Barbados

Explanation of symbols

Essential

Clinic

Vaccination

All travellers

When to get vaccinated

Hepatitis A Vaccination

2 weeks before travel

Combined Diptheria, Tetanus & Polio Vaccination

2 weeks before travel

Hepatitis B Vaccination

2 months before travel

Typhoid Vaccination

2 weeks before travel

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Hepatitis A Vaccinationclose

Hepatitis A is a viral infection which can cause severe liver disease. The viral infection is usually spread by contaminated food and water.

Travellers will receive an active vaccine. This is a purified, inactivated preparation of hepatitis A virus.

Those travelling to or who will be residing in areas where the disease is common, particularly if sanitation and food hygiene is likely to be poor. Additional vaccine information: The vaccine is also available combined with hepatitis B or typhoid.

A single injection 2 weeks prior to travel. Then a reinforcing dose 6-12 months later.

2 weeks before travel

General issues: Patients who have had a serious reaction (”anaphylaxis”) to a previous dose of this vaccine or its constituents. Specific issues: One brand of vaccine ”Epaxal” should not be given to those who have had anaphylaxis to hens’ eggs.

There is no evidence of risk.

Very few. Temporary tenderness at the site of the injection.

£82 per dose

Combined Diptheria, Tetanus & Polio Vaccinationclose

Diphtheria is uasually spread by close contact with infected persons. In the UK, the combined Diptheria/Tetanus/Polio vaccine is recommended when diphtheria boosters are indicated for adults. A diphtheria booster lasts 10 years. Tetanus is a serious infection, usually contracted following contamination of wounds. In the UK, after 5 doses of vaccine, tetanus boosters are not routinely required unless travelling to areas with limited medical care. In the UK, the combined Diptheria/Tetanus/Polio vaccine is recommended when tetanus boosters are indicated. A tetanus booster lasts 10 years.

Given as a combined vaccine with polio, tetanus and diphtheria.

Those travelling to an area with poor access to medical attention who have not had a booster in the last 10 years. Additional vaccine information: If your childhood schedule was incomplete, seek guidance about additional doses. In the UK, tetanus vaccine is combined with polio and diphtheria.

A single injection.

2 weeks before travel

General issues: Patients who have had a serious reaction (”anaphylaxis”) to a previous dose of this vaccine or its constituents. Specific issues: Unstable epilepsy.

There is no evidence of risk.

Very few. Temporary tenderness at the site of the injection

£50 per dose

Hepatitis B Vaccinationclose

Hepatitis B is a viral infection which can cause serious liver disease. It is usually spread sexually and by contact with infected blood or body fluids (e.g. puncture of the skin with contaminated needles). Vaccination is recommended for long-stay travellers, and those at risk due to their medical history, activities or work.

Travellers to areas of high or intermediate prevalence who place themselves at risk when abroad should be offered immunisation. The behaviours that place them at risk will include sexual activity, injecting drug use, undertaking relief aid work and/or participating in contact sports. Travellers are also at risk of acquiring infection as a result of medical or dental procedures carried out in countries where unsafe therapeutic injections are a possibility.

Additional vaccine information: The vaccine is available combined with hepatitis A vaccine.

Those travelling to an area with poor access to medical attention who have not had a booster in the last 10 years. Additional vaccine information: If your childhood schedule was incomplete, seek guidance about additional doses. In the UK, tetanus vaccine is combined with polio and diphtheria.

There are several different schedules of vaccination. Usually we advise three doses at 0, 1 and 6 months.

2 months before travel

General issues: Patients who have had a serious reaction (”anaphylaxis”) to a previous dose of this vaccine or its constituents. Specific issues: Vaccination should not replace other protective measures against infection, for example the use of condoms.

There is no evidence of risk.

Life cover after a full 3 dose course

Very few. Temporary tenderness at the site of the injection

£62 per dose

Typhoid Vaccinationclose

Typhoid fever is a bacterial infection usually spread by contaminated food and water. It can cause a serious illness, but vaccines offer up to 80 % protection.

There are two types of vaccine available: an injectable and an oral variety. We recommend the use of the injectable variety.

Travellers to countries where typhoid is common, especially if staying with or visiting the local population, orwith frequent and/or prolonged exposure to conditions where sanitation and food hygiene are likely to be poor. Additional vaccine information: The vaccine is available in a combined preparation with Hepatitis A.

A single dose by injection.

2 weeks before travel

General issues: Patients who have had a serious reaction (”anaphylaxis”) to a previous dose of this vaccine or its constituents. Specific issues: If you decide to have the oral preparation, you should discuss malaria treatment with the clinician

There is no data available about safety in prgnancy and breast feeding. So, subject to medical assessment, vaccine is not recommended for pregnant or breast feeding women.

Very few. Temporary tenderness at the site of the injection. Some patients describe temporary headache and nausea.

£56 per dose