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Vaccination Preventable Diseases:

Yellow Fever
This is a serious disease transmitted by mosquito bites. Symptoms include fever,
jaundice (yellow skin), diffuse bruising and internal bleeding. Most travellers who
contract yellow fever unfortunately do not survive. However there is an effective
vaccination against yellow fever which protects travellers for up to 10 years. The
vaccine has side effects which are thankfully rare. When travelling to certain
countries you must have a valid yellow fever certificate if you have transited in a
previous yellow fever endemic country. In our travel clinic we can advise you on
whether you will need the vaccination and/or certificate. We can also provide a
‘certificate of exemption’ if you have a specific health condition which the yellow
fever vaccine could affect.

Hepatitis A
Viral infection transmitted by food or contaminated water, usually in endemic
countries with a poor sanitation. Shellfish are often incriminated in particular where
they are harvested off coastlines adjacent to sewage outlets. Contaminated fruits or
vegetables are known to transmit the virus.

Symptoms start as malaise, fever, muscle and joint aches, followed then by a jaundice
( yellow skin). Recovery is usually slow and could take up to several months with
symptoms of chronic tiredness.  The infection is rarely lethal.

There is a reliable vaccine which can give a full immunity for up to 10 years.

Hepatitis B
Viral infection transmitted by blood contact such as blood transfusion, needle stick
injury but also by sexual contact. It is a highly contagious disease. Most symptoms will
start with flu like symptoms associated with severe joint pains, occasionally a red
itchy rash followed by jaundice (yellow skin). The liver is affected which could
gradually lead to cirrhosis (scarring of the liver) and liver cancer. The mortality is quite
high and the progression of the disease is slow and rather invalidating.

Most areas at risk are south-east Asia, China, equatorial Africa, Oceania and South
America followed by Eastern Europe, around the Mediterranean, India subcontinent
and the Middle East.

There is a very safe hepatitis B vaccine which gives full protection for up to 10 years.

Typhoid (enteric fever, typhoid fever)
Bacterial infection transmitted mainly by contaminated food and water. Countries
with a poor sanitation system are likely to be endemic. If untreated the mortality
rate is high.

There is a safe and reliable vaccine available to protect against the disease.
Confirmed cases are usually treated with antibiotics and most patients have a full
recovery following the treatment.

Meningitis
It is a serious and rapid bacterial infection with a high mortality rate. There are
several strains which vaccines could protect from. Pilgrims travelling to the Hajj will
need proof of vaccination on Entry to Saudi Arabia.
Tetanus, Diphtheria and Polio

Most people in the UK and in Western Europe are vaccinated and the immunity lasts
for 10 years. If you are not sure whether it has been more than 10 years since you last
were vaccinated we suggest you receive a booster which will cover you for a
following 10 years. A meningitis vaccination is mandatory for all pilgrims travelling to
the Hajj.

Flu Virus Immunisation
Seasonal flu appears across the world it is a highly contagious virus which spreads in
the air by thin microscopic droplets from coughs and sneezing by infected individuals.
It is also spread by contaminated surfaces. It is usually a mild disease but patients
with chronic diseases are more vulnerable to the virus’ infection.

Pandemic flu such as the Swine flu can cause much more serious symptoms and could
be as aggressive to young and healthy adults. Vaccines are being available.

Pilgrims travelling to the Hajj will need a certificate of vaccination proving vaccine
was received 4 weeks prior to the entry of Saudi Arabia.

For further advice please contact your doctor or nurse at One Kenilworth Road
Surgery.
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09/07/10 - The Jeremy Kyle Show
Dr Arun Ghosh working with the
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See the show on ITV Player)

14/06/10 - BBC Radio 1 Newsbeat
Dr Arun Ghosh talks about guidance
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Newsbeat article) (See the show)
Dr Arun Ghosh - MBChB, MRCGP, DFFP, Registered with the MDU full healthcare commissioning
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