliomyelitis, destination countries qualifying for free vaccination are shown on the National Travel Health Network and Centre website at www.nathnac.org
Which vaccines should the traveller pay for?
- Hepatitis B
- Japanese encephalitis
- Meningococcal ACWY
- Rabies
- Tick-borne encephalitis
- Yellow fever.
Essentially, this means travellers will pay for all of the vaccines except polio, typhoid, hepatitis A and cholera.
In addition to charging for the cost of the vaccine, a fee for administering it may be charged, plus a fee for issuing a certificate of vaccination if required.
Exceptions to payment
Exceptions to the payment rule include the following categories of patients who can be vaccinated without charge:
- Hepatitis B: Men who have sex with men
- Meningococcal ACWY: Asplenic patients
- Rabies: Veterinarians and registered bat handlers.
All the above are in recognised ‘at risk’ groups and should not be charged even if travelling abroad.
At risk groups are further defined in the Green Book’ which can be seen at https://www.gov.uk/government/collections/immunisation-againstinfectious-disease-the-green-book
What conditions are attached to payment for vaccines?
- The vaccine must be prescribed and purchased privately
- An NHS centrally supplied vaccine must not be used
- NHS reimbursement must not be claimed
- The patient must not be in a recognised ‘at risk’ group for vaccination.
Useful information sources
Travax database: www.travax.nhs.uk
National Travel Health network & Centre (NaTHNaC):www.nathnac.org
Immunisation Against Infectious Disease (‘The Green Book’):https://www.gov.uk/government/collections/immunisation-againstinfectious-disease-the-green-book
British Global and Travel Health Association www.bgtha.org
Fit for Travel (a public access website based on data from the Travax database) www.fitfortravel.nhs.uk
Vaccine manufacturers Sanofi Pasteur MSD: spmsd.co.uk GSK Vaccines: vaccines.co.uk
Summary of key points
- Vaccine preventable diseases are responsible for a minority of health risks for travellers
- Travellers requiring travel vaccinations should be encouraged to attend at least six weeks before departure
- An individual risk assessment is required for each traveller based on the characteristic of the traveller, the destination, the nature of the intended journey and the traveller’s intended activities