For information about childhood immunisation, click here.


Cholera is spread through contaminated water and food, and is more common during floods and rainy seasons. Areas where cholera is common include Africa, the Indian sub-continent and Asia. If you’re travelling to a remote area of a country where there’s an ongoing outbreak, getting a vaccination may be recommended. The vaccine, which is given as a drink, is estimated to be 85%
effective. It is required for:

  • People travelling in remote areas where cholera epidemics are occurring and there is limited access to medical care.
  • Those intending to visit high-risk areas such as refugee camps or war zones.
  • Those taking part in disaster relief operations.

It is important to get advice from your nurse or doctor about whether you need a cholera vaccination well in advance of travelling.

Hepatitis B (Adult)

Hepatitis B is spread through infected blood, contaminated needles and sexual intercourse. The risk of hepatitis B varies, but infections are found throughout the world. The lowest risk is in northern Europe. Vaccination is recommended for travellers in parts of the world where hepatitis B is common. It’s particularly recommended for those at increased risk, such as aid or healthcare workers, those having sex, injecting drugs or playing contact sports. People who are travelling for long periods or are likely to need medical care are also at increased risk.

For full protection, you will need three injections of the hepatitis B vaccine over a period of four to six months. A blood test is then taken one month after the third dose, to check that the vaccinations have worked. You should then be resistant to the virus for at least five years. A booster injection is usually given five years after the initial injection.

Hepatitis A

Hepatitis A is spread through contaminated food and water, and it causes liver inflammation and jaundice. Areas where hepatitis A commonly occurs include Africa, the Far East, and Central and South America. Vaccination is recommended if you’re travelling to countries in these areas with poor levels of sanitation. Immunisation is particularly recommended if you have certain underlying illnesses, or your sexual behaviour puts you at increased risk.


Typhoid is spread through contaminated food and water. It causes symptoms such as fever, headache, stomach pains, loss of appetite and nausea. In some cases, infected people have a rash of flat, rose-coloured spots. Areas where typhoid occurs include some countries in Africa, Asia, the Indian sub-continent and South America. Vaccination is recommended if you’re travelling to a country where typhoid commonly occurs and your planned activities puts you at higher risk. This includes travellers visiting friends and relatives, young children, long-term travellers and people exposed to poor sanitation conditions.

Chicken pox

The chickenpox (varicella) vaccine provides protection against the varicella zoster virus that causes chickenpox. It is not part of the routine childhood immunisation schedule, but it has been shown that 9 out of 10 children vaccinated with a single dose will develop immunity against chickenpox. A two-dose schedule is now recommended for all, as it gives a better immune response. Three-quarters of teenagers and adults who are vaccinated will develop immunity against chickenpox.

Revaxis – Diphtheria, Tetanus and Polio

Diphtheria is a contagious disease spread by direct physical contact or breathing the airborne secretions of infected individuals. Tetanus spores are present in the soil and it can be caused by contact with contaminated wounds. Polio is transmitted through faeces and through the mouth.

The primary vaccination course for all three is given as part of a regular childhood immunisation programme. Boosters are recommended for adults, and particularly for those traveling to areas where the diseases have not been eradicated.

Hepatitis B (Paediatric)

This vaccine is for children at high risk of exposure to hepatitis B, and babies born to infected mothers. It is not part of the routine childhood immunisation schedule. It is given at any age, four doses given over 12 months. A baby born to a mother infected with hepatitis B will be offered a dose at birth, one month of age, 2 months of age and one year of age. Some babies also have an injection of immunoglobulin after they are born, to help prevent being infected.


Meningococcal disease (including meningitis) can be caught from normal, everyday activities, like sharing a bottle, kissing, in fact any activity where respiratory secretions, throat secretions, or saliva are exchanged. Adolescents are at highest risk of this rare but deadly illness. Menveo helps provide important protection against meningococcal disease.


Rabies is spread through bites or licks on broken skin from an infected animal. Without treatment it’s almost always fatal. It occurs in many countries, including most parts of the African and Asian continents, and many parts of Central and South America. Vaccination is advised if you’re going to risk areas that will be far away from a reliable source of vaccine. You should also consider vaccination if taking part in high-risk activities, such as cycling and running, or if you’re travelling for a long time to rabies risk areas. The rabies vaccination consists of three injections over the course of a month. Booster injections every two years are needed for continued protection after that. You should allow at least a month to finish the course before you depart.

Yellow Fever

Yellow fever is a serious disease that’s spread by bites from infected mosquitoes that feed during daylight. It occurs in certain countries of tropical Africa and South America. Vaccination is advised if you’re travelling to areas where there’s a risk of yellow fever transmission. Some countries require a proof of vaccination (certificate) against yellow fever before they let you enter the country – please note your certificate will only become valid 10 days after you have the yellow fever vaccination, so sufficient time should be allowed before you travel. A single dose of the yellow fever vaccine will protect you against yellow fever for at least 10 years. It’s recommended that you have a booster dose every 10 years if you’re still at risk of infection.

Japanese B Encephalitis

This viral infection is spread by bites from infected mosquitoes that feed from evening until dawn. It’s present across huge areas of Asia. The vaccine is recommended if you’re planning an extended stay (at least a month, or sometimes less if the risk is high) in an affected country during the transmission season. This is especially true in rural areas, such as rice fields or marshlands.

Ixiaro Japanese B Encephalitis

Ixiaro is used to protect adults against Japanese encephalitis, a disease that causes inflammation of the brain. Japanese encephalitis can be fatal or lead to long-term disability. It is transmitted by mosquitoes and is most common in Asia, particularly in rural areas. Vaccination with Ixiaro should be considered for people who are at risk of exposure to the Japanese encephalitis virus through travel or work.

Combination Pack 1: Hepatyrix, DTP

Hepatyrix is a combined vaccine against Hepatitis A and Typhoid Fever. In this combination it is administered together with the DTP vaccine.

Combination Pack 2: Hepatyrix, DTP, Yellow Fever

Hepatyrix administered together with the DTP and Yellow Fever vaccines.


Gardasil is a vaccine that helps protect against four types of human papillomavirus (HPV). In girls and young women aged 9 to 26, it helps protect against two types of HPV that cause about 75% of cervical cancer cases, and two more types that cause 90% of genital warts cases. In boys and young men aged 9 to 26, it helps protect against 90% of genital warts cases. The vaccine also helps protect girls and young women aged 9 to 26 against 70% of vaginal cancer cases and up to 50% of vulvar cancer cases.

About The Groves – Private Medical Services

The Groves is unique in the range and quality of services we provide here, including the full range of diagnostic services from blood analysis and onsite mammography, right through to MRI scans, an onsite pharmacy, and, in addition, more than 60 specialist practitioners who provide consultations and a wide range of treatments at The Groves. Our aim wherever possible is to diagnose and treat of all your health needs in a single visit.

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