Yellow fever

Signs and Symptoms: The first phase of Yellow Fever includes symptoms such as fever, muscle pain, headache, shivers, loss of appetite, nausea and vomiting. After three to four days most patients improve and their symptoms disappear. However, within 24 hours of apparent recovery, some patients progress to a more serious stage of the illness involving jaundice, haemorrhagic fever and deterioration of kidney function. Some patients that develop this form of the disease die within 7-10 days after the onset.

Vaccination schedule: 1 dose given at least 10 days before travel

Boosters: Not required.

Who Needs It: Advised if going to countries at risk or when requiring a yellow fever certificate.

Age restrictions: From 9 months, can be used from 6 months if there is a high risk of exposure.



Signs and Symptoms: The initial symptoms of Cholera can begin anywhere between 1-5 days after ingesting the bacteria. Sufferers can experience vomiting of a clear liquid, and painless diarrhoea, which is pale and cloudy in appearance. These symptoms can expel a massive amount of fluid from the body, resulting in dehydration and causing the skin to turn a greyish blue colour

Vaccination schedule: 2 doses given seven days apart.
Boosters: Required after two years.
Who needs it: When going to an area with poor sanitation, including slum areas, refugee camps and areas following natural disaster; also recommended for travel to rural areas in developing countries.
Age restrictions: Suitable from the age of two.


Hepatitis A

Signs and Symptoms: It can take up to two weeks for any signs or symptoms develop and the severity of the virus ranges; in young children, infection may show mild or no symptoms, but it can be a serious illness in older people. Common signs and symptoms of Hepatitis A include: fever, muscular aches, nausea, vomiting, diarrhoea, weight loss, abdominal pain and yellow discolouration of the skin and eyes.

Vaccination schedule: 1 dose

Boosters: The vaccine protects you for one year. If you have another booster after one year, you remain protected for at least 10 years thereafter.

Who needs it: Recommended when visiting risk countries.

Age restrictions: Suitable from the age of 12 months.


Hepatitis A and B

Vaccine schedule: The most common schedule for last minute travellers consists of three doses, the second of which is given seven days after the first, followed by the third 14 days after the second dose. On this schedule, you need an additional dose 12 months later to remain protected. The vaccine schedule differs depending on your age, how soon you are travelling and which brand of vaccine you receive. The doctor will recommend the most suitable vaccine and schedule.

Boosters: Once you have completed the full course you will be protected against hepatitis A for 25 years and against hepatitis B for 5 years. You may need additional boosters thereafter to stay protected.

Who needs it: Recommended when travelling to a risk country.

Age restrictions: The vaccine can be given to children over the age of 12 months. However, the schedule for children can take several months to complete. If you’re travelling in the near future, you may need to use non-combined vaccines for hepatitis A and B to ensure protection prior to travel.


Hepatitis B

Signs and Symptoms: The signs and symptoms of Hepatitis B include mild fever, flu-like symptoms, high temperature, gastro-intestinal upset, nausea and vomiting, diarrhoea and abdominal pain, yellow skin and eye.

Vaccine Schedule: Three doses. The second injection is given four weeks after the first and the third injection needs to follow five months later. Accelerated course available.

Boosters: If you’re at high risk of Hepatitis B, then you’ll need a booster jab 5 years after primary immunisation.

Who needs it: When going for a long or permanent stay; recommended for people who are at risk of needing hospital treatment while abroad (for example due to chronic illnesses).

Age restrictions: Can be given from birth if there is a high risk of infection.


Japanese Encephalitis

Signs and Symptoms: Symptoms usually occur 5 to 15 days after being bitten by an infected mosquito. Initially, a flu-like illness may occur, which may progress to brain swelling, resulting in symptoms such as high fever, confusion, convulsions, headache, neck stiffness and paralysis. Japanese Encephalitis can result in death or permanent brain damage and disability.

Vaccination schedule: 2 doses in total: 1 dose each on the 1st and 28th day.

Boosters: Required after 12 months.

Who needs it? When visiting risk areas; the risk depends on the time of year, with an increased risk during rainy seasons and especially in rural areas.

Age restrictions Suitable from the age of two months.



Vaccination schedule: 1 dose

Boosters: You won’t need a booster to stay protected but if required for a certificate, you can have one after five years.

Who needs it? Advised if going to countries at risk and mixing closely with local population; compulsory for the Hajj pilgrimage.

Age restrictions: Can be given from birth.


Polio, diphtheria & tetanus

Polio is highly infectious, but symptoms do not typically appear for up to 20 days. Early symptoms include fever, headaches, vomiting, fatigue, chest pains, and stiffness in the neck. In rare cases (1 in 200), the sufferer can be permanently paralysed, usually in the legs. Among these rare cases, 5-10% can be killed when their breathing muscles become immobilised.

Diphtheria attacks the respiratory system and occurs in the throat, so many of its symptoms are related to this area of the body. Sufferers may complain of difficulty in breathing or swallowing, sore throats, headaches, chills and fever. More outwardly visible symptoms include a heavy cough, bluish skin colouration, rapid and/or shallow breathing.
Tetanus symptoms take time to develop, with the incubation period lasting between 4 and 21 days. The earliest symptom is lockjaw, a severe stiffness in the mandibular muscles which makes it very difficult to open your mouth. This stiffness, which is often accompanied by spasms, spreads to the neck and limbs over the following period of up to three days. It can become difficult to swallow, with severe cases causing difficulty in breathing, which can lead to suffocation.
Other symptoms include a high fever, high blood pressure, rapid heartbeat and heavy sweating.

Vaccination schedule: One booster dose. If you have never had the vaccine before you may need more than one dose.

Boosters: Every ten years.

Who needs it? You should have a booster if it’s been more than 10 years since you last had one.

Age restrictions: We provide the vaccine for children over the age of 10.



Signs and Symptoms: The first symptoms of Rabies are usually similar to the flu, including fever and headaches. There may also be pain at the area of the bite, developing within days, to symptoms of anxiety, confusion and agitation. As the disease progresses further, the person may experience delirium, abnormal behaviour, hallucinations, and insomnia.

Once the clinical signs of Rabies appear, the disease is nearly always fatal. Treatment is typically limited to supportive care.

Vaccine schedule: 3 doses in total: 1 dose each on the 1st, 7th and 21st or 28th day.

Boosters: Every 10 years.

Who needs it? Advised if going to risk countries, if likely to come into contact with animals or if staying for long periods of time. Also recommended when going to a rural area without easy access to medical care.

Age restrictions: Can be given from birth.



Signs and Symptoms Signs and symptoms may include mild fever and headache, muscle aches, chills, nausea, and loss of appetite. Some sufferers report abdominal discomfort, constipation and/or diarrhoea.

Vaccine schedule: One dose if you receive the typhoid injection. The oral vaccine consists of three capsules taken over a course of five days.

Boosters: After three years.

Who needs it? Advised if going to a risk country.

Age restrictions: Can be given from two years if there is a high risk of infection from 12 months.


Tick-borne Encephalitis

Signs and Symptoms: The initial symptoms of Tick-borne Encephalitis usually occur one to two weeks after a tick bite and include fever, headache and general flu-like illness. Sufferers may also complain of nausea, muscle pain, lethargy and general discomfort. Some patients may go on to develop Encephalitis, which can cause paralysis and can be fatal in some cases.

Vaccine schedule: Three doses, the second is given 1 – 3 months after the first and the third is given one year after the first; you should get the second dose at least one week before you travel.

Boosters After three years.

Who needs it? Advised if going to risk countries, especially when going to forested areas.

Age restrictions: Suitable from the age of 12 months.


Measles, Mumps, and Rubella

Vaccination schedule: 1 dose at least 6 weeks before travel, then a second dose at least 2 weeks before you travel. There should be at least 4 weeks between your doses. There is no accelerated course for this vaccine.

Boosters: There are currently no recommendations for getting a booster dose of this vaccine

Age restrictions: Typically given from 12 months onward


Malaria tablets

Who needs malaria tablets? You need malaria tablets if you’re travelling to a risk area. In addition to taking malaria tablets, it is important that you practice insect bite avoidance.

Which tablets do I need? Which type of malaria tablet is suitable for you depends on the country you are travelling to. In some parts of the world, the malaria parasite has become resistant to certain antimalarials.
Chloroquine is very affordable but only suitable in a small number of countries. Doxycycline is suitable for countries where the malaria falciparum parasite has not become resistant to it. Malarone is suitable for all malaria regions.


HPV (Silgard)

Against: HPV type 6, 11, 16, 18..

For boys and girls age 9-15 lat women age 16 – 45 men age 16 – 26

Vaccination schedule: 3 doses at month 0-2-6

HPV (Gardasil)

Against HPV type 6, 11, 16, 18.

For girls and women between age 9 – 27.

Vaccination schedule: 3 doses at month 0-2-6

HPV (Cervarix)

Against: HPV type 16, 18

For girls and women between above 9 years old

Vaccination schedule:  age 9 to 14: 2 doses at month 0 – 6 (second dose after 6 months) age 15 and more: 3 doses at month 0 – 1 – 6