Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Derek Evans

Welcome to Evans Travel Health

Blog     posted on Wednesday 4th August 2021


       How to prepare for Travel Medicine post-Covid

"We are all aware of that the impact of Covid infections has had on travel and continues to do. With the advent of vaccination programs and sophisticated testing and recording systems in place travel is starting to increase.

However the types of travel such as short haul continues to expand according to the determination of national governments whilst long haul remains dormant. The traveller groups have changed and the emphasis on routine vaccinations being sought by first time travellers going to exotic destinations has shifted to business and essential workers.

With this in mind the marketing of any specific travel medicine services will need to understand these changes. Following lockdowns and extended restrictions many travellers are now attempting to visit families and friends (VFRs) who they have only seen through video links. These VFRs will be a key target group during the revival of travel medicine demands and services.

A key part of the practitioners will be the flexibility to react to short time departures and supply necessary vaccines and medication where required. This parallels with the quick turn around that Covid tests are required for entry into another country before departure from the UK. It seems that a mix of PCR and rapid antigen tests are required within a range of departure times from 24 to 96 hours before departure.

The underlying point here is that this increased cost needs to be allowed for during any travel consultation and also the returning costs of testing and/or isolation. It is unlikely that these costs will be removed in the short term and certainly Covid will become another disease to be routinely covered during a travel medicine risk assessment."


Blog

Should Dengue vaccine be licensed for travellers from the UK?

Posted on October 11, 2019 at 12:55 AM



The spread of the dengue virus is highly reported as rapidly increasing in many Asian countries in particular. Last week Bangladesh and Pakistan reported high levels of outbreaks exceeding the number of beds and medical facilities available to treat these patients. These countries are in addition to those reporting earlier in the year such as Philippines, Indonesia, Taiwan and India.


In  an article published last week there are references from France and Spain of patients returning home after contracting dengue abroad and a call for a rapid risk assessment process in case autochthonous cases develop.


Although currently the levels of the transmitting mosquito, Aedes albopictus, are low in Southern Europe, the impact of global warming and the climate is indicating a potential of this mosquito moving further north in the forthcoming years. In the USA for example the last 2 years have had reports of dengue in Florida and this year is the same with CDC recording watch levels on the infection.


So what about the vaccine. We know about the suspended vaccinations in the Philippines where it was concluded that the vaccine could only be given to patients with a laboratory confirmed result of previous infection. With the disease having 4 serotypes and no cross protection (ie contraction of type does not give protection against types 2,3 and 4) then for full protection a patient would need to contract dengue up to 4 times. With the disease showing that it can also produce 2 further conditions of dengue haemorrhaging fever and severe dengue. This is unlike other viruses of the same family such as zika and chikungunya.


With increasingly low air fare costs to infected countries and the only protective advice is the daytime use of insect repellents, is there the risk of a UK traveller returning with dengue increasing?


With the EU licensing the use of dengue vaccine for clinically assessed patients, should the MHRA now be considering the introduction of the vaccine for use in travellers resident in the UK and travelling to endemic areas, such that we have an established set of trial data that will be available should the infection ever mutate and survive in the UK weather conditions.

 

References

1. https//www.ecdc.europa.eu/sites/default/files/documents/RRA-dengue-in-Spain-France_1Oct2019.pdf

2. https//economictimes.indiatimes.com/news/science/dengue-virus-is-becoming-resistant-to-vaccines-and-treatment-study/articleshow/71253957.cms

3. https//wwwnc.cdc.gov/travel/notices/watch/dengue-americas




Categories: None

Post a Comment

Oops!

Oops, you forgot something.

Oops!

The words you entered did not match the given text. Please try again.

736 Comments

Reply kawhi leonard shoes
6:57 PM on August 10, 2022 
I want to express my respect for your kindness in support of people who need help on this important situation. Your special commitment to getting the message throughout turned out to be unbelievably informative and have regularly empowered people just like me to get to their goals. Your personal valuable useful information entails a whole lot to me and far more to my fellow workers. Thanks a lot; from each one of us.
kawhi leonard shoes http://www.kawhileonardshoes.us
Reply yeezy wave runner 700
6:56 PM on August 10, 2022 
I as well as my friends have already been looking at the good procedures from your web site and then all of the sudden I got a horrible feeling I never expressed respect to the website owner for those strategies. Those women were as a result happy to study all of them and already have actually been loving these things. We appreciate you turning out to be indeed helpful and also for getting these kinds of impressive themes millions of individuals are really wanting to be aware of. Our own sincere apologies for not expressing gratitude to you earlier.
yeezy wave runner 700 http://www.yeezy700.us.com
Reply supreme hoodie
6:55 PM on August 10, 2022 
A lot of thanks for your entire efforts on this site. Ellie loves engaging in internet research and it's simple to grasp why. A number of us know all about the compelling tactic you convey very useful tips via this web blog and even increase response from others about this subject then our own girl has been learning a lot of things. Take pleasure in the rest of the year. You are conducting a really great job.
supreme hoodie http://www.supremes-clothing.com
Reply quecarajoes
6:39 PM on August 10, 2022 
pink sparkly dress little girl adidas x 16.3 ic all white blue uk men nike broncos 18 peyton manning navy blue alternate nfl vapor untouchable limited jersey nike blazer womens all black red uk
quecarajoes http://www.quecarajoes.com/
Reply giannis shoes
9:27 AM on August 10, 2022 
I am glad for commenting to let you know what a remarkable experience my friend's child enjoyed using your web page. She discovered lots of issues, including what it is like to have an amazing coaching spirit to have many people completely grasp a number of complex issues. You undoubtedly surpassed my expected results. Many thanks for displaying the productive, healthy, educational as well as easy tips about this topic to Tanya.
giannis shoes http://www.giannisantetokounmposhoes.us
Reply longchamp handbags
9:25 AM on August 10, 2022 
Thank you for every one of your work on this web site. Betty really likes doing investigation and it's really obvious why. Most of us notice all of the dynamic means you provide valuable things on the website and even encourage contribution from other ones on this point plus my child is without question becoming educated a whole lot. Have fun with the remaining portion of the year. Your doing a powerful job.
longchamp handbags http://www.longchampshandbags.us.org
Reply jordan shoes
9:25 AM on August 10, 2022 
I needed to draft you a bit of note so as to thank you so much over again for your personal precious suggestions you have documented in this case. It is remarkably generous with people like you to give extensively exactly what numerous people would have sold for an e book to earn some cash for themselves, precisely considering that you could possibly have done it if you ever wanted. The guidelines as well served to be the great way to know that someone else have a similar interest like my own to figure out lots more on the topic of this matter. Certainly there are thousands of more pleasurable moments up front for folks who see your site.
jordan shoes http://www.michaeljordanshoes.us.com
Reply hermes online
9:24 AM on August 10, 2022 
Thank you for your entire effort on this web page. My daughter takes pleasure in conducting investigations and it's really simple to grasp why. A number of us notice all regarding the lively ways you produce both useful and interesting tips and hints via your web blog and in addition cause contribution from some other people about this theme and our own child is always learning a whole lot. Take pleasure in the remaining portion of the new year. You are always conducting a really good job.
hermes online http://www.hermesonlineshop.com
Reply air jordan
1:00 AM on August 10, 2022 
Thank you a lot for giving everyone such a spectacular possiblity to read critical reviews from here. It really is very useful plus stuffed with a good time for me personally and my office mates to search your site more than 3 times every week to see the newest items you will have. And indeed, I'm always amazed with your effective things you serve. Some 4 tips in this article are really the most impressive we have ever had.
air jordan http://www.jordan1shoes.us
Reply chrome hearts
1:00 AM on August 10, 2022 
I not to mention my buddies were actually digesting the excellent tips and hints from the website and so at once I got a horrible feeling I had not expressed respect to you for those tips. All the young men happened to be consequently excited to see them and already have certainly been taking pleasure in these things. I appreciate you for truly being considerably helpful and for using varieties of cool subject matter millions of individuals are really wanting to know about. My very own honest apologies for not expressing appreciation to earlier.
chrome hearts http://www.chromehearts.com.co
Reply off white outlet
12:59 AM on August 10, 2022 
I in addition to my guys were going through the nice hints found on the website and before long I got an awful suspicion I had not thanked the site owner for those tips. All the boys were definitely consequently very interested to read all of them and now have in actuality been using these things. Appreciate your actually being indeed kind as well as for deciding on this kind of incredible subjects millions of individuals are really needing to be informed on. My personal sincere apologies for not saying thanks to sooner.
off white outlet http://www.off--whiteoutlet.com
Reply off-white
12:58 AM on August 10, 2022 
Thank you a lot for providing individuals with remarkably terrific opportunity to discover important secrets from this website. It can be very cool and also jam-packed with a lot of fun for me and my office mates to visit your blog at least three times every week to study the new guidance you have. And of course, we're always satisfied considering the powerful guidelines you serve. Selected 2 tips in this article are undeniably the best we have had.
off-white http://www.off-whites.us
Reply cheap kobe shoes
12:58 AM on August 10, 2022 
My wife and i felt really delighted that Raymond managed to finish off his reports through your ideas he got from your own site. It is now and again perplexing just to always be offering guidelines which usually most people might have been selling. Therefore we see we need the writer to give thanks to for that. The most important illustrations you've made, the straightforward web site menu, the relationships you can make it easier to foster - it is all sensational, and it's really letting our son in addition to us imagine that this article is brilliant, which is truly fundamental. Thanks for the whole lot!
cheap kobe shoes http://www.kobe-shoes.us.com
Reply yeezy 700
12:57 AM on August 10, 2022 
I wish to express appreciation to the writer just for bailing me out of such a scenario. Just after looking throughout the the web and seeing recommendations which were not beneficial, I assumed my life was well over. Being alive devoid of the solutions to the issues you've sorted out all through your article content is a critical case, as well as ones that would have adversely affected my entire career if I had not noticed the website. Your ability and kindness in dealing with every aspect was vital. I'm not sure what I would have done if I hadn't discovered such a thing like this. I am able to at this point relish my future. Thank you so much for your high quality and amazing help. I will not think twice to recommend your blog post to any individual who will need recommendations about this situation.
yeezy 700 http://www.yeezy-700.com
Reply supreme clothing
12:57 AM on August 10, 2022 
I really wanted to send a quick note to appreciate you for all the precious tips you are placing here. My extended internet search has at the end been rewarded with reasonable know-how to share with my guests. I 'd declare that we site visitors are really lucky to be in a really good community with very many special individuals with very helpful suggestions. I feel rather fortunate to have discovered your site and look forward to tons of more amazing minutes reading here. Thanks once more for all the details.
supreme clothing http://www.supremeclothings.com
Reply cheap steph curry shoes
11:03 PM on August 9, 2022 
Needed to send you a little word just to give many thanks the moment again for your personal amazing tricks you have documented above. This is simply particularly open-handed with you to make openly just what a few people might have distributed as an ebook to help with making some dough on their own, especially seeing that you could have done it if you decided. The points also worked as a easy way to be certain that other people have the identical passion just like mine to know the truth a little more with regard to this matter. I know there are millions of more pleasurable instances up front for individuals who scan through your blog.
cheap steph curry shoes http://www.stephcurry.us
Reply kobe shoes
11:01 PM on August 9, 2022 
I am glad for commenting to let you be aware of of the nice encounter our princess went through going through your web site. She came to find a wide variety of things, with the inclusion of what it's like to possess an awesome coaching heart to make other individuals with no trouble thoroughly grasp specified specialized subject matter. You truly surpassed our desires. I appreciate you for presenting these helpful, dependable, edifying and easy tips about your topic to Jane.
kobe shoes http://www.kobe.us.com
Reply yeezy 700
11:01 PM on August 9, 2022 
I have to show my passion for your kindness supporting persons who actually need assistance with in this area. Your very own commitment to passing the message all over had been surprisingly invaluable and have always helped some individuals just like me to reach their targets. Your own important recommendations denotes so much a person like me and substantially more to my office colleagues. Thanks a lot; from all of us.
yeezy 700 http://www.yeezy-700.com
Reply cheap kyrie 7
8:24 PM on August 9, 2022 
I definitely wanted to send a remark to appreciate you for those wonderful tips and tricks you are giving on this website. My time intensive internet investigation has finally been compensated with professional facts to share with my great friends. I 'd mention that we readers are unequivocally endowed to be in a fine community with so many special people with valuable principles. I feel very much happy to have discovered your site and look forward to plenty of more amazing times reading here. Thanks again for everything.
cheap kyrie 7 http://www.kyrie-7.com
Reply supreme clothing
7:46 PM on August 9, 2022 
Thank you a lot for providing individuals with such a wonderful chance to read articles and blog posts from this website. It can be very cool and as well , packed with amusement for me and my office colleagues to visit your web site at a minimum three times in 7 days to learn the fresh secrets you have. And indeed, I'm also actually happy with the awesome methods served by you. Some 1 points in this post are certainly the most suitable we have ever had.
supreme clothing http://www.supremeclothings.us.com

Click Here to Add a Title

Click this text to start editing. This block is a basic combination of a title and a paragraph. Use it to welcome visitors to your website, or explain a product or service without using an image. Try keeping the paragraph short and breaking off the text-only areas of your page to keep your website interesting to visitors.