Immunisations (Child & Adult)
Children:
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When to Immunise
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Diseases protected against
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Vaccine given
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Two months old
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D,T,P,PO,Hib & Pneum
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DTap/IPV/Hib & Pneum
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Three months old
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D,T,P,PO,Hib & Men C
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DTap/IPV/Hib & MenC
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Four months old
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D,T,P,PO,Hib,Men C & Pneum
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DTap/IPV/Hib,MenC & PCV
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Around 12 months old
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Hib & Men C
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Hib/MenC
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Around 13 months old
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Measles, Mumps, Rubella & Pneum
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MMR & PCV
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3 years 4 months to 5 years
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D,T,O,PO & MMR
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DTap/IPV or DTap/IPV & MMR
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|
13-18 years
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T,D,PO
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Td/IPV
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D=Diptheria, T=Tetanus, P=Pertusis (whooping cough),PO=Polio, Hib =Haemophilus Influenzae, Pneum =Pneumococcal infection, MenC=Meningitis C
Adults:
Tetanus & Polio
Protection against tetanus and polio should be kept up to date. A full primary course with a booster at 15 should be followed by at least two boosters at 10 year intervals to protect throughout life.
Influenza
Annual protection against influenza is offered to senior citizens and those at high risk, e.g. with chronic heart, chest and breathing disorders, and diabetes.
Vaccines for foreign travel may include:
TYPHOID
HEPATITIS A
HEPATITIS B
MENINGOCOCCAL SEROGROUP ACWY
RABIES
JAPANEASE B ENCEPHALITIS
TICK BORNE ENCEPHALITIS
YELLOW FEVER
CHOLERA
MEDICAL AVIATION ADVICE
Post Operation. Flights should be avoided for 10 days after major operations and five days after minor operations, but longer with intra-occular bubbles. This is the minimum period and ideally a longer interval is safer to reduce the risk of DVT.
Post MI. Avoid flights for 7 days with uncomplicated MI (Heart attack).
COPD. Cabin pressure is equivalent to an altitude of 8,000 feet. Patients with pulse oxymetry/oxygen levels over 95% do not need oxygen, those between 95-92% may require oxygen and those less than 92% will require oxygen and will need to follow detailed guidance from the British Thoracic Society.
DVT Prevention. Any prolonged immobility over 4 hours increases the risk of a DVT. This is additionally increased for those patients taking the pill, HRT, over 40 and those with a family history of a DVT, pulmonary embolism or inherited heritage blood disorder. There is now little evidence that aspirin has any benefit in venous clot prevention as DVT occurence involves the clotting factors rather than the 'sticky' platelets, where aspirin acts. There is good evidence however than compression stockings are beneficial.
Jet Lag. Travellers who readjust their time zone to the destination as early as possible reduce the effects of jet-lag. Melatonin has been used but there is no evidence that this is effective, however the use of short-acting hypnotics, Zolpidem used after the flight does help to re-establish a normal sleeping pattern and reduced jet-lag.
Pregnancy. After 28 weeks of pregnancy women must have a certificate to fly. Normally travel is unrestricted up to 32 weeks for twins and 36 weeks for a single pregnancy.
Sid Valley Practice Travel Vaccination Tariff:
Adults:
Tetanus & Polio
Protection against tetanus and polio should be kept up to date. A full primary course with a booster at 15 should be followed by at least two boosters at 10 year intervals to protect throughout life.
Influenza
Annual protection against influenza is offered to senior citizens and those at high risk, e.g. with chronic heart, chest and breathing disorders, and diabetes.
Vaccines for foreign travel may include:
TYPHOID
HEPATITIS A
HEPATITIS B
MENINGOCOCCAL SEROGROUP ACWY
RABIES
JAPANEASE B ENCEPHALITIS
TICK BORNE ENCEPHALITIS
YELLOW FEVER
CHOLERA
MEDICAL AVIATION ADVICE
Post Operation. Flights should be avoided for 10 days after major operations and five days after minor operations, but longer with intra-occular bubbles. This is the minimum period and ideally a longer interval is safer to reduce the risk of DVT.
Post MI. Avoid flights for 7 days with uncomplicated MI (Heart attack).
COPD. Cabin pressure is equivalent to an altitude of 8,000 feet. Patients with pulse oxymetry/oxygen levels over 95% do not need oxygen, those between 95-92% may require oxygen and those less than 92% will require oxygen and will need to follow detailed guidance from the British Thoracic Society.
DVT Prevention. Any prolonged immobility over 4 hours increases the risk of a DVT. This is additionally increased for those patients taking the pill, HRT, over 40 and those with a family history of a DVT, pulmonary embolism or inherited heritage blood disorder. There is now little evidence that aspirin has any benefit in venous clot prevention as DVT occurence involves the clotting factors rather than the 'sticky' platelets, where aspirin acts. There is good evidence however than compression stockings are beneficial.
Jet Lag. Travellers who readjust their time zone to the destination as early as possible reduce the effects of jet-lag. Melatonin has been used but there is no evidence that this is effective, however the use of short-acting hypnotics, Zolpidem used after the flight does help to re-establish a normal sleeping pattern and reduced jet-lag.
Pregnancy. After 28 weeks of pregnancy women must have a certificate to fly. Normally travel is unrestricted up to 32 weeks for twins and 36 weeks for a single pregnancy.
Sid Valley Practice Travel Vaccination Tariff:
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VACCINE
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CHARGE
|
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Hepatitis A
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None
|
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Hepatitis A Paediatric
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None
|
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Hepatitis B - Occupational Risk Only (includes a booster)
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£100 per course of three
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Any further Hepatitis B
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£20 per injection
|
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Anyone registered as a patient of this practice, who works in a local residential or nursing home or dental surgery, WILL NOT be charged for Hep B vaccinations.
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|
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Tetanus/Diptheria/Polio
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None
|
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Tetanus/Diptheria
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None
|
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Typhoid
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None
|
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Meningococcal - (ACWY VAX)
Plus private nurse consultation
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£20
£20
|
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Rabies / Japanese Encephalitis
Private prescriptions required -
payable to the chemist
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(Course of three injections)
Chemists can charge up to £150 for the 3 injections
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More info: